Plain Text Law

Title 31 — Subtitle 09. Life Insurance and Annuities

Chapter 01. Wholesale Life Insurance

Regulation .01 Definition.Copy Citation

A.
“Wholesale life insurance” means life insurance distributed on a mass merchandising basis and administered by group methods provided, with or without evidence of insurability, by individual policies and made available to employees or members under a program sponsored by:
(1)
An employer;
(2)
An association of employers;
(3)
A union or association of unions;
(4)
An association of persons having the same occupation or profession;
(5)
An association of civil service employees;
(6)
A religious, charitable, recreational, educational, civic, or fraternal organization or association;
(7)
A school;
(8)
A sports team;
(9)
A volunteer fire department; or
(10)
Any substantially similar group approved by the Commissioner.
B.
The program may also cover dependents of the employees or members.
C.
As used in this chapter, the term “wholesale life insurance policy” does not include policies issued in connection with:
(1)
Employee benefit trusts and plans forming part of a retirement, stock bonus, pension, profit-sharing, annuity, deferred compensation, disability, or death benefit plan established by an employer for the benefit of some or all of his employees or their dependents or beneficiaries qualified or exempt under the United States Internal Revenue Code of 1954, as amended from time to time;
(2)
Employee trusts and plans established under the Federal Self-Employed Individuals Tax Retirement Act of 1962;
(3)
Tax sheltered annuity programs for certain organizations exempt from federal income tax and for public schools; and
(4)
Buy-and-sell agreements.
D.
An arrangement for premium payment such as salary deduction, salary savings, or payroll allotment may not in and of itself cause a policy to be classified as wholesale life insurance. Except where the context indicates otherwise, references to policy in this chapter shall refer to a wholesale life insurance policy.

Regulation .02 Plan of Insurance.Copy Citation

Wholesale life insurance policies may be issued on the yearly or more frequently renewable term plan or on any other term or on any whole life or endowment plan. If the policy is issued on the yearly or more frequently renewable term plan or any other term plan, it shall contain the right of renewal to at least age 65 nearest birthday (subject, however, to the insurer's right to refuse renewal in accordance with Regulation .05 of this chapter), and shall contain the right to convert to a whole life or endowment plan after termination of the final term period. However, the policy need not provide the privilege of renewal of term insurance on a dependent child beyond age 19 nearest birthday. Whenever the policy is not eligible for renewal as a wholesale life insurance policy, it shall contain such additional conversion rights as are hereinafter set forth if written on a yearly or more frequently renewable term basis or, if written on other than a yearly or more frequently renewable term basis, shall give the insured employee or member the right to continue the insurance under the original policy at the same premium, or at a stated higher premium which may not exceed rates charged by the insurer for ordinary policies issued under the same policy plan of insurance for the same class of risk.

Regulation .03 Premium Rates.Copy Citation

A.
Premium rates for wholesale life insurance policies may be less than rates customarily charged by the insurer for ordinary policies issued under the same policy plan of insurance for the same class of risk.
B.
Policies Issued on the Yearly or More Frequently Renewable Term Plan. The policy shall contain a table of renewable premiums for all ages up to the limiting age for renewal. Ages may be grouped for the purpose of premium rates either by one group for ages under 40 or by decennial (10-year) or smaller age groupings for ages under 40, and by quinquennial (5-year) or smaller age groupings for ages 40 to 75. The insurer may reserve the right to change the table of rates upon 30 days prior written notice to the sponsor and to the insured employee or member, the change to become effective on a premium due date or on a policy renewal date specified in the notice, but an increase in rates may not become effective within 1 year after issue of the policy or after the effective date of any prior change in the table of rates.
C.
Policies Issued on Other Than the Yearly or More Frequently Renewable Term Plan. A policy issued on other than the yearly or more frequently renewable term plan shall have premium rates guaranteed in the policy. These rates may not be changed while the policy is continued as a wholesale life insurance policy. However, the insurer may make a change in its schedule of premium rates to be effective for policies issued after the effective date of the change to employees or members of the same sponsor.
D.
Nondiscrimination. Premium rates shall be self-supporting on reasonable assumptions as to mortality, interest, and expense and may not unfairly discriminate between any class or classes of persons insured.
E.
Experience Refund. An insurer may grant experience refunds to a case either retrospectively or prospectively, if all wholesale life insurance cases of the same class are experience rated by the insurer on a equitable basis taking into consideration size, credibility, and other relevant factors.

Regulation .04 Permissible Cases.Copy Citation

A.
Evidence of Insurability. The insurer may require evidence of insurability on individual lives.
B.
Contributory and Noncontributory. Premiums for the policies may be paid by the sponsor or by the employee or member insured, or partly by the sponsor and partly by the employee or member insured.
C.
Employer Sponsored Case.
(1)
The class or classes of persons to be insured initially shall consist of not less than two employees. An employer sponsored case which meets the qualifications for a group life insurance policy under Insurance Article, Title 17, Annotated Code of Maryland, as amended to date, and under which more than 32 employees are initially eligible, may not be written on a wholesale life insurance basis. The term “employees” may include:
(a)
Directors and officers, if the employer is a corporation;
(b)
An individual proprietor or partner, if the employer is an individual proprietor or a partnership;
(c)
Elected or appointed officials, if the employer is a government unit, department, or agency; and
(d)
Retired employees.
(2)
For purposes of this chapter, employees of affiliated corporations, proprietorships, or partnerships under common control may be regarded as employees of the employer.
D.
Other Sponsors. If a sponsor is other than an employer, the case may be written only if the persons, excluding dependents, to be initially insured shall number at least five, and if the number of persons, excluding dependents, initially eligible exceeds 32, only if the case does not qualify for a group life insurance policy under Insurance Article, Title 17, Annotated Code of Maryland, as amended to date.

Regulation .05 Right to Refuse Renewal.Copy Citation

A.
The insurer may reserve the right to nonrenew a policy in the wholesale life insurance category only for one or more of the following reasons as may be specified in the policy:
(1)
Nonpayment of premium;
(2)
Termination of the employee's employment with the sponsor, or the termination of his employment in an eligible class of employees of the sponsor;
(3)
The termination of membership in the sponsor, or the termination of membership in an eligible class of membership of the sponsor, or when a member ceases to practice the profession or occupation with respect to which the policy was issued;
(4)
The maturity of the policy, or the attainment of the limiting age for renewal stated in the policy;
(5)
The nonrenewal at the request of the sponsor of all policies issued in the case;
(6)
The nonrenewal by the insurer of all policies issued to employees or members of the sponsors, the nonrenewal to be effective on a premium due date or on a renewal date following the insurer's giving at least 60 days prior written notice to the sponsor and to each employee or member insured; or
(7)
Any other condition for nonrenewal approved by the Commissioner.
B.
Written notice under §A of this regulation may be given by timely mailing of the notice to the employee or member insured at his most recent address known to the insurer or to the sponsor.
C.
Effective Date of Nonrenewal. Termination or nonrenewal of a wholesale life insurance policy for a reason other than nonpayment of premium may not be made effective on a date other than a premium due date or a policy renewal date.

Regulation .06 Notice of Conversion.Copy Citation

Whenever a conversion privilege is available under the policy or whenever a policy which is not eligible for renewal as a wholesale life insurance policy may be continued by payment of an increased premium, the insurer shall give the individual employee or member insured written notice of the right to convert or continue. The notice shall be given not more than 60 days before or more than 15 days after the termination or nonrenewal of insurance under the wholesale life insurance policy. If the notice is given more than 15 days after termination or nonrenewal of insurance, the time allowed for the exercise of the privilege of conversion or payment of the increased premium shall be extended for 15 days after the giving of the notice, but not beyond 90 days after the termination or nonrenewal of insurance. An extension of the time to convert or continue the policy does not operate to extend the coverage beyond the period stated in the policy, unless the policy specifically provides for an extension of the coverage. Written notice under this provision may be given by timely mailing of the notice to the employee or member insured at the employee's or member's most recent address known to the insurer or to the sponsor. Notice described in this regulation is not required when the policy may be continued as a wholesale life insurance policy with the same sponsor at an increased premium which is called for in the policy's schedule of premiums because of an increase in the attained age of the person insured or because of a change in the table of rates stated in the policy. In event of a change in the table of rates, notice shall be given as set forth in Regulation .03B of this chapter.

Regulation .07 Brief Description.Copy Citation

Each wholesale life insurance policy shall have legibly inscribed on the first page a brief description which shall include the word “wholesale” and such other information as may be required by Insurance Article, §16-213, Annotated Code of Maryland.

Regulation .08 Policy Provisions.Copy Citation

A.
With respect to each insured employee or member, an individual policy which identifies the insured employee or member by name shall be issued covering himself or his dependents, or both. The policy shall contain all of the provisions required by §§B—M of this regulation, except that any provision or portion thereof which in the opinion of the Commissioner is not applicable to the plan of insurance shall, to the extent inapplicable, not be incorporated in the policy. In lieu of any of the provisions required by this chapter, the Commissioner may approve any provision which he deems more favorable to the policyholder.
B.
Grace Period. A grace period of not less than 30 days shall be allowed within which the payment of any premium payable under the policy (except the first premium) may be made, during which grace period the policy shall continue in full force. If a claim arises under the policy during the grace period, the insurer may deduct the amount of any premium due from the policy proceeds.
C.
Incontestability. The policy shall be incontestable as to life insurance benefits (exclusive of additional benefits relating to disability or accidental death), except for nonpayment of premium, after it has been in force during the lifetime of the insured for a period of 2 years from its date of issue.
D.
Entire Contract. The policy shall provide that it, or it together with any application for a policy if a copy of the application is endorsed upon or attached to the policy when issued, shall constitute the entire contract between the insurer and the policyholder, and if the application is so made a part of the policy, that all statements contained in the application shall, in the absence of fraud, be deemed representations and not warranties.
E.
Misstatement of Age. The policy shall provide that if the age of the insured or any other person whose age is considered in determining the premium or benefit has been misstated, any amount payable or benefit accruing under the policy shall be such as the premium would have purchased at the correct age or ages.
F.
Payment of Claims. The policy shall provide that any benefits becoming payable by reason of the death of the insured shall be made to the person entitled to them upon receipt of due proof of death.
G.
Beneficiary. The policy shall have endorsed on it, or on an application attached to it, the name of the beneficiary and reserve to the policy owner the right to change the beneficiary unless the owner elects to designate a beneficiary irrevocably. The policy may also provide that if the beneficiary designated in the policy does not make a claim under the policy or does not surrender the policy with due proof of death within the period stated in the policy, which may not be less than 30 days after the death of the insured, or if the beneficiary is the estate of the insured, or is a minor, or dies before the insured, or is not legally competent to give a valid release, then the insurer may make any payment under the policy to the estate of the insured, or to any relative of the insured by blood or legal adoption or connection by marriage, or to any person appearing to the insurer to be equitably entitled to payment by reason of having been named beneficiary, or by reason of having incurred expense for the maintenance, medical attention, or burial of the insured. The policy may also include a similar provision applicable to any other payment due under the policy. At the option of the insurer, the policy may also provide that no designation or change of beneficiary shall be binding on the insurer until endorsed on the policy by the insurer, or otherwise accepted by the insurer, and that the insurer may refuse to endorse the name of any proposed beneficiary who does not appear to the insurer to have an insurable interest in the life of the insured. If the policy provides that the proceeds may be payable in installments or as an annuity, the policy shall include a table showing the amount and period of the installment or annuity if determinable at issue.
H.
Reinstatement. The policy shall provide that unless it has been surrendered for its cash surrender value, or its cash surrender value has been exhausted by reason of policy indebtedness, or the paid-up term insurance, if any, has expired, the policy may be reinstated at any time within 3 years from the due date of the first premium in default upon written application to the insurer and the production of evidence of insurability satisfactory to the insurer, and the payment of all premiums in arrears and payment or reinstatement of any other indebtedness to the insurer upon the policy and the payment of interest at a specified rate not exceeding an effective rate of 6 percent per annum compounded annually on all premiums in arrears and indebtedness.
I.
Nonforfeiture Values. The policy shall contain nonforfeiture provisions not less favorable to the policyholder in every respect than those required under Insurance Article, Title 16, Subtitle 3, Annotated Code of Maryland, for a policy of ordinary life insurance issued on the same plan of insurance and containing the same benefits.
J.
Policy Loans. The policy shall contain a provision that after 3 full years premiums have been paid and after the policy has a cash surrender value and while no premium is in default beyond the grace period for payment, the insurer will advance, on proper assignment or pledge of the policy and on the sole security of the policy, at a specified rate of interest not exceeding an effective rate of 6 percent per annum, an amount equal to or, at the option of the person entitled to payment, less than the loan value of the policy. The loan value of the policy shall be at least equal to the cash surrender value at the end of the then current policy year, provided that the insurer may deduct, either from the loan value or from the proceeds of the loan, any existing indebtedness not already deducted in determining the cash surrender value including any interest then accrued but not due, any unpaid balance of the premium for the current policy year, and interest on the loan to the end of the current policy year. The policy may also provide that if interest on any indebtedness is not paid when due, it shall then be added to the existing indebtedness and shall bear interest at the same rate, and that if and when the total indebtedness on the policy, including interest due or accrued, equals or exceeds the amount of the loan value of the policy, then the policy shall terminate and become void, but not until at least 30 days notice has been mailed by the insurer to the last known address of the insured or policy owner and of any assignee of record at the home office of the insurer. The policy shall reserve to the insurer the right to defer the granting of a loan, other than for the payment of any premium to the insurer, for 6 months after application therefor. The policy, at the insurer's option, may provide for automatic premium loan, subject to an election of the person entitled to elect. At the option of the insurer, this provision may be omitted in a policy of term life insurance.
K.
Dividends.
(1)
If the policy is issued on a participating basis, it shall provide that the insurer shall annually ascertain and apportion any divisible surplus under the policy which will accrue on the policy anniversary or other dividend date specified in the policy and that dividends arising from this apportionment shall be credited annually beginning not later than the end of the third policy year. The payment of any dividend payable on or after the end of the third policy year may not be made contingent upon the payment of any premium due on or after the date when the dividend becomes payable.
(2)
The policy shall provide that the person entitled to the dividend shall have the right, at his option, to have the dividend arising from the participation:
(a)
Paid in cash;
(b)
Applied to the payment of premium if any then be due;
(c)
Applied to provide paid-up additions to the policy; or
(d)
Left to accumulate at a rate of interest not less than that specified in the policy.
(3)
However, in the case of a term policy, the policy need not provide the options of §K(2)(c) or (d) of this regulation.
(4)
The policy shall further provide that a specified option shall become effective if the person entitled to the dividend fails to notify the insurer in writing of his election not later than 30 days following the date on which any dividend is payable.
L.
Conversion on Termination of Eligibility. A yearly or more frequently renewable term wholesale life insurance policy shall contain a provision that if the coverage is not continued as a wholesale life insurance policy because the employee or dependent has attained the limiting age or because of termination of employment with the sponsor or termination in an eligible class of employees, or termination of membership in the sponsor, or termination of membership in an eligible class of membership of the sponsor or where a member ceases to practice the profession or occupation with respect to which the policy was issued, the persons covered under the policy shall be entitled to have issued to them by the insurer, without evidence of insurability, individual policies of life insurance without disability or accidental death benefits, provided:
(1)
Application for the individual policy shall be made and the first premium paid to the insurer within 31 days after the termination or attainment of a limiting age;
(2)
The individual policy shall, at the option of the person, be on any one of the forms, except term insurance, then customarily issued by the insurer at the age and for the amount applied for;
(3)
The individual policy shall be in an amount not in excess of the amount of life insurance which is discontinued under the wholesale life insurance policy, less the amount of any life insurance for which the person is or becomes eligible under the same or any other wholesale life or group life insurance policy within 31 days after the discontinuance; and
(4)
The premium on the individual policy shall be at the insurer's then customary rate applicable to the form and amount of the individual policy, to the class of risk to which the person then belongs, and to his age attained on the effective date of the individual policy.
M.
Conversion on Termination or Nonrenewal of Case. A yearly or more frequently renewable term wholesale life insurance policy shall contain a provision that if the policy is not continued as a wholesale life insurance policy because of nonrenewal of the case by the insurer or by the sponsor, every employee, member, or dependent insured at the date of discontinuance who has been so insured for at least 5 years before discontinuance shall be entitled to have issued to him by the insurer an individual policy of life insurance subject to the same conditions provided in §L of this regulation, except that the amount of insurance on that person under the converted policy may not exceed the smaller of:
(1)
The amount of the person's protection terminating under the wholesale life insurance policy less the amount of any life insurance for which he is or becomes eligible under any group life or wholesale life insurance policy issued or reinstated by the same or another insurer within 31 days after discontinuance; or
(2)
$2,000.

Regulation .09 Combination of Life and Health Insurance.Copy Citation

A wholesale life insurance policy may include, or may provide by rider, health insurance benefits, in which case the policy shall contain provisions relating to the health insurance which may not be less favorable to the insured employee or member than the applicable provisions required under Insurance Article, Title 15, Annotated Code of Maryland, and under any applicable regulations issued thereunder for a policy providing similar benefits. Upon discontinuance of the policy as a wholesale life insurance policy, any health insurance benefits originally provided may not be included in any conversion privilege unless the insurer, at its option, shall so provide, in which case the provision in the policy regarding the conversion privilege shall clearly indicate the extent of health insurance benefits which may be continued after the policy ceases to be a wholesale life insurance policy.

Regulation .10 Policy Restrictions.Copy Citation

A.
Prohibited Provisions. A wholesale life insurance policy may not contain any provision which is prohibited under Insurance Article, §12-209 or 16-216, Annotated Code of Maryland.
B.
Limitations of Liability. A wholesale life insurance policy may not contain any limitation of liability which is less favorable to the policyholder than limitations permitted under Insurance Article, §16-215, Annotated Code of Maryland.
C.
Separate Agreements. A separate agreement may not be entered into between the insurer and the sponsor which would purport to change the terms and conditions of any wholesale life insurance policy delivered to an employee or member.

Regulation .11 Validity of Noncomplying Forms.Copy Citation

Any wholesale life insurance policy hereafter issued and otherwise valid which contains any condition or provision not in compliance with the requirements of Insurance Article, Annotated Code of Maryland, and of any applicable regulations may not be thereby rendered invalid, but shall be construed in accordance with conditions and provisions at least as favorable as those required under Insurance Article, Annotated Code of Maryland, and the applicable regulations.

Regulation .12 Effective Date.Copy Citation

This chapter shall take effect January 1, 1969, provided, however, that for any case in existence before the effective date of this chapter and for any new case initially made effective before June 1, 1969, the insurer may issue policy forms approved by the Maryland Insurance Administration before January 1, 1969, for use as wholesale life insurance policies which approval was in effect on the initial effective date of that case, and, unless the Commissioner otherwise prescribes pursuant to the provisions of Insurance Article, Annotated Code of Maryland, and §3 of Chapter 553 of the Acts of the 1963 General Assembly of Maryland, the insurer may hereafter continue to issue those policy forms to employees or members newly insured under that case.

Chapter 02. Variable Life Insurance

Regulation .01 Authority and Purpose.Copy Citation

This chapter, applicable to variable life insurance policies, is promulgated under authority of Insurance Article, §§2-109 and 16-601—16-603, Annotated Code of Maryland. The issuance or delivery of life insurance policies on a variable basis in Maryland in any manner not in compliance with this chapter shall be deemed contrary to the requirements of Insurance Article, §§16-601—16-603, Annotated Code of Maryland, and, further, shall be deemed to constitute the transaction of insurance business hazardous to policyholders and the public and contrary to the public interest.

Regulation .02 Definitions.Copy Citation

A.
In this chapter, the following words have the meanings indicated.
B.
Terms Defined.
(1)
“Affiliate" of an insurer means:
(a)
A person, directly or indirectly, controlling, controlled by, or under common control with the insurer;
(b)
A person who regularly furnishes investment advice to the insurer with respect to its variable life insurance separate accounts for which a specific fee or commission is charged; or
(c)
A director, officer, partner, or employee of the insurer, controlling or controlled person, or person providing investment advice or any member of the immediate family of this person.
(2)
“Agent” means a person licensed in this State as an agent or broker with respect to the sale of life insurance.
(3)
“Assumed investment rate” means the rate of investment return which would be required to be credited to a variable life insurance policy, after deduction of charges for taxes, investment expenses, and mortality and expense guarantees to maintain the variable death benefit equal at all times to the amount of death benefit, other than incidental insurance benefits, which would be payable under the plan of insurance if the death benefit did not vary according to the investment experience of the separate account.
(4)
“Benefit base” means the amount not less than the amount specified under Regulation .06B(2) of this chapter.
(5)
“Commissioner” means the Insurance Commissioner of Maryland.
(6)
Control.
(a)
“Control”, “controlling”, “controlled by”, and “under common control with” means the possession, direct or indirect, of the power to direct or cause the direction of the management and policies of a person, whether through the ownership of voting securities, by contract other than a commercial contract for goods or nonmanagement services, or otherwise, unless the power is the result of an official position with or corporate office held by the person.
(b)
“Control” shall be presumed to exist if any person, directly or indirectly, owns, controls, holds with the power to vote, or holds proxies representing more than 10 percent of the voting securities of any other person. This presumption may be rebutted by a showing made to the satisfaction of the Commissioner that control does not exist in fact. The Commissioner may determine, after furnishing all persons in interest notice of an opportunity to be heard, and making specific findings of fact to support the determination that control exists in fact, notwithstanding the absence of a presumption to that effect.
(7)
“Flexible premium policy” means any variable life insurance policy other than a scheduled premium policy as specified under §B(15) of this regulation.
(8)
“General account” means all assets of the insurer other than assets in separate accounts established pursuant to Insurance Article, §§5-512 and 16-601—16-603, Annotated Code of Maryland, or pursuant to the corresponding section of the insurance laws of the state of domicile of a foreign insurer or the state of entry of an alien insurer, whether or not the separate account is established for variable life insurance.
(9)
“Incidental insurance benefit” means all insurance benefits in a variable life insurance policy, other than the variable death benefit and the minimum death benefit, including but not limited to accidental death and dismemberment benefits, disability income benefits, guaranteed insurability options, family income, or fixed benefit term riders.
(10)
“May” is permissive.
(11)
“Minimum death benefit” means the amount of the guaranteed death benefit, other than incidental insurance benefits, payable under a variable life insurance policy regardless of the investment performance of the separate account.
(12)
“Net investment return” means the rate of investment return in a separate account to be applied to the benefit base after deduction of charges for taxes, investment expenses, and mortality and expense guarantees in accordance with the terms of the policy.
(13)
“Person” means an individual, corporation, partnership, association, trust, or fund.
(14)
“Policy processing day” means the day on which charges authorized in the policy are deducted from the cash value of the policy.
(15)
“Scheduled premium policy” means a variable life insurance policy under which both the amount and timing of premium payments are fixed by the insurer.
(16)
“Separate account” means a separate account established for variable life insurance pursuant to Insurance Article, §§16-601—16-603, Annotated Code of Maryland, or pursuant to the corresponding section of the insurance laws of the state of domicile of a foreign insurer or the state of entry of an alien insurer.
(17)
“Shall” is mandatory.
(18)
“Variable death benefit” means the amount of the death benefit, other than incidental insurance benefits, payable under a variable life insurance policy dependent on the investment performance of the separate account which the insurer would have to pay in the absence of the minimum death benefit.
(19)
“Variable life insurance policy” means an individual policy which provides for life insurance which varies according to the investment experience of a separate account or accounts established and maintained by the insurer as to this policy, pursuant to Insurance Article, §§16-601—16-603, Annotated Code of Maryland, or pursuant to a corresponding section of the insurance laws of the state of domicile of a foreign insurer or the state of entry of an alien insurer.

Regulation .03 Qualification of Insurer to Issue Variable Life Insurance.Copy Citation

A.
The requirements of this regulation are applicable to all insurers either seeking authority to issue variable life insurance in this State or which have authority to issue variable life insurance in this State.
B.
Licensing and Approval to Do Business in This State. An insurer may not deliver or issue for delivery in this State any variable life insurance policy, unless the insurer is authorized to engage in the life insurance business in this State, and either:
(1)
The state of domicile of the insurer requires that permissible investments be substantially the same as provided in Regulation .06C of this chapter and that changes in the investment policy of the variable life insurance separate account be regulated in a manner substantially similar to that required under Regulation .06 of this chapter for separate accounts operated by insurers domiciled in this State; or
(2)
The insurer's investment policy, as described in the statement required to be filed under §C(3) of this regulation, conforms to Regulation .06C of this chapter and the Commissioner is satisfied that the procedures for changing the investment policy of a variable life insurance separate account as described in the statement required to be filed under §C(3) of this regulation provide safeguards consistent with those provided under Regulation .06F of this chapter, and the insurer has obtained the written approval of the Commissioner for the issuance of variable life insurance policies in this State. The Commissioner shall grant the written approval only after he has found that:
(a)
The plan of operation for the issuance of variable life insurance policies is not unsound;
(b)
The general character, reputation, and experience of the management and those persons or firms proposed to supply consulting, investment, administrative, or custodial services to the insurer are such as to reasonably assure competent operation of the variable life insurance business of the insurer in this State;
(c)
The insurer has surplus in addition to that required under Insurance Article, §4-105, Annotated Code of Maryland, as of the end of the preceding calendar year of at least 5 million dollars; and
(d)
The present and foreseeable future financial condition of the insurer and its method of operation in connection with the issuance of the policies is not likely to render its operation hazardous to the public or its policyholders in this State. The Commissioner shall consider, among other things:
(i)
The history of operation and financial condition of the insurer; and
(ii)
The qualifications, fitness, character, responsibility, reputation, and experience of the officers and directors and other management of the insurer and those persons or firms proposed to supply consulting, investment, administrative, or custodial services to the insurer;
(iii)
The applicable law and regulations under which the insurer is authorized in its state of domicile to issue variable life insurance policies. The state of entry of an alien insurer shall be deemed its state of domicile for this purpose; and
(iv)
If the insurer is a subsidiary of, or is affiliated by common management or ownership with another company, its relationship to the other company and the degree to which the requesting insurer, as well as the other company, meet these standards.
C.
Filing for Approval to Do Business in This State. Before an insurer shall deliver or issue for delivery a variable life insurance policy in this State, it shall file with the Commissioner the following information for the consideration of the Commissioner in making the determination required by §B of this regulation:
(1)
Copies of and a general description of the variable life insurance policies it intends to issue.
(2)
A general description of the methods of operation of the variable life insurance business of the insurer, including the names of those persons or firms proposed to supply consulting, investment, administrative, or custodial services to the insurer.
(3)
With respect to a separate account maintained by an insurer for a variable life insurance policy, a statement of the investment policy the insurer intends to follow for the investment of the assets held in the separate account, and a statement of the procedures for changing the investment policy. The statement of investment policy shall include a description of the investment objective and orientation intended for the separate account.
(4)
A description of any investment advisory services contemplated as required by Regulation .06J of this chapter.
(5)
If requested by the Commissioner, a copy of the statutes and regulations of the state of domicile of the insurer under which it is authorized to issue variable life insurance policies.
(6)
Biographical data with respect to officers and directors of the insurer on the National Association of Insurance Commissioners Uniform Biographical Data Form.
(7)
A statement of an actuary appointed by the insurer describing the mortality and expense risks which the insurer will bear under the policy.
D.
Standards of Suitability. An insurer seeking approval to enter into the variable life insurance business in this State shall adopt by formal action of its board of directors and file with the Commissioner a written statement specifying the standards of suitability to be used by the insurer and applicable to its officers, directors, employees, affiliates, and agents with respect to the suitability of variable life insurance for the applicant. These standards of suitability shall be binding on the insurer and those to whom it refers, and shall specify that no recommendations shall be made to an applicant to purchase a variable life insurance policy and that no variable life insurance policy may be issued in the absence of reasonable grounds to believe that the purchase of the policy is suitable for the applicant on the basis of information furnished after reasonable inquiry of the applicant concerning the applicant's insurance and investment objectives, financial situation and needs, and any other information known to the insurer or to the agent making the recommendation. Lapse rates for variable life insurance within the first 2 policy years which are significantly higher than both those encountered by the insurer, or an affiliate of the insurer, for corresponding fixed benefit life insurance policies and lapse rates of other insurers issuing variable life insurance policies shall be considered by the Commissioner in determining whether the guidelines adopted by the insurer are reasonable and also whether the insurer and its agents are engaging, as a general business practice, in the sale of variable life insurance to persons for whom it is unsuitable. For purposes of this section, conversions from variable life insurance to fixed benefit life insurance policies pursuant to this chapter will not be considered lapses.
E.
Use of Sales Materials.
(1)
An insurer authorized to transact variable life insurance business in this State may not use sales material, advertising material, or descriptive literature or other materials of any kind in connection with its variable life insurance business in this State which is false, misleading, deceptive, or inaccurate.
(2)
The Commissioner shall require an insurer to cease the use of sales materials, advertising materials, descriptive literature, or other materials of any kind upon finding that the materials are false, deceptive, inaccurate, misleading, or have a tendency to mislead or be ambiguous.
(3)
Variable life insurance sales material, advertising material, and descriptive literature shall include but is not limited to:
(a)
Printed and published material, audiovisual material, and descriptive literature of an insurer used in direct mail, newspapers, magazines, radio scripts, TV and film scripts, billboards, and similar displays for variable life insurance;
(b)
Descriptive literature and sales aids of all kinds used to sell variable life insurance by or on behalf of an insurer or any person authorized to sell variable life insurance for presentation to members of the insurance-buying public, including but not limited to circulars, leaflets, booklets, depictions, illustrations, and form letters; and
(c)
Prepared sales talks, presentations, and materials for use in the sale of variable life insurance by a person authorized to sell variable life insurance.
F.
Requirements Applicable to Contractual Services.
(1)
A contract between an insurer and suppliers of consulting, investment, administrative, sales, marketing, custodial, or other services which are material with respect to variable life insurance operations shall be in writing and provide that the supplier of these services shall furnish the Commissioner with any information or reports in connection with the services which the Commissioner may request in order to ascertain whether the variable life insurance operations of the insurer are being conducted in a manner consistent with these regulations and any other applicable law or regulations.
(2)
The contract shall be fair and equitable to all parties and not endanger policyholders of the insurer in this State.
(3)
The contract may not relieve the insurer from any responsibilities or obligations imposed upon the operations of its variable life insurance business by this chapter or any other law or regulation.
G.
Reports to the Commissioner.
(1)
An insurer authorized to transact the business of variable life insurance in this State shall submit to the Commissioner, in addition to any other materials which may be required by this chapter or any other applicable laws or regulations:
(a)
An annual statement of the business of its variable life insurance separate account or accounts in such form as may be prescribed by the National Association of Insurance Commissioners;
(b)
Before the use in this State, any information furnished to applicants as provided for in Regulation .07 of this chapter;
(c)
Before the use in this State, the form of any of the reports to policyholders as provided for in Regulation .09 of this chapter; and
(d)
Such additional information concerning its variable life insurance operations or its variable life insurance separate accounts as the Commissioner deems necessary.
(2)
Material submitted to the Commissioner under this section shall be disapproved if it is found to be false, deceptive, inaccurate, misleading, or have a tendency to mislead, or ambiguous in any respect and, if previously distributed, the Commissioner shall require the distribution of an amended report.
H.
Authority of Commissioner to Disapprove. Material required to be filed with the Commissioner, or approved by him, shall be subject to disapproval if at any time it is found by him not to comply with the standards established by this chapter.

