TITLE 13 INSURANCE
CHAPTER 9 LIFE INSURANCE AND ANNUITIES
PART 6 REPLACEMENT OF LIFE INSURANCE
AND ANNUITIES
13.9.6.1 ISSUING AGENCY: New Mexico Public Regulation Commission, Insurance Division.
[13.9.6.1 NMAC - Rp 13 NMAC 9.6.1, 1-1-04]
13.9.6.2 SCOPE: This rule applies to the replacement of life insurance and annuities as defined in this rule.
A. Unless otherwise specifically included, this rule shall not apply to transactions involving:
(1) credit life insurance;
(2) group life insurance or group annuities where there is no direct solicitation of individuals by an insurance producer. Direct solicitation shall not include any group meeting held by an insurance producer solely for the purpose of educating or enrolling individuals or, when initiated by an individual member of the group, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual. Group life insurance or group annuity certificates marketed through direct response solicitation shall be subject to the provisions of 13.9.6.12 NMAC;
(3) group life insurance and annuities used to fund prearranged funeral contracts;
(4) an application to the existing insurer that issued the existing policy or contract when a contractual change or a conversion privilege is being exercised; or, when the existing policy or contract is being replaced by the same insurer pursuant to a program filed with and approved by the superintendent;
(5) proposed life insurance that is to replace life insurance under a binding or conditional receipt issued by the same company;
(6) the following:
(a) policies or contracts used to fund (i) an employee pension or welfare benefit plan that is covered by the Employee Retirement and Income Security Act (ERISA); (ii) a plan described by Sections 401(a), 401(k) or 403(b) of the Internal Revenue Code, where the plan, for purposes of ERISA, is established or maintained by an employer; (iii) a governmental or church plan defined in Section 414, a governmental or church welfare benefit plan, or a deferred compensation plan of a state or local government or tax exempt organization under Section 457 of the Internal Revenue Code; or (iv) a nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor;
(b) notwithstanding Subparagraph (a) of this paragraph, this rule shall apply to policies or contracts used to fund any plan or arrangement that is funded solely by contributions an employee elects to make, whether on a pre-tax or after-tax basis, and where the insurer has been notified that plan participants may choose from among two (2) or more insurers and there is a direct solicitation of an individual employee by an insurance producer for the purchase of a contract or policy. As used in this subsection, direct solicitation shall not include any group meeting held by an insurance producer solely for the purpose of educating individuals about the plan or arrangement or enrolling individuals in the plan or arrangement or, when initiated by an individual employee, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual employee;
(7) where new coverage is provided under a life insurance policy or contract and the cost is borne wholly by the insured’s employer or by an association of which the insured is a member;
(8) existing life insurance that is a non-convertible term life insurance policy that will expire in five (5) years or less and cannot be renewed;
(9) immediate annuities that are purchased with proceeds from an existing contract. Immediate annuities purchased with proceeds from an existing policy are not exempted from the requirements of this rule; or
(10) structured settlements.
B. Registered contracts shall be exempt from the requirements of Paragraph (2) of Subsection A of 13.9.6.10 NMAC and Subsection B of 13.9.6.11 NMAC with respect to the provision of illustrations or policy summaries; however, premium or contract contribution amounts and identification of the appropriate prospectus or offering circular shall be required instead.
[13.9.6.2 NMAC - Rp 13 NMAC 9.6.2, 1-1-04]
13.9.6.3 STATUTORY AUTHORITY: Sections 59A-2-8, 59A-2-9, and 59A-16-7 NMSA 1978.
[13.9.6.3 NMAC- Rp 13 NMAC 9.6.3, 1-1-04]
13.9.6.4 DURATION: Permanent.
[13.9.6.4 NMAC - Rp 13 NMAC 9.6.4, 1-1-04]
13.9.6.5 EFFECTIVE DATE: 1-1-04, unless a later date is cited at the end of a section.
[13.9.6.5 NMAC - Rp 13 NMAC 9.6.5, 1-1-04]
13.9.6.6 OBJECTIVE: The purpose of this rule is:
A. to regulate the activities of insurers and producers with
respect to the replacement of existing life insurance and annuities;
B. to protect the interests of life insurance and annuity purchasers by establishing minimum standards of conduct to be observed in replacement or financed purchase transactions, it will;
(1) assure that
purchasers receive information with which a decision can be made in his or her
own best interest;
(2) reduce the opportunity for misrepresentation and incomplete
disclosure; and
(3) establish penalties for failure to comply with requirements of
this rule.
