Relates to replacement of individual life insurance policies or annuity contracts; amends provisions relating to misrepresentations and misleading statements; requires replacement regulations be consistent with policies of the national association of insurance commissioners.
STATE OF NEW YORK
________________________________________________________________________
702
2015-2016 Regular Sessions
IN ASSEMBLY
January 7, 2015
___________
Introduced by M. of A. STECK -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to the replacement of
individual life insurance policies or individual annuity contracts of
any insurer
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The section heading and subsections (a), (b) and (c) of
2 section 2123 of the insurance law, subsection (a) as amended by section
3 37-a of part D of chapter 56 of the laws of 2013, subsections (b) and
4 (c) as amended by chapter 540 of the laws of 1996, are amended to read
5 as follows:
6 Misrepresentations[,] and misleading statements [and incomplete
7 comparisons].
8 (a) (1) No agent or representative of any insurer or health mainte-
9 nance organization authorized to transact life, accident or health
10 insurance or health maintenance organization business in this state,
11 insurance broker, person who has received a grant from and has been
12 certified by the health benefit exchange established pursuant to section
13 1311 of the Affordable Care Act, 42 U.S.C. § 18031, to act as a naviga-
14 tor, including any person employed by a certified navigator, or other
15 person, firm, association or corporation, shall issue or circulate or
16 cause or permit to be issued or circulated, any illustration, circular,
17 statement or memorandum misrepresenting the terms, benefits or advan-
18 tages of any policy or contract of life, accident or health insurance,
19 any annuity contract or any health maintenance organization contract,
20 delivered or issued for delivery or to be delivered or issued for deliv-
21 ery, in this state, or shall make any misleading estimate as to the
22 dividends or share of surplus or additional amounts to be received in
23 the future on such policy or contract, or shall make any false or
24 misleading statement as to the dividends or share of surplus or addi-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD04401-01-5
A. 702 2
1 tional amounts previously paid by any such insurer or health maintenance
2 organization on similar policies or contracts, or shall make any
3 misleading representation, or any misrepresentation, as to the financial
4 condition of any such insurer or health maintenance organization, or as
5 to the legal reserve system upon which such insurer or health mainte-
6 nance organization operates.
7 (2) No such person, firm, association or corporation shall make to any
8 person or persons any incomplete [comparison] or misleading represen-
9 tation of any such policies or contracts of any insurer, insurers, or
10 health maintenance organization, for the purpose of inducing, or tending
11 to induce, such person or persons to lapse, forfeit or surrender any
12 insurance policy or health maintenance organization contract.
13 (3) Any replacement of individual life insurance policies or individ-
14 ual annuity contracts of an insurer by an agent, representative of the
15 same or different insurer or broker shall conform to standards promul-
16 gated by regulation by the superintendent. Such regulation shall be
17 consistent, to the greatest extent practicable and in the public inter-
18 est, with the replacements regulation adopted by the national associ-
19 ation of insurance commissioners, as amended from time to time, and
20 shall also:
21 (A) specify what constitutes the replacement of a life insurance poli-
22 cy or annuity contract and the proper disclosure and notification proce-
23 dures to replace a policy or contract;
24 (B) require notification of the proposed replacement to the insurer
25 whose policies or contracts are intended to be replaced; and
26 (C) [require the timely exchange of illustrative and cost information
27 required by section three thousand two hundred nine of this chapter and
28 necessary for completion of a comparison of the proposed and replaced
29 coverage; and
30 (D)] provide for a sixty-day period following issuance of the replace-
31 ment policies or contracts during which the policy or contract owner may
32 return the policies or contracts and reinstate the replaced policies or
33 contracts.
34 (b) [Any comparison of the policies or contracts of any such insurer,
35 insurers or health maintenance organization shall be deemed to be an
36 incomplete comparison if it does not conform to all the requirements for
37 comparisons established by regulation.
38 (c)] In the determination, judicial or otherwise, of the incomplete-
39 ness or misleading character of any such [comparison] representation, it
40 shall not be presumed that the insured knew or knows of any of the
41 provisions, terms or benefits contained in any insurance policy or
42 health maintenance organization contract.
43 § 2. The section heading and subsections (a), (b) and (c) of section
44 4226 of the insurance law, paragraph 6 of subsection (a) as added by
45 chapter 616 of the laws of 1997, are amended to read as follows:
46 Misrepresentations[,] and misleading statements [and incomplete
47 comparisons] by insurers. (a) No insurer authorized to do in this state
48 the business of life, or accident and health insurance, or to make annu-
49 ity contracts shall:
50 (1) issue or circulate, or cause or permit to be issued or circulated
51 on its behalf, any illustration, circular, statement or memorandum
52 misrepresenting the terms, benefits or advantages of any of its policies
53 or contracts;
54 (2) make any estimate of the dividends or share of surplus or addi-
55 tional amounts to be received on such policies or contracts;
A. 702 3
1 (3) make any false or misleading statement of the dividends or share
2 of surplus or additional amounts paid by any such insurer on similar
3 policies or contracts;
4 (4) make any misleading representation, or any misrepresentation of
5 the financial condition of any such insurer or of the legal reserve
6 system upon which it operates; [or]
7 (5) make or deliver to any person or persons any incomplete [compar-
8 ison of] or misleading representation regarding any such policies or
9 contracts for the purpose of inducing, or tending to induce, such person
10 or persons to lapse, forfeit or surrender any insurance policy or
11 contract[.]; or
12 (6) replace the individual life insurance policies or individual annu-
13 ity contracts of an insurer by the same or different insurer without
14 conforming to the standards promulgated by regulation by the superinten-
15 dent. Such regulation shall be consistent, to the greatest extent prac-
16 ticable and in the public interest, with the replacements regulation
17 adopted by the national association of insurance commissioners, as
18 amended from time to time, and shall also:
19 (A) specify what constitutes the replacement of a life insurance poli-
20 cy or annuity contract and the proper disclosure and notification proce-
21 dures to replace a policy or contract;
22 (B) require notification of the proposed replacement to the insurer
23 whose policies or contracts are intended to be replaced; and
24 (C) [require the timely exchange of illustrative and cost information
25 required by section three thousand two hundred nine of this chapter and
26 necessary for completion of a comparison of the proposed and replaced
27 coverage; and
28 (D)] provide for a sixty-day period following issuance of the replace-
29 ment policies or contracts during which the policy or contract owner may
30 return the policies or contracts and reinstate the replaced policies or
31 contracts.
32 (b) [Any comparison of the policies or contracts of any such insurer
33 or insurers shall be deemed to be an incomplete comparison if it does
34 not conform to all the requirements for comparisons established by the
35 superintendent by regulation.
36 (c)] In any determination, judicial or otherwise, of the incomplete-
37 ness or misleading character of any such [comparison or of] represen-
38 tation, it shall not be presumed that the insured knew or knows of any
39 of the provisions or benefits contained in any insurance policy or
40 contract.
41 § 3. This act shall take effect on the one hundred eightieth day after
42 it shall have become a law.