Regulation .04 Insurance Policy Requirements—Policy Qualification.Copy Citation

A.
The Commissioner may not approve a variable life insurance form filed pursuant to this chapter unless it conforms to the requirements of this regulation.
B.
Filing of Variable Life Insurance Policies.
(1)
All variable life insurance policies, and all riders, endorsements, applications, and other documents which are to be attached to and made a part of the policy and which relate to the variable nature of the policy, shall be filed with the Commissioner and approved by him in writing before delivery or issuance for delivery in this State.
(2)
The procedures and requirements for the filing and approval shall be, to the extent appropriate and not inconsistent with this chapter, the same as those otherwise applicable to other life insurance policies (for example, see particularly Insurance Article, §§12-102, 12-103, 12-203—12-205, and 12-209, Annotated Code of Maryland, and COMAR 31.04.17).
(3)
The Commissioner may approve variable life insurance policies and related forms with provisions the Commissioner deems to be not less favorable to the policyholder and the beneficiary than those required by this chapter.
(4)
The requirements of §§C(1), C(4), D(5)(a), and D(16) of this regulation do not apply to variable life insurance policies and related forms issued in connection with pension, profit-sharing, and retirement plans if separate accounts for the policies are exempt pursuant to the federal Investment Company Act of 1940, §3(c)(11).
C.
Mandatory Policy Benefit and Design Requirements. Variable life insurance policies delivered or issued for delivery in this State shall comply with the following minimum requirements:
(1)
Coverage shall be provided for the lifetime of the insured with the mortality and expense risk borne by the insurer. The mortality and expense charges shall be subject to the maximums stated in the policy.
(2)
Gross premiums for death benefits shall be a level amount for the duration of the premium payment period, but this subsection may not be construed to prohibit temporary or permanent additional premiums for incidental insurance benefits or substandard risks. This subsection may not be deemed to prohibit the use of fixed benefit preliminary term insurance for a period not to exceed 120 days from the date of the application for a variable life insurance policy. The premium rate for the preliminary term insurance shall be stated separately in the application or receipt.
(3)
A minimum death benefit for scheduled premium policies shall be provided in an amount at least equal to the initial face amount of the policy as long as premiums are duly paid, subject to the provisions of §E(2)(d) of this regulation.
(4)
The amount payable upon the death of the insured as long as premiums are duly paid, subject to the provisions of §E(2) of this regulation, shall be not less than a minimum multiple of the gross premium payable in that year, exclusive of that portion allocable to any incidental insurance benefit, by a person who meets standard underwriting requirements, as shown in the following table:
(5)
The policy shall provide that the variable death benefit shall reflect the investment experience of the variable life insurance separate account established and maintained by the insurer and that the excess, positive or negative, of the net investment return over the assumed investment rate, as applied to the benefit base of each variable life insurance policy, shall be used to provide either:
(a)
Fully paid-up variable life insurance providing coverage for the same period as the basic insurance under the policy or fully paid-up term insurance amounts for a term of annual periods of not less than 1 year or more than 5 years, positive or negative, as the case may be, or a combination thereof; or
(b)
Variable life insurance amounts, positive or negative, as the case may be, so that the reserve maintains the same percentage relationship to the variable death benefit as it would have on a corresponding fixed benefit policy.
(6)
Each variable life insurance policy shall be credited with the full amount of the net investment return applied to the benefit base.
(7)
Changes in variable death benefits of each variable life insurance policy shall be determined at least annually.
(8)
The cash value of each variable life insurance policy shall be determined at least monthly. The method of computation of cash values and other nonforfeiture benefits, as described either in the policy or in a statement filed with the Commissioner of the state in which the policy is delivered, or issued for delivery, shall be in accordance with actuarial procedures that recognize the variable nature of the policy. The method of computation shall be such that, if the net investment return credited to the policy at all times from the date of issue should be equal to the assumed investment rate with premiums and benefits determined accordingly under the terms of the policy, then the resulting cash values and other nonforfeiture benefits shall be at least equal to the minimum values required by Insurance Article, Title 16, Subtitle 3, Annotated Code of Maryland, for a fixed benefit policy with the premiums and benefits. The assumed investment rate may not exceed the maximum interest rate permitted under the Standard Nonforfeiture Law of this State. The method of computation may disregard incidental minimum guarantees as to the dollar amounts payable. Incidental minimum guarantees include, for example, but are not to be limited to, a guarantee that the amount payable at death or maturity shall be at least equal to the amount that otherwise would have been payable if the net investment return credited to the policy at all times from the date of issue had been equal to the assumed investment rate.
(9)
The computation of values required for each variable life insurance policy may be based upon such reasonable and necessary approximations as are acceptable to the Commissioner.
(10)
Adjusted Premiums.
(a)
If the gross premiums for any variable life insurance policy delivered or issued for delivery in this State produce an excess of(a) over (B) as defined in §C(10)(b) of this regulation the present value as of the date of issue of the adjusted premiums used in determining the minimum cash values required by §C(8) of this regulation shall be decreased by this excess by decreasing each adjusted premium by a uniform percentage.
(b)
The excess of(a) over (B) referred to in §C(10)(a) of this regulation shall be determined as of the date of issue on the basis of the mortality table and maximum rate of interest permitted by Insurance Article, Title 16, Subtitle 3, Annotated Code of Maryland; and(a) is the present value of the gross premiums for the policy, decreased by one dollar per thousand of equivalent uniform amount for policies with an equivalent uniform amount of less than ten thousand, payable on an annual basis (exclusive of those portions of the gross premiums allocable to any incidental insurance benefits) by a person who meets standard underwriting requirements; and (B) is the product of(1) times (2) where(1) is the present value of the maximum premium rates per thousand of insurance shown below payable at the beginning of each policy year to attained age 65 of the insured for issue ages below age 51, for 15 years for issue ages 51 to 70 and for life for issue ages above age 70 and (2) is the ratio of(i) the present value of the benefits under the policy to (ii) the present value of an insurance of one thousand for the whole of life.
(c)
For purposes of this subsection, the portion of the premium set aside to support a guarantee that the surrender value will not be less than a specified amount or for any other benefit that the Commissioner deems excludable, will not be included.
(11)
In determining the net investment return to be applied to the benefit base, the insurer may deduct only the charges described in Regulation .06G(1), (2), (4), and (5) of this chapter.
(12)
While the provisions of §C(2), (4), and (10) of this regulation are intended to apply to a variable life insurance policy on which level premiums are payable for life, a variable life insurance policy issued on a single premium or other premium payment plan may be delivered or issued for delivery in this State if, in the opinion of the Commissioner, the policy is in no respect less favorable to the policyholder than a policy on which level premiums are payable for life and which meets the requirements of this regulation, and if the policy issued on a single premium or other premium payment plan is otherwise issued and administered in conformity with and as prescribed by this chapter.
D.
Mandatory Policy Provisions.
(1)
Every variable life insurance policy filed for approval in this State shall be plainly printed in a type size not less than 10 point with a lower case unspaced alphabet length not less than 120 point, and shall contain at least the following:
(a)
The cover page or pages corresponding to the cover page of each policy that shall contain:
(i)
A prominent statement in either contrasting color or in boldface type at least four points larger than the type size of the largest type used in the text of any provision on that page, that the death benefit may be variable or fixed under specified conditions;
(ii)
A prominent statement in either contrasting color or in boldface type at least four points larger than the type size of the largest type size used in the text of any provision on that page that cash values may increase or decrease in accordance with the experience of the separate account subject to any specified minimum guarantees;
(iii)
A statement that the minimum death benefit will be at least equal to the initial face amount at the date of issue if premiums are duly paid and if there are no outstanding policy loans, partial withdrawals, or partial surrenders;
(iv)
The rule, or a reference to the policy provision, which describes the method for determining the variable amount of insurance payable at death;
(v)
A captioned provision which provides that the policyholder may return the variable life insurance policy within 45 days of the date of the execution of the application or within 10 days of receipt of the policy by the policyholder, whichever is later, and receive a refund of all premium payments for the policy; and
(vi)
Other items that are currently required for fixed benefit life insurance policies and which are not inconsistent with this chapter;
(b)
A provision regarding the policy grace period as follows:
(i)
For scheduled premium policies, the grace period shall be not less than 31 days from the premium due date and when the premium is paid within the grace period, policy values will be the same, except for the deduction of any overdue premium, as if the premium were paid on or before the due date;
(ii)
For flexible premium policies, the grace period shall begin on the policy processing day when the total charges authorized by the policy that are necessary to keep the policy in force until the next policy processing day exceed the amounts available under the policy to pay such charges in accordance with the terms of the policy and end on a date not less than 61 days after the mailing date of the report to policyholders required by Regulation .09C of this chapter;
(iii)
For all policies, the death benefit payable during the grace period shall equal the death benefit in effect immediately prior to such period less any overdue charges; and
(iv)
For all policies, if the policy processing day occurs monthly, the insurer may require the payment of not more than three times the charges that were due on the policy processing day on which the amounts available under the policy were insufficient to pay all charges authorized by the policy that are necessary to keep the policy in force until the next policy processing day;
(c)
A provision that the policy will be reinstated at any time within 2 years from the date of default upon the written application of the insured and evidence of insurability, including good health, satisfactory to the insurer, unless the cash surrender value has been paid or the period of extended insurance has expired, upon the payment of any outstanding indebtedness arising after the end of the grace period following the date of default together with accrued interest thereon to the date of reinstatement and payment of an amount not exceeding the greater of:
(i)
All overdue premiums with interest at a specified rate not exceeding the rate of interest set forth in Insurance Article, §16-210, Annotated Code of Maryland, and any indebtedness in effect at the end of the grace period following the date of default with interest at a specified rate not exceeding the rate set forth in Insurance Article, §16-210, Annotated Code of Maryland; or
(ii)
One hundred and ten percent of the increase in cash surrender value resulting from reinstatement plus all overdue premiums for incidental insurance benefits with interest at a specified rate not exceeding the rate set forth in Insurance Article, §16-210, Annotated Code of Maryland;
(d)
A full description of the benefit base and of the method of calculation and application of any factors used to adjust variable benefits under the policy;
(e)
A provision designating the separate account to be used and stating that:
(i)
The separate account shall be used to fund only variable life insurance benefits, except to the extent permitted by §F(3)(f) of this regulation;
(ii)
The assets of the separate account shall be available to cover the liabilities of the general account of the insurer only to the extent that the assets of the separate account exceed the liabilities of the separate account arising under the variable life insurance policies supported by the separate account; and
(iii)
The assets of the separate account shall be valued at least as often as any policy benefits vary, but at least monthly;
(f)
A provision that at any time during the first 18 months of the variable life insurance policy, as long as premiums are duly paid, the owner may exchange the policy for a policy of permanent fixed benefit life insurance on the life of the insured for the same initial amount of insurance as the variable life insurance policy, and on a plan of insurance specified in the policy, provided that the new policy:
(i)
Bears the same date of issue and age at issue as the original variable life insurance policy;
(ii)
Is issued on a substantially comparable plan of permanent insurance offered in this state by the insurer or an affiliate on the date of issue of the variable life insurance policy and at the premium rates in effect on that date for the same class of insurance;
(iii)
Includes riders and incidental insurance benefits which were included in the original policy if the riders and incidental insurance benefits are issued with the fixed benefit policy;
(iv)
Is issued subject to an equitable premium or cash value adjustment that takes appropriate account of the premiums and cash values under the original and new policies. A detailed statement of the method of computing the adjustment shall be filed with the Commissioner;
(v)
Does not require evidence of insurability for this exchange;
(g)
A provision that the policy and any papers attached by the insurer, including the application if attached, constitute the entire insurance contract;
(h)
A designation of the officers of the insurer who are empowered to make an agreement or representation on behalf of the insurer and an indication that statements by the insured, or on his behalf, shall be considered as representations and not warranties;
(i)
An identification of the owner of the insurance contract;
(j)
A provision setting forth conditions or requirements as to the designation, or change of designation, of a beneficiary and a provision for disbursement of benefits in the absence of a beneficiary designation;
(k)
A statement of conditions or requirements concerning the assignment of the policy;
(l)
A description of any adjustments in policy values to be made in the event of misstatement of age or sex of the insured;
(m)
A provision that the policy shall be incontestable by the insurer after it has been in force for 2 years during the lifetime of the insured, notwithstanding that any increase in the amount of the policy’s death benefits subsequent to the policy issue date, which occurred upon a new application or request of the owner and was subject to satisfactory proof of the insured’s insurability, shall be incontestable after the increase has been in force, during the lifetime of the insured, for 2 years from the date of issue of increase;
(n)
A provision stating that the investment policy of the separate account may not be changed without the approval of the Insurance Commissioner of the state of domicile of the insurer, and that the approval process is on file with the Commissioner of this State;
(o)
A provision that payment of variable death benefits in excess of the minimum death benefits, cash values, policy loans, or partial withdrawals, except when used to pay premiums, or partial surrenders may be deferred:
(i)
For up to 6 months from the date of request, if these payments are based on policy values which do not depend on the investment performance of the separate account; or
(ii)
Otherwise, for any period during which the New York Stock Exchange is closed for trading, except for normal holiday closing, or when the Securities and Exchange Commission has determined that a state of emergency exists which may make payment impractical;
(p)
Settlement options which shall be provided on a fixed basis only;
(q)
A description of the basis for computing the cash surrender value under the policy shall be included, with the surrender value expressed as either:
(i)
A schedule of cash value amounts per $1,000 of variable face amount at each attained age or policy year for at least 20 years from issue, or for the premium paying period, if less than 20 years; or
(ii)
One cash value schedule as described in §D(17)(a) of this regulation for the death benefit, or for each $1,000 of death benefit, which would be in effect if the net investment return is always equal to the assumed investment rate and a second schedule applicable to any adjustments to the death benefit, disregarding the minimum death benefit guarantee and term insurance amounts, if the net investment return does not equal the assumed investment rate at each age for at least 20 years from issue, or for the premium paying period if it is less than 20 years;
(r)
Premiums for incidental insurance benefits shall be stated separately;
(s)
Any other policy provisions required by this chapter;
(t)
Such other items as are currently required for fixed benefit life insurance policies and are not inconsistent with this chapter.
E.
Nonforfeiture, Partial Withdrawal, Policy Loan, and Partial Surrender Provisions. A variable life insurance policy delivered or issued for delivery in this State shall contain provisions which are not less favorable to the policyholder than the following:
(1)
Nonforfeiture Benefits:
(a)
A provision for nonforfeiture insurance benefits so that at least one benefit is offered on a fixed basis from the due date of the premium in default;
(b)
Variable extended term insurance may not be offered;
(c)
A given nonforfeiture option need not be offered on both a fixed and variable basis;
(2)
A provision for policy loans after 3 full years' premiums have been paid (which may at the option of the insurer be entitled and referred to as a partial withdrawal provision) not less favorable to the policyholder than the following:
(a)
Up to 75 percent but if the loan is made from the general account not more than 90 percent of the policy's cash value may be borrowed;
(b)
The amount borrowed, or any repayment thereof, does not affect the amount of the premium payable under the policy;
(c)
The amount borrowed shall bear interest at a rate not to exceed the rate stated in Insurance Article, §16-207, Annotated Code of Maryland;
(d)
Any indebtedness shall be deducted from the proceeds payable on death;
(e)
Any indebtedness shall be deducted from the cash value upon surrender or in determining any nonforfeiture benefit;
(f)
If the indebtedness exceeds the cash value for scheduled premium policies, the insurer shall give notice of intent to cancel the policy if the excess indebtedness is not repaid within 31 days after the date of mailing of the notice;
(g)
The policy may provide that if, at any time, as long as premiums are duly paid, the variable death benefit is less than it would have been if no loan or withdrawal had ever been made, the policyholder may increase the variable death benefit up to what it would have been if there had been no loan or withdrawal by paying an amount not exceeding 110 percent of the corresponding increase in cash value and by furnishing such evidence of insurability as the insurer may request;
(h)
The policy may specify a reasonable minimum amount which may be borrowed at any time, but this minimum does not apply to any automatic premium loan provision;
(i)
A policy loan provision is not required if the policy is under the extended insurance nonforfeiture option;
(j)
In addition to the foregoing, the policy may contain a partial surrender provision. However, this provision shall provide that the policyholder may request part of the cash value, and both the variable and minimum death benefits will be reduced in proportion to the percentage of the cash value received by the policyholder, and the premium for the remaining amount of insurance will also be reduced to the appropriate rates for the reduced amount of insurance. The policy may provide that a partial surrender provision may not require the insurer to reduce the amount of the minimum death benefit to less than the lowest amount of minimum death benefit which would have been issued to the insured under the insurance plans of the insurer at the time the policy was issued. The policy shall clearly provide that the policyholder has the option of electing to exercise the cash value privileges of the policy loan or partial withdrawal provision rather than the partial surrender provision;
(k)
All policy loan, partial withdrawal, or partial surrender provisions shall be constructed so that variable life insurance policyholders who have not exercised these provisions are not disadvantaged by their exercise;
(l)
Monies paid to the policyholders upon the exercise of a policy loan, partial withdrawal, or partial surrender provision shall be withdrawn from the separate account and shall be returned to the separate account upon repayment, except that a stock insurer may provide the monies for policy loans from the general account.
F.
Other Policy Provisions. The following provisions may in substance be included in a variable life insurance policy or related form delivered or issued for delivery in this State:
(1)
An exclusion for suicide within 2 years of the policy issue date, and an exclusion, to the extent of the increased death benefits only, for suicide within 2 years of any increase in death benefits which result from an application of the owner subsequent to the policy issue date;
(2)
Incidental insurance benefits may be offered on a fixed basis only;
(3)
Policies issued on a participating basis shall offer to pay dividend amounts in cash and may offer options so that the amount of the dividend may be:
(a)
Credited against premium payments;
(b)
Applied to provide paid-up amounts of additional fixed benefit whole life insurance;
(c)
Applied to provide paid-up amounts of additional variable life insurance;
(d)
Deposited in the general account at a specified minimum rate of interest;
(e)
Applied to provide paid-up amounts of fixed benefit 1-year term insurance;
(f)
Deposited as a variable deposit in the separate account if the separate account is exempt pursuant to the federal Investment Company Act of 1940, §3(c) (11);
(4)
A provision allowing the policyholder to elect in writing in the application for the policy or thereafter an automatic premium loan on a basis not less favorable than that required of policy loans or partial withdrawals under §E of this regulation, except that a restriction that no more than two consecutive premiums can be paid under this provision may be imposed.

Regulation .05 Reserve Liabilities for Variable Life Insurance.Copy Citation

A.
Reserve liabilities for variable life insurance policies shall be established under Insurance Article, Title 5, Subtitle 3, Annotated Code of Maryland, in accordance with actuarial procedures that recognize the variable nature of the benefits provided and any mortality guarantees.
B.
Reserve liabilities for the guaranteed minimum death benefit shall be the reserve needed to provide for the contingency of death occurring when the guaranteed minimum death benefit exceeds the death benefit that would be paid in the absence of the guarantee, and shall be maintained in the general account of the insurer, and shall be not less than the greater of the following minimum reserves:
(1)
The aggregate total of the term costs, if any, covering a period of 1 full year from the valuation date of the guarantee on each variable life insurance contract, assuming an immediate one-third depreciation in the current value of the assets of the separate account followed by a net investment return equal to the assumed investment rate.
(2)
The aggregate total of the attained age level reserves on each variable life insurance contract. The attained age level reserve on each variable life insurance contract may not be less than zero and shall equal the residue, as described in §B(2)(a) of this regulation of the prior year's attained age level reserve on the contract, with any such residue increased or decreased by a payment computed on an attained age basis as described in §B(2)(b) of this regulation.
(a)
The residue of the prior year's attained age level reserve on each variable life insurance contract may not be less than zero and shall be determined by adding interest at the valuation interest rate to the prior year's reserve, deducting the tabular claims based on the excess, if any, of the guaranteed minimum death benefit over the death benefit that would be payable in the absence of the guarantee, and dividing the net result by the tabular probability of survival. The excess referred to in the preceding sentence shall be based on the actual level of death benefits that would have been in effect during the preceding year in the absence of the guarantee, taking appropriate account of the reserve assumptions regarding the distribution of death claim payments over the year.
(b)
The payment referred to in §B(2) of this regulation shall be computed so that the present value of a level payment of that amount each year over the future premium paying period of the contract is equal to(a) minus (B) minus (C), when(a) is the present value of the future guaranteed minimum death benefit, (B) is the present value of the future death benefits that would be payable in the absence of the guarantee, and (C) is any residue, as described in §B(2)(a) of this regulation of the prior year's attained age level reserve on the variable life insurance contract. If the contract is paid up, the payment shall equal(a) minus (B) minus (C). The amounts of future death benefits referred to in (B) shall be computed assuming a net investment return of the separate account which may differ from the assumed investment rate or the valuation interest rate, or both, but may not exceed the maximum interest rate permitted for the valuation of life insurance contracts.
(3)
The valuation interest rate and mortality table used in computing the two minimum reserves described in §B(1) and (2) of this regulation shall conform to permissible standards for the valuation of life insurance contracts. In determining the minimum reserve, the company may employ suitable approximations and estimates, including but not limited to groupings and averages.
C.
Reserve liabilities for all fixed incidental insurance benefits shall be maintained in the general account in amounts determined in accordance with the actuarial procedures appropriate to these benefits.

Regulation .06 Separate Accounts.Copy Citation

The following requirements apply to establishment and administration of variable life insurance separate accounts:
A.
Establishment and Administration of Separate Accounts.
(1)
An insurer issuing variable life insurance in this State shall establish one or more separate accounts pursuant to Insurance Article, §§16-601—16-603, Annotated Code of Maryland.
(2)
Assets in the separate account shall be owned by the insurer and the insurer may not be, or hold itself out to be, a trustee with respect to these assets. If and to the extent so provided under the applicable contracts, that portion of the assets of the separate account equal to the reserves and other contract liabilities with respect to the account may not be chargeable with liabilities arising out of any other business the insurer may conduct.
(3)
If no law or other regulation provides for the custody of separate account assets and if the insurer itself is not the custodian of these assets, all contracts for custody shall be in writing and the Commissioner of the insurer's state of domicile shall approve of both the terms of the contract and the proposed custodian before the transfer of custody.
(4)
Without the prior written approval of the Commissioner, an insurer may not employ in any material connection with the handling of separate account assets any person who:
(a)
Within the last 10 years has been convicted of any felony, or of a misdemeanor arising out of this person's conduct involving embezzlement, fraudulent conversion, or misappropriation of funds or securities or involving violation of 18 U.S.C. §1341, 1342, or 1343;
(b)
Within the last 10 years has been found by any state regulatory authority to have violated or has acknowledged violation of any provision of any state insurance law involving fraud, deceit, or knowing misrepresentation;
(c)
Within the last 10 years has been found by federal or state regulatory authorities to have violated, or has acknowledged violation of, any provision of federal or state securities laws involving fraud, deceit, or knowing misrepresentation; or
(d)
Within the past 10 years has signed a consent order with any federal or state regulatory authority that it will not in the future engage in any of the aforementioned violations.
(5)
A person with access to the cash, securities, or other assets of the separate account shall be under bond in an amount of not less than the greater of $500,000 or 25 percent of the assets to which the person has access, but the bond need not exceed 5 million dollars.
(6)
If an insurer establishes more than one separate account for variable life insurance, justification for the establishment of each additional separate account shall also be filed with the Commissioner and shall be subject to the Commissioner's approval. The creation of additional separate accounts to avoid lower maximum charges against the separate account is prohibited.
(7)
The assets of the separate accounts established for variable life insurance policies shall be valued at least as often as variable benefits are determined but in any event at least monthly.
(8)
A separate account exempt pursuant to the federal Investment Company Act of 1940, §3(c)(11), because of the tax qualified status of the policies funded thereby, may not be used to fund other variable life insurance policies.
(9)
Except for separate accounts exempt pursuant to the federal Investment Company Act of 1940, §3(c)(11), variable life insurance separate accounts may not be used for variable annuities or for the investment of funds corresponding to dividend accumulations or other policyholder liabilities not involving life contingencies.
B.
Amounts in the Separate Account.
(1)
The insurer shall maintain in each variable life insurance separate account assets with a fair market value at least equal to the greater of the valuation reserves for the variable portion of the variable life insurance policies or the benefit base for the policies.
(2)
The benefit base of any variable life insurance policy as of the beginning of any valuation period may not be less than the sum of the following factors after deducting amounts of any indebtedness pursuant to Regulation .04E(2) of this chapter:
(a)
The valuation net premium for this period, for the variable portion of the policy, minus the discounted cost of term insurance for this period, based on the tabular mortality and interest rates used in determining valuation reserves; and
(b)
The valuation terminal reserve, for the variable portion of the policy, at the end of the immediately preceding valuation period adjusted for the net investment return of the preceding period.
(3)
In lieu of the minimum benefit base requirement specified in §B(1) and (2) of this regulation, an insurer may otherwise qualify under this section if it can be demonstrated, to the satisfaction of the Commissioner, that the policy benefits obtained over a 20-year period from the date of issue by the use of the insurer's benefit base are at least substantially equivalent in value to the benefits obtained by the use of the minimum benefit base specified above. The Commissioner may specify the range of net investment return to be used in this demonstration.
(4)
Notwithstanding the actual reserve basis used for policies that do not meet standard underwriting requirements, the benefit base for these policies may be the same as for corresponding policies which do meet standard underwriting requirements.
C.
Investments by the Separate Account.
(1)
A sale, exchange, or other transfer of assets may not be made by an insurer or any of its affiliates between any of its separate accounts or between any other investment account and one or more of its separate accounts, unless:
(a)
In case of a transfer into a separate account, the transfer is made solely to establish the account or to support the operation of the policies with respect to the separate account to which the transfer is made; and
(b)
The transfer, whether into or from a separate account, is made by a transfer of cash, but other assets may be transferred if approved by the Commissioner in advance.
(2)
Assets allocated to a variable life insurance separate account shall be held in cash or investments having a reasonably ascertainable market price. For purposes of this subsection, only the following shall be considered investments having a reasonably ascertainable market price:
(a)
Liens in favor of the insurer against separate account policy reserves resulting from use by policyholders of cash values.
(b)
Securities listed and traded on the New York Stock Exchange, the American Stock Exchange, or regional stock exchanges or successors to these exchanges having the same or similar qualifications.
(c)
Securities listed on the NASDAQ System.
(d)
Shares of an investment company registered pursuant to the federal Investment Company Act of 1940. When the investment company issues book shares in lieu of share certificates, the book shares shall be deemed to be adequate evidence of ownership.
(e)
Obligations of or guaranteed by the United States Government, the Canadian government, any state, or municipality or governmental subdivision of a state.
(f)
Commercial paper issued by business corporations when the total of the paper issued by the corporation does not exceed in value a guaranteed short line of credit by a bank.
(g)
Certificates of deposit issued by financial institutions the deposits of which are insured by the FDIC or FSLIC.
(h)
New bond or debt issues which may reasonably be expected to be listed on an exchange regulated by the Securities Exchange Act of 1934.
(3)
Not more than 25 percent of the assets allocated to a variable life insurance separate account may be invested in non-dividend paying stock, and then only if the issuer of this stock has not had a net operating loss in more than two of its twelve fiscal quarters immediately preceding the date of purchase of the stock, or has not had a net operating loss in more than two of its fiscal quarters from the date of its incorporation if it has not been incorporated for at least 3 years before the date of purchase of the stock.
(4)
Notwithstanding any other provision of law or the provisions of §C(2)of this regulation, assets allocated to a variable life insurance separate account may not be invested in:
(a)
Commodities or commodity contracts;
(b)
Put and call options or combinations of these options;
(c)
Short sales;
(d)
Purchases on margins;
(e)
Letter or restricted stock;
(f)
Units or other evidences of ownership of a separate account of another insurer, except those registered under the federal Investment Company Act of 1940; or
(g)
Real estate or shares of a real estate investment trust except that up to 5 percent of the assets allocated to a variable life insurance separate account may be invested in the shares of real estate investment trusts listed as described in §C(2)(b) of this regulation.
D.
Limitations on Ownership.
(1)
A variable life insurance separate account may not purchase or otherwise acquire the securities of any issuer, other than securities issued or guaranteed as to principal and interest by the United States, if, immediately after this purchase or acquisition, the value of the investment, together with prior investments of the separate account in the security valued as required by these regulations, would exceed the greater of 5 percent of the value of the assets of the separate account or $10,000. The Commissioner may waive this limitation in writing if he believes the waiver will not render the operation of the separate account hazardous to the public or the policyholders in this State.
(2)
A separate account may not purchase or otherwise acquire the voting securities of any issuer if as a result of the acquisition the insurer and its separate accounts, in the aggregate, will own more than 5 percent of the total issued and outstanding voting securities of the issuer. The Commissioner may waive this limitation in writing if he believes the waiver will not render the operation of the separate account hazardous to the public or the policyholders in this State or jeopardize the independent operation of the issuer of these securities.
(3)
The percentage limitation specified in §D(1) of this regulation may not be construed to preclude the investment of the assets of separate accounts in shares of investment companies registered pursuant to the federal Investment Company Act of 1940, if the investments and investment policies of these investment companies comply substantially with the provisions of §C of this regulation, and other applicable portions of this regulation.
E.
Valuation of Assets of a Variable Life Insurance Separate Account.
(1)
Market Value.
(a)
Investments of the separate account shall be valued at their market value on the date of valuation.
(b)
Market value for investments traded on the recognized exchanges means the last reported sale price on the date of valuation. If there has been no sale on that date, the market value means the last reported bid quotation on the date of valuation.
(c)
Market value for investments listed on the NASDAQ System means the last representative bid quotation on the valuation date. If an investment ceases to be listed but continues to be traded over the counter, it shall be valued at the lowest bid quotation as it appears on the National Quotation Bureau sheets.
(d)
If the valuation date referred to in §E(1)(b) and (c) of this regulation is a day when the exchange or the NASDAQ System is not open for business, the valuation date shall be the last date when the exchange or the NASDAQ System was open for business.
(2)
If an investment ceases to be traded, it shall be valued at fair value as determined in good faith by or at the direction of the Board of Directors of the insurer but not in excess of the last reported bid quotation. Within 30 days, notification of cessation of trading of any investment shall be reported by the insurer to the insurance commissioner of the state of domicile of the insurer. That commissioner shall within a reasonable period of time determine the method of valuation or disposition of this investment.
F.
Separate Account Investment Policy.
(1)
The investment policy of a separate account operated by a domestic insurer filed under Regulation .03B(3) of this chapter may not be changed without the approval of the Insurance Commissioner.
(2)
With respect to changes of investment policy for which the Commissioner must give his approval, the following regulations shall apply:
(a)
Approval shall be deemed to be given 60 days after the date the request for approval was filed with the Commissioner, unless he notified the insurer before the end of the 60-day period of his determination that the proposed change is a material change in the investment policy.
(b)
If the change is deemed material by the Commissioner, he shall approve the change only if he determines, after a public hearing, that the change does not appear detrimental to the interest of the policyholders of the insurer.
(c)
At least 30 days before any public hearing under §F(2)(b) of this regulation, the insurer shall mail a notice to each policyholder and to the insurance commissioner of each state in which the affected variable life insurance policies are being sold. This notice shall describe the proposed change in investment policy, list the reasons, designate the date and place of the public hearing, inform the policyholder of the procedures to be followed in commenting on the change, and describe the conduct of the meeting. This notice shall be in a form approved by the Commissioner.
(d)
Within 60 days after the public hearing, the Commissioner shall approve or deny the proposed change in investment policy.
(e)
If a policyholder objects to the proposed change and the change is allowed by the Commissioner, the objecting policyholder shall be given the option within 60 days of notification to the policyholder of the approval by the Commissioner of the change, of converting, without evidence of insurability, under one of the following options, to a fixed benefit life insurance policy issued by the insurer or an affiliate:
(i)
If the policy is in force on a premium paying basis, either:
(aa)
Conversion as of the original issue age to a substantially comparable permanent form of fixed benefit life insurance, based on the insurer's premium rates for fixed benefit life insurance at the original issue age, for an amount of insurance not exceeding the death benefit of the variable life insurance policy on the date of conversion; or
(bb)
Conversion as of the attained age to a substantially comparable permanent form of fixed benefit life insurance for an amount of insurance not exceeding the excess of the death benefit of the variable life insurance policy on the date of conversion over its cash value on the date of conversion if the policyholder elects to surrender the variable life policy for its cash value, or the death benefit payable under any paid-up insurance option if the policyholder elects the nonforfeiture option under the variable life policy.
(ii)
If the policy is in force as paid-up variable life insurance, then conversion will be to a substantially comparable paid-up fixed benefit life insurance policy for an amount of insurance not exceeding the death benefit of the variable life insurance policy on the date of conversion. If conversion is made pursuant to §F(2)(e)(i)(aa) or F(2)(e)(ii) of this regulation then:
(aa)
If the cash value of the variable life insurance policy exceeds the cash value of the fixed benefit life insurance policy, the difference shall be paid to the policyholder;
(bb)
If the cash value of the fixed benefit life insurance policy exceeds the cash value of the variable life insurance policy, the difference shall be paid by the policyholder; and
(cc)
Any indebtedness under the variable life insurance policy shall become indebtedness under the fixed benefit policy, provided that any excess of this indebtedness over the cash value of the fixed benefit policy on the date of conversion shall be deducted from any amount otherwise payable to the policyholder.
G.
Charges Against a Variable Life Insurance Separate Account. The insurer shall disclose in writing, before or contemporaneously with delivery of the policy, each charge that may be made against the separate account, including:
(1)
Taxes or reserves for taxes attributable to investment gains and income of the separate account;
(2)
Actual cost of reasonable brokerage fees and similar direct acquisition and sales costs incurred in the purchase or sale of separate account assets;
(3)
Actuarially determined costs of insurance (tabular costs) and the release of reserves and benefit base consistent with the release of separate account liabilities;
(4)
Charges for administrative expenses and investment management expenses, including internal costs attributable to the investment management of assets of the separate account;
(5)
A charge, at a rate specified in the policy for mortality and expense guarantees;
(6)
Any amounts in excess of those required to be held in the separate account; and
(7)
Charges for incidental insurance benefits.
H.
Standards of Conduct. An insurer seeking approval to enter into the variable life insurance business in this State shall adopt by formal action of its Board of Directors and file with the Commissioner a written statement specifying the standards of conduct of the insurer, its officers, directors, employees, and affiliates with respect to investments of variable life insurance separate accounts and variable life insurance operations. These standards of conduct shall be binding on the insurer and those to whom it refers and shall contain at a minimum the items contained in §I(2) of this regulation.
I.
Conflicts of Interest.
(1)
Rules under any provision of the insurance laws of this State or any regulation applicable to the officers and directors of insurance companies with respect to conflicts of interest shall apply also to members of any separate account's committee or other similar body. An officer or director of the company or any member of any managing committee or body of a separate account may not receive directly or indirectly a commission or other compensation with respect to the purchase or sale of assets of the separate account. The board of directors of the insurer shall be responsible for all acts concerning the separate account.
(2)
Unless otherwise approved in writing by the Commissioner in advance of the transaction, with respect to variable life insurance separate accounts, an insurer or affiliate of an insurer may not:
(a)
Sell to or purchase from any separate account established by the insurer any securities or other property, other than variable life insurance policies;
(b)
Purchase or allow to be purchased for any separate account securities of which the insurer or an affiliate is the insurer, or securities of a corporation in which an officer or director of the insurer or an affiliate or any member of the managing committee or body owns 3 percent or more of the common stock or shares;
(c)
Accept compensation, other than a regular salary or wages from the insurer or affiliate, for the sale or purchase of securities to or from any separate account other than as provided in §I(3)(c) of this regulation;
(d)
Engage in a joint transaction, participation, or common undertaking by which the insurer of an affiliate participates with any separate account in a transaction in which an insurer or any of its affiliates obtains an advantage in the price of quality of the item purchased, in the service received, or in the cost of the service, and the insurer or any of its other affiliates is disadvantaged in any of these respects by the same transaction;
(e)
Borrow money or securities from any separate account other than under a policy loan provision.
(3)
No provision of this chapter may be construed to prohibit:
(a)
The investment of separate account assets in securities issued by one or more investment companies registered pursuant to the federal Investment Company Act of 1940 which is sponsored or managed by the insurer or an affiliate, and the payment of investment management or advisory fees on the assets.
(b)
The combination of orders for the purchase or sale of securities for the insurer, an affiliate, any separate accounts, or any one or more of them, which is for their mutual benefit or convenience as long as any securities so purchased or the proceeds of any sale of securities are allocated among the participants on some predetermined basis expressed in writing which is designed to assure the equitable treatment of all participants.
(c)
An insurer or an affiliate to act as a broker or dealer in connection with the sale of securities to or by the separate account. However, a commission, fee, or remuneration charged may not exceed the minimum broker's commission established for any transaction by any national securities exchange through which the transaction could be effected, or when the charges are subject to negotiation, or when no minimum charge is applicable, then the charge shall be consistent with the charges prevailing in the ordinary course of business in the community where the transaction is effected.
(d)
The rendering of investment management or investment advisory services by an insurer or affiliate, for a fee, subject to the provisions of this chapter.
(4)
Upon the written request of an insurer or an affiliate, the Commissioner may approve a particular transaction or series of proposed transactions which would otherwise be prohibited under §I(2) of this regulation, if the Commissioner determines that this transaction is not unfair or inequitable to persons affected under the circumstances of the transactions.
J.
Investment Advisory Services to a Separate Account.
(1)
An insurer may not enter into a contract under which any person undertakes, for a fee, to regularly furnish investment advice to the insurer with respect to its separate accounts maintained for variable life insurance policies, unless:
(a)
The person providing the advice is registered as an investment adviser under the federal Investment Advisers Act of 1940; or
(b)
The insurer has filed with the Commissioner and continues to file annually the following information and statements concerning the proposed adviser:
(i)
The name and form of organization, state of organization, and its principal place of business;
(ii)
The names and addresses of its partners, officers, directors, and persons performing similar functions, or, if this investment adviser is an individual, of the individual;
(iii)
A written standard of conduct complying in substance with the requirements of §H of this regulation, which has been adopted by the investment adviser and is applicable to the investment adviser, its officers, directors, and affiliates;
(iv)
A statement provided by the proposed adviser as to whether the adviser or a person associated with the adviser:
(aa)
Has been convicted within 10 years of any felony, or of a misdemeanor arising out of this person's conduct as an employee, salesman, officer or director of an insurance company, a bank, an insurance agent, a securities broker, or an investment adviser, involving embezzlement, fraudulent conversion, or misappropriation of funds or securities, or involving the violation of 18 U.S.C. §1341, 1342, or 1343;
(bb)
Has been permanently or temporarily enjoined by order, judgement, or decree of any court of competent jurisdiction from acting as an investment adviser, underwriter, broker, or dealer, or as an affiliated person or as an employee of an investment company, bank, or insurance company, or from engaging in or continuing conduct or practice in connection with any of these activities;
(cc)
Has been found by federal or state regulatory authorities to have willfully violated, or has acknowledged willful violation of, any provision of federal or state securities laws or state insurance laws or of any rule or regulation under these laws;
(dd)
The adviser or a person associated with the adviser has within the last 10 years signed a consent order with a federal or state regulatory authority that the adviser or associated person may not in the future engage in any of the aforementioned violations; or
(ee)
Has been censured, denied an investment adviser registration, had a registration as an investment adviser revoked or suspended, or been barred or suspended from being associated with an investment adviser by order of federal or state regulatory authorities; and
(c)
The investment advisory contract shall be in writing and provide that it may be terminated by the insurer without penalty to the insurer or the separate account upon no more than 60 days' written notice to the investment adviser.
(2)
After notice and opportunity for hearing, the Commissioner may require, by order, the investment advisory contract to be terminated if he deems continued operation to be hazardous to the public or the insurer's policyholders.