[13.9.6.6 NMAC - Rp 13 NMAC 9.6.6, 1-1-04]
13.9.6.7 DEFINITIONS:
A. “Direct-response solicitation” means a
solicitation through a sponsoring or endorsing entity or individually solely
through mails, telephone, the Internet or other mass communication media.
B. “Existing insurer” means the insurance company whose policy or contract is or
will be changed or affected in a manner described within the definition of
“replacement.”
C. “Existing policy or contract” means an
individual life insurance policy (policy) or annuity contract (contract) in
force, including a policy under a binding or conditional receipt or a policy or
contract that is within an unconditional refund period.
D. “Financed purchase” means the purchase
of a new policy involving the actual or intended use of funds obtained by the
withdrawal or surrender of, or by borrowing from values of an existing policy
to pay all or part of any premium due on the new policy. For purposes of a
regulatory review of an individual transaction only, if a withdrawal, surrender
or borrowing involving the policy values of an existing policy is used to pay
premiums on a new policy owned by the same policyholder and issued by the same
company within four (4) months before or thirteen (13) months after the
effective date of the new policy, it will be deemed prima facie evidence of the policyholder’s intent to finance the
purchase of the new policy with existing policy values. This prima facie standard is not intended to
increase or decrease the monitoring obligations contained in Paragraph (5) of
Subsection A of 13.9.6.9 NMAC.
E. “Illustration” means a presentation or depiction
that includes non-guaranteed elements of a policy of life insurance over a
period of years as defined in 13.9.14 NMAC.
F. “Policy summary,” for the purposes of
this rule;
(1) for policies or contracts other than universal life policies,
means a written statement regarding a policy or contract which shall contain to
the extent applicable, but need not be limited to, the following information:
current death benefit; annual contract premium; current cash surrender value;
current dividend; application of current dividend; and amount of outstanding
loan;
(2) for universal life policies, means a written statement that
shall contain at least the following information: the beginning and end date of
the current report period; the policy value at the end of the previous report
period and at the end of the current report period; the total amounts that have
been credited or debited to the policy value during the current report period,
identifying each by type (e.g., interest, mortality, expense and riders); the
current death benefit at the end of the current report period on each life
covered by the policy; the net cash surrender value of the policy as of the end
of the current report period; and the amount of outstanding loans, if any, as
of the end of the current report period.
G. “Producer,” for the purpose of this
rule, shall be defined to include agents, brokers and producers.
H. “Replacing insurer” means the insurance
company that issues or proposes to issue a new policy or contract that replaces
an existing policy or contract or is a financed purchase.
I. “Registered contract” means a variable
annuity contract or variable life insurance policy subject to the prospectus
delivery requirements of the Securities Act of 1933.
J. “Replacement” means a transaction in
which a new policy or contract is to be purchased, and it is known or should be
known to the proposing producer, or to the proposing insurer if there is no
producer, that by reason of the transaction, an existing policy or contract has
been or is to be:
(1) lapsed, forfeited, surrendered or partially surrendered,
assigned to the replacing insurer or otherwise terminated;
(2) converted to reduced paid-up insurance, continued as extended
term insurance, or otherwise reduced in value by the use of nonforfeiture
benefits or other policy values;
(3) amended so as to effect either a reduction in benefits or in
the term for which coverage would otherwise remain in force or for which
benefits would be paid;
(4) reissued with any reduction in cash value; or
(5) used in a financed purchase.