Regulation .07 Information Furnished to Applicants.Copy Citation

A.
An insurer delivering or issuing for delivery in this State a variable life insurance policy shall deliver to the applicant for the policy, and obtain a written acknowledgement of receipt from the applicant coincident with or before the execution of the application, the following information:
(1)
A summary explanation, in nontechnical terms, of the principal features of the policy, including a description of the manner in which the variable benefits will reflect the investment experience of the separate account and the factors which affect the variation. This explanation shall include notices of the provisions required by Regulation .04D(1)(e) and D(6) of this chapter.
(2)
A statement of the investment policy of the separate account, including:
(a)
A description of the investment objective and orientation intended for the separate account and the principal types of investments intended to be made; and
(b)
Any restriction or limitations on the manner in which the operations of the separate account are intended to be conducted.
(3)
A statement of the net investment return of the separate account for each of the last 10 years for which the separate account was in existence.
(4)
A statement describing, as an approximate percentage of an annual gross premium for each year and for the life of the policy, all commission or equivalent payments to be paid to all agents or other persons as a result of the proposed sale for each year of the policy for which payments are to be made. As used in this subsection, commissions means all monies and other valuable consideration, including but not limited to prizes, bonuses paid directly or indirectly to, for, or on behalf of the selling agent as compensation for services in the sale of variable life insurance.
(5)
A statement of the annual taxes, brokerage fees, and similar costs, and the charges, expressed as an annual percentage, levied against the separate account during the previous year.
(6)
A summary of the method to be used in valuing assets held by the separate account.
(7)
A summary of the federal income tax liabilities of the policy applicable to the insured, the policy owner, and the beneficiary.
(8)
If the applicant is furnished illustrations of benefits payable under a variable life insurance contract, these illustrations shall be prepared by the insurer and may not include projections of past investment experience into the future or attempted predictions of future investment experience, provided that nothing in this subsection prohibits the use of hypothetical assumed rates of return to illustrate possible levels of benefits if it is made clear that the assumed rates are hypothetical only.
(9)
A prominent statement either in contrasting color or in boldface type at least four points larger than the type size of the largest type used in the text of any provision on the page, providing in substance the following information:
(a)
The purpose of this variable life insurance policy is to provide insurance protection for the beneficiary named in the policy;
(b)
A claim is not made that this variable life insurance policy is in any way similar or comparable to a systematic investment plan of mutual fund.
B.
The requirements of this regulation shall be deemed to have been satisfied to the extent that a disclosure containing information required by this regulation is delivered, either in the form of:
(1)
A prospectus included in a registration statement relating to the policies which satisfies the requirements of the federal Securities Act of 1933 and which was declared effective by the Securities and Exchange Commission; or
(2)
All information and reports required by the federal Employee Retirement Income Security Act of 1974 if the policies are exempted from the registration requirements of the federal Securities Act of 1933 pursuant to §3(a)(2).

Regulation .08 Applications.Copy Citation

The application for a variable life insurance policy shall contain:
A.
A prominent statement that the death benefit may be variable or fixed under specified conditions;
B.
A prominent statement that cash values may increase or decrease in accordance with the experience of the separate account (subject to any specified minimum guarantees);
C.
Questions designed to elicit information which enables the insurer to determine the suitability of variable life insurance for the applicant.

Regulation .09 Reports to Policyholders.Copy Citation

An insurer delivering or issuing for delivery in this State a variable life insurance policy shall mail to each variable life insurance policyholder at his or her last known address the following reports:
A.
Within 30 days after each anniversary of the policy, a statement or statements of the cash surrender value, death benefit, any partial withdrawal or policy loan, any interest charge, and any optional payments allowed pursuant to Regulation .04E of this chapter under the policy computed as of the policy anniversary date. This statement may be furnished within 30 days after a specified date in each policy year as long as the information contained in it is computed as of a date not more than 45 days before the mailing of the notice. This statement shall state in contrasting color or distinctive type that, in accordance with the investment experience of the separate account, the cash values and the variable death benefit may increase or decrease, and shall prominently identify any value described which may be recomputed before the next statement required by this section. If the policy guarantees that the variable death benefit on the next policy anniversary date will not be less than the variable death benefit specified in the statement, the statement shall be modified to indicate this. For flexible premium policies, the report required by this paragraph shall:
(1)
Contain a reconciliation of the change since the previous report in cash value and cash surrender value, if different, because of payments made (less deductions for expense charges), withdrawals, investment experience, insurance charges, and any other changes made against the cash value; and
(2)
Show the projected cash value and cash surrender value, if different, as of 1 year from the end of the period covered by the report assuming that:
(a)
Planned periodic premiums, if any, are paid as scheduled;
(b)
Guaranteed costs of insurance are deducted; and
(c)
The net return is equal to the guaranteed rate or, in the absence of a guaranteed rate, is not greater than zero. If the projected value is less than zero, a warning message shall be included that states that the policy may be in danger of terminating without value in the next 12 months unless additional premium is paid.
B.
Annually, a statement or statements including:
(1)
A summary of the financial statement of the separate account based on the annual statement last filed with the Commissioner;
(2)
The net investment return of the separate account for the last year and, for each year after the first, a comparison of the investment rate of the separate account during the last year with the investment rate during prior years, up to a total of 5 years when available;
(3)
A list of investments held by the separate account as of a date not earlier than the end of the last year for which an annual statement was filed with the Commissioner;
(4)
Charges, taxes, and brokerage fees determined on an accrual basis payable by the separate account during the previous year, each expressed as a dollar amount and a percentage and the total expressed as a dollar amount and as a percentage of the assets of the separate account;
(5)
A statement of any change, since the last report, in the investment objective and orientation of the separate account, in any investment restriction or material quantitative or qualitative investment requirement applicable to the separate account, or in the investment adviser of the separate account;
(6)
The name of each broker or dealer handling portfolio transactions on behalf of the separate account in which the insurer or an affiliate has a controlling interest and the nature of these transactions and the amount of compensation received by the broker or dealer from business originating with the separate account;
(7)
The names and principal occupations of each principal executive officer and each director of the insurer; and
(8)
The names of all parents of the insurer and the basis of control of the insurer, and the name of any person who is known to own, of record or beneficially, 10 percent or more of the outstanding voting securities of the company.
C.
For flexible premium policies, if the amounts available under the policy on any processing day to pay the charges authorized by the policy are less than the amount necessary to keep the policy in force, until the next processing day, a report indicating the minimum payment required under the terms of the policy to keep it in force and the length of the grace period for payment of the amount.

Regulation .10 Foreign Companies.Copy Citation

If the law or regulation in the place of domicile of a foreign company provides a degree of protection to the policyholders and the public which is substantially similar to that provided by these regulations, the Commissioner may consider compliance with the law or regulation as compliance with these regulations.

Regulation .11 Qualification of Producers for the Sale of Variable Life Insurance.Copy Citation

A.
Qualification to Sell Variable Life Insurance.
(1)
A person may not sell or offer for sale in this State any variable life insurance policy unless the person is a producer and has filed with the Commissioner, in a form satisfactory to the Commissioner, evidence that the person holds a license and other authorizations which may be required by any federal or State securities law for the solicitation, sale, or negotiation of variable life insurance.
(2)
A person may not solicit, sell, or act or aid in any manner in the negotiation of a variable life insurance policy unless such person has been so qualified in accordance with the provisions of Insurance Article, §§10-105 and 10-109, Annotated Code of Maryland, and is licensed by the Commissioner to act as a producer with life and variable lines of authority.
B.
Reports of Disciplinary Actions and Criminal Prosecution. A person qualified in this State under this regulation to act as a producer of variable life insurance policies shall report to the Commissioner in accordance with Insurance Article, §§10-126(f) and (g), Annotated Code of Maryland:
(1)
Suspension or revocation of a producer license in any other state or territory of the United States;
(2)
Imposition of disciplinary sanction, including suspension or expulsion from membership, suspension or revocation or denial of registration imposed upon the producer by any national securities exchange or national securities association or any federal, state, or territorial agency with jurisdiction over securities or variable life insurance;
(3)
Judgment or injunction entered against the producer on the basis of conduct deemed to have involved fraud, deceit, misrepresentation, or violation of any insurance or securities law or regulation; or
(4)
Criminal prosecution as described under Insurance Article, §10-126(g), Annotated Code of Maryland.
C.
Refusal to Qualify Producer to Sell Variable Life Insurance — Suspension, Revocation, or Nonrenewal of Qualification. The Commissioner may reject an application or suspend, revoke, or refuse to renew a producer’s qualification under this regulation to solicit, sell, or negotiate variable life insurance policies upon any ground that would bar the applicant or producer from being licensed to solicit, sell, or negotiate life insurance policies in this State. The rules governing proceedings relating to the rejection of a producer’s application, suspension or revocation of a producer’s license or refusal to renew a producer’s license shall also govern proceedings under this regulation.

Regulation .12 Voting Rights.Copy Citation

To the extent an insurer deems it necessary to comply with any applicable state or federal laws, with respect to any separate account, including, without limitation, a separate account which is a management investment company or unit investment trust, the insurer may provide for persons having an interest therein appropriate voting and other rights and special procedures for the conduct of the business of the account, including without limitation special rights and procedures relating to investment policy, investment advisory services, selection of independent public accountants, and the selection of a committee, the members of which need not be otherwise affiliated with the company, to manage the business of the account.

Regulation .13 Separability and Applicability of Other Regulations.Copy Citation

A.
If any provision of this chapter or its application to any person or circumstance is held to be invalid, the remainder of the chapter and the application of the provision to other persons or circumstances is not affected.
B.
The provisions of COMAR 31.09.04 and any other regulations promulgated by the Commissioner with reference to contracts on a variable basis or with reference to life insurance or the conduct of the business of life insurance shall apply to variable life insurance to the extent that the provisions of the other regulations are not in conflict with the requirements of this chapter.

Chapter 03. Industrial Life Insurance—Dividends Required

Regulation .01 Dividends.Copy Citation

All policies of industrial life insurance heretofore or hereafter issued by any life insurance company authorized to do business in Maryland and operating as a mutual insurer; and all policies of industrial life insurance issued by any life insurance company operating as a mutual insurer at the time the policies were issued but which the insurer subsequently operates as a stock insurer; and all policies of industrial life insurance issued on or after January 1, 1941, by any stock insurer, which policies do not specifically state that they are nonparticipating or do not specifically state that they do not share in the surplus earnings of the company, shall have apportioned to them in the form of dividends payable on each anniversary date of each of the policies occurring on and after January 1, 1941, an equitable share of the policies in the surplus earnings of the insurer unless the insurer furnishes proof satisfactory to the Commissioner that the policies have not contributed to the surplus earnings of the insurer during the calendar year immediately preceding the policy anniversary. With the approval of the Commissioner, and if not in conflict with policy provisions, the insurer may elect that the dividends be credited on a specified date on each calendar year rather than on policy anniversaries.

Regulation .02 Manner of Payment of Dividends.Copy Citation

The dividends shall be paid in the manner specified in the policy, or, if the policy does not specify a manner of payment, then the dividends shall, at the option of the insurer, or if the insurer does not make an election, then at the option of the policyholder, be:
A.
Applied to provide paid-up additions to the policy;
B.
Paid in cash;
C.
Left to accumulate at a rate of interest not less than 2-1/2 percent, the accumulated dividends and interest to be payable on termination of the insurance if not previously credited to increase an operative nonforfeiture benefit under the policy; or
D.
Applied to the payment of any premium payable under the policy or, if no further premiums are payable, the dividends shall be credited in accordance with one of the aforementioned methods.

Chapter 04. Contracts on a Variable Basis

Regulation .01 Authority and Purpose.Copy Citation

The issuance or delivery of contracts on a variable basis (hereinafter sometimes referred to as “contracts”) in Maryland in any manner not in compliance with this chapter shall be deemed to be the transaction of insurance business hazardous to policyholders and the public, and contrary to the public interest.

Regulation .02 Definitions.Copy Citation

A.
In this chapter the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Contracts on a variable basis” means annuity contracts, as defined in Insurance Article, §1-101(e), Annotated Code of Maryland, which provide for payments varying directly with the investment experience of a segregated asset account, hereinafter referred to as “variable contract account”, as distinguished from “fixed annuity contracts”. This definition does not include any of the forms of insurance prohibited by Insurance Article, §§16-112 and 27-207, Annotated Code of Maryland.
(2)
“Fixed annuity contracts” or “guaranteed annuity contracts” means annuity contracts, as defined in Insurance Article, §1-101(e), Annotated Code of Maryland, which provide for payment of fixed dollar amounts guaranteed in the contract.
C.
A participating annuity contract providing for payment by the insurer of dividends or participation in the divisible surplus accruing under the contract in addition to fixed dollar payments guaranteed in the contract shall be deemed a fixed annuity contract and not a contract on a variable basis if, according to assumptions made by the insurer at the time the contract is issued, at least 50 percent of the consideration for the contract is required to support the fixed dollar guarantees.

Regulation .03 Qualifications of Producers.Copy Citation

A.
Qualification to Sell Variable Annuity Contracts.
(1)
A person may not sell or offer for sale in this State any variable annuity contract unless the person is a producer and has filed with the Commissioner, in a form satisfactory to the Commissioner, evidence that the person holds a license and other authorizations which may be required by any federal or State securities law for the solicitation, sale, or negotiation of variable annuities.
(2)
A person may not in this State solicit, sell, or act or aid in any manner in the negotiation of any variable contract unless the person has been so qualified in accordance with the provisions of Insurance Article, §§10-105 and 10-109, Annotated Code of Maryland, and is licensed by the Commissioner to act as a producer with life and variable lines of authority.
B.
Reports of Disciplinary Actions and Criminal Prosecution. A person qualified in this State under this regulation to act as a producer of variable annuity contracts shall report to the Commissioner in accordance with Insurance Article, §§10-126(f) and (g), Annotated Code of Maryland:
(1)
Suspension or revocation of a producer license in any other state or territory of the United States;
(2)
Imposition of disciplinary sanction, including:
(a)
Suspension or expulsion from membership; or
(b)
Suspension, revocation, or denial of registration imposed on the producer by any national securities exchange or national securities association or any federal, state, or territorial agency with jurisdiction over securities or variable annuity contracts;
(3)
Judgment or injunction entered against the producer on the basis of conduct deemed to have involved fraud, deceit, misrepresentation, or violation of any insurance or securities law or regulation; or
(4)
Criminal prosecution as defined in Insurance Article, §10-126(g), Annotated Code of Maryland.
C.
Refusal to Qualify Producer to Sell Variable Annuity Contracts—Suspension, Revocation, or Nonrenewal of Qualification. The Commissioner may reject an application or suspend, revoke, or refuse to renew producer’s qualification under this regulation to solicit, sell, or negotiate variable annuity contracts upon any ground that would bar the applicant or producer from being licensed to solicit, sell, or negotiate life insurance policies in this State. The rules governing proceedings relating to the rejection of a producer’s application, suspension or revocation of a producer’s license, or refusal to renew a producer’s license shall also govern proceedings under this regulation.

Regulation .04 Qualifications of Insurers.Copy Citation

A.
An insurer may issue the contracts provided it:
(1)
Otherwise qualifies as a life insurance company;
(2)
Has surplus assets or funds (within the meaning of Insurance Article, §4-105, Annotated Code of Maryland) as of the end of the preceding calendar year of at least $1,000,000; and
(3)
Complies with one of the following:
(a)
Is limited by its charter and bylaws exclusively to the sale of contracts on a variable basis, including additional benefits operating to safeguard the contract from lapse, or to provide a special surrender value, or special benefit, or annuity, in the event of total and permanent disability of the holder. An insurance company so limited may not be disqualified by reason of being a subsidiary of a stock or mutual insurance company transacting other lines of business.
(b)
Has assets in excess of $50,000,000 and has been licensed for the sale of life insurance and annuities in this State for at least 10 consecutive years immediately before the date of issuance of the contracts on a variable basis.
(c)
Has capital and surplus funds in excess of $10,000,000, and has been continuously and actively engaged in the sale of contracts on a variable basis in its state of domicile for at least 5 consecutive years immediately before the effective date of the authorization to issue the contracts in Maryland.
(d)
By reason of its capital structure, surplus, amount of business in force, and plan of operations, in the opinion of the Commissioner, substantially conforms to the requirements of §A(3)(a), (b), or (c) of this regulation, or affords equivalent protection to contract holders; and provided further that the insurer shall have been specifically authorized by the Commissioner to issue the contracts after demonstrating to the Commissioner's satisfaction that it is qualified to do so.
B.
In determining the qualifications of the insurer, the Commissioner shall consider, among other things:
(1)
The history, reputation, and financial stability of the insurer;
(2)
The character, experience, and competence of the directors and officers of the insurer;
(3)
The proposed methods of advertising, soliciting, and selling the contracts; and
(4)
Whether, in the case of a foreign or alien insurer, regulation under the laws of its state of domicile provides protection to the public and to contract holders substantially equal to that provided by the laws of Maryland and the regulations of the Maryland Insurance Administration.

Regulation .05 Filing, Approval of Forms.Copy Citation

A.
A contract on a variable basis may not be issued or delivered in this State unless the form of the contract has been filed with and approved by the Commissioner and unless the form of application for the contract, and of any certificate to be used with the contract issued on a group basis, have been filed with and approved by the Commissioner.
B.
The Commissioner shall disapprove or withdraw previous approval of the form of contract, application, or certificate for any of the reasons specified in Insurance Article, §12-205, Annotated Code of Maryland, or if:
(1)
Sales of the contracts are being solicited by any means of advertising, communication, or dissemination of information which involves misleading or inadequate description of the provisions of the contract or which involves illustrations of benefits under the contracts based on projection into the future of past investment experience or on attempted predictions of future investment experience;
(2)
The procedures to be followed by the insurer in determining the dollar amount of variable benefits or other contractual payments or values under the contract are inequitable or unreasonable;
(3)
The expense, mortality, or investment increment factors stated in the contract are unreasonable; or
(4)
The contracts do not conform to or are issued contrary to this chapter or any other regulations promulgated by the Commissioner.

Regulation .06 Attainment of Balance.Copy Citation

A.
Before the issuance of any individual contract on a variable basis, the insurer shall reasonably satisfy itself that the total amounts being applied and proposed to be applied to provide the prospective annuitant with income on a variable basis will not substantially exceed the amount which would be required to purchase the income in a predetermined dollar amount which the annuitant can reasonably expect to receive.
B.
In determining the reasonably expectable fixed dollar income, the insurer may consider, alone or in combination, any direct source, such as a pension, annuity, Social Security benefit, or trust fund, as well as any indirect source, such as an asset having a principal amount expressed in fixed dollars and capable of being used to produce a fixed dollar income, as, for example bonds, mortgages or life insurance policies.

Regulation .07 Contract Provisions.Copy Citation

A.
Any contract on a variable basis issued or delivered in this State shall contain a statement of the essential features of the procedure to be followed by the insurer in determining the dollar amount of variable benefits or other contractual payments or values under the contract and shall state in clear terms that this amount may decrease or increase according to this procedure. A contract, and any certificate evidencing variable benefits issued pursuant to the contract on a group basis, and any application for the contract or certificate shall have prominently printed on its first page in boldface type not less than 10 point, a clear statement that payments and termination values provided by the contract are variable and not guaranteed as to dollar amount.
B.
A contract issued or delivered in this State shall stipulate the expense, mortality, and investment increment factors to be used in computing the dollar amount of variable benefits or other contractual payments or values under the contract, and shall guarantee that expense and mortality experience will not adversely affect the dollar amount.
C.
A contract shall contain all of the standard or uniform provisions required by Insurance Article, Annotated Code of Maryland, except that the Commissioner will give consideration to waiving the requirements of former Article 48A, §408A, Annotated Code of Maryland (transferred to the Session Laws by §6, Ch. 57, Acts of 1997), upon a showing by the insurer satisfactory to the Commissioner that the requirements are inconsistent with the purposes of the contract.
D.
An individual contract on a variable basis may not be issued or delivered in this State unless it contains in substance the following provisions:
(1)
That in event of default in payment of any consideration beyond the period of grace allowed by the contract for the payment thereof, the insurer will make payment of the value of the contract in accordance with an equitable plan specified in the contract, this payment to commence not later than the date contractual payments by the insurer would have begun if there had been no default.
(2)
That upon request of the contract holder received by the insurer at least 90 days before the date contractual payments by the insurer would otherwise begin, the insurer will make payment of the value of the contract in accordance with an equitable plan specified in the contract which may be selected by the contract holder, this plan to become effective as of the date contractual payments under the contract would otherwise begin, unless another date is requested by the contract holder and agreed to by the insurer.
(3)
That the insurer will mail to the contract holder at least once in each contract year, a report in a form approved by the Commissioner which shall include a statement of the number of units credited to the contract, the dollar value of a unit, and the dollar value of the total number of units credited, all this information to be furnished as of a stated date which shall be not more than 2 months before the date of mailing.