K. “Sales material” means a sales illustration
and any other written, printed or electronically presented information created,
or completed or provided by the company or producer and used in the
presentation to the policy or contract owner related to the policy or contract
purchased.
[13.9.6.7 NMAC - Rp 13 NMAC 9.6.7, 1-1-04]
13.9.6.8 DUTIES
OF PRODUCERS:
A. A
producer who initiates an application shall submit to the insurer, with or as
part of the application, a statement signed by both the applicant and the
producer as to whether the applicant has existing policies or contracts. If the
answer is “no,” the producer’s duties with respect to replacement are complete.
B. If
the applicant answered “yes” to the question regarding existing coverage
referred to in Subsection A of this section, the producer shall present and
read to the applicant, not later than at the time of taking the application, a
notice regarding replacements in the form as described in 13.9.6.14 NMAC or
other substantially similar form approved by the superintendent. However, no
approval shall be required when amendments to the notice are limited to the
omission of references not applicable to the product being sold or replaced.
The notice shall be signed by both the applicant and the producer attesting
that the notice has been read aloud by the producer or that the applicant did
not wish the notice to be read aloud (in which case the producer need not have
read the notice aloud) and left with the applicant.
C. The
notice shall list all life insurance policies or annuities proposed to be
replaced, properly identified by name of insurer, the insured or annuitant, and
policy or contract number if available; and shall include a statement as to
whether each policy or contract will be replaced or whether a policy will be
used as a source of financing for the new policy or contract. If a policy or
contract number has not been issued by the existing insurer, alternative
identification, such as an application or receipt number, shall be listed.
D. In
connection with a replacement transaction the producer shall leave with the
applicant at the time an application for a new policy or contract is completed
the original or a copy of all sales material. With respect to electronically
presented sales material, it shall be provided to the policy or contract owner
in printed form no later than at the time of policy or contract delivery.
E. Except
as provided in Subsection C of 13.9.6.10 NMAC, in connection with a replacement
transaction the producer shall submit to the insurer to which an application
for a policy or contract is presented, a copy of each document required by this
section, a statement identifying any preprinted or electronically presented
company approved sales materials used, and copies of any individualized sales
materials, including any illustrations related to the specific policy or
contract purchased.
[13.9.6.8 NMAC - Rp 13 NMAC 9.6.8, 1-1-04]
13.9.6.9 DUTIES
OF INSURERS THAT USE PRODUCERS: Each
insurer that use producers shall:
A. maintain
a system of supervision and control to insure compliance with the requirements
of this rule that shall include at least the following:
(1) inform its producers of the requirements of this rule and
incorporate the requirements of this rule into all relevant producer training
manuals prepared by the insurer;
(2) provide to each producer a written statement of the company’s
position with respect to the acceptability of replacements providing guidance
to its producer as to the appropriateness of these transactions;
(3) a system to review the appropriateness of each replacement
transaction that the producer does not indicate is in accord with Paragraph (2)
above;
(4) procedures to confirm that the requirements of this rule have
been met; and
(5) procedures to detect transactions that are replacements of
existing policies or contracts by the existing insurer, but that have not been
reported as such by the applicant or producer. Compliance with this rule may
include, but shall not be limited to, systematic customer surveys, interviews,
confirmation letters, or programs of internal monitoring;
B. have
the capacity to monitor each producer’s life insurance policy and annuity contract
replacements for that insurer, and shall produce, upon request, and make such
records available to the Insurance Department. The capacity to monitor shall
include the ability to produce records for each producer’s:
(1) life replacements, including financed purchases, as a
percentage of the producer’s total annual sales for life insurance;
(2) number of lapses of policies by the producer as a percentage
of the producer’s total annual sales for life insurance;
(3) annuity contract replacements as a percentage of the
producer’s total annual annuity contract sales;
(4) number of transactions that are unreported replacements of
existing policies or contracts by the existing insurer detected by the
company’s monitoring system as required by Paragraph (5) of Subsection A of
this section; and
(5) replacements, indexed by replacing producer and existing
insurer;
C. require
with or as a part of each application for life insurance or an annuity a signed
statement by both the applicant and the producer as to whether the applicant
has existing policies or contracts;
D. require
with each application for life insurance or an annuity that indicates an
existing policy or contract a completed notice regarding replacements as
contained in 13.9.6.14 NMAC;
E. when
the applicant has existing policies or contracts, each insurer shall be able to
produce copies of any sales material required by Subsection E of 13.9.6.8 NMAC,
the basic illustration and any supplemental illustrations related to the
specific policy or contract that is purchased, and the producer’s and
applicant’s signed statements with respect to financing and replacement for at
least five (5) years after the termination or expiration of the proposed policy
or contract;
F. ascertain
that the sales material and illustrations required by Subsection E of 13.9.6.8
NMAC meet the requirements of this rule and are complete and accurate for the proposed
policy or contract;
G. if
an application does not meet the requirements of this rule, notify the producer
and applicant and fulfill the outstanding requirements; and
H. maintains
records in paper, photograph, microprocess, magnetic, mechanical or electronic
media or by any process that accurately reproduces the actual document.
[13.9.6.9 NMAC - Rp 13 NMAC 9.6.9, 1-1-04]
13.9.6.10 DUTIES
OF REPLACING INSURERS THAT USE PRODUCERS:
A. Where
a replacement is involved in the transaction, the replacing insurer shall:
(1) verify that the required forms are received and are in
compliance with this rule;
(2) notify any other existing insurer that may be affected by the
proposed replacement within five (5) business days of receipt of a completed
application indicating replacement or when the replacement is identified if not
indicated on the application, and mail a copy of the available illustration or
policy summary for the proposed policy or available disclosure document for the
proposed contract within five (5) business days of a request from an existing
insurer;
(3) be able to produce copies of the notification regarding
replacement required in Subsection B of 13.9.6.8 NMAC, indexed by producer, for
at least five (5) years or until the next regular examination by the insurance
department of a company’s state of domicile, whichever is later; and
(4) provide to the policy
or contract owner notice of the right to return the policy or contract within
thirty (30) days of the delivery of the contract and receive an unconditional
full refund of all premiums or considerations paid on it, including any policy
fees or charges or, in the case of a variable or market value adjustment policy
or contract, a payment of the cash surrender value provided under the policy or
contract plus the fees and other charges deducted from the gross premiums or
considerations or imposed under such policy or contract; such notice may be
included in 13.9.6.14 or 13.9.6.16 NMAC.
B. In
transactions where the replacing insurer and the existing insurer are the same
or subsidiaries or affiliates under common ownership or control allow credit
for the period of time that has elapsed under the replaced policy’s or
contract’s incontestability and suicide period up to the face amount of the
existing policy or contract. With regard to financed purchases the credit may
be limited to the amount the face amount of the existing policy is reduced by
the use of existing policy values to fund the new policy or contract.
C. If
an insurer prohibits the use of sales material other than that approved by the
company, as an alternative to the requirements made of an insurer pursuant to
Subsection E of 13.9.6.8 NMAC, the insurer may:
(1) require with each application a statement signed by the producer
that:
(a) represents that the producer
used only company-approved sales material; and
(b) states that copies of all
sales material were left with the applicant in accordance with Subsection D of
13.9.6.8 NMAC; and
(2) within ten (10) days of the issuance of the policy or
contract:
(a) notify the applicant by
sending a letter or by verbal communication with the applicant by a person
whose duties are separate from the marketing area of the insurer, that the
producer has represented that copies of all sales material have been left with
the applicant in accordance with Subsection D of 13.9.6.8 NMAC;
(b) provide the applicant with a
toll free number to contact company personnel involved in the compliance
function if such is not the case; and
(c) stress the importance of
retaining copies of the sales material for future reference; and
(3) be able to produce a copy of the letter or other verification
in the policy file for at least five (5) years after the termination or
expiration of the policy or contract.