Regulation .08 Administration and Accounting Procedures.Copy Citation

A.
Any domestic life insurer specifically authorized by the Commissioner to issue contracts on a variable basis and any foreign or alien life insurer specifically authorized by the Commissioner to deliver these contracts in Maryland may establish and operate one or, upon express approval by the Commissioner, more than one, segregated asset accounts to be known as variable contract accounts. An insurer which has established a separate investment account as defined in Insurance Article, §5-512, Annotated Code of Maryland, may, upon express approval by the Commissioner, use the same segregated asset account as both a separate investment account and a variable contract account.
B.
Except as may be otherwise specifically provided by the contract, all amounts received in connection with any contract on a variable basis shall be placed in the appropriate variable contract account, and all the liabilities of the contract shall be set up in that account.
C.
The investments and liabilities of a variable contract account at all times shall be clearly identifiable and distinguishable in the books or other records of the insurer from the other investments and liabilities of the insurer. An insurer may not hypothecate any of the assets of any variable contract account or borrow on the security of these assets. An investment, other than cash, in any variable contract account, in any separate account, or in the insurer's general investment account may not be transferred by sale, exchange, substitution, or otherwise from one account to another except with the Commissioner's approval.
D.
Assets allocated to a variable contract account shall be owned by the insurer and the insurer may not be, or hold itself out to be, a trustee with respect to these assets.
E.
An insurer issuing a contract on a variable basis shall, annually on or before March first, submit to the Commissioner a true statement for the business of its variable contract accounts. This statement shall be in such form and content as is approved or adopted for current use by the National Association of Insurance Commissioners or its successor organization and as supplemented for additional information required by the Commissioner and shall include details as to all of the income, disbursements, assets, and liability items associated with the variable contract accounts.
F.
The valuation of variable contract account assets for all purposes, including annual statements of the insurer to the Commissioner, shall be determined in accordance with the market value of the assets notwithstanding the application of other valuation methods to assets of the insurer other than the assets of the variable contract accounts. The valuation may be made as of such valuation dates as the insurer shall establish from time to time, except as otherwise required for the annual statements to the Commissioner. To accomplish the valuation at market value any equity security purchased for variable contract account shall be a security:
(1)
Which is listed or admitted to trading on a securities exchange located in the United States of America or Canada; or
(2)
Which is publicly held and traded in the over-the-counter market as defined by the Commissioner and as to which market quotations have been available.
G.
The reserve liability for contracts on a variable basis shall be established by the Commissioner pursuant to the requirements of Insurance Article, Title 5, Subtitle 3, Annotated Code of Maryland, and in accordance with actuarial procedures that recognize the variable nature of the benefits provided.
H.
Investments.
(1)
An insurer may not invest more than $10,000 or 5 percent of any one variable contract account, whichever is greater, in the stock or shares of any one corporation, mutual fund, or investment company, except that during the first year of operation of a variable contract account having total assets of less than one million dollars, the insurer may invest up to 10 percent of the account, or $10,000 if greater, in these stock or shares provided the account is not a segregated asset account which also serves as a separate investment account as defined in Insurance Article, §5-512, Annotated Code of Maryland. However, with express approval of the Commissioner, an insurer may invest a greater proportion of the assets of a variable contract account which does not serve as a separate investment account in the shares of a nonaffiliated open-end diversified management investment company registered with the Securities and Exchange Commission under the federal Investment Company Act of 1940, as amended (an open-end diversified management investment company so registered being hereinafter sometimes referred to as “management company”), if the investment policy of the nonaffiliated management company conforms to the investment requirements of this chapter. The term “affiliated” or “affiliate” as used in this chapter, except in Regulation .09 of this chapter, means an “affiliated person” as defined in the federal Investment Company Act of 1940, as amended.
(2)
An insurer may not purchase for a variable contract account common stock or shares of any corporation in excess of 5 percent of the total issued and outstanding common stock or shares of that corporation. However, with express approval of the Commissioner, an insurer may purchase in excess of 5 percent of the total number of outstanding shares of an open-end diversified management investment company registered with the Securities and Exchange Commission under the federal Investment Company Act of 1940, as amended.
(3)
An insurer may not purchase for a variable contract account common stock or shares of any corporation unless investment in the common stock or shares of any corporation is authorized as a permissible investment under Insurance Article, §§16-601—16-603, Annotated Code of Maryland.
(4)
An insurer may not purchase for a variable contract account any securities of a corporation which is a subsidiary or affiliate of the insurer or in which a subsidiary or affiliate of the insurer or a director or officer of the insurer owns 3 percent or more of the common stock or shares.
(5)
An insurer may purchase securities or other investments for its variable contract accounts through licensed brokers or by direct placement, but these purchases may not be made directly or indirectly from a director, officer, subsidiary, or affiliate of the insurer.
(6)
Assets of a variable contract account may be sold for cash in a bona fide sale made directly to the purchasers or through licensed brokers but these sales may not be made directly or indirectly to any director, officer, subsidiary, or affiliate of the insurer.
(7)
An insurer may not purchase or sell any of the investments of a variable contract account through a broker who is a director or officer of the insurer or of an affiliate or subsidiary of the insurer.
(8)
To the extent approved by the Commissioner, the restrictions of §H(4), (5), (6), and (7) of this regulation are not applicable to investments in the shares of an affiliated open-end diversified management investment company registered with the Securities and Exchange Commission under the federal Investment Company Act of 1940, as amended, which management company has been approved by the Commissioner for the variable contract account in accordance with §I of this regulation.
I.
With the express approval of the Commissioner, an insurer may invest all or any portion of the assets of a variable contract account which does not serve as a separate investment account in the shares of an affiliated open-end diversified management investment company registered with the Securities and Exchange Commission under the federal Investment Company Act of 1940, as amended, if the insurer, the affiliated management company, and the sponsor and/or holding company, as the case may be, of the insurer and the affiliated management company agree that:
(1)
The investments to be made by the affiliated open-end diversified management investment company registered with the Securities and Exchange Commission under the Investment Company Act of 1940, as amended, will conform to the requirements of §H of this regulation, which, except for the provisions of the insurer, would otherwise be required to observe had the investments been made for a variable contract account of the insurer;
(2)
An investment, other than cash, may not be transferred by sale, exchange, substitution, or otherwise between the insurer, the affiliated management company, and any sponsor, parent, or holding company except with the Commissioner's approval;
(3)
In determining compliance with the provisions of Regulation .05B(3) of this chapter, the sales load and other charges, if any, to be made by the affiliated management company shall be added to any charges made in the variable annuity contract of the insurer;
(4)
The Commissioner may at any time conduct such examination of the affiliated management company and of the sponsor, parent, or holding company as he deems necessary, the cost of which is to be borne by the insurer in accordance with Insurance Article, §2-208, Annotated Code of Maryland; and
(5)
The insurer and the affiliated management company will establish such additional procedures and restrictions as the Commissioner deems necessary to safeguard the interests of contract holders.
(6)
Approval under this section shall, to the extent permitted by the Commissioner, supersede the restrictions contained in §H of this regulation. Any approval under this section may be withdrawn by the Commissioner upon 30 days written notice to the insurer, which notice shall specify the reason for the withdrawal. At any time during the 30-day period, the Commissioner may suspend approval under this section by written notice or by telegram, the suspension to become effective immediately upon receipt of the communication from the Commissioner. During suspension of approval, or following withdrawal of approval, the insurer may make no further investments in the affiliated management company unless approval is reinstated.
J.
While serving as an elected or appointed officer or as a director or trustee of an insurer authorized to issue contracts on a variable basis, a person may not receive directly or indirectly any commission on the business transactions of the insurer.
K.
In connection with the allocation of investment expenses, or in any other respect, an insurer may not discriminate unfairly between variable contract accounts, separate accounts, and the insurer's general investment account, but this provision does not require the insurer to follow uniform investment policies for all its accounts.
L.
Maximum Asset Deduction Charge.
(1)
The maximum asset deduction charge which an insurer may make against a variable contract account that applies to individual variable contracts for investment expenses and annuity mortality guarantees may not exceed 1-1/2 percent in the aggregate. This maximum charge shall be reduced by the amount of any asset deduction charge for investment expenses made by an affiliated open-end diversified management investment company in which the assets of the variable contract account are invested in accordance with the provisions of §I of this regulation.
(2)
The maximum asset deduction charge referred to in §L(1) of this regulation may be increased by the amount of any reasonable additional charge made for guaranteeing the asset values of individual accounts as of specified dates.
(3)
The maximum charges allowable under §L(1) of this regulation shall be reduced to reasonably reflect any charges for annuity mortality guarantees made by the insurer by means of deductions from the gross premiums or contributions paid under the contract, if the deductions are not allocated to the variable contract account.
M.
For each contract on a variable basis, the insurer shall maintain a history record card, a ledger sheet or a comparable record, showing in addition to the usual stipulated payment or contract consideration information, each net annuity consideration applied and the increment and accumulated balance on either a unit or dollar value basis.
N.
Right to Vote.
(1)
Variable annuity contract owners shall have the right to vote with respect to the following matters affecting the variable contract account:
(a)
The election of members to the variable contract committee or board;
(b)
Amendments to the investment policies or objectives of the variable contract account required to be submitted to a vote of contract owners in accordance with the federal Investment Company Act of 1940 as amended or under any other statute;
(c)
The selection of auditors for the variable contract account; and
(d)
Any other matters required or determined to be submitted to contract owners for approval or disapproval.
(2)
Notice of the voting rights of each contract owner shall be given by furnishing him with a prospectus containing the information or by other proper written notice.

Regulation .09 Group Contracts.Copy Citation

A contract on a variable basis may be issued as an individual contract or as a group contract, but any contract shall be considered as being issued on a group basis only if it conforms to the description in one of the following sections:
A.
A contract issued to an employer providing a plan of retirement annuities for covered employees on the date of issue, the stipulated payments on the contract to be remitted by the employer and to be paid either wholly by the employer or jointly by the employer and the employees. The employees eligible under the contract shall be all of the employees of the employer, or all of any class or classes of employees determined by conditions pertaining to employment, but the contract may exclude classes of employees determined by age. The contract may provide that the term “employees” shall include the employees of one or more subsidiary corporations, and the employees, individual proprietors, and partners of one or more affiliated corporations, proprietors, or partnerships if the business of the employer and of the affiliated corporations, proprietors, or partnerships is under common control. The contract may provide that the term “employees” shall include the individual proprietor or partners if the employer is an individual proprietor or a partnership. A director of a corporate employer may not be eligible under the contract unless the person is otherwise eligible as a bona fide employee of the corporation by performing services other than the usual duties of a director. An individual proprietor or partner may not be eligible under the contract unless he is actively engaged in and devotes a substantial part of his time to the conduct of the business of the proprietor or partnership.
B.
A contract issued to a labor union providing a plan of retirement annuities for at least 25 covered members on the date of issue, the stipulated payments under the contract to be remitted by the union and to be paid wholly from funds contributed by the union, or by the employer or employers of the persons covered, or by both, or partly from these funds and partly from funds contributed by members covered under the contract, but this contract may not require that the entire cost be derived from funds contributed by the insured members specifically for the stipulated payments under it. The members eligible under the contract shall be all of the members of the union or all of any specified class or classes of members determined by conditions pertaining to their employment, or to membership in the union, or to both, but the contract may exclude classes of members determined by age.
C.
A contract issued to the trustees of a fund established by an employer or by two or more employers, or by an association of employers which has been in existence for at least 5 years (or with express approval of the Commissioner if less than 5 years), or by one or more labor unions, or by one or more employers and one or more labor unions, providing a plan of retirement annuities for all of the employees of the employer or employers, or all of the employees of the member employers of the association, or all of any class or classes of the employees determined by conditions pertaining to their employment, or all of the members of the union or unions, or all of any class or classes of members determined by conditions pertaining to their employment or to membership in the union, or to both, but the contract may exclude classes of employees or members determined by age. The contract may provide that the term “employees” shall include the individual proprietor or partners if an employer is an individual proprietor or a partnership. A director of a corporate employer may not be eligible under the contract unless the person is otherwise eligible as a bona fide employee of the corporation by performing services other than the usual duties of a director. An individual proprietor or partner may not be eligible under the contract unless he is actively engaged in and devotes a substantial part of his time to the conduct of the business of the proprietor or partnership. The contract may provide that the term “employees” shall include the trustees or their employees, or both, if their duties are principally connected with the trusteeship. The contract shall cover at least 100 persons at date of issue. The contract shall provide that the stipulated payments shall be remitted by the trustees and shall be paid wholly from funds contributed by the employer or employers of the persons covered, or by the union or unions, or by both, or partly from these funds and partly from funds contributed by the persons covered under the contract, but this contract may not require that the entire cost be derived from funds contributed by the covered persons specifically for the stipulated payments under it.
D.
A contract issued to an association of persons having a common calling, occupation, or profession, which association was organized and maintained in good faith for purposes other than obtaining annuities and has been in existence for at least 5 years, or with express approval of the Commissioner if less than 5 years, or to the trustees of a fund established by the association, providing a plan of retirement annuities for all the members and employees of the association or all of any specified class or classes of the members and employees. The contract may provide that the terms “employees” or “members” shall include the trustees or their employees, or both, if their duties are principally connected with the trusteeship. The contract shall cover at least 100 persons at date of issue. The contract shall provide that the stipulated payments shall be remitted by the association or by the trustees and shall be paid wholly from funds contributed by the association, or partly from these funds and partly from funds contributed by the persons covered under the contract, or wholly from funds contributed specifically for that purpose by the persons covered under the contract.
E.
A contract issued to one or more departments of any federal or state government, or their subdivisions, or of any state college or university, or to an association of persons employed in any such department, which association was organized and maintained in good faith for purposes other than obtaining annuities and has been in existence for at least 5 years, or with express approval of the Commissioner if less than 5 years, or to the trustees of a fund established by a department or association, providing a plan of retirement annuities for all of the employees of the department or all of the members of the association or all of any specified class or classes of employees or members. The contract may provide that the terms “employees” or “members” shall include the trustees or their employees, or both, if their duties are principally connected with the trusteeship. The contract shall cover at least 100 persons at date of issue. The contract shall provide that the stipulated payments shall be remitted by the department, association, or trustees and shall be paid wholly from funds contributed by the department or association, or partly from these funds and partly from funds contributed by the persons covered under the contract, or wholly from funds contributed specifically for that purpose by the persons covered under the contract.

Chapter 05. Replacement of Life Insurance and Annuities

Regulation .01 Purpose.Copy Citation

The purpose of this chapter is to:
A.
Regulate the activities of insurers and insurance producers with respect to the replacement of existing life insurance and annuities; and
B.
Protect the interests of life insurance and annuity purchasers by establishing minimum standards of conduct to be observed in replacement or financed purchase transactions by:
(1)
Ensuring that purchasers receive information to make a decision in the purchasers' own best interests;
(2)
Reducing the opportunity for misrepresentation and incomplete disclosure; and
(3)
Establishing penalties for failure to comply with the requirements of this chapter.

Regulation .02 Scope.Copy Citation

A.
“Direct Solicitation” Defined. In this regulation, the term “direct solicitation” does not include any group meeting:
(1)
Held by an insurance producer solely for the purpose of educating individuals about or enrolling individuals in a plan or arrangement; or
B.
Exempted Transactions. Unless specifically included, this chapter does not apply to transactions involving the following:
(1)
Credit life insurance;
(2)
Group life insurance or group annuities if there is no direct solicitation of individuals by an insurance producer;
(3)
An application to an insurer that issued an existing life insurance policy or existing annuity contract if:
(a)
A contractual change or a conversion privilege is being exercised;
(b)
The existing life insurance policy or existing annuity contract is being replaced by the same insurer under a program filed with and approved by the Commissioner; or
(c)
A term conversion privilege is exercised among corporate affiliates;
(4)
Proposed life insurance that is to replace life insurance under a binding or conditional receipt issued by the same insurer;
(5)
Except as provided in §C of this regulation, life insurance policies or annuity contracts used to fund:
(a)
An employee pension or welfare benefit plan that is covered by ERISA;
(b)
A plan described by 26 U.S.C. §401(a), 401(k), or 403(b), if the plan, for purposes of ERISA, is established or maintained by an employer;
(c)
A governmental or church plan defined in 26 U.S.C. §414, a government or church welfare benefit plan, or a deferred compensation plan of a state or local government or tax exempt organization under 26 U.S.C. §457 of the Internal Revenue Code;
(d)
A nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor; or
(e)
Any other benefit plan qualifying for income tax deductibility of premiums under Title 26 of the United States Code (Internal Revenue Code);
(6)
New coverage provided under a life insurance policy or annuity contract if the cost is borne wholly by the insured's employer or by an association of which the insured is a member;
(7)
Existing life insurance that is a nonconvertible term life insurance policy that will expire in 5 years or less and cannot be renewed;
(8)
Immediate annuities that are purchased with proceeds from an existing annuity contract; or
(9)
Structured settlements.
C.
Plan or Arrangement Funded Solely by Elective Employee Contributions. Notwithstanding §B(5) of this regulation, this chapter applies to a life insurance policy or annuity contract used to fund a plan or arrangement funded solely by contributions an employee elects to make, whether on a pretax or aftertax basis, if:
(1)
The insurer has been notified that plan participants may choose from among two or more insurers; and
(2)
There is a direct solicitation of an individual employee by an insurance producer for the purchase of an annuity contract or life insurance policy.
D.
Section B(8) of this regulation does not exclude from this chapter an immediate annuity purchased with proceeds from an existing life insurance policy.

Regulation .03 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Direct-response solicitation” means a solicitation made:
(a)
Through a sponsoring or endorsing entity; or
(b)
Individually solely by mail, telephone, internet, or other mass communication medium.
(2)
“ERISA” means the federal Employee Retirement Income and Security Act of 1974.
(3)
Existing Annuity Contract.
(a)
“Existing annuity contract” means an annuity contract that is in force.
(b)
“Existing annuity contract” includes an annuity contract that is within an unconditional refund period.
(4)
“Existing insurer” means an insurer whose life insurance policy or annuity contract is or will be changed or affected in a manner described in §B(11) of this regulation.
(5)
Existing Life Insurance Policy.
(a)
“Existing life insurance policy” means an individual life insurance policy that is in force.
(b)
“Existing life insurance policy” includes a life insurance policy that is:
(i)
Under a binding or conditional receipt;
(ii)
Within a conditional refund period; or
(iii)
On a paid-up or extended-term basis.
(6)
“Financed purchase” means the purchase of a new life insurance policy involving the actual or intended use of funds obtained by the withdrawal, surrender, or borrowing from values of an existing life insurance policy contract to pay all or part of a premium due on the new life insurance policy.
(7)
“Illustration” means a presentation or depiction that includes nonguaranteed elements of a life insurance policy over a period of years as defined in COMAR 31.09.09.
(8)
“Insurance producer” has the meaning stated in Insurance Article, §1-101(u), Annotated Code of Maryland.
(9)
“Policy summary” means:
(a)
For life insurance policies or annuity contracts other than universal life insurance policies, a written statement regarding a life insurance policy or annuity contract that contains, to the extent applicable, the following information:
(i)
Current death benefit;
(ii)
Annual life insurance policy or annuity contract premium;
(iii)
Current cash surrender value;
(iv)
Current dividend;
(v)
Application of current dividend; and
(vi)
Amount of outstanding loan; or
(b)
For universal life insurance policies, a written statement that contains at least the:
(i)
Beginning and end date of the current report period;
(ii)
Life insurance policy value at the end of the previous report period and at the end of the current report period;
(iii)
Total amounts that have been credited or debited to the life insurance policy value during the current report period, identifying each by type, for example, interest, mortality, expense, and riders;
(iv)
Current death benefit at the end of the current report period on each life covered by the life insurance policy;
(v)
Net cash surrender value of the life insurance policy as of the end of the current report period; and
(vi)
Amount of outstanding loans, if any, as of the end of the current report period.
(10)
“Registered contract” means a variable annuity contract or variable life insurance policy subject to the prospectus delivery requirements of Title 15, Chapter 2A, Subchapter I of the United States Code (Securities Act of 1933).
(11)
“Replacement” means a transaction in which a new life insurance policy or annuity contract is to be purchased, and it is known or should be known to the proposing insurance producer, or to the proposing insurer if there is no insurance producer, that by reason of the transaction, an existing life insurance policy or existing annuity contract has been or is to be:
(a)
Lapsed, forfeited, surrendered or partially surrendered, assigned to the replacing insurer, or otherwise terminated;
(b)
Converted to reduced paid-up insurance, continued as extended term insurance, or otherwise reduced in value by the use of nonforfeiture benefits or other life insurance policy or annuity contract values;
(c)
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;
(d)
Reissued with any reduction in cash value; or
(e)
Used in a financed purchase.
(12)
“Replacing insurer” means an insurer that issues or proposes to issue a new life insurance policy or annuity contract:
(a)
To replace an existing life insurance policy or existing annuity contract; or
(b)
Through a financed purchase.
(13)
“Sales material” means a sales illustration or any other written, printed, or electronically presented information that is:
(a)
Created, completed, or provided by the insurer or insurance producer; and
(b)
Used in the presentation to the owner of a life insurance policy or annuity contract related to the life insurance policy or annuity contract purchased.

Regulation .04 Duties of Insurance Producer.Copy Citation

A.
Signed Statement. An insurance producer who initiates an application for a life insurance policy or annuity contract shall submit to the insurer, with or as part of the application, a statement signed by both the applicant and the insurance producer as to whether the applicant has any existing life insurance policy or existing annuity contract.
B.
Applicant Without Existing Life Insurance Policy or Existing Annuity Contract. If the applicant does not have an existing life insurance policy or existing annuity contract, the insurance producer's duties with respect to replacement are complete upon the fulfillment of the requirement in §A of this regulation.
C.
Applicant With Existing Life Insurance Policy or Existing Annuity Contract.
(1)
If the applicant has an existing life insurance policy or existing annuity contract, the insurance producer shall present and, unless declined, read to the applicant, not later than at the time of taking the application, a notice regarding replacement in the form contained in Regulation .10 of this chapter or other substantially similar notice approved by the Commissioner.
(2)
Notwithstanding §C(1) of this regulation, approval is not required if amendments to the notice are limited to the omission of references not applicable to the product being sold or replaced.
(3)
The notice shall be signed by both the applicant and the insurance producer attesting that the notice has been:
(a)
Read aloud by the insurance producer or that the applicant did not wish the notice to be read aloud; and
(b)
Left with the applicant.
D.
Contents of Notice.
(1)
The notice shall include a:
(a)
List of each life insurance policy or annuity contract proposed to be replaced, properly identified by name of insurer, the insured or annuitant, and life insurance policy or annuity contract number if available; and
(b)
Statement as to whether each life insurance policy or annuity contract will be replaced or whether a life insurance policy will be used as a source of financing for the new life insurance policy or annuity contract.
(2)
If a life insurance policy or annuity contract number has not been issued by the existing insurer, alternative identification, such as an application or receipt number, shall be listed.
E.
Sales Material.
(1)
In connection with a replacement transaction, the insurance producer shall leave the original or a copy of all sales material with the applicant at the time an application for a new life insurance policy or annuity contract is completed.
(2)
With respect to electronically presented sales material, the insurance producer shall provide to the owner of a life insurance policy or annuity contract the original or a copy of all sales material in printed form not later than the time of delivery of the life insurance policy or annuity contract.
F.
Provision of Information to the Insurer. Except as provided in Regulation .06D of this chapter, in connection with a replacement transaction, the insurance producer shall submit to the insurer to which an application for a life insurance policy or annuity contract is presented:
(1)
A copy of each document required by this regulation;
(2)
A statement identifying any preprinted or electronically presented insurer-approved sales materials used; and
(3)
Copies of individualized sales materials, including illustrations related to the specific life insurance policy or annuity contract purchased.

Regulation .05 Duties of Insurers that Use Insurance Producers.Copy Citation

A.
System of Supervision and Control.
(1)
An insurer shall maintain a system of supervision and control to ensure compliance with the requirements of this chapter that includes, at a minimum, procedures to:
(a)
Inform its insurance producers of the requirements of this regulation and incorporate the requirements of this regulation into all relevant insurance-producer training manuals prepared by the insurer;
(b)
Provide to each insurance producer a written statement of the insurer's position with respect to the acceptability of replacements that provides guidance to its insurance producer as to the appropriateness of these transactions;
(c)
Review the appropriateness of each replacement transaction that the insurance producer does not indicate is in accord with §A(1)(b) of this regulation;
(d)
Confirm that the requirements of this regulation have been met; and
(e)
Detect transactions that are replacements of existing life insurance policies or existing annuity contracts by the existing insurer, but that have not been reported as replacements by the applicant or insurance producer.
(2)
Compliance with this section may include systematic customer surveys, interviews, confirmation letters, and programs of internal monitoring.
B.
Capacity to Monitor Replacements.
(1)
An insurer shall:
(a)
Have the capacity to monitor each insurance producer's life insurance policy and annuity contract replacements for that insurer; and
(b)
On request, make all records regarding replacements available for inspection by the Commissioner.
(2)
The capacity to monitor shall include the ability to produce records for each insurance producer's:
(a)
Life insurance replacements, including financed purchases, as a percentage of the insurance producer's total annual sales for life insurance;
(b)
Number of lapses of life insurance policies as a percentage of the insurance producer's total annual sales for life insurance;
(c)
Annuity contract replacements as a percentage of the insurance producer's total annual annuity contract sales;
(d)
Number of transactions that are unreported replacements of existing life insurance policies or existing annuity contracts by the existing insurer detected by the insurer's monitoring system as required by §A(1)(e) of this regulation; and
(e)
Replacements, indexed by replacing insurance producer and existing insurer.
C.
Signed Statement and Notice. An insurer shall require with or as a part of each application for life insurance or an annuity:
(1)
A statement signed by the applicant and insurance producer indicating whether the applicant has an existing life insurance policy or existing annuity contract; and
(2)
If the applicant has an existing life insurance policy or existing annuity contract, a completed notice regarding replacements as contained in Regulation .10 of this chapter.
D.
Production of Information. If an applicant has an existing life insurance policy or existing annuity contract, an insurer shall be able to produce copies of the following items for at least 5 years after the termination or expiration of the proposed life insurance policy or annuity contract:
(1)
The sales material required by Regulation .04F of this chapter;
(2)
The basic illustration and any supplemental illustrations related to the specific life insurance policy or annuity contract that is purchased; and
(3)
The insurance producer's and applicant's signed statements with respect to financing and replacement.
E.
Sales Material and Illustrations. An insurer shall ascertain and ensure that the sales material and illustrations required by Regulation .04F of this chapter:
(1)
Meet the requirements of this regulation; and
(2)
Are complete and accurate for the proposed life insurance policy or annuity contract.
F.
Application That Does Not Meet Requirements. If an application does not meet the requirements of this regulation, an insurer shall:
(1)
Notify the insurance producer and applicant; and
(2)
Fulfill the outstanding requirements.
G.
Record Keeping. An insurer shall maintain records in paper, photograph, microprocess, magnetic, mechanical, or electronic media, or by any process that accurately reproduces the actual document.

Regulation .06 Duties of Replacing Insurers that Use Insurance Producers.Copy Citation

A.
In General. If a replacement is involved in a transaction, the replacing insurer shall:
(1)
Verify that the required forms are received and are in compliance with this chapter;
(2)
Notify any other existing insurer that may be affected by the proposed replacement within 5 business days after:
(a)
Receipt of a completed application indicating replacement at the home office of the replacing insurer; or
(b)
A replacement is identified, if not indicated on the application;
(3)
Mail to an existing insurer a copy of the available illustration or life insurance policy summary for the proposed life insurance policy or available disclosure document for the proposed annuity contract within 5 business days after a request from the existing insurer;
(4)
Be able to produce copies of the notification regarding replacement required by Regulation .04C of this chapter, indexed by insurance producer, for at least 5 years or until the next regular market conduct examination by the insurance department of an insurer's state of domicile, whichever is later; and
(5)
Provide to the owner of the life insurance policy or annuity contract notice of the right to return the life insurance policy or annuity contract within 30 days after the delivery of the life insurance policy or annuity contract and receive:
(a)
An unconditional full refund of all premiums or considerations paid on the life insurance policy or annuity contract, including any life insurance policy fees or charges; or
(b)
In the case of a variable life insurance policy or variable annuity contract, a payment of:
(i)
The cash surrender value provided under the variable life insurance policy or variable annuity contract; and
(ii)
The fees and other charges deducted from the gross premiums or considerations or imposed under the variable life insurance policy or variable annuity contract, including surrender charges.
B.
Registered Contract. With respect to a registered contract, an insurer need not comply with §A(3) of this regulation if the insurer provides to the existing insurer, within 5 business days after a request from the existing insurer:
(1)
Premium or annuity contract contribution amounts; and
(2)
Identification of the appropriate prospectus or offering circular.
C.
Replacing Insurer and Existing Insurer Are the Same. If the replacing insurer and the existing insurer in a transaction are the same, or subsidiaries or affiliates under common ownership or control, the replacing insurer:
(1)
Shall allow credit for the period of time that has elapsed under the incontestability and suicide period of the replaced life insurance policy or annuity contract up to the face amount of the existing life insurance policy or existing annuity contract; and
(2)
With regard to financed purchases, may limit the credit to the amount that the face amount of the existing life insurance policy is reduced by the use of existing life insurance policy values to fund the new life insurance policy or annuity contract.
D.
Insurer that Requires Use of Approved Sales Material. If an insurer prohibits the use of sales material other than materials approved by the insurer, as an alternative to the requirements made of an insurer under Regulation .04F of this chapter, the insurer may:
(1)
Require with each application a statement signed by the insurance producer that:
(a)
The insurance producer used only insurer-approved sales material; and
(b)
Copies of all sales material were left with the applicant in accordance with Regulation .04E of this chapter;
(2)
Within 10 days after the issuance of the life insurance policy or annuity contract:
(a)
Notify the applicant by written or by verbal communication by a person whose duties are separate from the marketing area of the insurer, that the insurance producer has stated that copies of all sales material have been left with the applicant in accordance with Regulation .04E of this chapter;
(b)
Provide the applicant with a toll-free telephone number to contact insurer personnel involved in the compliance function if copies of all sales material have not been left with the applicant; and
(c)
Stress to the applicant 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 life insurance policy or annuity contract file for at least 5 years after the termination or expiration of the life insurance policy or annuity contract.

Regulation .07 Duties of Existing Insurer.Copy Citation

A.
In General. For replacement transactions, the existing insurer shall:
(1)
Retain and be able to produce all replacement notifications received, indexed by replacing insurer, for at least 5 years or until the conclusion of the next regular market conduct examination conducted by the insurance department of the insurer's state of domicile, whichever is later; and
(2)
Within 5 business days after receipt of a request from an owner of a life insurance policy or annuity contract, send a letter to the owner of the life insurance policy or annuity contract of the right to receive information regarding the existing life insurance policy or annuity contract values including, if available, an in-force illustration, or life insurance policy summary if an in-force illustration cannot be produced within 5 business days after receipt of a notice that an existing life insurance policy or annuity contract is being replaced.
B.
Registered Contract. With respect to a registered contract, an insurer need not comply with §A(2) of this regulation if the insurer provides to the owner of the life insurance policy or annuity contract, within 5 business days after receipt of a request from the owner:
(1)
Premium or annuity contract contribution amounts; and
(2)
Identification of the appropriate prospectus or offering circular.
C.
Request to Borrow, Surrender, or Withdraw Life Insurance Policy Values.
(1)
Upon receipt of a request to borrow, surrender, or withdraw life insurance policy values, an existing insurer shall send a notice, within 14 business days after receipt of the request, advising the owner of the life insurance policy that the release of life insurance policy values may affect the guaranteed elements, nonguaranteed elements, face amount, or surrender value of the life insurance policy from which the values are released.
(2)
The existing insurer shall send the notice separate from the check if the check is sent to anyone other than the owner of the life insurance policy.
(3)
In the case of consecutive automatic premium loans, the existing insurer is required to send the notice only at the time of the first loan.

Regulation .08 Duties of Insurers with Respect to Direct Response Solicitations.Copy Citation

A.
Inquiry Regarding Intent. For an application initiated as a result of a direct response solicitation, the insurer shall require, with or as part of each completed application for a life insurance policy or annuity contract, a statement asking whether the applicant, by applying for the proposed life insurance policy or annuity contract, intends to replace, discontinue, or change an existing life insurance policy or existing annuity contract.
B.
Duties of Insurer if Replacement or Change Is Not Intended. 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 life insurance policy or annuity contract, the notice regarding replacement in Regulation .11 of this chapter, or other substantially similar notice approved by the Commissioner.
C.
Duties of Insurer if Insurer Proposes Replacement or if Replacement Intended.
(1)
If an insurer has proposed a replacement or if the applicant indicates a replacement is intended, and the insurer continues with the replacement, the insurer shall:
(a)
Provide an applicant or prospective applicant with the life insurance policy or annuity contract a notice, as described in Regulation .12 of this chapter, or other substantially similar notice approved by the Commissioner; and
(b)
Comply with the requirements of Regulation .06A(2) and (3) of this chapter, if the applicant furnishes the names of the existing insurers, and the requirements of Regulation .06A(4) and (5) and C of this chapter.
(2)
If an insurer is required to provide a notice pursuant to §C(1)(a) of this regulation, the insurer may delete the references to the insurance producer, including the insurance producer's signature, and references not applicable to the product being sold or replaced, without having to obtain approval of the form from the Commissioner.
(3)
The insurer's obligation to obtain the applicant's signature shall be satisfied if the insurer can demonstrate that it has made a diligent effort to secure a signed copy of the notice required by §C(1)(a) of this regulation.
(4)
The requirement to make a diligent effort shall be satisfied if the insurer includes in the mailing a self-addressed postage-prepaid envelope with instructions for the return of the signed notice required by §C(1)(a) of this regulation.