[13.9.6.10 NMAC - Rp 13 NMAC 9.6.10, 1-1-04]
13.9.6.11 DUTIES
OF EXISTING INSURERS: Where a replacement
is involved in the transaction, the existing insurer shall:
A. retain
and be able to produce all replacement notifications received, indexed by
replacing insurer, for at least five (5) years or until the conclusion of the
next regular examination conducted by the Insurance Department of its state of
domicile, whichever is later.
B. send
a letter to the policy or contract owner of the right to receive information
regarding the existing policy or contract values including, if available, an in
force illustration or policy summary if an in force illustration cannot be
produced within five (5) business days of receipt of a notice that an existing
policy or contract is being replaced. The information shall be provided within
five (5) business days of receipt of the request from the policy or contract
owner.
C. upon
receipt of a request to borrow, surrender or withdraw any policy values, send a
notice, advising the policy owner that the release of policy values may affect
the guaranteed elements, non-guaranteed elements, face amount or surrender
value of the policy from which the values are released. The notice shall be
sent separate from the check if the check is sent to anyone other than the
policy owner. In the case of consecutive automatic premium loans, the insurer
is only required to send the notice at the time of the first loan.
[13.9.6.11 NMAC - Rp 13 NMAC 9.6.12, 1-1-04]
13.9.6.12 DUTIES
OF INSURERS WITH RESPECT TO DIRECT RESPONSE SOLICITATION:
A. In
the case of an application that is initiated as a result of a direct response
solicitation, the insurer shall require, with or as part of each completed
application for a policy or contract, a statement asking whether the applicant,
by applying for the proposed policy or contract, intends to replace,
discontinue or change an existing policy or contract. If the applicant
indicates a replacement or change is not intended or if the applicant fails to
respond to the statement, the insurer shall send the applicant, with the policy
or contract, a notice regarding replacement in 13.9.6.15 NMAC, or other
substantially similar form approved by the superintendent.
B. If
the insurer has proposed the replacement or if the applicant indicates a
replacement is intended and the insurer continues with the replacement, the
insurer shall:
(1) provide to applicants or prospective applicants with the
policy or contract a notice, as described in 13.9.6.16 NMAC, or other
substantially similar form approved by the superintendent. In these instances
the insurer may delete the references to the producer, including the producer’s
signature, and references not applicable to the product being sold or replaced,
without having to obtain approval of the form from the superintendent. The
insurer’s obligation to obtain the applicant’s signature shall be satisfied if
it can demonstrate that it has made a diligent effort to secure a signed copy
of the notice referred to in this paragraph. The requirement to make a diligent
effort shall be deemed satisfied if the insurer includes in the mailing a
self-addressed postage prepaid envelope with instructions for the return of the
signed notice referred to in this section; and
(2) comply with the requirements of Paragraph (2) of Subsection A
of 13.9.6.10 NMAC, if the applicant furnishes the names of the existing
insurers, and the requirements of Paragraphs (3) and (4) of Subsection A and
Subsection B of 13.9.6.10 NMAC.
[13.9.6.12 NMAC - Rp 13 NMAC 9.6.11, 1-1-04]
13.9.6.13 VIOLATIONS
AND PENALTIES:
A. Any
failure to comply with this rule shall be considered a violation of Section
59A-16-6 NMSA 1978. Examples of violations include:
(1) any deceptive or misleading information set forth in sales
material;
(2) failing to ask the applicant in completing the application the
pertinent questions regarding the possibility of financing or replacement;
(3) the intentional incorrect recording of an answer;
(4) advising an applicant to respond negatively to any question
regarding replacement in order to prevent notice to the existing insurer; or
(5) advising a policy or
contract owner to write directly to the company in such a way as to attempt to
obscure the identity of the replacing producer or company.
B. Policy and
contract owners have the right to replace existing life insurance policies or
annuity contracts after indicating in or as a part of applications for new
coverage that replacement is not their intention; however, patterns of such
action by policy or contract owners of the same producer shall be deemed prima
facie evidence of the producer’s knowledge that replacement was intended in connection
with the identified transactions, and these patterns of action shall be deemed prima facie evidence of the producer’s
intent to violate this rule.
C. Where it
is determined that the requirements of this rule have not been met the
replacing insurer shall provide to the policy owner an in force illustration if
available or policy summary for the replacement policy or available disclosure
document for the replacement contract and the appropriate notice regarding
replacements in 13.9.6.14 or 13.9.6.16 NMAC.
[13.9.6.13 NMAC - Rp 13 NMAC 9.6.13, 1-1-04]
13.9.6.14 APPENDIX
A: Important Notice: Replacement of Life
Insurance or Annuities
IMPORTANT NOTICE:
REPLACEMENT OF LIFE INSURANCE OR ANNUITIES
This document must be signed by
the applicant and the producer, if there is one,
and a copy left with the
applicant.
You are contemplating the purchase
of a life insurance policy or annuity contract. In some cases this purchase may
involve discontinuing or changing an existing policy or contract. If so, a
replacement is occurring. Financed purchases are also considered replacements.
A replacement occurs when a new
policy or contract is purchased and, in connection with the sale, you
discontinue making premium payments on the existing policy or contract, or an
existing policy or contract is surrendered, forfeited, assigned to the
replacing insurer, or otherwise terminated or used in a financed purchase.
A financed purchase occurs when
the purchase of a new life insurance policy involves the use of funds obtained
by the withdrawal or surrender of or by borrowing some or all of the policy
values, including accumulated dividends, of an existing policy to pay all or
part of any premium or payment due on the new policy. A financed purchase is a
replacement.
You should carefully consider
whether a replacement is in your best interests. You will pay acquisition costs
and there may be surrender costs deducted from your policy or contract. You may
be able to make changes to your existing policy or contract to meet your
insurance needs at less cost. A financed purchase will reduce the value of your
existing policy and may reduce the amount paid upon the death of the insured.
We want you to understand the
effects of replacements before you make your purchase decision and ask that you
answer the following questions and consider the questions on the back of this
form.
1. Are you considering discontinuing making premium payments,
surrendering, forfeiting, assigning to the insurer, or otherwise terminating
your existing policy or contract?
___ YES ___ NO
2. Are you considering using funds from your existing policies or
contracts to pay premiums due on the new policy or contract? ___ YES ___ NO
If you answered “yes” to either of
the above questions, list each existing policy or contract you are
contemplating replacing (include the name of the insurer, the insured or
annuitant, and the policy or contract number if available) and whether each
policy or contract will be replaced or used as a source of financing:
INSURER
NAME |
CONTRACT OR POLICY # |
INSURED OR ANNUITANT |
REPLACED (R) OR FINANCING (F) |
1. |
|
|
|
2. |
|
|
|
3. |
|
|
|
Make sure you know the facts. Contact
your existing company or its agent for information about the old policy or
contract. If you request one, an in force illustration, policy summary or
available disclosure documents must be sent to you by the existing insurer. Ask
for and retain all sales material used by the agent in the sales presentation.
Be sure that you are making an informed decision.
The existing policy or contract is
being replaced because _______________________________________________.
I certify that the responses
herein are, to the best of my knowledge, accurate:
______________________________________________________________ _______________________
Applicant’s Signature and Printed
Name
Date
______________________________________________________________ _______________________
Producer’s Signature and Printed
Name
Date
I do not want this notice read
aloud to me. __(Applicants must initial only if they do not want the notice
read aloud.)
A replacement may not be in your
best interest, or your decision could be a good one. You should make a careful
comparison of the costs and benefits of your existing policy or contract and
the proposed policy or contract. One way to do this is to ask the company or
agent that sold you your existing policy or contract to provide you with
information concerning your existing policy or contract. This may include an
illustration of how your existing policy or contract is working now and how it
would perform in the future based on certain assumptions. Illustrations should
not, however, be used as a sole basis to compare policies or contracts. You
should discuss the following with your agent to determine whether replacement
or financing your purchase makes sense:
PREMIUMS: Are they affordable?
Could they change?
You’re older—are premiums higher for
the proposed new policy?