Regulation .09 Violations and Penalties.Copy Citation

A.
Prohibition on Twisting. A failure to comply with this chapter is a violation of Insurance Article, §27-213, Annotated Code of Maryland, including:
(1)
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)
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 the owner of a life insurance policy or annuity contract to write directly to the insurer in such a way as to attempt to obscure the identity of the replacing insurance producer or insurer.
B.
Intent to Finance New Policy With Existing Policy Value—Individual Transaction—Prima Facie Case.
(1)
For purposes of a regulatory review of an individual transaction only, it is deemed prima facie evidence of a policyholder's intent to finance the purchase of a new life insurance policy with existing life insurance policy values if a withdrawal, surrender, or borrowing involving the life insurance policy values of an existing life insurance policy is used to pay premiums:
(a)
On a new life insurance policy owned by the same policyholder and issued by the same insurer; and
(b)
Within 4 months before or 13 months after the effective date of the new life insurance policy.
(2)
The prima facie standard established by §B(1) of this regulation is not intended to increase or decrease the monitoring obligations of an insurer under Regulation .05A(1)(e) of this chapter.
C.
Replacement After Indication That Replacement Not Intended—Pattern of Action—Prima Facie Case.
(1)
The owner of a life insurance policy or annuity contract may replace an existing life insurance policy or existing annuity contract after indicating in, or as a part of, an application for new coverage that replacement is not the intention of the owner.
(2)
Notwithstanding §C(1) of this regulation, if owners of life insurance policies or annuity contracts of the same insurance producer have a pattern of replacing life insurance policies or annuity contracts after indicating on the application that replacement is not their intention, the pattern of action is prima facie evidence of the insurance producer's:
(a)
Knowledge that replacement was intended in connection with the identified transactions; and
(b)
Intent to violate this chapter.
D.
Provision of Information. If it is determined that the requirements of this regulation have not been met, the replacing insurer shall provide to the owner of the life insurance policy or annuity contract:
(1)
An in-force illustration, if available, or life insurance policy summary for the replacement life insurance policy or available disclosure document for the replacement annuity contract; and
(2)
The appropriate notice regarding replacements in Regulation .10 or .12 of this chapter.
E.
Penalties.
(1)
An insurance producer who violates this chapter is subject to:
(a)
A penalty under Insurance Article, §10-126, Annotated Code of Maryland; and
(b)
Forfeiture of commissions or compensation paid to the insurance producer as a result of a transaction in connection with which a violation occurred.
(2)
An insurer that violates this chapter is subject to a penalty under Insurance Article, §4-113, Annotated Code of Maryland.

Regulation .10 Replacement Form A.Copy Citation

REPLACEMENT OF LIFE INSURANCE OR ANNUITIES
This document shall be signed by the applicant and the insurance 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 life insurance policy or annuity contract. If so, a replacement is occurring. Financed purchases are also considered replacements.
A replacement occurs when a new life insurance policy or annuity contract is purchased and, in connection with the sale, you discontinue making premium payments on the existing life insurance policy or annuity contract, or an existing life insurance policy or annuity 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 life insurance policy values, including accumulated dividends, of an existing life insurance policy to pay all or part of any premium or payment due on the new life insurance policy. A financed purchase is a replacement.
You should carefully consider whether a replacement is in your best interest. You will pay acquisition costs and there may be surrender costs deducted from your life insurance policy or annuity contract. You may be able to make changes to your existing life insurance policy or annuity contract to meet your insurance needs at less cost. A financed purchase will reduce the value of your existing life insurance 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 life insurance policy or annuity contract?
_____YES _____NO
2.
Are you considering using funds from your existing policies or annuity contracts to pay premiums due on the new life insurance policy or annuity contract?
_____YES _____NO
If you answered “yes” to either of the above questions, list each existing life insurance policy or annuity contract you are contemplating replacing (include the name of the insurer, the insured or annuitant, and the life insurance policy or annuity contract number if available) and whether each life insurance policy or annuity contract will be replaced or used as a source of financing:
INSURER
NAME
ANNUITY CONTRACT OR
LIFE INSURANCE POLICY #
INSURED
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 life insurance policy or annuity contract. If you request one, an in-force illustration, life insurance policy summary, or available disclosure document must be sent to you by the existing insurer. Ask for and keep all sales material used by the insurance producer in the sales presentation. Be sure you make an informed decision.
The existing life insurance policy or annuity contract is being replaced because:
_______________________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
I certify that the responses herein are, to the best of my knowledge, accurate.
________________________________
Applicant's Printed Name
________________________________
Applicant's Signature
_________________Date
________________________________
Insurance Producer's Printed Name
________________________________
Insurance Producer's Signature
_________________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 life insurance policy or annuity contract and the proposed life insurance policy or annuity contract. One way to do this is to ask the company or insurance producer that sold you your existing life insurance policy or annuity contract to provide you with information concerning your existing life insurance policy or annuity contract. This may include an illustration of how your existing life insurance policy or annuity 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 life insurance policies or annuity contracts. You should discuss the following with your insurance producer to determine whether replacement or financing your purchase makes sense:
PREMIUMS: Are they affordable?
Could they change?
You are older—are premiums higher for the proposed new life insurance policy?
How long will you have to pay premiums on the new life insurance policy? On the old life insurance policy?
LIFE INSURANCE POLICY VALUES: New policies usually take longer to build cash values and to pay dividends.
Acquisition costs for the old life insurance policy may have been paid, and 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 life insurance policy?
Does the new life insurance policy provide more insurance coverage?
INSURABILITY: If your health has changed since you bought your old life insurance policy, the new one could cost you more, or you could be turned down.
You may need a medical exam for a new life insurance policy.
Claims on most new policies for up to the first 2 years can be denied based on inaccurate statements.
Suicide limitations may begin anew on the new coverage.
IF YOU ARE KEEPING THE OLD LIFE INSURANCE POLICY AS WELL AS THE NEW LIFE INSURANCE POLICY:
How are premiums for both policies being paid?
How will the premiums on your existing life insurance policy be affected?
Will a loan be deducted from death benefits?
What values from the old life insurance policy are being used to pay premiums?
IF YOU ARE SURRENDERING AN ANNUITY OR LIFE PRODUCT:
Will you pay surrender charges on your old annuity contract?
What are the interest rate guarantees for the new annuity contract?
Have you compared the annuity contract charges or other life insurance policy expenses?
OTHER ISSUES TO CONSIDER FOR ALL TRANSACTIONS:
What are the tax consequences of buying the new life insurance policy?
Is this a tax-free exchange? (See your tax advisor.)
Is there a benefit from favorable “grandfathered” treatment of the old life insurance policy under the Internal Revenue Code?
Will the existing insurer be willing to modify the old life insurance policy?
How does the quality and financial stability of the new company compare with your existing company?

Regulation .11 Replacement Form B.Copy Citation

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 life insurance policy or annuity contract's benefits.
Make sure you understand the facts. You should ask the company or insurance producer that sold you your existing life insurance policy or annuity 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.

Regulation .12 Replacement Form C.Copy Citation

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 life insurance policy or annuity contract. If so, a replacement is occurring. Financed purchases are also considered replacements.
A replacement occurs if a new life insurance policy or annuity contract is purchased and, in connection with the sale, you discontinue making premium payments on the existing life insurance policy or annuity contract, or an existing life insurance policy or annuity contract is surrendered, forfeited, assigned to the replacing insurer, or otherwise terminated or used in a financed purchase.
A financed purchase occurs if 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 life insurance policy values, including accumulated dividends, of an existing life insurance policy, to pay all or part of a premium or payment due on the new life insurance policy. A financed purchase is a replacement.
You should carefully consider whether a replacement is in your best interest. You will pay acquisition costs and there may be surrender costs deducted from your life insurance policy or annuity contract. You may be able to make changes to your existing life insurance policy or annuity contract to meet your insurance needs at less cost. A financed purchase will reduce the value of your existing life insurance 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 life insurance policy or annuity contract?
_____YES _____NO
2.
Are you considering using funds from your existing policies or annuity contracts to pay premiums due on the new life insurance policy or annuity contract?
_____YES _____NO
Please list each existing life insurance policy or annuity contract you are contemplating replacing (include the name of the insurer, the insured, and the life insurance policy or annuity contract number if available) and whether each life insurance policy or annuity contract will be replaced or used as a source of financing:
INSURER
NAME
ANNUITY CONTRACT OR
LIFE INSURANCE POLICY #
INSURED
ANNUITANT
REPLACED (R) OR
FINANCING (F)
1. ______________________________________________________________________
2. ______________________________________________________________________
3._______________________________________________________________________
Make sure you know the facts. Contact your existing company or its insurance producer for information about the old life insurance policy or annuity contract. If you request one, an in-force illustration, life insurance policy summary, or available disclosure document must be sent to you by the existing insurer. Ask for and keep all sales material used by the insurance producer in the sales presentation. Be sure that you make an informed decision.
I certify that the responses herein are, to the best of my knowledge, accurate.
________________________________
Applicant's Printed Name
________________________________
Applicant's Signature
_________________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 life insurance policy or annuity contract and the proposed life insurance policy or annuity contract. One way to do this is to ask the company or insurance producer that sold you your existing life insurance policy or annuity contract to provide you with information concerning your existing life insurance policy or annuity contract. This may include an illustration of how your existing life insurance policy or annuity 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 annuity 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 are older—are premiums higher for the proposed new life insurance policy?
How long will you have to pay premiums on the new life insurance policy? On the old life insurance policy?
LIFE INSURANCE POLICY VALUES: New policies usually take longer to build cash values and to pay dividends.
Acquisition costs for the old life insurance policy may have been paid, and 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 life insurance policy?
Does the new life insurance policy provide more insurance coverage?
INSURABILITY: If your health has changed since you bought your old life insurance policy, the new one could cost you more, or you could be turned down.
You may need a medical exam for a new life insurance policy.
Claims on most new policies for up to the first 2 years can be denied based on inaccurate statements.
Suicide limitations may begin anew on the new coverage.
IF YOU ARE KEEPING THE OLD LIFE INSURANCE POLICY AS WELL AS THE NEW LIFE INSURANCE POLICY:
How are premiums for both policies being paid?
How will the premiums on your existing life insurance policy be affected?
Will a loan be deducted from death benefits?
What values from the old life insurance policy are being used to pay premiums?
IF YOU ARE SURRENDERING AN ANNUITY OR LIFE PRODUCT:
Will you pay surrender charges on your old annuity contract?
What are the interest rate guarantees for the new annuity contract?
Have you compared the annuity contract charges or other life insurance policy expenses?
OTHER ISSUES TO CONSIDER FOR ALL TRANSACTIONS:
What are the tax consequences of buying the new life insurance policy?
Is this a tax-free exchange? (See your tax advisor.)
Is there a benefit from favorable “grandfathered” treatment of the old life insurance policy under the Internal Revenue Code?
Will the existing insurer be willing to modify the old life insurance policy?
How does the quality and financial stability of the new company compare with your existing company?

Chapter 06. Notice of Nonforfeiture Provisions in Lapsed Life Policies

Regulation .01 Notice Requirement.Copy Citation

For any industrial or ordinary policy of insurance on the life of a resident of this State issued by any life insurance company or fraternal benefit society operating in Maryland, when the policy has a cash, paid-up, or extended insurance or other equity at the time of lapse and when none of these equities is automatically granted by the policy without application by the insured, upon lapse of the policy, written notice shall be mailed to the last known address of the insured within not less than 30 days before the expiry of the period within which the insured may apply for the equity value. This notice shall state the nature of the equity to which the insured is entitled and the date before which application for the equity is required to be made.

Chapter 07. Charitable Gift Annuities

Regulation .01 Applicability.Copy Citation

A.
This chapter is applicable to annuity agreements issued to donors who are Maryland residents, under a special permit in accordance with Insurance Article, §16-114, Annotated Code of Maryland.
B.
This chapter is applicable to any charitable gift annuity issued to a Maryland resident after the effective date of these regulations.
C.
This chapter is applicable to organizations in or outside Maryland if the organization solicits annuity agreements in Maryland.

Regulation .02 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Commissioner” means the Insurance Commissioner of Maryland.
(2)
“Organization” means every educational or religious organization, hospital, or community foundation authorized to issue annuities under a permit issued in accordance with Insurance Article, §16-114(b), Annotated Code of Maryland.
(3)
“Qualified actuary” means an individual who is a member in good standing of the American Academy of Actuaries and is qualified to sign statements of actuarial opinion in accordance with the American Academy of Actuaries’ standards.

Regulation .03 Required Reserves.Copy Citation

A.
The organization shall maintain assets at least equal to the sum of the reserves on its outstanding annuity agreements.
B.
The reserves on the outstanding annuity agreements shall be consistent with the assumptions underlying the rates adopted by the American Council on Gift Annuities which are in effect at the time of issuance of the gift annuity.
C.
In determining the appropriate reserves, a deduction shall be made for all or any portion of an annuity risk which is reinsured by an authorized insurer or accredited reinsurer.
D.
As part of the organization’s annual audit report, the organization shall submit a statement by a certified public accountant or qualified actuary verifying the existence of adequate reserves among the organization’s assets.
E.
The statement required under §D of this regulation may be incorporated into a certified public accountant's annual audit report.

Regulation .04 Investment Requirements.Copy Citation

A.
The reserve assets shall be segregated.
B.
The segregated reserve assets shall be invested in the same manner and subject to the same standards as are applicable under Estates and Trust Article, §15-402, Annotated Code of Maryland.
C.
The general assets of the organization shall be liable for annuity agreements to the extent that the segregated fund is inadequate.

Regulation .05 Disclosure Requirements.Copy Citation

A.
Before accepting consideration for an annuity agreement the organization shall obtain separate signed statements from a prospective donor acknowledging that the prospective donor has been informed that:
(1)
Payments made under charitable gift annuities are backed solely by the full faith and credit of the organization; and
(2)
Payments made under charitable gift annuities are not insured or otherwise guaranteed by any government entity.
B.
The requirement under §A of this regulation may be satisfied by having the acknowledgement be part of the annuity agreement which is signed by the donor.
C.
The organization shall retain the annuity agreement or, if applicable, the separate signed statement for so long as the obligation to pay annuity benefits continues.

Regulation .06 Filing Requirements for Special Permits.Copy Citation

The following material shall be submitted by an organization applying for a special permit to issue charitable gift annuities:
A.
Proof of exemption under §501 of the Internal Revenue Code;
B.
Description of the organization's activities and number of years of active operation in this State;
C.
Copy of the most recent independently audited financial statement;
D.
Payout rates proposed to be provided under the charitable immediate and deferred gift annuity agreements;
E.
Description of the proposed investment of contributed funds;
F.
Copy of the organization's bylaws;
G.
Copy of the statement required by Regulation .05A of this chapter;
H.
Copy of the organization's forms used as charitable gift annuity contracts;
I.
Copies of any solicitation material or descriptive literature proposed to be used with charitable gift annuities; and
J.
Other material requested by the Commissioner in order to determine that the applicant is an organization which is eligible for the special permit in accordance with Insurance Article, §16-114(b), Annotated Code of Maryland.

Regulation .07 Withdrawal of Permit.Copy Citation

The permit issued to an organization may be withdrawn by the Commissioner upon a finding that the organization failed to comply with the standards established by this chapter after an appropriate notice to and opportunity for the organization to conform to the standards set forth.

Chapter 08. Group Annuity Contracts

Regulation .01 Purpose.Copy Citation

The purpose of this chapter is to regulate the issuance of group annuity contracts with the objective of providing that they not be issued on an impracticable basis or in a manner which may be hazardous to policyholders and the public.

Regulation .02 Scope.Copy Citation

This chapter is applicable to all group annuity contracts whether issued on a fixed or a variable basis or on any basis providing a combination of both fixed and variable benefits.

Regulation .03 Exceptions.Copy Citation

A.
These regulations do not apply to:
(1)
An annuity contract issued on an individual basis providing annuity benefits to individual or joint owners and providing further annuity benefits to one or more other individuals on the death of the original annuitant or joint annuitants;
(2)
An annuity contract issued on an individual basis to provide annuity benefits to one or more persons on the death of a named individual;
(3)
Annuity benefits provided as settlement options under individual life insurance policies; or
(4)
Annuity benefits provided as settlement options under group policies of whole life insurance.
B.
These regulations are not applicable to annuity agreements with donors issued under a special permit in accordance with Insurance Article, §16-114, Annotated Code of Maryland.

Regulation .04 Definition.Copy Citation

“Group annuity” means a contract:
A.
Purporting to provide annuity benefits to more than one individual;
B.
Issued to:
(1)
An employer or two or more employers in the same industry;
(2)
An association of employers which has been in existence for at least 5 years, unless the Commissioner expressly waives the 5-year requirement;
(3)
A labor union;
(4)
An association of labor unions;
(5)
An association composed of one or more labor unions and one or more employers;
(6)
An association of persons having a common calling, occupation, or profession, which association was organized and maintained in good faith for purposes other than obtaining annuities and which has been in existence for at least 5 years, unless the Commissioner expressly waives the 5-year requirement;
(7)
One or more departments of the federal government or of a state government or their subdivisions;
(8)
An association of persons employed in one or more departments of the federal government or of a state government or their subdivisions which association was organized and maintained in good faith for purposes other than obtaining annuities and which has been in existence for at least 5 years, unless the Commissioner expressly waives the 5-year requirement;
(9)
A college or university;
(10)
An association of persons employed in a college or university, which association was organized and maintained in good faith for purposes other than obtaining annuities and which has been in existence for at least 5 years, unless the Commissioner expressly waives the 5-year requirement;
(11)
An association of alumni of a college or university, which association was organized and maintained in good faith for purposes other than obtaining annuities and which has been in existence for at least 5 years, unless the Commissioner expressly waives the 5-year requirement; or
(12)
The trustees of a:
(a)
Fund established by an entity referred to in §B(1)—(11) of this regulation; or
(b)
Trust which permits individuals for whom contributions are made to individual retirement annuities or similar programs for which favorable federal income tax treatment exists under §403b or 408b of the Internal Revenue Code of 1954; and
C.
Issued for the purpose of providing annuity benefits to:
(1)
If the plan is noncontributory:
(a)
Employees of the employer or employers,
(b)
Members of the labor union or association, or
(c)
A class or classes of the employees or members;
(2)
If the plan is contributory, the employees or members who agree to contribute to the cost of the annuity; or
(3)
Individuals under a trust described in §B(12)(b) of this regulation.

Regulation .05 Employees.Copy Citation

In addition to those persons traditionally considered to be employees, employees may include:
A.
If the employer is an individual proprietor or partnership, the proprietor or the partner;
B.
If the employer is a corporation, the directors of the corporation;
C.
If the business of the employer and any affiliated corporations, proprietorships, or partnerships is under common control, the employees of one or more affiliated corporations, proprietorships, or partnerships;
D.
Independent contractors under contract to the employer and employees of the independent contractor;
E.
Retired and terminated employees; and
F.
Employees of a trustee under a trust referred to in Regulation .04B(12) of this chapter if their principal duties are connected with the trusteeship.

Regulation .06 Members.Copy Citation

Members may, but need not, include:
A.
Employees of a union or association;
B.
Members of a union or association who have retired;
C.
Employees of the members of an eligible association; or
D.
Employees of a trustee under a trust referred to in Regulation .04B(12) of this chapter if their principal duties are connected with the trusteeship.

Regulation .07 Eligible Groups.Copy Citation

A.
An insurer may not deliver in this State a contract purporting to provide annuity benefits to more than one individual unless the contract conforms to the definition of a group annuity contract contained in Regulation .04 of this chapter.
B.
If a contract providing annuity benefits to more than one individual is delivered in this State before the effective date of these regulations, an insurer may not include additional annuitants under the contract if the contract does not conform to the definition of a group annuity contract contained in Regulation .04 of this chapter.
C.
Except as provided under §D of this regulation, an insurer may not include any resident of Maryland under any contract delivered in another jurisdiction which purports to provide annuity benefits to more than one individual if the contract does not conform to the definition of a group annuity contract contained in Regulation .04 of this chapter.
D.
An insurer may include a resident of Maryland under a contract delivered in another jurisdiction which purports to provide annuity benefits to more than one individual if both of the following requirements are satisfied:
(1)
A finding by the Commissioner that the type of group to be covered is the subject of an approval from the Commissioner for the solicitation of policies issued in another jurisdiction under Insurance Article, §15-310, Annotated Code of Maryland, in the case of group health insurance, or Insurance Article, §17-101(c), Annotated Code of Maryland, in the case of group life insurance; and
(2)
The group annuity contract contains a nonforfeiture provision or provisions which in the opinion of the Commissioner is equitable to the annuitants.

Chapter 09. Life Insurance Illustrations

Regulation .01 Purpose.Copy Citation

The purpose of this chapter is to provide rules for life insurance policy illustrations that will protect consumers and foster consumer education. The chapter provides illustration formats, prescribes standards to be followed when illustrations are used, and specifies the disclosures that are required in connection with illustrations. The goals of this chapter are to ensure that illustrations do not mislead purchasers of life insurance and to make illustrations more understandable. Insurers will, as far as possible, eliminate the use of footnotes and caveats and define terms used in the illustration in language that can be understood by a typical person within the segment of the public to which the illustration is directed.

Regulation .02 Applicability and Scope.Copy Citation

This chapter applies to all group and individual life insurance policies and certificates except:
A.
Variable life insurance;
B.
Individual and group annuity contracts;
C.
Credit life insurance; or
D.
Life insurance policies with no illustrated death benefits on any individual exceeding $10,000.

Regulation .03 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Actuarial Standards Board” means the board established by the American Academy of Actuaries to develop and promulgate standards of actuarial practice.
(2)
“Basic illustration” means a ledger or proposal used in the sale of a life insurance policy that shows both guaranteed and nonguaranteed elements.
(3)
“Contract premium” means the gross premium that is required to be paid under a fixed premium policy, including the premium for a rider for which benefits are shown in the illustration.
(4)
“Currently payable scale” means a scale on nonguaranteed elements in effect for a policy form as of the preparation date of the illustration or declared to become effective within the next 95 days.
(5)
Disciplined Current Scale.
(a)
“Disciplined current scale” means a scale on nonguaranteed elements constituting a limit on illustrations currently being illustrated by an insurer that is reasonably based on actual recent historical experience, as certified annually by an illustration actuary designated by the insurer.
(b)
“Disciplined current scale” includes further guidance contained in standards established by the Actuarial Standards Board which may be relied upon if the standards:
(i)
Are consistent with all provisions of this chapter;
(ii)
Limit a disciplined current scale to reflect only actions that have already been taken or events that have already occurred;
(iii)
Do not permit a disciplined current scale to include any projected trends of improvements in experience or any assumed improvements in experience beyond the illustration date; and
(iv)
Do not permit assumed expenses to be less than minimum assumed expenses.
(6)
“Generic name” means a short title descriptive of the policy being illustrated such as whole life, term life, or flexible premium adjustable life.
(7)
“Guaranteed elements” means the premiums, benefits, values, credits, or charges under a policy of life insurance that are guaranteed and determined at issue.
(8)
“Illustrated scale” means a scale on nonguaranteed elements, as defined in §B(14) of this regulation, currently being illustrated that is not more favorable to the policy owner than the lesser of the:
(a)
Disciplined current scale; or
(b)
Currently payable scale.
(9)
“Illustration” means a presentation or depiction that includes nonguaranteed elements of a policy of life insurance over a period of years and that is one of the following three types:
(a)
Basic illustration;
(b)
Supplemental illustration; or
(c)
In force illustration.
(10)
“Illustration actuary” means an actuary meeting the requirements of Regulation .11 of this chapter who certifies to illustrations based on the standard of practice promulgated by the Actuarial Standards Board.
(11)
“In force illustration” means an illustration furnished at any time after the policy that it depicts has been in force for 1 year or more.
(12)
“Lapse-supported illustration” means an illustration of a policy form failing the test of self-supporting as defined in §B(18) of this regulation under a modified persistency rate assumption using persistency rates underlying the disciplined current scale for the first 5 years and 100 percent policy persistent after that.
(13)
“Minimum assumed expenses” means the minimum expenses that may be used in the calculation of the disciplined current scale for a policy form.
(14)
“Nonguaranteed elements” means the premiums, benefits, values, credits, or charges under a policy of life insurance that are not guaranteed or not determined at issue.
(15)
“Non-term group life” means a group policy or individual policies of life insurance issued to members of an employer group or other permitted group when:
(a)
Every plan of coverage was selected by the employer or other group representative;
(b)
Some portion of the premium is paid by the group or through payroll deduction; and
(c)
Group underwriting or simplified underwriting is used.
(16)
“Policy owner” means the owner named in the policy or the certificate holder in the case of a group policy.
(17)
“Premium outlay” means the amount of out-of-pocket premium assumed to be paid by the policy owner or other premium payer.
(18)
“Self-supporting illustration” means an illustration of a policy form for which it can be demonstrated that, when using experience assumptions underlying the disciplined current scale, for all illustrated points in time on or after the 15th policy anniversary or the 20th policy anniversary for second-or-later-to-die policies (or upon policy expiration, if sooner), the accumulated value of all policy cash flows equals or exceeds the total policy owner value available. For this purpose, policy owner value includes cash surrender values and any other illustrated benefit amounts available at the policy owner's election.
(19)
“Supplemental illustration” means an illustration furnished in addition to a basic illustration that meets the applicable requirements of this chapter, and that may be presented in a format differing from the basic illustration, but may only depict a scale of nonguaranteed elements that is permitted in a basic illustration.

Regulation .04 Incorporation by Reference.Copy Citation

The Actuarial Standard of Practice No. 24 Compliance with the NAIC Life Insurance Illustrations Model Regulation (Adopted by the Actuarial Standards Board, December 1995) is incorporated by reference.

Regulation .05 Policies To Be Illustrated.Copy Citation

A.
Each insurer marketing policies to which this chapter is applicable shall notify the Commissioner whether a policy form is to be marketed with or without an illustration. For all policy forms being actively marketed on the effective date of this chapter, the insurer shall identify in writing those forms and whether or not an illustration will be used with the forms. For policy forms filed after the effective date of this chapter, the identification shall be made at the time of filing. Any previous identification may be changed by notice to the Commissioner.
B.
Except as required by COMAR 31.09.05.07B(2) and .09A, if the insurer identifies a policy form as one to be marketed without an illustration, any use of an illustration for a policy using that form before the first policy anniversary is prohibited.
C.
If a policy form is identified by the insurer as one to be marketed with an illustration, a basic illustration prepared and delivered in accordance with this chapter is required, except that a basic illustration need not be provided to individual members of a group or to individuals insured under multiple lives coverage issued to a single applicant unless the coverage is marketed to these individuals. The illustration furnished to an applicant for a group life insurance policy or policies issued to a single applicant on multiple lives may be either an individual or composite illustration representative of the coverage on the lives of members of the group or the multiple lives covered.
D.
Potential enrollees of non-term group life subject to this chapter shall be furnished a quotation with the enrollment materials. The quotation shall show potential policy values for sample ages and policy years on a guaranteed and nonguaranteed basis appropriate to the group and the coverage. This quotation is not considered an illustration for purposes of this chapter, but all information provided shall be consistent with the illustrated scale. A basic illustration shall be provided at delivery of the certificate to enrollees for non-term group life who enroll for more than the minimum premium necessary to provide pure death benefit protection. In addition, the insurer shall make a basic illustration available to any non-term group life enrollee who requests it.

Regulation .06 General Rules and Prohibitions.Copy Citation

A.
An illustration used in the sale of a life insurance policy shall:
(1)
Satisfy the applicable requirements of this chapter;
(2)
Be clearly labeled “life insurance illustration”; and
(3)
Contain the following basic information:
(a)
Name of insurer,
(b)
Name and business address of the producer or insurer's authorized representative, if any,
(c)
Name, age, and sex of the proposed insured, except where a composite illustration is permitted under this chapter,
(d)
Underwriting or rating classification upon which the illustration is based,
(e)
Generic name of the policy, the company product name, if different, and the form number,
(f)
Initial death benefit, and
(g)
Dividend option election or application of nonguaranteed elements, if applicable.
B.
When using an illustration in the sale of a life insurance policy, an insurer or its producers, or other authorized representatives may not:
(1)
Represent the policy as anything other than a life insurance policy;
(2)
Use or describe nonguaranteed elements in a manner that is misleading or has the capacity or tendency to mislead;
(3)
State or imply that the payment or amount of nonguaranteed elements is guaranteed;
(4)
Use an illustration that does not comply with the requirements of this chapter;
(5)
Use an illustration that at any policy duration depicts policy performance more favorable to the policy owner than that produced by the illustrated scale of the insurer whose policy is being illustrated;
(6)
Provide an applicant with an incomplete illustration;
(7)
Represent in any way that premium payments are not required for each year of the policy in order to maintain the illustrated death benefits, unless that is the fact;
(8)
Use the term “vanish” or “vanishing premium”, or a similar term that implies the policy becomes paid up, to describe a plan for using nonguaranteed elements to pay a portion of future premiums;
(9)
Use an illustration that is lapse supported, except for policies than can never develop nonforfeiture values; or
(10)
Use an illustration that is not self-supporting.
C.
If an interest rate used to determine the illustrated nonguaranteed elements is shown, it may not be greater than the earned interest rate underlying the disciplined current scale.
D.
The insurer may choose to designate each year the method of determining assumed expenses for all policy forms from the following:
(1)
Fully allocated expenses;
(2)
Marginal expenses; and
(3)
A generally recognized expense table based on fully allocated expenses representing a significant portion of insurance companies and approved by the Commissioner.
E.
Marginal expenses may be used only if greater than a generally recognized expense table. If no generally recognized expense table is approved, fully allocated expenses shall be used.