How long will you have to pay premiums
on the new policy? On the old policy?
POLICY VALUES: New policies usually take longer to
build cash values and to pay dividends.
Acquisition costs for the old policy may have been
paid, you will incur costs for the new one.
What surrender charges do the policies
have?
What expense and sales charges will you
pay on the new policy?
Does the new policy provide more
insurance coverage?
INSURABILITY: If your health has changed since you
bought your old policy, the new one could cost you more, or you could be turned
down.
You may need a medical exam for a new policy.
Claims on most new policies for up to
the first two years can be denied based on inaccurate
statements.
Suicide limitations may begin anew on
the new coverage.
IF YOU ARE KEEPING THE OLD POLICY
AS WELL AS THE NEW POLICY:
How are premiums for both policies being paid?
How will the premiums on your existing policy be
affected?
Will a loan be deducted from death benefits?
What values from the old policy are being used to pay
premiums?
IF YOU ARE SURRENDERING AN ANNUITY
OR INTEREST SENSITIVE LIFE PRODUCT:
Will you pay surrender charges on your old contract?
What are the interest rate guarantees for the new
contract?
Have you compared the contract charges or other
policy expenses?
OTHER ISSUES TO CONSIDER FOR ALL
TRANSACTIONS:
What are the
tax consequences of buying the new policy?
Is this a tax free exchange? (See your tax advisor.)
Is there a benefit from favorable “grandfathered”
treatment of the old policy under the federal tax code?
Will the
existing insurer be willing to modify the old policy?
How does the quality and financial stability of the
new company compare with your existing company?
[13.9.6.14 NMAC - N, 1-1-04]
13.9.6.15 APPENDIX
B: Notice Regarding Replacement
NOTICE REGARDING REPLACEMENT
REPLACING YOUR LIFE INSURANCE POLICY OR ANNUITY?
Are you thinking about buying a
new life insurance policy or annuity and discontinuing or changing an existing
one? If you are, your decision could be a good one—or a mistake. You will not
know for sure unless you make a careful comparison of your existing benefits
and the proposed policy or contract’s benefits.
Make sure you understand the
facts. You should ask the company or agent that sold you your existing policy
or contract to give you information about it.
Hear both sides before you decide. This way you can be sure
you are making a decision that is in your best interest.
[13.9.6.15 NMAC - Rp 13 NMAC
9.6.14, 1-1-04]
13.9.6.16 APPENDIX
C: Important Notice: Replacement of Life
Insurance or Annuities.
IMPORTANT NOTICE:
REPLACEMENT OF LIFE INSURANCE OR ANNUITIES
You are contemplating the purchase
of a life insurance policy or annuity contract. In some cases this purchase may
involve discontinuing or changing an existing policy or contract. If so, a
replacement is occurring. Financed purchases are also considered replacements.
A replacement occurs when a new
policy or contract is purchased and, in connection with the sale, you
discontinue making premium payments on the existing policy or contract, or an
existing policy or contract is surrendered, forfeited, assigned to the
replacing insurer, or otherwise terminated or used in a financed purchase.
A financed purchase occurs when
the purchase of a new life insurance policy involves the use of funds obtained
by the withdrawal or surrender of or by borrowing some or all of the policy
values, including accumulated dividends, of an existing policy, to pay all or
part of any premium or payment due on the new policy. A financed purchase is a
replacement.
You should carefully consider
whether a replacement is in your best interests. You will pay acquisition costs
and there may be surrender costs deducted from your policy or contract. You may
be able to make changes to your existing policy or contract to meet your
insurance needs at less cost. A financed purchase will reduce the value of your
existing policy and may reduce the amount paid upon the death of the insured.
We want you to understand the
effects of replacements and ask that you answer the following questions and
consider the questions on the back of this form.