Regulation .07 Standards for Basic Illustrations.Copy Citation

A.
Format.
(1)
A basic illustration shall conform with the requirements of this section.
(2)
The illustration shall be labeled with the date on which it was prepared.
(3)
Each page, including any explanatory notes or pages, shall be numbered and show its relationship to the total number of pages in the illustration; for example, the fourth page of a seven page illustration shall be labeled “page 4 of 7 pages”.
(4)
The assumed dates of payment receipt and benefit pay-out within a policy year shall be clearly identified.
(5)
If the age of the proposed insured is shown as a component of the tabular detail, the age shall be issue age plus the number of years the policy is assumed to have been in force.
(6)
The assumed payments on which the illustrated benefits and values are based shall be identified as premium outlay or contract premium, as applicable. For policies that do not require a specific contract premium, the illustrated payments shall be identified as premium outlay.
(7)
Guaranteed death benefits and values available upon surrender, if any, for the illustrated premium outlay or contract premium shall be shown and clearly labeled guaranteed.
(8)
If the illustration shows any nonguaranteed elements, those elements cannot be based on a scale more favorable to the policy owner than the insurer's illustrated scale at any duration. These elements shall be clearly labeled as nonguaranteed.
(9)
The guaranteed elements, if any, shall be:
(a)
Shown before corresponding nonguaranteed elements; and
(b)
Specifically referred to on any page of an illustration that shows or describes only the nonguaranteed elements; for example, “see page one for guaranteed elements”.
(10)
The account or accumulation value of a policy, if shown, shall be:
(a)
Identified by the name this value is given in the policy being illustrated; and
(b)
Shown in close proximity to the corresponding value available upon surrender.
(11)
The value available upon surrender shall be:
(a)
Identified by the name this value is given in the policy being illustrated; and
(b)
The amount available to the policy owner in a lump sum after deduction of surrender charges, policy loans, and policy loan interests, as applicable.
(12)
Illustrations may show policy benefits and values in graphic or chart form in addition to the tabular form.
(13)
Any illustration of nonguaranteed elements shall be accompanied by a statement indicating that the:
(a)
Benefits and values are not guaranteed;
(b)
Assumptions on which they are based are subject to change by the insurer; and
(c)
Actual results may be more or less favorable.
(14)
If the illustration shows that the premium payer may have the option to allow policy charges to be paid using nonguaranteed values, the illustration shall clearly disclose that a charge continues to be required and that, depending on actual results, the premium payer may need to continue or resume premium outlays. Similar disclosure shall be made for premium outlay of lesser amounts or shorter duration than the contract premium. If a contract premium is due, the premium outlay display may not be left blank or show zero unless accompanied by an asterisk or similar mark to draw attention to the fact that the policy is not paid up.
(15)
If the applicant plans to use dividends or policy values, guaranteed or nonguaranteed, to pay all or a portion of the contract premium or policy charges, or for any other purpose, the illustration may reflect those plans and the impact on future policy benefits and values.
B.
Narrative Summary. A brief illustration shall include the following:
(1)
A brief description of the policy being illustrated, including a statement that it is a life insurance policy;
(2)
A brief description of the premium outlay or contract premium, as applicable, for the policy;
(3)
A brief description of any policy features, riders, or options, guaranteed or nonguaranteed, shown in the basic illustration and the impact they may have on the benefits and values of the policy;
(4)
Identification and a brief definition of column headings and key terms used in the illustration; and
(5)
A statement containing in substance that: “This illustration assumes that the currently illustrated nonguaranteed elements will continue unchanged for all years shown. This is not likely to occur, and actual results may be more or less favorable than those shown.”
C.
Numeric Summary.
(1)
Following the narrative summary, a basic illustration shall include a numeric summary of the death benefits and values and the premium outlay and contract premium, as applicable. For a policy that provides for a contract premium, the guaranteed death benefits and values shall be based on the contract premium. This summary shall be shown for at least policy years 5, 10, and 20, and at age 70, if applicable, on the following three bases:
(a)
Policy guarantees;
(b)
Insurer's illustrated scale; and
(c)
Insurer's illustrated scale used but with the nonguaranteed elements reduced as follows:
(i)
Dividends at 50 percent of the dividends contained in the illustrated scale used,
(ii)
Nonguaranteed credited interest at rates that are the average of the guaranteed rates and the rates contained in the illustrated scale used, and
(iii)
All nonguaranteed charges, including but not limited to term insurance charges, and mortality and expense charges, at rates that are the average of the guaranteed rates and the rates contained in the illustrated scale used.
(2)
For multiple life policies, the summary shall show policy years 5, 10, 20, and 30 for each of the three bases identified in §C(1) of this regulation.
(3)
In addition, if coverage would cease before policy maturity or age 100, the year in which coverage ceases shall be identified for each of the three bases identified in §C(1) of this regulation.
D.
Statements. Statements substantially similar to the following shall be included on the same page as the numeric summary and signed by the applicant, or the policy owner in the case of an illustration provided at time of delivery, as required in this chapter:
(1)
A statement to be signed and dated by the applicant or policy owner reading as follows: “I have received a copy of this illustration and understand that any nonguaranteed elements illustrated are subject to change and could be either higher or lower. The agent has told me they are not guaranteed.”; and
(2)
A statement to be signed and dated by the insurance producer or other authorized representative of the insurer reading as follows: “I certify that this illustration has been presented to the applicant and that I have explained that any nonguaranteed elements illustrated are subject to change. I have made no statements that are inconsistent with the illustration.”
E.
Tabular Detail.
(1)
A basic illustration shall include the following for at least each policy year from 1 to 10 and for every fifth policy year after that ending at age 100, policy maturity, or final expiration and, except for term insurance beyond the twentieth year, for any year in which the premium outlay and contract premium, if applicable, is to change:
(a)
The premium outlay and mode the applicant plans to pay and the contract premium, as applicable;
(b)
The corresponding guaranteed death benefit, as provided in the policy; and
(c)
The corresponding guaranteed value available upon surrender, as provided in the policy.
(2)
For a policy that provides for a contract premium, the guaranteed death benefit and value available upon surrender shall correspond to the contract premium.
(3)
Nonguaranteed elements may be shown if described in the contract. In the case of an illustration for a policy on which the insurer intends to credit terminal dividends, they may be shown if the insurer's current practice is to pay terminal dividends. If any nonguaranteed elements are shown, they shall be shown at the same durations as the corresponding guaranteed elements, if any. If no guaranteed benefit or value is available at any duration for which a nonguaranteed benefit or value is shown, a zero shall be displayed in the guaranteed column.
F.
For a policy that does not require payment of a specific contract premium, the illustration required in §B(2) of this regulation shall show the premium outlay that must be paid to guarantee coverage for the term of the contract, subject to maximum premiums allowable to qualify as a life insurance policy under the applicable provisions of the Internal Revenue Code.

Regulation .08 Standards for Supplemental Illustrations.Copy Citation

A.
A supplemental illustration may be provided if:
(1)
It is appended to, accompanied by, or preceded by a basic illustration that complies with this chapter;
(2)
The nonguaranteed elements shown are not more favorable to the policy owner than the corresponding elements based on the scale used in the basic illustration;
(3)
It contains the same statement required of a basic illustration that nonguaranteed elements are not guaranteed; and
(4)
For a policy that:
(a)
Has a contract premium, the contract premium underlying the supplemental illustration is equal to the contract premium shown in the basic illustration, or
(b)
Does not require a contract premium, the premium outlay underlying the supplemental illustration is equal to the premium outlay shown in the basic illustration.
B.
The supplemental illustration shall include a notice referring to the basic illustration for guaranteed elements and other important information.

Regulation .09 Delivery of Illustration and Record Retention.Copy Citation

A.
If a basic illustration is used by an insurance producer or other authorized representative of the insurer in the sale of a life insurance policy and the policy is applied for as illustrated, a copy of that illustration, signed in accordance with this chapter, shall be:
(1)
Submitted to the insurer at the time of policy application; and
(2)
Provided to the applicant.
B.
If the policy is issued other than as applied for, a revised basic illustration conforming to the policy as issued shall be sent with the policy. The revised illustration shall conform to the requirements of this chapter, shall be labeled “revised illustration”, and shall be signed and dated by the applicant or policy owner and producer or other authorized representative of the insurer not later than the time the policy is delivered. A copy shall be provided to the insurer and the policy owner.
C.
If no illustration is used by an insurance producer or other authorized representative in the sale of a life insurance policy or if the policy is applied for other than as illustrated, the producer or representative shall certify to that effect in writing on a form provided by the insurer. On the same form, the applicant shall acknowledge that no illustration conforming to the policy applied for was provided and shall further acknowledge an understanding that an illustration conforming to the policy as issued will be provided not later than at the time of the policy delivery. This form shall be submitted to the insurer at the time of policy application.
D.
If the policy is issued, a basic illustration conforming to the policy as issued shall be sent with the policy and signed not later than the time the policy is delivered. A copy shall be provided to the insurer and the policy owner.
E.
If the basic illustration or revised illustration is sent to the applicant or policy owner by mail from the insurer, it shall include instructions for the applicant or policy owner to sign the duplicate copy of the numeric summary page of the illustration for the policy issued and return the signed copy to the insurer. The insurer's obligation under this section is satisfied if the insurer can demonstrate that it has made a diligent effort to secure a signed copy of the numeric summary page. The requirement to make a diligent effort is deemed satisfied if the insurer includes in the mailing a self-addressed postage prepaid envelope with instructions for the return of the signed numeric summary page.
F.
A copy of the basic illustration and a revised basic illustration, if any, signed as applicable, along with any certification that either an illustration was not used or that the policy was applied for other than as illustrated, shall be retained by the insurer until 3 years after the policy is no longer in force. A copy need not be retained if a policy is not issued.

Regulation .10 Annual Report; Notice to Policy Owners.Copy Citation

A.
In the case of a policy designated as one for which illustrations will be used, the insurer shall provide each policy owner with an annual report on the status of the policy that shall contain at least the following information:
(1)
For universal life policies, the report shall include the following:
(a)
The beginning and end date of the current report period;
(b)
The policy value at the end of the previous report period and at the end of the current report period;
(c)
The total amounts that have been credited or debited to the policy value during the current report period, identifying each by type, such as interest, mortality, expense, and riders;
(d)
The current death benefit at the end of the current report period on each life covered by the policy;
(e)
The net cash surrender value of the policy as of the end of the current report period;
(f)
The amount of outstanding loans, if any, as of the end of the current report period; and
(g)
One of the following:
(i)
For fixed premium policies: if, assuming guaranteed interest, mortality and expense loads, and continued scheduled premium payments, the policy's net cash surrender value is such that it would not maintain insurance in force until the end of the next reporting period, a notice to this effect shall be included in the report, or
(ii)
For flexible premium policies: if, assuming guaranteed interest, mortality and expense loads, the policy's net cash surrender value will not maintain insurance in force until the end of the next reporting period unless further premium payments are made, a notice to this effect shall be included in the report; or
(2)
For all other policies, if applicable:
(a)
Current death benefit;
(b)
Annual contract premium;
(c)
Current cash surrender value;
(d)
Current dividend;
(e)
Application of current dividend; and
(f)
Amount of outstanding loan.
B.
Insurers writing life insurance policies that do not build nonforfeiture values shall only be required to provide an annual report with respect to these policies for those years when a change has been made to nonguaranteed policy elements by the insurer.
C.
If the annual report does not include an in force illustration, it shall contain the following notice displayed prominently: “IMPORTANT POLICY OWNER NOTICE: You should consider requesting more detailed information about your policy to understand how it may perform in the future. You should not consider replacement of your policy or make changes in your coverage without requesting a current illustration. You may annually request, without charge, such an illustration by calling (insurer's phone number), writing to (insurer's name) at (insurer's address) or contacting your agent. If you do not receive a current illustration of your policy within 30 days from your request, you should contact your state insurance department.” The insurer may vary the sequential order of the methods for obtaining an in force illustration.
D.
Upon the request of the policy owner, the insurer shall furnish an in force illustration of current and future benefits and values based on the insurer's present illustrated scale. This illustration shall comply with the requirements of Regulations .06A and B and .07A and E of this chapter. A signature or other acknowledgment of receipt of this illustration is not required.
E.
If an adverse change in nonguaranteed elements that could affect the policy has been made by the insurer since the last annual report, the annual report shall contain a notice of that fact and the nature of the change prominently displayed.

Regulation .11 Annual Certifications.Copy Citation

A.
The board of directors of each insurer shall appoint one or more illustration actuaries.
B.
The illustration actuary shall certify that the disciplined current scale used in illustrations is in conformity with the Actuarial Standard of Practice No. 24 Compliance with the NAIC Life Insurance Illustrations Model Regulations, promulgated by the Actuarial Standards Board, and that the illustrated scales used in insurer-authorized illustrations meet the requirements of this chapter.
C.
The illustration actuary:
(1)
Shall be a member in good standing of the American Academy of Actuaries;
(2)
Shall be familiar with the standard of practice regarding life insurance policy illustrations;
(3)
May not have been found by the Commissioner, following appropriate notice and hearing to have:
(a)
Violated any provision of, or any obligation imposed by, the insurance law, or other law, in the course of dealings as an illustration actuary,
(b)
Been found guilty of fraudulent or dishonest practices,
(c)
Demonstrated incompetence, lack of cooperation, or untrustworthiness to act as an illustration actuary, or
(d)
Resigned or been removed as an illustration actuary within the past 5 years as a result of acts or omissions indicated in any adverse report on examination or as a result of a failure to adhere to generally acceptable actuarial standards;
(4)
May not fail to notify the Commissioner of any action taken by a commissioner of another state similar to that under §C(3) of this regulation;
(5)
Shall disclose in the annual certification whether, since the last certification, a currently payable scale applicable for business issued within the previous 5 years and within the scope of the certification has been reduced for reasons other than changes in the experience factors underlying the disciplined current scale; and
(6)
Shall disclose in the annual certification one of the following methods used to allocate overhead expenses for all illustrations:
(a)
Fully allocated expenses,
(b)
Marginal expenses, or
(c)
A generally recognized expense table based on fully allocated expenses representing a significant portion of insurance companies and approved by the Commissioner.
D.
Filing of Certification.
(1)
The illustration actuary shall file a certification with the board of directors of the insured and with the Commissioner as follows:
(a)
Annually for all policy forms for which illustrations are used; and
(b)
Before a new policy form is illustrated.
(2)
If an error in a previous certification is discovered, the illustration actuary shall notify the board of directors of the insurer and the Commissioner promptly.
E.
If an illustration actuary is unable to certify the scale for any policy form illustration the insurer intends to use, the actuary shall notify the board of directors of the insurer and the Commissioner promptly of this inability to certify.
F.
A responsible officer of the insurer, other than the illustration actuary, shall certify annually that the:
(1)
Illustration formats meet the requirements of this chapter and that the scales used in insurer-authorized illustrations are those scales certified by the illustration actuary; and
(2)
Company has provided its agents with information about the expense allocation method used by the company in its illustrations and disclosed as required in §C(6) of this regulation.
G.
The annual certifications shall be provided to the Commissioner before each year by a date determined by the insurer.
H.
If an insurer changes the illustration actuary responsible for all or a portion of the company's policy forms, the insurer shall notify the Commissioner of that fact promptly and disclose the reason for the change.
I.
The following shall be disclosed in the annual certification:
(1)
If nonguaranteed elements illustrated for new policies are not consistent with those illustrated for similar in force policies; and
(2)
If nonguaranteed elements illustrated for both new and in force policies are not consistent with the nonguaranteed elements actually being paid, charged, or credited to the same or similar forms.

Regulation .12 Penalties.Copy Citation

In addition to any other penalties provided by the laws of this State, an insurer or producer that violates a requirement of this chapter is guilty of a violation of Insurance Article, §§27-202 and 27-203, Annotated Code of Maryland.

Regulation .13 Separability.Copy Citation

If any provision of this chapter or its application to any person or circumstance is for any reason held to be invalid by any court of law, the remainder of the chapter and its application to other persons or circumstances are not affected.

Chapter 10. Separate Account Investments under Funding Agreements

Regulation .01 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Funding agreement” means a contract described in Insurance Article, §16-113, Annotated Code of Maryland, whereby an insurer may accept and accumulate funds and make one or more payments at future dates in amounts that are not based on mortality or morbidity contingencies.
(2)
“Separate account” means an account:
(a)
That is segregated from, and maintained separately from, an insurer's general account; and
(b)
To which amounts paid to a Maryland-domiciled insurer under a funding agreement are allocated, as authorized by Insurance Article, §16-113, Annotated Code of Maryland.

Regulation .02 Plan of Operation Requirements.Copy Citation

A.
A Maryland-domiciled insurer may not issue a funding agreement for which a separate account will be used unless prior to delivery or issuance for delivery in the State, the form of the contract and the plan of operation have been filed with and approved by the Commissioner.
B.
A Maryland-domiciled insurer shall include in its plan of operation for a funding agreement for which a separate account will be used a statement of investment policy for the separate account and any supplemental account, including:
(1)
Requirements for diversification, maturity, type, and quality of assets; and
(2)
As applicable, target duration for matching funding agreement liabilities or the degree to which the investment policy is likely to match the performance of an interest rate series or index on which the funding agreement is based.

Regulation .03 Investment Requirements.Copy Citation

A.
Application of Insurance Article, §5-511, Annotated Code of Maryland.
(1)
Subject to §A(2) of this regulation, and Insurance Article, §16-113(d)(3), Annotated Code of Maryland, amounts allocated to a separate account and any resulting accumulations shall be invested and reinvested in accordance with the classes of investments, and the limitations on classes of investments, set forth in Insurance Article, §5-511, Annotated Code of Maryland.
(2)
For the purpose of applying Insurance Article, §5-511, Annotated Code of Maryland, pursuant to §A(1) of this regulation, separate account assets shall be treated as admitted assets and be subject to the requirements and limitations of Insurance Article, §5-511, Annotated Code of Maryland, that apply to admitted assets.
B.
Notwithstanding §A of this regulation, amounts allocated to a separate account and any resulting accumulations are not subject to the requirements and limitations set forth in Insurance Article, §5-511, Annotated Code of Maryland if the insurer obtains:
(1)
Prior approval from the Commissioner for the amounts not to be subject to the requirements and limitations set forth in Insurance Article, §5-511, Annotated Code of Maryland; and
(2)
Written consent of the holder of the funding agreement to the terms of the investment policy for the separate account.

Chapter 11. Viaticals

Regulation .01 Verification of Coverage for Life Insurance Policies.Copy Citation

A.
An insurer shall respond to a request for verification of coverage submitted by a viatical settlement provider or a viatical settlement broker within 30 days after the request is received.
B.
The request by the viatical settlement provider or viatical settlement broker shall include all items required by Insurance Article, §8-610.1(a), Annotated Code of Maryland.
C.
An insurer may charge a fee as set forth in Insurance Article, §8-610.1(b), Annotated Code of Maryland.

Regulation .02 Form.Copy Citation

A.
The “Verification of Coverage for Life Insurance Policies” form adopted by the Commissioner under §B of this regulation shall be used.
B.
The form required in §A of this regulation shall read as follows:

Chapter 12. Suitability in Annuity Transactions

Regulation .01 Purpose.Copy Citation

A.
The purpose of this chapter is to require producers to act in the best interest of the consumer when making a recommendation of an annuity and to require insurers to establish and maintain a system to supervise recommendations so that the insurance needs and financial objectives of consumers, at the time of the transaction, are effectively addressed.
B.
Nothing provided in this chapter shall be construed to create or imply a private cause of action for a violation of this chapter or to subject a producer to civil liability under the best interest standard of care outlined in Regulation .04 of this chapter or under standards governing the conduct of a fiduciary or a fiduciary relationship.

Regulation .02 Scope.Copy Citation

A.
In General. This chapter applies to any sale or recommendation of an annuity.
B.
Exceptions. Unless otherwise specifically included, this chapter does not apply to transactions involving:
(1)
Direct response solicitations if there is no recommendation based on information collected from the consumer pursuant to this regulation;
(2)
Contracts used to fund:
(a)
An employee pension or welfare benefit plan that is covered by the Employee Retirement and Income Security Act;
(b)
A plan described by 26 U.S.C. §§401(a), 401(k), 403(b), 408(k), or 408(p) if established or maintained by an employer;
(c)
A government or church plan defined in 26 U.S.C. §414, a government or church welfare benefit plan, or a deferred compensation plan of a state or local government or tax-exempt organization under 26 U.S.C. §457; or
(d)
A nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor;
(3)
Settlements of or assumptions of liabilities associated with personal injury litigation or any dispute or claim resolution process; or
(4)
Formal prepaid funeral contracts.

Regulation .03 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined:
(1)
“Annuity” means an annuity that is an insurance product under State law that is individually solicited, whether the product is classified as an individual or group annuity.
(2)
“Cash compensation” means any discount, concession, fee, service fee, commission, sales charge, loan, override, or cash benefit received by a producer in connection with the recommendation or sale of an annuity from an insurer, intermediary, or directly from the consumer.
(3)
“Comparable standards” means:
(a)
With respect to broker-dealers and registered representatives of broker-dealers, applicable SEC and FINRA rules pertaining to best interest obligations and supervision of annuity recommendations and sales, including, but not limited to, Regulation Best Interest and any amendments or successor regulations thereto;
(b)
With respect to investment advisers registered under federal securities laws or investment adviser representatives, the fiduciary duties and all other requirements imposed on such investment advisers or investment adviser representatives by contract or under the Investment Advisers Act of 1940, including, but not limited to, the Form ADV and interpretations; and
(c)
With respect to plan fiduciaries or fiduciaries, the duties, obligations, prohibitions, and all other requirements attendant to such status under ERISA or the IRC and any amendments or successor statutes thereto.
(4)
“Consumer profile information” means information that is reasonably appropriate to determine whether a recommendation addresses the consumer’s financial situation, insurance needs, and financial objectives, including, at a minimum, the following:
(a)
Age;
(b)
Annual income;
(c)
Financial situation and needs, including debts and other obligations;
(d)
Financial experience;
(e)
Insurance needs;
(f)
Financial objectives;
(g)
Intended use of the annuity;
(h)
Financial time horizon;
(i)
Existing assets or financial products, including investment, annuity and insurance holdings;
(j)
Liquidity needs;
(k)
Liquid net worth;
(l)
Risk tolerance, including, but not limited to, willingness to accept non-guaranteed elements in the annuity;
(m)
Financial resources used to fund the annuity; and
(n)
Tax status.
(5)
“Continuing education credit” or “CE credit” means 1 hour of continuing education as defined in COMAR 31.03.02.02B(9).
(6)
“ERISA” means the Employee Retirement and Income Security Act.
(7)
“Financial professional” means a producer that is regulated and acting as:
(a)
A broker-dealer registered under federal securities laws or a registered representative of a broker-dealer;
(b)
An investment adviser registered under federal securities laws or an investment adviser representative associated with the federal registered investment adviser; or
(c)
A plan fiduciary under 29 CFR §2510.3-21 or fiduciary under 26 U.S.C. §4975(e)(3), or any amendments or successor statutes thereto.
(8)
“FINRA” means the Financial Industry Regulatory Authority or a succeeding agency.
(9)
“Insurer” has the meaning stated in Insurance Article, §1-101(v), Annotated Code of Maryland.
(10)
“Intermediary” means an entity contracted directly with an insurer or with another entity contracted with an insurer to facilitate the sale of the insurer’s annuities by producers.
(11)
Material Conflict of Interest.
(a)
“Material conflict of interest” means a financial interest of the producer in the sale of an annuity that a reasonable person would expect to influence the impartiality of a recommendation.
(b)
“Material conflict of interest” does not include cash compensation or non-cash compensation.
(12)
“Non-cash compensation” means any form of compensation that is not cash compensation, including, but not limited to, health insurance, office rent, office support and retirement benefits.
(13)
“Non-guaranteed elements” means the premiums, credited interest rates (including any bonus), benefits, values, dividends, non-interest based credits, charges, or elements of formulas used to determine any of these, that are subject to company discretion and are not guaranteed at issue. An element is considered non-guaranteed if any of the underlying non-guaranteed elements are used in its calculation.
(14)
“Producer” means:
(a)
A licensed insurance producer as defined in Insurance Article, §1-101(w), Annotated Code of Maryland; and
(b)
An insurer if no producer is involved.
(15)
“Provider” has the meaning stated in COMAR 31.03.02.02B(15).
(16)
Recommendation.
(a)
“Recommendation” means advice provided by a producer to an individual consumer that was intended to result or does result in a purchase, an exchange, or a replacement of an annuity in accordance with that advice.
(b)
“Recommendation” does not include general communication to the public, generalized customer services assistance or administrative support, general educational information and tools, prospectuses, or other product and sales material.
(17)
“Replacement” has the meaning stated in COMAR 31.09.05.03B(11).
(18)
“SEC” means the United States Securities and Exchange Commission.

Regulation .04 Best Interest Obligations.Copy Citation

A.
The requirements under this regulation do not create a fiduciary obligation or relationship and only create a regulatory obligation as established in this chapter.
B.
A producer, when making a recommendation of an annuity, shall act in the best interest of the consumer under the circumstances known by the producer at the time the recommendation is made, without placing the producer’s or the insurer’s financial interest ahead of the consumer’s interest.
C.
A producer is considered to be acting in the best interest of the consumer if the producer satisfies the obligations described in §§D—G of this regulation.
D.
Care Obligation.
(1)
The producer, in making a recommendation, shall exercise reasonable diligence, care, and skill to:
(a)
Know the consumer’s financial situation, insurance needs, and financial objectives;
(b)
Understand the available recommendation options after making a reasonable inquiry into options available to the producer;
(c)
Have a reasonable basis to believe the recommended option effectively addresses the consumer’s financial situation, insurance needs, and financial objectives over the life of the product, as evaluated in light of the consumer profile information; and
(d)
Communicate the basis or bases of the recommendation.
(2)
The requirements under §D(1) of this regulation include making reasonable efforts to obtain consumer profile information from the consumer prior to the recommendation of an annuity.
(3)
The requirements under §D(1) of this regulation require a producer to consider the types of products the producer is authorized and licensed to recommend or sell that address the consumer’s financial situation, insurance needs, and financial objectives.
(4)
The requirements under §D(1) of this regulation do not require analysis or consideration of any products outside the authority and license of the producer or other possible alternative products or strategies available in the market at the time of the recommendation.
(5)
Producers shall be held to standards applicable to producers with similar authority and licensure.
(6)
The factors generally relevant in making a determination whether an annuity effectively addresses the consumer’s financial situation, insurance needs, and financial objectives are the consumer profile information, characteristics of the insurer, and product costs, rates, benefits, and features.
(7)
The level of importance of each factor described in §D(6) of this regulation may vary depending on the facts and circumstances of a particular case, but each factor may not be considered in isolation.
(8)
The requirements under §D(1) of this regulation include having a reasonable basis to believe the consumer would benefit from certain features of the annuity, such as annuitization, death or living benefit, or other insurance-related features.
(9)
The requirements under §D(1) of this regulation apply to the particular annuity as a whole and the underlying subaccounts to which funds are allocated at the time of purchase or exchange of an annuity, and riders and similar product enhancements, if any.
(10)
The requirements under §D(1) of this regulation do not mean the annuity with the lowest one-time or multiple occurrence compensation structure shall necessarily be recommended.
(11)
The requirements under §D(1) of this regulation do not mean the producer has ongoing monitoring obligations under the care obligation under this section, although such an obligation may be separately owed under the terms of a fiduciary, consulting, investment advising or financial planning agreement between the consumer and the producer.
(12)
In the case of an exchange or replacement of an annuity, the producer shall consider the whole transaction, which includes taking into consideration whether:
(a)
The consumer will incur a surrender charge, be subject to the commencement of a new surrender period, lose existing benefits, such as death, living, or other contractual benefits, or be subject to increased fees, investment advisory fees, or charges for riders and similar product enhancements;
(b)
The replacing product would substantially benefit the consumer in comparison to the replaced product over the life of the product; and
(c)
The consumer has had another annuity exchange or replacement and, in particular, an exchange or replacement within the preceding 60 months.
(13)
Nothing in this chapter shall be construed to require a producer to obtain any license other than a producer license with the appropriate line of authority to sell, solicit, or negotiate insurance in this State, including but not limited to any securities license, in order to fulfill the duties and obligations contained in this chapter, provided the producer does not give advice or provide services that are otherwise subject to securities laws or engage in any other activity requiring other professional licenses.
E.
Disclosure Obligation.
(1)
Prior to the recommendation or sale of an annuity, the producer shall prominently disclose the following information to the consumer:
(a)
A description of the scope and terms of the relationship with the consumer and the role of the producer in the transaction;
(b)
An affirmative statement on whether the producer is licensed and authorized to sell the following products:
(i)
Fixed annuities;
(ii)
Fixed indexed annuities;
(iii)
Variable annuities;
(iv)
Life insurance;
(v)
Mutual funds;
(vi)
Stocks and bonds; and
(vii)
Certificates of deposit;
(c)
An affirmative statement describing the insurer the producer is authorized, contracted, appointed, or otherwise able to sell insurance products for, using the following descriptions:
(i)
One insurer;
(ii)
From two or more insurers; or
(iii)
From two or more insurers although primarily contracted with one insurer;
(d)
A description of the sources and types of cash compensation and non-cash compensation to be received by the producer, including whether the producer is to be compensated for the sale of a recommended annuity by commission as part of premium or other remuneration received from the insurer, intermediary, or other producer or by fee as a result of a contract for advice or consulting services; and
(e)
A notice of the consumer’s right to request additional information regarding cash compensation described in §E(3) of this regulation.
(2)
The disclosure described in §E(1) of this regulation shall be in a format substantially similar to that specified in Regulation .11 of this chapter.
(3)
Upon request of the consumer or the consumer’s designated representative, the producer shall disclose:
(a)
A reasonable estimate of the amount of cash compensation to be received by the producer, which may be stated as a range of amounts or percentages; and
(b)
Whether the cash compensation is a one-time or multiple occurrence amount and, if a multiple occurrence amount, the frequency and amount of the occurrence, which may be stated as a range of amounts or percentages.
(4)
Prior to or at the time of the recommendation or sale of an annuity, the producer shall have a reasonable basis to believe the consumer has been informed of various features of the annuity, such as the potential surrender period and surrender charge, potential tax penalty if the consumer sells, exchanges, surrenders, or annuitizes the annuity, mortality and expense fees, investment advisory fees, any annual fees, potential charges for and features of riders or other options of the annuity, limitations on interest returns, potential changes in non-guaranteed elements of the annuity, insurance and investment components, and market risk.
(5)
The disclosure obligation under §E of this regulation is intended to supplement and not replace the disclosure requirements under COMAR 31.15.04.05.
F.
Conflict of Interest Obligation. A producer shall identify and avoid or reasonably manage and disclose material conflicts of interest, including material conflicts of interest related to an ownership interest.
G.
Documentation Obligation.
(1)
At the time of recommendation or sale, a producer shall:
(a)
Make a written record of any recommendation and the basis for the recommendation subject to this regulation;
(b)
Obtain a consumer signed statement documenting:
(i)
A consumer’s refusal to provide the consumer profile information, if any; and
(ii)
A consumer’s understanding of the ramifications of not providing the consumer’s consumer profile information or of providing insufficient consumer profile information; and
(c)
Obtain a consumer signed statement acknowledging the annuity transaction is not recommended if a consumer decides to enter into an annuity transaction that is not based on the producer’s recommendation.
(2)
The statement described in §G(1)(b) of this regulation shall be in a format substantially similar to that specified in Regulation .12 of this chapter.
(3)
The statement described in §G(1)(c) of this regulation shall be in a format substantially similar to that specified in Regulation .13 of this chapter.
H.
Application of the Best Interest Obligation.
(1)
Any requirement applicable to a producer under this subsection shall apply to every producer who has exercised material control or influence in the making of a recommendation and has received direct compensation as a result of the recommendation or sale, regardless of whether the producer has had any direct contact with the consumer.
(2)
Activities such as providing or delivering marketing or educational materials, product wholesaling or other back office product support, and general supervision of a producer do not, in and of themselves, constitute material control or influence.
I.
Transactions Not Based on a Recommendation.
(1)
Except as provided under §I(2) of this regulation, a producer shall have no obligation to a consumer under §§B—G of this regulation related to any annuity transaction if:
(a)
No recommendation is made;
(b)
A recommendation is made and is later found to have been prepared based on materially inaccurate information provided by the consumer;
(c)
A consumer refuses to provide relevant consumer profile information and the annuity transaction is not recommended; or
(d)
A consumer decides to enter into an annuity transaction that is not based on a recommendation of the producer.
(2)
An insurer’s issuance of an annuity subject to §I(1) of this regulation shall be reasonable under all the circumstances actually known to the insurer at the time the annuity is issued.

Regulation .05 Supervision System.Copy Citation

A.
Except as permitted under Regulation .04I of this chapter, an insurer may not issue an annuity recommended to a consumer unless there is a reasonable basis to believe the annuity would effectively address the particular consumer’s financial situation, insurance needs, and financial objectives based on the consumer’s consumer profile information.
B.
An insurer shall establish and maintain a supervision system that is reasonably designed to achieve the insurer’s and its producers’ compliance with this regulation, including, but not limited to, the following:
(1)
The insurer shall establish and maintain reasonable procedures to inform its producers of the requirements of this regulation and shall incorporate the requirements of this regulation into relevant producer training manuals;
(2)
The insurer shall establish and maintain standards for producer product training and shall establish and maintain reasonable procedures to require its producers to comply with the requirements of Regulation .08 of this chapter;
(3)
The insurer shall provide product-specific training and training materials which explain all material features of its annuity products to its producers;
(4)
The insurer shall establish and maintain procedures for the review of each recommendation prior to issuance of an annuity that are designed to ensure there is a reasonable basis to determine that the recommended annuity would effectively address the particular consumer’s financial situation, insurance needs, and financial objectives. Such review procedures may:
(a)
Apply a screening system for the purpose of identifying selected transactions for additional review; and
(b)
Be accomplished electronically or through other means including, but not limited to, physical review. An electronic or other system may be designed to require additional review only of those transactions identified for additional review by the selection criteria;
(5)
The insurer shall establish and maintain reasonable procedures to detect recommendations that are not in compliance with Regulations .04, .06, and .07 of this chapter. An insurer may comply with this section by applying sampling procedures or by confirming the consumer profile information or other required information under this section after issuance or delivery of the annuity. The procedures described in this section may include, but are not limited to:
(a)
Confirmation of the consumer’s profile information;
(b)
Systematic consumer surveys;
(c)
Producer and consumer interviews;
(d)
Confirmation letters;
(e)
Producer statements or attestations; or
(f)
Programs of internal monitoring;
(6)
The insurer shall establish and maintain reasonable procedures to assess, prior to or upon issuance or delivery of an annuity, whether a producer has provided to the consumer the information required to be provided under this Regulation .04 of this chapter;
(7)
The insurer shall establish and maintain reasonable procedures to identify and address suspicious consumer refusals to provide consumer profile information;
(8)
The insurer shall establish and maintain reasonable procedures to identify and eliminate any sales contests, sales quotas, bonuses, and non-cash compensation that are based on the sales of specific annuities within a limited period of time;
(9)
The requirements of §B(8) of this regulation are not intended to prohibit the receipt of health insurance, office rent, office support, retirement benefits, or other employee benefits by employees if those benefits are not based upon the volume of sales of a specific annuity within a limited period of time; and
(10)
On an annual basis, the insurer shall provide a written report to senior management, including to the senior manager responsible for audit functions, that details a review, with appropriate testing, reasonably designed to determine the effectiveness of the supervision system, the exceptions found, and corrective action taken or recommended, if any.
C.
Nothing in this regulation restricts an insurer from contracting for performance of a function, including maintenance of procedures, required under this regulation.
D.
An insurer is responsible for taking appropriate corrective action and may be subject to sanctions and penalties pursuant to Regulation .09 of this chapter, regardless of whether the insurer contracts for performance of a function and regardless of the insurer’s compliance with this section. An insurer’s supervision system under this regulation shall include supervision of contractual performance under this regulation, including, but not limited to:
(1)
Monitoring and, as appropriate, conducting audits to assure that the contracted function is properly performed; and
(2)
Annually obtaining a certification from a senior manager who has responsibility for the contracted function that the manager has a reasonable basis to represent, and does represent, that the function is properly performed.
E.
An insurer is not required to include in its system of supervision:
(1)
A producer’s recommendations to consumers of products other than the annuities offered by the insurer; or
(2)
Consideration of or comparison to options available to the producer or compensation relating to those options other than annuities or other products offered by the insurer.

Regulation .06 Prohibited Practices.Copy Citation

A producer or insurer may not dissuade or attempt to dissuade a consumer from:
A.
Truthfully responding to an insurer’s request for confirmation of the consumer profile information;
B.
Filing a complaint; or
C.
Cooperating with the investigation of a complaint.

Regulation .07 Safe Harbor.Copy Citation

A.
Recommendations and sales of annuities made in compliance with comparable standards shall satisfy the requirements under this chapter.
B.
This regulation applies to all recommendations and sales of annuities made by financial professionals in compliance with business rules, controls, and procedures that satisfy a comparable standard even if such standard would not otherwise apply to the product or recommendation at issue.
C.
Nothing in this regulation shall limit the Commissioner’s ability to investigate and enforce the provisions of this chapter.
D.
Nothing in §A of this regulation shall limit the insurer’s obligation to comply with Regulation .05A of this chapter, although the insurer may base its analysis on information received from either the financial professional or the entity supervising the financial professional.
E.
For §A of this regulation to apply, an insurer shall:
(1)
Monitor the relevant conduct of the financial professional seeking to rely on §A of this regulation or the entity responsible for supervising the financial professional, such as the financial professional’s broker-dealer or an investment adviser registered under federal securities laws using information collected in the normal course of an insurer’s business; and
(2)
Provide to the entity responsible for supervising the financial professional seeking to rely on §A of this regulation, such as the financial professional’s broker-dealer or investment adviser registered under federal securities laws, information and reports that are reasonably appropriate to assist such entity to maintain its supervision system.
F.
A financial professional who is not explicitly acting in compliance with the relevant comparable standards is not eligible for the safe harbor under §A of this regulation and is subject to compliance with the requirements of this chapter.

Regulation .08 Producer Training.Copy Citation

A.
A producer may not solicit the sale of an annuity product unless the producer has adequate knowledge of the product to recommend the annuity and the producer is in compliance with the insurer’s standards for product training.
B.
A producer may rely on insurer-provided product-specific training standards and materials to comply with §A of this regulation.
C.
Training Requirements.
(1)
A producer who engages in the sale of annuity products shall complete a one-time four-credit training course approved by the Maryland Insurance Administration and provided by a Maryland Insurance Administration approved education provider.
(2)
A producer who holds a life insurance line of authority on the effective date of this regulation and who desires to sell annuities shall complete the requirements of §C(1) of this regulation within 6 months after the effective date of this regulation.
(3)
An individual who obtains a life insurance line of authority on or after the effective date of this regulation may not engage in the sale of annuities until the annuity training course required under §C(1) of this regulation has been completed.
(4)
The minimum length of the training required under §C(1) of this regulation shall be sufficient to qualify for at least four continuing education credits but may be longer.
(5)
The training required under §C(1) of this regulation shall include information on the following topics:
(a)
The types of annuities and various classifications of annuities;
(b)
Identification of the parties to an annuity;
(c)
How product-specific annuity contract features affect consumers;
(d)
The application of income taxation of qualified and non-qualified annuities;
(e)
The primary uses of annuities; and
(f)
Appropriate standard of conduct, sales practices, replacement, and disclosure requirements.
(6)
Providers of courses intended to comply with §C(1) of this regulation:
(a)
Shall cover all topics listed in the prescribed outline;
(b)
May not present any marketing information or provide training on sales techniques or provide specific information about a particular insurer’s products; and
(c)
May offer additional topics in conjunction with and in addition to the required outline.
(7)
A provider of an annuity training course intended to comply with §C(1) of this regulation shall comply with the rules and guidelines applicable to producer continuing education courses as set forth in COMAR 31.03.02.
(8)
Within 6 months after the effective date of this regulation, a producer who has completed an annuity training course approved by the Maryland Insurance Administration prior to the effective date of this regulation shall complete either:
(a)
A new four-credit training course approved by the Maryland Insurance Administration after the effective date of this regulation; or
(b)
An additional one-time one-credit training course approved by the Maryland Insurance Administration and provided by the Maryland Insurance Administration approved education provider on appropriate sales practices, replacement, and disclosure requirements under this chapter.
(9)
Annuity training courses may be conducted and completed by classroom or self-study methods in accordance with COMAR 31.03.02.
(10)
A provider of annuity training shall comply with the reporting requirements and shall issue certificates of completion in accordance with COMAR 31.03.02.
(11)
The satisfaction of the training requirements of another state that are substantially similar to the requirements of this section shall be deemed to satisfy the training requirements of this regulation.
(12)
The satisfaction of the components of the training requirements of any course or courses with components substantially similar to the provisions of §C of this regulation shall be deemed to satisfy the training requirements of this regulation.
(13)
An insurer shall verify that a producer has completed the annuity training course required under this subsection before allowing the producer to sell an annuity product for that insurer.
(14)
An insurer may satisfy its responsibility under this regulation by obtaining certificates of completion of the training course or obtaining reports provided by commissioner-sponsored database systems or vendors or from a reasonably reliable commercial database vendor that has a reporting arrangement with approved insurance education providers.

Regulation .09 Compliance and Penalties.Copy Citation

A.
An insurer is responsible for compliance with this chapter.
B.
If a violation of this chapter occurs, because of either the action or the inaction of the insurer or its producer, the Commissioner may order:
(1)
An insurer to take reasonably appropriate corrective action for any consumer harmed by the insurer’s, or by its producer’s, violation of this chapter;
(2)
A general agency, independent agency, or a producer to take reasonably appropriate corrective action for any consumer harmed by the producer’s violation of this chapter; and
(3)
Appropriate penalties and sanctions.
C.
Penalties.
(1)
A producer who violates this chapter is subject to a penalty or other appropriate sanction under Insurance Article, §10-126, Annotated Code of Maryland.
(2)
An insurer that violates this chapter is subject to a penalty or other appropriate sanction under Insurance Article, §4-113, Annotated Code of Maryland.

Regulation .10 Record Keeping.Copy Citation

A.
Insurers, general agents, independent agencies, and producers shall maintain or be able to make available to the Commissioner records of the information collected from the consumer and other information used in making the recommendations that were the basis for insurance transactions for 7 years after the insurance transaction is completed by the insurer.
B.
An insurer is permitted, but is not required, to maintain documentation on behalf of a producer.
C.
Records required to be maintained by this regulation may be maintained in paper, photographic, micro processed, magnetic, mechanical, or electronic media, or by any process that accurately reproduces the actual document, if the copy of the record is maintained in a manner that:
(1)
Is clear and legible;
(2)
Accurately reproduces the original document in its entirety, including any attachments to the document;
(3)
Is capable of producing a clear and legible hard copy of the original document; and
(4)
Preserves evidence of any signature contained on the document.

Regulation .11 Producer Disclosure for Annuities Form.Copy Citation

The form to be used for providing the disclosure required by Regulation .04E(1) of this chapter can be found here:
FORM AT END OF CHAPTER

Regulation .12 Consumer Refusal to Provide Information Form.Copy Citation

The form to be used for obtaining the consumer signed statement required by Regulation .04G(1)(b) of this chapter can be found here:
FORM AT END OF CHAPTER

Regulation .13 Consumer Decision to Purchase Annuity Not Based on Recommendation Form.Copy Citation

The form to be used for obtaining the consumer signed statement required by Regulation .04G(1)(c) of this chapter can be found here:
FORM AT END OF CHAPTER

Chapter 13. Military Sales Practices

Regulation .01 Purpose.Copy Citation

A.
The purpose of this chapter is to set forth standards to protect active duty service members of the United States Armed Forces from dishonest and predatory insurance sales practices by declaring certain identified practices to be false, misleading, deceptive, or unfair.
B.
Nothing in this chapter may be construed to create or imply a private cause of action for a violation of this chapter.

Regulation .02 Scope.Copy Citation

This chapter applies only to the solicitation or sale of any life insurance or annuity product by an insurer or insurance producer to an active duty service member of the United States Armed Forces.

Regulation .03 Incorporation by Reference.Copy Citation

In this chapter, the following documents are incorporated by reference:
A.
38 U.S.C. §1965 et seq. (2007);
B.
Internal Revenue Code, 26 U.S.C. §501(c)(23) (2007);
C.
Department of Defense DoD Instruction 1344.07—Personal Commercial Solicitation on DoD Installations (March 30, 2006);
D.
Truth in Savings Act, 12 U.S.C. §4301 et seq. (2007), and the regulations promulgated under it; and
E.
§10 of the “Military Personnel Financial Services Protection Act,” Pub. L. No. 109-290, p.16.

Regulation .04 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
Active Duty.
(a)
“Active duty” means full-time duty in the active military service of the United States and includes members of the reserve component, National Guard and Reserve, while serving under published orders for active duty or full-time training.
(b)
“Active duty” does not include members of the reserve component who are performing active duty or active duty for training under military calls or orders specifying periods of less than 31 calendar days.
(2)
“Annuity” means annuity as defined in Insurance Article, §1-101(d), Annotated Code of Maryland.
(3)
“Department of Defense (DoD) Personnel” means all active duty service members and all civilian employees, including nonappropriated fund employees and special government employees, of the Department of Defense.
(4)
“Door-to-door” means a solicitation or sales method whereby an insurance producer proceeds randomly or selectively from household to household without prior specific appointment.
(5)
“General advertisement” means an advertisement having as its sole purpose the promotion of the reader's or viewer's interest in the concept of insurance, or the promotion of the insurer or the insurance producer.
(6)
“Insurance producer” has the meaning stated in Insurance Article, §1-101(u), Annotated Code of Maryland.
(7)
“Insurer” has the meaning stated in Insurance Article, §1-101(v), Annotated Code of Maryland.
(8)
“Known” or “knowingly” means, depending on its use in this chapter, the insurance producer or insurer had actual awareness, or in the exercise of ordinary care should have known, at the time of the act or practice complained of, that the person solicited:
(a)
Is a service member; or
(b)
Is a service member with a pay grade of E-4 or below.
(9)
“Life insurance” has the meaning stated in Insurance Article, §1-101(x), Annotated Code of Maryland.
(10)
“Military installation” means any federally owned, leased, or operated base, reservation, post, camp, building, or other facility to which service members are assigned for duty, including barracks, transient housing, and family quarters.
(11)
“MyPay” is a Defense Finance and Accounting Service (DFAS) web-based system that enables service members to process certain discretionary pay transactions or provide updates to personal information data elements without using paper forms.
(12)
“Service member” means any active duty officer, commissioned and warrant, or enlisted member of the United States Armed Forces.
(13)
Side Fund.
(a)
“Side fund” means a fund or reserve that is part of or otherwise attached to a life insurance policy by rider, endorsement, or other mechanism which accumulates premium or deposits with interest or by other means.
(b)
“Side fund” does not include:
(i)
Accumulated value or cash value or secondary guarantees provided by a universal life policy;
(ii)
Cash values provided by a whole life policy which are subject to standard nonforfeiture law for life insurance; or
(iii)
A premium deposit fund which contains only premiums paid in advance which accumulate at interest, imposes no penalty for withdrawal, does not permit funding beyond future required premiums, is not marketed or intended as an investment, and does not carry a commission, either paid or calculated.
(14)
“Specific appointment” means a prearranged appointment agreed upon by both parties and definite as to place and time.
(15)
“United States Armed Forces” means all components of the Army, Navy, Air Force, Marine Corps, and Coast Guard.

Regulation .05 Exemptions.Copy Citation

A.
This chapter does not apply to solicitations or sales involving:
(1)
Credit insurance;
(2)
Group life insurance or group annuities where there is no in-person, face-to-face solicitation of individuals by an insurance producer or where the contract or certificate does not include a side fund;
(3)
An application to the existing insurer that issued the existing policy or contract when:
(a)
A contractual change or a conversion privilege is being exercised;
(b)
The existing policy or contract is being replaced by the same insurer pursuant to a program filed with and approved by the commissioner; or
(c)
A term conversion privilege is exercised among corporate affiliates;
(4)
Individual health policies, including disability income policies;
(5)
Contracts offered by Service members' Group Life Insurance (SGLI) or Veterans' Group Life Insurance (VGLI), as authorized by 38 U.S.C. §1965 et seq. (2007);
(6)
Life insurance contracts offered through or by a nonprofit military association, qualifying under 26 U.S.C. §501(c)(23) (2007), and which are not underwritten by an insurer; or
(7)
Contracts used to fund:
(a)
An employee pension or welfare benefit plan that is covered by the Employee Retirement and Income Security Act (ERISA);
(b)
A plan described by §401(a), 401(k), 403(b), 408(k), or 408(p) of the Internal Revenue Code, as amended, if established or maintained by an employer;
(c)
A government or church plan defined in §414 of the Internal Revenue Code, a government or church welfare benefit plan, or a deferred compensation plan of a state or local government or tax exempt organization under §457 of the Internal Revenue Code;
(d)
A nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor;
(e)
Settlements of or assumptions of liabilities associated with personal injury litigation or any dispute or claim resolution process; or
(f)
Prearranged funeral contracts.
B.
Nothing in this chapter may be construed to abrogate the ability of nonprofit organizations to educate members of the United States Armed Forces in accordance with Department of Defense DoD Instruction 1344.07—Personal Commercial Solicitation on DoD Installations.
C.
For purposes of this chapter, general advertisements, direct mail, and internet marketing do not constitute solicitation.
D.
Telephone Marketing.
(1)
Telephone marketing does not constitute solicitation, if the caller:
(a)
Explicitly and conspicuously discloses that the product concerned is life insurance or annuity; and
(b)
Makes no statements that avoid a clear and unequivocal statement that life insurance or annuity is the subject matter of the solicitation.
(2)
Nothing in this section may be construed to exempt an insurer or insurance producer from this chapter in any in-person, face-to-face meeting established as a result of the solicitation exemptions identified in this regulation.

Regulation .06 Practices Declared False, Misleading, Deceptive, or Unfair on a Military Installation.Copy Citation

A.
The following acts or practices when committed on a military installation by an insurer or insurance producer with respect to the in-person, face-to-face solicitation of life insurance or annuity are prohibited as false, misleading, deceptive, or unfair:
(1)
Knowingly soliciting the purchase of any life insurance product or annuity door-to-door or without first establishing a specific appointment for each meeting with the prospective purchaser;
(2)
Soliciting service members in a group or mass audience or in a captive audience where attendance is not voluntary;
(3)
Knowingly making appointments with or soliciting service members during their normally scheduled duty hours;
(4)
Making appointments with or soliciting service members in barracks, day rooms, unit areas, transient personnel housing, or other areas where the installation commander has prohibited solicitation;
(5)
Soliciting the sale of life insurance or annuity without first obtaining permission from the installation commander or the commander's designee;
(6)
Posting unauthorized bulletins, notices, or advertisements;
(7)
Failing to present DD Form 2885, Personal Commercial Solicitation Evaluation, to service members solicited or encouraging service members solicited not to complete or submit a DD Form 2885, as set forth in §C of this regulation; and
(8)
Knowingly accepting an application or issuing a policy for life insurance or annuity, on the life of an enlisted member of the United States Armed Forces without first obtaining for the insurer's files a completed copy of any required form which confirms that the applicant has received counseling or fulfilled any other similar requirement for the sale of life insurance established by regulations, directives, or rules of the DoD or any branch of the Armed Forces.
B.
The following acts or practices when committed on a military installation by an insurer or insurance producer constitute corrupt practices, improper influences, or inducements and therefore prohibited as false, misleading, deceptive or unfair:
(1)
Using DoD personnel, directly or indirectly, as a representative or agent in any official or business capacity, with or without compensation with respect to the solicitation or sale of life insurance or annuity to service members; and
(2)
Using an insurance producer to participate in any United States Armed Forces sponsored education or orientation program.
C.
Personal Commercial Solicitation Evaluation Form.

Regulation .07 Practices Declared False, Misleading, Deceptive, or Unfair Regardless of Location.Copy Citation

A.
The following acts or practices by an insurer or insurance producer constitute corrupt practices, improper influences, or inducements, regardless of location, and therefore, are prohibited as false, misleading, deceptive, or unfair:
(1)
Submitting, processing, or assisting in the submission or processing of any allotment form or similar device used by the United States Armed Forces to direct a service member's pay to a third party for the purchase of life insurance or annuity, which acts include but are not limited to:
(a)
Using or assisting in using a service member's “MyPay” account; or
(b)
Using another similar internet or electronic medium for such purposes.
(2)
Knowingly receiving funds from a service member for the payment of premium from a depository institution with which the service member has no formal banking relationship.
(3)
Employing any device or method, or entering into any agreement whereby funds received from a service member by allotment for the payment of insurance premiums are identified on the service member's Leave and Earnings Statement or equivalent or successor form as Savings or Checking and where the service member has no formal banking relationship as defined in §A(2) of this regulation;
(4)
Entering into any agreement with a depository institution for the purpose of receiving funds from a service member whereby the depository institution, with or without compensation, agrees to accept direct deposits from a service member with whom it has no formal banking relationship;
(5)
Using DoD personnel, directly or indirectly, as a representative or agent in any official or unofficial capacity with or without compensation with respect to the solicitation or sale of life insurance or annuity to service members who are junior in rank or grade, or to the family members of such personnel;
(6)
Offering or giving anything of value, directly or indirectly, to DoD personnel to procure their assistance in encouraging, assisting, or facilitating the solicitation or sale of life insurance or annuity to another service member;
(7)
Knowingly offering or giving anything of value to a service member with a pay grade of E-4 or below for his or her attendance to any event where an application for life insurance or annuity is solicited; and
(8)
Advising a service member with a pay grade of E-4 or below to change his or her income tax withholding or State of legal residence for the sole purpose of increasing disposable income to purchase life insurance or annuity.
B.
Section A(1) of this regulation does not prohibit:
(1)
Assisting a service member by providing insurer information; or
(2)
Premium information necessary to complete any allotment form.
C.
For purposes of §B(2) of this regulation, a formal banking relationship is established when the depository institution:
(1)
Provides the service member a deposit agreement and periodic statements and makes the disclosures required by the Truth in Savings Act, 12 U.S.C. §4301 et seq. (2007), and the regulations promulgated under it; and
(2)
Permits the service member to make deposits and withdrawals unrelated to the payment or processing of insurance premiums.
D.
Prohibited Practices—Source.
(1)
The following acts or practices by an insurer or insurance producer regarding source, sponsorship, approval, or affiliation are prohibited as false, misleading, deceptive, or unfair:
(a)
Making any representation, or using any device, title, descriptive name, or identifier that has the tendency or capacity to confuse or mislead a service member into believing that the insurer, insurance producer, or product offered is affiliated, connected or associated with, endorsed, sponsored, sanctioned, or recommended by the U.S. Government, the United States Armed Forces, any state or federal agency, or government entity; and
(b)
Soliciting the purchase of any life insurance product through the use of or in conjunction with any third party organization that promotes the welfare of or assists members of the United States Armed Forces in a manner that has the tendency or capacity to confuse or mislead a service member into believing that either the insurer, insurance producer, or insurance product is affiliated, connected or associated with, endorsed, sponsored, sanctioned, or recommended by the U.S. Government or the United States Armed Forces.
(2)
Examples of prohibited insurance producer titles under §D(1)(a) of this regulation include, but are not limited to:
(a)
Battalion Insurance Counselor;
(b)
Unit Insurance Advisor;
(c)
Servicemen's Group Life Insurance Conversion Consultant; or
(d)
Veteran's Benefits Counselor.
(3)
Nothing in this chapter may be construed to prohibit a person from using a professional designation awarded after the successful completion of a course of instruction in the business of insurance by an accredited institution of higher learning, including:
(a)
Chartered Life Underwriter (CLU);
(b)
Chartered Financial Consultant (ChFC);
(c)
Certified Financial Planner (CFP);
(d)
Master of Science In Financial Services (MSFS); or
(e)
Masters of Science Financial Planning (MS).
E.
Prohibited Practices—Costs and Returns. The following acts or practices by an insurer or insurance producer regarding premiums, costs, or investment returns are prohibited as false, misleading, deceptive, or unfair:
(1)
Using or describing the credited interest rate on a life insurance policy or annuity contract in a manner that implies that the credited interest rate is a net return on premium paid; and
(2)
Misrepresenting the mortality costs of a life insurance product, including stating or implying that the product costs nothing or is free.
F.
The following acts or practices by an insurer or insurance producer regarding SGLI or VGLI are false, misleading, deceptive, or unfair:
(1)
Making any false, misleading, or deceptive representations regarding the availability, suitability, amount, cost, exclusions, or limitations to coverage provided to a service member or dependents by SGLI or VGLI;
(2)
Making any false, misleading, or deceptive representations regarding conversion requirements, including the costs of coverage, exclusions, or limitations to coverage of SGLI or VGLI to private insurers; or
(3)
Suggesting, recommending, or encouraging a service member to cancel or terminate his or her SGLI policy, or issuing a life insurance policy which replaces an existing SGLI policy unless the replacement will take effect upon or after the service member's separation from the United States Armed Forces.
G.
The following acts or practices by an insurer or insurance producer regarding disclosure are prohibited as false, misleading, deceptive, or unfair:
(1)
Deploying, using, or contracting for any lead generating materials designed exclusively for use with service members that do not clearly and conspicuously disclose that the recipient will be contacted by an insurance producer, if done for the purpose of soliciting the purchase of life insurance or annuity;
(2)
Failing to disclose that a solicitation for the sale of life insurance or annuity will be made when establishing a specific appointment for an in-person, face-to-face meeting with a prospective purchaser;
(3)
Failing to clearly and conspicuously disclose the fact that the product being sold is life insurance;
(4)
Failing to make, at the time of sale or offer to an individual known to be a service member, the written disclosures required by §10 of the “Military Personnel Financial Services Protection Act,” Pub. L. No. 109-290, p.16; and
(5)
When the sale is conducted in-person face-to-face with an individual known to be a service member, failing to provide the applicant at the time the application is taken:
(a)
An explanation of any free look period with instructions on how to cancel if a policy is issued; and
(b)
Either a copy of the application or a written disclosure, that:
(i)
Shall clearly and concisely set out the type of life insurance, the death benefit applied for, and its expected first year cost; or
(ii)
May be satisfied by a basic illustration that meets the requirements of COMAR 31.09.09 which shall be considered sufficient to meet this requirement for a written disclosure.
H.
Definitions.
(1)
In this section, the following terms have the meanings indicated.
(2)
Terms Defined.
(a)
“Insurable needs” are the risks associated with premature death taking into consideration the financial obligations and immediate and future cash needs of the applicant's estate and/or survivors or dependents.
(b)
“Other military survivor benefits” include:
(i)
The death gratuity;
(ii)
Funeral reimbursement;
(iii)
Transition assistance;
(iv)
Survivor and dependents' educational assistance;
(v)
Dependency and indemnity compensation;
(vi)
TRICARE healthcare benefits;
(vii)
Survivor housing benefits and allowances;
(viii)
Federal income tax forgiveness; and
(ix)
Social Security survivor benefits.
(3)
The following acts or practices by an insurer or insurance producer with respect to the sale of certain life insurance products or annuities are false, misleading, deceptive, or unfair:
(a)
Recommending the purchase of any life insurance product which includes a side fund to a service member in pay grades E-4 and below unless the insurer has reasonable grounds for believing that the life insurance death benefit, standing alone, is suitable;
(b)
Offering for sale or selling a life insurance product which includes a side fund to a service member in pay grades E-4 and below who is currently enrolled in SGLI, unless, after the completion of a needs assessment, the insurer demonstrates that the applicant's SGLI death benefit, together with any other military survivor benefits, savings and investments, survivor income, and other life insurance are insufficient to meet the applicant's insurable needs for life insurance;
(c)
Offering for sale or selling any life insurance contract which includes a side fund unless:
(i)
Interest credited accrues from the date of deposit to the date of withdrawal and permits withdrawals without limit or penalty;
(ii)
The applicant has been provided with a schedule of effective rates of return based upon cash flows of the combined product that satisfies the following requirements;
(iii)
The effective rate of return will consider all premiums and cash contributions made by the policyholder and all cash accumulations and cash surrender values available to the policyholder in addition to life insurance coverage;
(iv)
The schedule is provided for at least each policy year from 1 to 10 and for every fifth policy year thereafter ending at age 100, policy maturity, or final expiration; and
(v)
By default funds accumulated in the side fund are diverted and transferred to pay, reduce, or offset any premiums due;
(d)
Offering for sale or selling any life insurance contract which after considering all policy benefits, including but not limited to endowment, return of premium or persistency, does not comply with standard nonforfeiture law for life insurance; and
(e)
Selling any life insurance product to an individual known to be a service member that excludes coverage if the insured's death is related to war, declared or undeclared, or any act related to military service except for an accidental death coverage which may be excluded.

Regulation .08 Severability.Copy Citation

If any provision of this chapter or the application thereof to any person or circumstance is held invalid for any reason, the invalidity does not affect the other provisions or any other application of these sections which can be given effect without the invalid provisions or application. To this end all provisions of this chapter are declared to be severable.

Regulation .09 Effective Date.Copy Citation

This chapter is effective May 1, 2008, and shall apply to acts or practices committed on or after the effective date.

Chapter 14. Retained Asset Accounts

Repealed

Chapter 15. Universal Life Insurance

Regulation .01 Purpose.Copy Citation

The purpose of this chapter is to establish standards for universal life insurance policies in order to accommodate the development and issuance of universal life insurance.

Regulation .02 Scope.Copy Citation

This chapter applies to all individual universal life insurance policies, except variable universal life insurance policies.

Regulation .03 Definitions.Copy Citation

A.
As used in this chapter, the following terms have the meanings indicted.
B.
Terms Defined.
(1)
“Cash surrender value” means the net cash surrender value plus any amounts outstanding as policy loans.
(2)
“Commissioner” means the Maryland Insurance Commissioner.
(3)
“Fixed premium universal life insurance policy” means a universal life insurance policy other than a flexible premium universal life insurance policy.
(4)
“Flexible premium universal life insurance policy” means a universal life insurance policy which permits the policyowner to vary, independently of each other, the amount or timing of one or more premium payments or the amount of insurance.
(5)
“Interest-indexed universal life insurance policy” or “interest-indexed policy” means any universal life insurance policy where the interest credits are linked to an external referent.
(6)
“Net cash surrender value” means the maximum amount payable to the policyowner upon surrender.
(7)
“Policy value” means the amount to which separately identified interest credits and mortality, expense, or other charges are made under a universal life insurance policy.
(8)
“Universal life insurance policy” means a life insurance policy where separately identified:
(a)
Interest credits, other than in connection with dividend accumulations, premium deposit funds, or other supplementary accounts are made to the policy;
(b)
Mortality charges are made to the policy; and
(c)
Expense charges are made to the policy.