1. Are you considering discontinuing making premium payments,
surrendering, forfeiting, assigning to the insurer, or otherwise terminating
your existing policy or contract? ___ YES ___ NO
2. Are you considering using funds from your existing policies or
contracts to pay premiums due on the new policy or contract? ___ YES ___ NO
Please list each existing policy
or contract you are contemplating replacing (include the name of the insurer,
the insured, and the policy or contract number if available) and whether each
policy or contract will be replaced or used as a source of financing:
INSURER NAME |
CONTRACT OR POLICY # |
INSURED OR ANNUITANT |
REPLACED (R) OR FINANCING (F) |
1. |
|
|
|
2. |
|
|
|
3. |
|
|
|
Make sure you know the facts.
Contact your existing company or its agent for information about the old policy
or contract. If you request one, an in force illustration, policy summary or
available disclosure documents must be sent to you by the existing insurer. Ask
for and retain all sales material used by the agent in the sales presentation.
Be sure that you are making an informed decision.
I certify that the responses
herein are, to the best of my knowledge, accurate:
____________________________________________________________________________ ______________
Applicant’s Signature and Printed
Name Date
A replacement may not be in your
best interest, or your decision could be a good one. You should make a careful
comparison of the costs and benefits of your existing policy or contract and
the proposed policy or contract. One way to do this is to ask the company or
agent that sold you your existing policy or contract to provide you with
information concerning your existing policy or contract. This may include an
illustration of how your existing policy or contract is working now and how it
would perform in the future based on certain assumptions. Illustrations should
not, however, be used as a sole basis to compare policies or contracts. You
should discuss the following with your agent to determine whether replacement
or financing your purchase makes sense:
PREMIUMS: Are they affordable?
Could they change?
You’re older—are premiums higher for the proposed new
policy?
How long will you have to pay premiums on the new
policy? On the old policy?
POLICY VALUES: New policies usually take longer to build
cash values and to pay dividends.
Acquisition costs for the old policy may have been
paid, you will incur costs for the new one.
What surrender charges do the policies have?
What expense and sales charges will you pay on the
new policy?
Does the new policy provide more insurance coverage?
INSURABILITY: If your health has changed since you
bought your old policy, the new one could cost you more, or you could be turned
down.
You may need a medical exam for a new policy.
Claims on most new policies for up to the first two
years can be denied based on inaccurate statements.
Suicide limitations may begin anew on the new
coverage.
IF YOU ARE KEEPING THE OLD POLICY
AS WELL AS THE NEW POLICY:
How are premiums for both policies being paid?
How will the premiums on your existing policy be
affected?
Will a loan be deducted from death benefits?
What values from the old policy are being used to pay
premiums?
IF YOU ARE SURRENDERING AN ANNUITY
OR INTEREST SENSITIVE LIFE PRODUCT:
Will you pay surrender charges on your old contract?
What are the interest rate guarantees for the new
contract?
Have you compared the contract charges or other
policy expenses?
OTHER ISSUES TO CONSIDER FOR ALL
TRANSACTIONS:
What are the tax consequences of buying the new
policy?
Is this a tax free exchange? (See your tax advisor.)
Is there a benefit from favorable “grandfathered” treatment
of the old policy under the federal tax code?
Will the existing insurer be willing to modify the
old policy?
How does the quality and financial stability of the
new company compare with your existing company?
[13.9.6.16 NMAC - N, 1-1-04]
HISTORY OF 13.9.6 NMAC
Pre-NMAC History: The material in this part was derived from that previously filed with the commission of public records - state records center and archives.
INS Rule 80-4, Life Insurance
Replacement Rule, filed 9-12-80.
History of Repealed Material:
13 NMAC 9.6, Replacement of Life Insurance and Annuities,
filed 5-27-97, was repealed 12-31-03.
Other History: INS Rule 80-4, Life Insurance Replacement Rule, filed September 12, 1980, renumbered, reformatted and replaced by 13 NMAC 9.6, Replacement of Life Insurance and Annuities, effective 7-1-97;
13 NMAC 9.6, Replacement of Life Insurance and Annuities, filed 5-27-97 replaced by 13.9.6 NMAC, Replacement of Life Insurance and Annuities, effective 1-1-04.