Regulation .04 General Calculation Method for Reserves.Copy Citation

A.
The minimum valuation standard for universal life insurance policies shall be
(1)
The Commissioner's Reserve Valuation Method, as described in §B of this regulation for such policies; and
(2)
The mortality tables and interest rates specified in §B(2) of this regulation.
B.
Commissioner's Reserve Valuation Method.
(1)
The terminal reserve for the basic policy and any benefits or riders for which premiums are not paid separately as of any policy anniversary shall be equal to the net level premium reserves less (C) and less (D), where:
(a)
Reserves by the net level premium method shall be equal to ((A) - (B)) r where:
(i)
The quantity(a) is the present value of all future guaranteed benefits at the date of valuation;
(ii)
The quantity (B) is the quantity (PVFB) (äx+t/äx);
(iii)
PVFB is the present value of all benefits guaranteed at issue assuming future guaranteed maturity premiums are paid by the policyowner and taking into account all guarantees contained in the policy or declared by the insurer;
(iv)
The quantities äx and äx+t are present values of an annuity of one per year payable on policy anniversaries beginning at ages x and x+t, respectively, and continuing until the highest attained age at which a premium may be paid under the policy;
(v)
The letter x is the issue age;
(vi)
The letter t is the duration of the policy; and
(vii)
The letter r is equal to one unless the policy is a flexible premium policy and the policy value is less than the guaranteed maturity fund, in which case “r” is the ratio of the policy value to the guaranteed maturity fund;
(b)
The guaranteed maturity premium for flexible premium universal life insurance policies shall be that level gross premium, paid at issue and periodically thereafter over the period during which premiums are allowed to be paid, which will mature the policy on the latest maturity date, if any, permitted under the policy, otherwise at the highest age in the valuation mortality table, for an amount which is in accordance with the policy structure;
(c)
The guaranteed maturity premium is calculated at issue based on all policy guarantees at issue (excluding guarantees linked to an external referent);
(d)
The guaranteed maturity premium for fixed premium universal life insurance policies shall be the premium defined in the policy which at issue provides the minimum policy guarantees;
(e)
The guaranteed maturity fund at any duration is that amount which, together with future guaranteed maturity premiums, will mature the policy based on all policy guarantees at issue;
(f)
The quantity (C) is ((a) - (b)) (äx+t /äx) r where (a) - (b) is the amount, if any, that the present value, at the date of valuation, of the guaranteed benefits under the policy exceeds the present value, at the date of valuation, of any future modified net premiums for the policy, as described in Insurance Article, §5-307(a)(2), Annotated Code of Maryland, for the plan of insurance defined at issue by the guaranteed maturity premiums and all guarantees contained in the policy or declared by the insurer;
(g)
The quantity (D) is the sum of any additional quantities analogous to the quantity (C) which arise because of structural changes in the policy, with each such quantity being determined on a basis consistent with that of the quantity (C) using the maturity date in effect at the time of the change;
(h)
The guaranteed maturity premium, the guaranteed maturity fund, and the quantity (B) described in §B(1)(a)(ii) of this regulation shall be recalculated to reflect any structural changes in the policy; and
(i)
The recalculation described in §B(1)(h) of this regulation shall be done in a manner consistent with the descriptions found in §B(1)(a)-(g) of this regulation.
(2)
Future guaranteed benefits are determined by:
(a)
Projecting the greater of the guaranteed maturity fund and the policy value, taking into account future guaranteed maturity premiums, if any, and using all guarantees of interest, mortality, expense deductions, and other deductions, contained in the policy or declared by the insurer; and
(b)
Taking into account any benefits guaranteed in the policy or by declaration which do not depend on the policy value.
(3)
All present values shall be determined using:
(a)
An interest rate, or rates, specified by Insurance Article, §5-306(c), Annotated Code of Maryland, for policies issued in the same year;
(b)
The mortality rates specified by Insurance Article, §5-304(b)(3), Annotated Code of Maryland, for policies issued in the same year or the mortality rates contained in another table as may be approved by the Commissioner for this purpose; and
(c)
Any other tables needed to value supplementary benefits provided by a rider which is being valued together with the policy.

Regulation .05 Alternative Minimum Reserves.Copy Citation

A.
If, in any policy year, the guaranteed maturity premium on a universal life insurance policy is less than the valuation net premium for the same universal life insurance policy, calculated by the valuation method actually used in calculating the reserve on the universal life insurance policy, but using the minimum valuation standards of mortality and rate of interest, the minimum reserve required for the universal life insurance policy shall be the greater of:
(1)
The reserve calculated according to the method, the mortality table, and the rate of interest actually used; and
(2)
The reserve calculated according to the method actually used but using the minimum valuation standards of mortality and rate of interest and replacing the valuation net premium by the Guaranteed Maturity Premium in each policy year for which the valuation net premium exceeds the Guaranteed Maturity Premium.
B.
Reserves.
(1)
For universal life insurance reserves on a net level premium basis, the valuation net premium is PVFB/äx where PVFB is as described in Regulation .04B(1)(a)(iii) of this chapter and äx and äx+t are as described in Regulation .04B(1)(a)(iv) of this chapter.
(2)
For reserves on the Commissioners Reserve Valuation Method, the valuation net premium is PVFB/äx + ((a) - (b))/äx where(a) - (b) is the amount, if any, that the present value, at the date of valuation, of the guaranteed benefits under the policy exceeds the present value, at the date of valuation, of any future modified net premiums for the policy, as described in Insurance Article, §5-307(a)(2), Annotated Code of Maryland.

Regulation .06 Nonforfeiture Values for Flexible Premium Universal Life Insurance Policies.Copy Citation

A.
Minimum cash surrender values for flexible premium universal life insurance policies shall be determined separately for the basic policy and for any benefits and riders for which premiums are paid separately.
B.
The requirements in this regulation pertain to a basic policy and any benefits and riders for which premiums are not paid separately.
C.
The minimum cash surrender value, before adjustment for indebtedness and dividend credits, available on a date as of which interest is credited to the policy shall be equal to:
(1)
The accumulation to that date of the premiums paid; minus
(2)
The accumulations to that date of:
(a)
The benefit charges;
(b)
The averaged administrative expense charges for the first policy year and any insurance-increase years;
(c)
Actual administrative expense charges for other years;
(d)
Initial and additional acquisition expense charges not exceeding the initial or additional expense allowances, respectively;
(e)
Any service charges actually made, excluding charges for cash surrender or election of a paid-up nonforfeiture benefit; and
(f)
Any deductions made for partial withdrawals; minus
(3)
Any unamortized unused initial and additional expense allowances.
D.
All accumulations in §C(1) and (2) of this regulation shall be at the actual rate or rates of interest at which interest credits have been made unconditionally to the policy, or have been made conditionally, but for which the conditions have since been met.
E.
Interest on the premiums and on all charges referred to in §C(1)-(2) of this regulation shall be accumulated from and to such dates as are consistent with the manner in which interest is credited in determining the policy value.
F.
Benefit Changes.
(1)
The benefit charges listed in §C(2)(a) of this regulation shall include the charges made for mortality and any charges made for riders or supplementary benefits for which premiums are not paid separately.
(2)
If benefit charges are substantially level by duration and develop low or no cash values, then the Commissioner shall have the right to require higher cash values unless the insurer provides adequate justification that the cash values are appropriate in relation to the policy's other characteristics.
G.
Calculation of Administrative Expense Charges.
(1)
The administrative expense charges referenced in §C(2)(b) and (c) of this regulation shall include the following if provided for by the policy:
(a)
Charges per premium payment;
(b)
Charges per dollar of premium paid;
(c)
Periodic charges per thousand dollars of insurance;
(d)
Periodic per policy charges; and
(e)
Any other charges permitted by the policy to be imposed without regard to the policyowner's request for services.
(2)
The averaged administrative expense charges referenced in §C(2)(b) of this regulation for any year shall be those which would have been imposed in that year if the charge rate or rates for each transaction or period within the year had been equal to the arithmetic average of the corresponding charge rates that the policy states will be imposed in policy years 2 through 20 in determining the policy value.
H.
Calculation of Initial Acquisition Expense Charges.
(1)
The initial acquisition expense charges referenced in §C(2)(d) of this regulation shall be the excess of the expense charges, other than service charges, actually made in the first policy year over the averaged administrative expense charges for that year.
(2)
Additional acquisition expense charges referenced in §C(2)(d) of this regulation shall be the excess of the expense charges, other than service charges, actually made in an insurance-increase year over the averaged administrative expense charges for that year.
(3)
An insurance-increase year shall be the year beginning on the date of increase in the amount of insurance by policyowner request or by the terms of the policy.
(4)
The service charges referenced in §H(1) and (2) of this regulation shall include charges permitted by the policy to be imposed as the result of a policyowner's request for a service by the insurer, such as the furnishing of future benefit illustrations, or of special transactions.
I.
Calculation of Initial Expense Allowance.
(1)
The initial expense allowance referenced in §C(3) of this regulation shall be the allowance provided by Insurance Article, §16-309(b), Annotated Code of Maryland, for a fixed premium, fixed benefit endowment policy with a face amount equal to the initial face amount of the flexible premium universal life insurance policy, with level premiums paid annually until the highest attained age at which a premium may be paid under the flexible premium universal life insurance policy, and maturing on the latest maturity date permitted under the policy, if any, otherwise at the highest age in the valuation mortality table.
(2)
The unused initial expense allowance shall be the excess, if any, of the initial expense allowance over the initial acquisition expense charges as described in §H of this regulation.
(3)
If the amount of insurance is subsequently increased upon request of the policyowner, or by the terms of the policy, an additional expense allowance and an unused additional expense allowance shall be determined on a basis consistent with §I(1) and (2) of this regulation and with Insurance Article, §16-309(e), Annotated Code of Maryland, using the face amount and the latest maturity date permitted at that time under the policy.
(4)
Unamortized Unused Expense Allowance.
(a)
The unamortized unused initial expense allowance during the policy year beginning on the policy anniversary at age x+t, where x is the same issue age, shall be the unused initial expense allowance multiplied by äx+t/äx where äx+t and äx are present values of an annuity of one per year payable on policy anniversaries beginning at ages x+t and x, respectively, and continuing until the highest attained age at which a premium may be paid under the policy, both on the mortality and interest bases guaranteed in the policy.
(b)
An unamortized unused additional expense allowance shall be the unused additional expense allowance multiplied by a similar ratio of annuities, with äx replaced by an annuity beginning on the date as of which the additional expense allowance was determined.

Regulation .07 Nonforfeiture Values for Fixed Premium Universal Life Insurance Policies.Copy Citation

A.
For fixed premium universal life insurance policies, the minimum cash surrender values shall be determined separately for the basic policy and any benefits and riders for which premiums are paid separately.
B.
The requirements in this regulation pertain to a basic policy and to any benefits and riders for which premiums are not paid separately.
C.
The minimum cash surrender value, before adjustment for indebtedness and dividend credits, available on a date as of which interest is credited to the policy shall be equal to [(A)-(B)-(C)-(D)], where:
(1)
The quantity(a) is the present value of all future guaranteed benefits;
(2)
The quantity (B) is the present value of future adjusted premiums;
(3)
The quantity (C) is the present value of any quantities analogous to the nonforfeiture net level premium which arise because of guarantees declared by the insurer after the issue date of the policy; and
(4)
The quantity (D) is the sum of any quantities analogous to (B), as described in §C(2) of this regulation, which arise because of structural changes in the policy.
D.
The adjusted premiums described in §C(2) of this regulation are calculated as described in Insurance Article, §16-309(b)(2), Annotated Code of Maryland.
E.
The nonforfeiture net level premium is equal to the quantity PVFB/äx where:
(1)
PVFB is the present value of all benefits guaranteed at issue assuming future premiums are paid by the policyowner and all guarantees are contained in the policy or declared by the insurer; and
(2)
The quantity äx is the present value of an annuity of one per year payable on policy anniversaries beginning at age x and continuing until the highest attained age at which a premium may be paid under the policy.
F.
The quantity äx shall be replaced by an annuity beginning on the date as of which the declaration described in §C(3) of this regulation became effective and payable until the end of the period covered by the declaration.
G.
Future guaranteed benefits are determined by:
(1)
Projecting the policy value, taking into account future premiums, if any, using all guarantees of interest, mortality, or expense deductions, contained in the policy or declared by the insurer; and
(2)
Taking into account any benefits guaranteed in the policy or by declaration which do not depend on the policy value.
H.
All present values shall be determined using:
(1)
An interest rate, or rates, specified by Insurance Article, §16-309(j), Annotated Code of Maryland, for policies issued in the same year; and
(2)
The mortality rates specified by Insurance Article, §16-309(i)(3) and (5), Annotated Code of Maryland, for policies issued in the same year or contained in such other table as may be approved by the Commissioner for this purpose.

Regulation .08 Minimum Paid-Up Nonforfeiture Benefits.Copy Citation

A.
If a universal life insurance policy provides for the optional election of a paid-up nonforfeiture benefit, it shall be such that its present value shall be at least equal to the cash surrender value provided for by the policy on the effective date of the election.
B.
The present value in §A of this regulation shall be based on mortality and interest standards at least as favorable to the policyowner as:
(1)
In the case of a flexible premium universal life insurance policy, the mortality and interest basis guaranteed in the policy for determining the policy value; or
(2)
In the case of a fixed premium policy the mortality and interest standards permitted for paid-up nonforfeiture benefits by Insurance Article, §§16-306 and 16-309(i), Annotated Code of Maryland.
C.
In lieu of the paid-up nonforfeiture benefit described in §§A and B of this regulation, the insurer may substitute, upon proper request not later than 60 days after the due date of the premium in default, an actuarially equivalent alternative paid-up nonforfeiture benefit which provides a greater amount or longer period of death benefits, or, if applicable, a greater amount or earlier payment of endowment benefits.

Regulation .09 Mandatory Policy Provisions.Copy Citation

A.
In addition to the applicable provisions of Insurance Article, Title 16, Annotated Code of Maryland, each universal life insurance policy shall include the provisions described in §§B-H of this regulation.
B.
Periodic Disclosure to Policyowner.
(1)
The policy shall provide that the policyowner will be sent, without charge, at least annually, a report that satisfies the requirements of Regulation .11 of this chapter, which will serve to keep the policyowner advised as to the status of the policy.
(2)
The end of the current report period shall be not more than 3 months before the date of the mailing of the report.
C.
Policy Guarantees.
(1)
The policy shall provide guarantees of minimum interest credits and maximum mortality and expense charges.
(2)
All values and data shown in the policy shall be based on guarantees.
D.
Calculation of Cash Surrender Values.
(1)
The policy shall contain at least a general description of the calculation of cash surrender values including the following information:
(a)
The guaranteed maximum expense charges and loads;
(b)
Any limitation on the crediting of additional interest;
(c)
The guaranteed minimum rate or rates of interest;
(d)
The guaranteed maximum mortality charges;
(e)
Any other guaranteed charges; and
(f)
Any surrender or partial withdrawal charges.
(2)
The interest credits in §D(1)(b) of this regulation may not remain conditional for a period longer than 24 months.
E.
Changes in Basic Coverage.
(1)
If the policyowner has the right to change the basic coverage, any limitation on the amount or timing of the change of basic coverage shall be stated in the policy.
(2)
If the policyowner has the right to increase the basic coverage, the policy shall state whether a new period of contestability or suicide, or both, is applicable to the additional coverage.
F.
Grace Period and Lapse.
(1)
The policy shall provide for written notice to be sent to the policyowner's last known address at least 30 days before termination of coverage.
(2)
Flexible Premium Policies.
(a)
A flexible premium policy shall provide for a grace period of at least 30 days after lapse.
(b)
Unless otherwise defined in the policy, lapse shall occur on the date on which the net cash surrender value first equals zero.
G.
Misstatement of Age or Sex.
(1)
Except as stated in §G(2) of this regulation, if there is a misstatement of age or sex in the policy, the amount of the death benefit shall be that which would be purchased by the most recent mortality charge at the correct age or sex.
(2)
The commissioner may approve other methods of adjustment than those described in §G(1) of this regulation for misstatement of age which are deemed satisfactory.
H.
Maturity Date. If a policy provides for a maturity date, end date, or date after which the policy will no longer be in force, then the policy shall also contain a statement, in close proximity to that date, that it is possible that coverage may not continue to the maturity date even if scheduled premiums are paid in a timely manner, if such is the case.

Regulation .10 Disclosure Requirements.Copy Citation

Disclosure of information about the policy being applied for shall follow the standards in COMAR 31.09.09.

Regulation .11 Periodic Disclosure to Policyowner.Copy Citation

A.
Annual Report.
(1)
The policy shall provide that the policyowner will be sent, without charge, at least annually, a report which will serve to keep the policyowner advised of the status of the policy.
(2)
The end of the current report period shall be not more than 3 months before the date of the mailing of the report.
B.
The annual report required by §A of this regulation shall include the following:
(1)
The beginning and end of the current report period;
(2)
The policy value at the end of the previous report period and at the end of the current report period;
(3)
The total amounts which have been credited or debited to the policy value during the current report period, identifying each by type, such as interest, mortality, expense, and riders;
(4)
The current death benefit at the end of the current report period on each life covered by the policy;
(5)
The net cash surrender value of the policy as of the end of the current report period;
(6)
The amount of outstanding loans, if any, as of the end of the current report period;
(7)
Notice that the policyholder may request an illustration of current and future benefits and values;
(8)
For fixed premium policies:
(a)
How long the policy will continue in effect, assuming guaranteed interest, mortality and expense loads and continued scheduled premium payments; and
(b)
If, assuming guaranteed interest, mortality, and expense loads and continued scheduled premium payments, the policy's net cash surrender value is such that it would not maintain insurance in force until the end of the next reporting period, a notice to this effect; and
(9)
For flexible premium policies:
(a)
How long the policy will continue in effect, assuming guaranteed interest, mortality and expense loads, and no further premium payments; and
(b)
If, assuming guaranteed interest, mortality and expense loads, the policy's net cash surrender value will not maintain insurance in force until the end of the next reporting period unless further premium payments are made, a notice to this effect.

Regulation .12 Interest-Indexed Universal Life Insurance Policies.Copy Citation

A.
Initial Filing Requirements.
(1)
The following information shall be submitted in connection with any filing of interest-indexed universal life insurance policies:
(a)
A description of how the interest credits are determined, including:
(i)
A description of the index;
(ii)
The relationship between the value of the index and the actual interest rate to be credited;
(iii)
The frequency and timing of determining the interest rate; and
(iv)
The allocation of interest credits, if more than one rate of interest applies to different portions of the policy value;
(b)
The insurer's investment policy, which includes a description of the following:
(i)
How the insurer addressed the reinvestment risks;
(ii)
How the insurer plans to address the risk of capital loss on cash outflows;
(iii)
How the insurer plans to address the risk that appropriate investments may not be available or not available in sufficient quantities;
(iv)
How the insurer plans to address the risk that the indexed interest rate may fall below the minimum contractual interest rate guaranteed in the policy;
(v)
The amount and type of assets currently held for interest indexed policies; and
(vi)
The amount and type of assets expected to be acquired in the future;
(c)
If policies are linked to an index for a specified period less than to the maturity date of the policy, a description of the method used, or currently contemplated, to determine interest credits upon the expiration of the period;
(d)
A description of any interest guarantee in addition to or in place of the index; and
(e)
A description of any maximum premium limitations and the conditions under which they apply.
(2)
All information received under this regulation shall be treated confidentially to the extent permitted by law.
B.
Additional Filing Requirements.
(1)
Annually, each insurer shall submit a Statement of Actuarial Opinion by the insurer's actuary similar to the example contained in Regulation .13 of this chapter.
(2)
Annually, each insurer shall submit a description of the amount and type of assets currently held by the insurer with respect to its interest-indexed policies.
(3)
Change in Investment Strategy.
(a)
Before implementation, each domestic insurer shall submit a description of any material change in the insurer's investment strategy or method of determining the interest credits.
(b)
A change in investment strategy is considered to be material if it would affect the form or definition of the index, such as any change in the information supplied in §A(1) of this regulation, or if it would significantly change the amount or type of assets held for interest-indexed policies.

Regulation .13 Sample Statement of Actuarial Opinion.Copy Citation

The following form is a sample form that may be used for providing the statement of actuarial opinion as described in Regulation .12 of this chapter:
"Statement of Actuarial Opinion for Interest-Indexed Universal Life Insurance Policies
I, {insert name of actuary}, am {insert position or relationship to Insurer} for the XYZ Life Insurance Company (The Insurer) in the state of {Insert State of Domicile of Insurer}.
I am a member of the American Academy of Actuaries (or if not, state other qualifications to sign annual statement actuarial opinions).
I have examined the interest-indexed universal life insurance policies of the Insurer in force as of December 31, 20XX, encompassing _______ number of policies and $__________ of insurance in force.
I have considered the provisions of the policies. I have considered any reinsurance agreements pertaining to such policies, the characteristics of the identified assets, and the investment policy adopted by the Insurer as they affect future insurance and investment cash flows under such policies and related assets. My examination included such tests and calculations as I considered necessary to form an opinion concerning the insurance and investment cash flows arising from the policies and related assets.
I relied on the investment policy of the Insurer and on projected investment cash flows as provided by __________________________, Chief Investment Officer of the Insurer.
The tests were conducted under various assumptions as to future interest rates, and particular attention was given to those provisions and characteristics that might cause future insurance and investment cash flows to vary with changes in the level of prevailing interest rates.
In my opinion, the anticipated insurance and investment cash flows referred to above make good and sufficient provision for the contractual obligations of the Insurer under these insurance policies.
__________________________
Signature of Actuary"

Chapter 16. Accelerated Benefits

Regulation .01 Purpose.Copy Citation

The purpose of this chapter is to regulate accelerated benefit provisions in individual and group life insurance policies and to provide required standards of disclosure.

Regulation .02 Scope.Copy Citation

This chapter shall apply to all accelerated benefit provisions of individual and group life insurance policies issued or delivered in Maryland except those subject to Insurance Article, Title 18, Annotated Code of Maryland.

Regulation .03 Definitions.Copy Citation

A.
In this chapter, the following terms have the meanings indicted.
B.
Terms Defined.
(1)
“Accelerated benefits” means benefits payable under a life insurance contract that:
(a)
Are payable during the lifetime of the insured in anticipation of death or upon the occurrence of specified life-threatening or catastrophic conditions as defined by the policy or rider, to a policy owner or certificate holder;
(b)
Reduce the death benefit otherwise payable under the life insurance contract; and
(c)
Are payable upon the occurrence of a single qualifying event that results in the payment of a benefit amount fixed at the time of acceleration.
(2)
“Activities of daily living” has the meaning stated in COMAR 31.14.01.02B.
(3)
“Chronic illness” means:
(a)
The permanent inability to perform, without substantial assistance from another individual, a specified number of activities of daily living; or
(b)
Permanent severe cognitive impairment and similar forms of dementia requiring substantial supervision of the insured.
(4)
“Qualifying event” means one or more of the following:
(a)
A medical condition that would result in a drastically limited life span as specified in the contract;
(b)
A medical condition that requires extraordinary medical intervention without which the insured would die;
(c)
A medical condition that usually requires continuous confinement in an eligible institution as defined in the contract if the insured is expected to remain there for the rest of the insured’s life;
(d)
A medical condition that would, in the absence of extensive or extraordinary medical treatment, result in a drastically limited life span;
(e)
A chronic illness; or
(f)
Any other qualifying event that the Commissioner may approve.
(5)
“Terminal illness” means a medical condition that is reasonably expected to result in a drastically limited life span for the insured as specified in the contract.

Regulation .04 Type of Product.Copy Citation

A.
Accelerated benefit riders and life insurance policies with accelerated benefit provisions are primarily mortality risks rather than morbidity risks.
B.
The inclusion of terminal illness as a qualifying event shall be included in all accelerated benefit policies and riders.

Regulation .05 Assignee or Irrevocable Beneficiary.Copy Citation

Prior to the payment of the accelerated benefit, the insurer shall obtain from an assignee or irrevocable beneficiary a signed acknowledgement of concurrence for payout. If the insurer is the assignee under the policy, no acknowledgement is required.

Regulation .06 Criteria for Payment.Copy Citation

A.
Lump Sum Settlement Option.
(1)
The insurer shall include the option to take the benefit as a lump sum in the contract payment options.
(2)
The benefit may not be made available as an annuity contingent upon the life of the insured.
B.
No restrictions are permitted on the use of the proceeds.
C.
If any death benefit remains after payment of an accelerated benefit, the accidental death benefit provision, if any, in the policy or rider may not be affected by the payment of the accelerated benefit.

Regulation .07 Disclosures.Copy Citation

A.
Descriptive Title.
(1)
The insurer shall include the term “accelerated benefit” in the policy or rider’s title.
(2)
An accelerated benefit product being offered under this chapter may not be described or marketed as long-term care insurance or as providing long-term care benefits.
B.
Disclosure of Tax Consequences.
(1)
A written disclosure stating that receipt of the accelerated benefits may be taxable and assistance should be sought from a personal tax advisor shall be provided by the insurer at the time of application for the policy or rider, and at the time the accelerated benefit payment request is submitted.
(2)
The disclosure statement issued by the insurer required by §B(1) of this regulation shall be prominently displayed on the first page of the policy or rider and on the first page of any other related documents.
C.
Solicitations.
(1)
A written disclosure including, but not limited to, a brief description of the accelerated benefit and definitions of the conditions or occurrences triggering payment of the benefits shall be given to the applicant as follows:
(a)
The description shall include an explanation of any effect the payment of a benefit would have on the policy’s cash value, accumulation account, death benefit, premium, policy loans, and policy liens;
(b)
For agent solicited insurance, the agent shall provide the disclosure form to the applicant as follows:
(i)
This form shall be provided by the agent prior to or concurrently with the application; and
(ii)
The acknowledgment of the disclosure form shall be signed by the applicant and writing agent;
(c)
For solicitations by direct response, the insurer shall provide the disclosure form to the applicant at the time the policy is delivered, with a notice that a full premium refund shall be received if the policy is returned to the insurer within the free look period; and
(d)
For group insurance, the disclosure form shall be contained as part of the certificate of coverage or any other related document furnished by the insurer for the certificate holder.
(2)
If there is a premium or cost of insurance charge, the insurer shall give the applicant a generic illustration numerically demonstrating any effect of the payment of a benefit on the policy’s cash value, accumulation account, death benefit, premium, policy loans and policy liens as follows:
(a)
For agent solicited insurance, the agent shall provide the illustration to the applicant prior to or concurrently with the application; or
(b)
For solicitations by direct response, the insurer shall provide the illustration to the applicant at the time the policy is delivered.
(3)
Disclosure of Premium Charge.
(a)
The insurer with financing options other than as described in Regulation .11A(2) and (3) of this chapter shall disclose to the policy owner any premium or cost of insurance charge for the accelerated benefit. The insurer shall make a reasonable effort to assure that the certificate holder is aware of any additional premium or cost of insurance charge if the certificate holder is required to pay a charge.
(b)
The insurer shall furnish an actuarial demonstration to the Commissioner when filing the product which discloses the method the insurer used to arrive at the cost for the accelerated benefit.
(4)
Disclosure of Administrative Expense Charge.
(a)
The insurer shall disclose to the policy owner any administrative expense charge provided in the policy. The administrative expense charge shall be disclosed in the written disclosure required by §C(1) of this regulation and in the statement required by §D(1) of this regulation.
(b)
The insurer shall make a reasonable effort to assure that the certificate holder is aware of any administrative expense charge if the certificate holder is required to pay this charge.
D.
Effect of the Benefit Payment.
(1)
When a policy owner or certificate holder requests an acceleration, the insurer shall send a statement to the policy owner or certificate holder and irrevocable beneficiary that:
(a)
Illustrates any effect that the payment of the accelerated benefit will have on the policy’s cash value, accumulation account, death benefit, premium, policy loans, and policy liens;
(b)
Discloses that receipt of accelerated benefit payments may adversely affect the recipient’s eligibility for Medicaid or other government benefits or entitlements; and
(c)
Discloses that receipt of an accelerated benefit payment may be taxable and assistance should be sought from a personal tax advisor.
(2)
When a previous disclosure statement becomes invalid as a result of an acceleration of the death benefit, the insurer shall send a revised disclosure statement to the policy owner or certificate holder and irrevocable beneficiary.
(3)
When the insurer agrees to accelerate death benefits, the insurer shall issue an amended schedule page to the policy holder or notify the certificate holder under a group policy to reflect any new, reduced in-force face amount of the contract.

Regulation .08 Effective Date of the Accelerated Benefits.Copy Citation

A.
The accelerated benefit provision shall be effective for accidents on the effective date of the policy or rider.
B.
The accelerated benefit provision shall be effective for illness no more than 30 days following the effective date of the policy or rider.

Regulation .09 Waiver of Premiums.Copy Citation

A.
The insurer may offer a waiver of premium for the accelerated benefit provision in the absence of a waiver of premium provision for the policy being in effect.
B.
At the time the benefit is claimed, the insurer shall explain to the policy holder or certificate holder any continuing premium requirements to keep the policy in force.

Regulation .10 Discrimination.Copy Citation

An insurer may not:
A.
Unfairly discriminate among insureds with differing qualifying events covered under the policy or among insureds with similar qualifying events covered under the policy;
B.
Apply further conditions on the payment of the accelerated benefits other than those conditions specified in the policy or rider.

Regulation .11 Actuarial Standards.Copy Citation

A.
Financing Options.
(1)
The insurer may require a premium charge or cost of insurance charge for the accelerated benefit as follows:
(a)
The insurer shall base the charge on sound actuarial principles; and
(b)
For group insurance, the insurer may reflect the additional cost in experience rating.
(2)
The insurer may pay a present value of the face amount as follows:
(a)
The present value calculation shall be based on any applicable actuarial discount appropriate to the policy design;
(b)
The interest rate or interest rate methodology used in the calculation shall be based on sound actuarial principles;
(c)
The insurer shall disclose the interest rate or interest rate methodology in the contract or actuarial memorandum; and
(d)
The maximum interest rate used shall be no more than the greater of:
(i)
The current yield on 90-day Treasury bills; or
(ii)
The current maximum adjustable policy loan interest rate as set forth in accordance with Insurance Article, §16-208, Annotated Code of Maryland.
(3)
The insurer may accrue an interest charge on the amount of the accelerated benefits as follows:
(a)
The interest rate or interest rate methodology used in the calculation shall be based on sound actuarial principles;
(b)
The insurer shall disclose the interest rate or interest rate methodology in the contract or actuarial memorandum;
(c)
The maximum interest rate used shall be no more than the greater of:
(i)
The current yield on 90-day Treasury bills; or
(ii)
The current maximum adjustable policy loan interest rate as set forth in accordance with Insurance Article, §16-208, Annotated Code of Maryland; and
(d)
The interest rate accrued on the portion of the lien that is equal in amount to the cash value of the contract at the time of the benefit acceleration shall be no more than the policy loan interest rate stated in the contract.
B.
Effect on Cash Value.
(1)
Except as provided in §B(2) of this regulation, when an accelerated benefit is payable, there may be no more than a pro rata reduction in the cash value based on the percentage of death benefits accelerated to produce the accelerated benefit payment; or
(2)
The payment of accelerated benefits, any administrative expense charges, any future premiums and any accrued interest may be considered a lien against the death benefit of the policy or rider and the access to the cash value may be:
(a)
Restricted to any excess of the cash value over the sum of any other outstanding loans and the lien; and
(b)
Future access to additional policy loans may be limited to any excess of the cash value over the sum of the lien and any other outstanding policy loans.
C.
Effect of Any Outstanding Policy Loans on Accelerated Death Benefit Payment. When payment of an accelerated benefit results in a pro rata reduction in the cash value, the payment may not be applied toward repaying an amount greater than a pro rata portion of any outstanding policy loans.

Regulation .12 Actuarial Disclosure and Reserves.Copy Citation

A.
Actuarial Memorandum.
(1)
A qualified actuary shall describe the accelerated benefits, the risks, the expected costs, and the calculation of statutory reserves in an actuarial memorandum accompanying each filing.
(2)
The insurer shall maintain in its files descriptions of the bases and procedures used to calculate benefits payable under this chapter. The descriptions shall be made available for examination by the Commissioner upon request.
B.
Reserves.
(1)
When benefits are provided through the acceleration of benefits under a group or individual life policy or a rider to such policies, an actuary shall determine policy reserves in accordance with the Standard Valuation Law referenced in Insurance Article, §§5-301—5-317, Annotated Code of Maryland.
(2)
A member in good standing of the American Academy of Actuaries shall determine all valuation assumptions used in constructing the reserves as appropriate for statutory valuation purposes.
(3)
Mortality tables and interest currently recognized for life insurance reserves by the National Association of Insurance Commissioners may be used by the actuary as appropriate assumptions for other provisions incorporated in the policy form.
(4)
The actuary shall follow both actuarial standards and certification for good and sufficient reserves.
(5)
Reserves in the aggregate shall be sufficient to cover:
(a)
Policies upon which no claim has yet arisen; and
(b)
Policies upon which an accelerated claim has arisen.
(6)
The actuary is not required to establish additional reserves for policies and certificates that provide actuarially equivalent benefits.
(7)
The insurer shall include policy liens and policy loans, including accrued interest, as assets of the company for reporting purposes as stated in Insurance Article, §5-101(3)—(7), Annotated Code of Maryland.
(8)
For a policy on which the policy lien exceeds the policy’s statutory reserve liability, the insurer shall hold the excess as a non-admitted asset.