Senate Bill sb2442c2

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    Florida Senate - 2004                    CS for CS for SB 2442

    By the Committees on Finance and Taxation; Banking and
    Insurance; and Senators Margolis and Diaz de la Portilla




    314-2679-04

  1                      A bill to be entitled

  2         An act relating to life insurance and annuity

  3         contracts; amending s. 624.402, F.S.; providing

  4         that a certificate of authority is not required

  5         for certain life insurance policies or annuity

  6         contracts issued by an insurer domiciled

  7         outside the United States and covering only

  8         persons who are not residents of the United

  9         States; requiring that the Office of Insurance

10         Regulation determine that the insurer meets

11         certain requirements; requiring the insurer to

12         disclose certain information; providing for the

13         office to determine when the insurer is no

14         longer eligible for the exemption; providing an

15         exemption from certain taxes; providing for

16         disclosure; requiring that designated insurance

17         policies and annuity contracts be subject to

18         the provisions of ch. 896, F.S.; amending s.

19         627.404, F.S.; defining the term "charitable

20         organization" for purposes of determining

21         entities that are eligible to purchase life

22         insurance on an insured; creating s. 627.4554,

23         F.S.; providing a purpose; providing

24         application; providing definitions; specifying

25         duties of insurers and insurance agents

26         relating to making annuity investment

27         recommendations to senior consumers; providing

28         requirements; limiting responsibility of

29         insurers or insurance agents under certain

30         circumstances; requiring a system of compliance

31         and supervision; providing for enforcement by

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 1         the Office of Insurance Regulation and the

 2         Department of Financial Services; authorizing

 3         the office and the department to issue orders

 4         to mitigate certain responsibilities of

 5         insurers or insurance agents; providing for

 6         reduction or elimination of certain penalties

 7         under certain circumstances; providing

 8         recordkeeping requirements; providing an

 9         exemption from application for variable

10         annuities; providing effective dates.

11  

12  Be It Enacted by the Legislature of the State of Florida:

13  

14         Section 1.  Subsection (8) is added to section 624.402,

15  Florida Statutes, to read:

16         624.402  Exceptions, certificate of authority

17  required.--A certificate of authority shall not be required of

18  an insurer with respect to:

19         (8)(a)  Life insurance policies or annuity contracts

20  issued by an insurer domiciled outside the United States

21  covering only persons who are not residents of the United

22  States at the time of issuance, if the insurer meets the

23  following requirements:

24         1.  The insurer must be currently an authorized insurer

25  in its country of domicile as to the kind or kinds of

26  insurance proposed to be offered and must have been such an

27  insurer for not less than the 3 years next preceding, must be

28  the wholly owned subsidiary of such authorized insurer, or

29  must be the wholly owned subsidiary of an already eligible

30  authorized insurer as to the kind or kinds of insurance

31  proposed for a period of not less than the 3 years next

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 1  preceding. However, the office may waive the 3-year

 2  requirement if the insurer has operated successfully for a

 3  period of at least 1 year next preceding and has capital and

 4  surplus of not less than $25 million;

 5         2.  The requesting insurer must furnish the office a

 6  duly authenticated copy of its current annual financial

 7  statement in the English language, with all monetary values

 8  therein expressed in United States dollars, at an exchange

 9  rate, in the case of statements originally made in the

10  currencies of other countries, then-current and shown in the

11  statement, and with such additional information relative to

12  the insurer as the office requests;

13         3.  The insurer must have and maintain surplus as to

14  policyholders of not less than $15 million. Any such surplus

15  as to policyholders shall be represented by investments

16  consisting of eligible investments for like funds of like

17  domestic insurers under part II of chapter 625; however, any

18  such surplus as to policyholders may be represented by

19  investments permitted by the domestic regulator of such alien

20  insurance company if such investments are substantially

21  similar in terms of quality, liquidity, and security to

22  eligible investments for like funds of like domestic insurers

23  under part II of chapter 625;

24         4.  The insurer must be of good reputation as to the

25  providing of service to its policyholders and the payment of

26  losses and claims;

27         5.  To maintain eligibility, the insurer must furnish

28  the office within the time period specified in s.

29  624.424(1)(a) a duly authenticated copy of its current annual

30  and quarterly financial statements in the English language,

31  with all monetary values therein expressed in United States

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 1  dollars, at an exchange rate, in the case of statements

 2  originally made in the currencies of other countries,

 3  then-current and shown in the statement, and with such

 4  additional information relative to the insurer as the office

 5  requests;

 6         6.  The insurer must agree to make its books and

 7  records pertaining to its operations from Florida available

 8  for inspection during normal business hours upon request of

 9  the office; and

10         7.  The insurer must provide to the applicant for the

11  policy or contract a copy of the most recent quarterly

12  financial statements of the insurer, in clear and conspicuous

13  language:

14         a.  The date of organization of the insurer;

15         b.  The identity of and rating assigned by each

16  recognized insurance company rating organization that has

17  rated the insurer or, if applicable, that the insurer is

18  unrated;

19         c.  That the insurer does not hold a certificate of

20  authority issued in Florida and that the Office of Insurance

21  Regulation does not exercise regulatory oversight over the

22  insurer; and

23         d.  The identity and address of the regulatory

24  authority exercising oversight of the insurer.

25  

26  This paragraph shall not be deemed to cast upon the office any

27  duty or responsibility to determine the actual financial

28  condition or claims practices of any unauthorized insurer and

29  the status of eligibility, if granted by the office, shall

30  indicate only that the insurer appears to be sound financially

31  

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 1  and to have satisfactory claims practices and that the office

 2  has no credible evidence to the contrary.

 3         (b)  If at any time the office has reason to believe

 4  that an insurer issuing policies or contracts pursuant to this

 5  subsection is insolvent or in unsound financial condition,

 6  does not make reasonable prompt payment of benefits, or is no

 7  longer eligible under the conditions specified in this

 8  subsection, it shall withdraw the eligibility of the insurer

 9  to issue policies or contracts pursuant to this subsection

10  without having a certificate of authority issued by the

11  office.

12         (c)  This subsection does not provide an exception to

13  the agent licensure requirements of chapter 626. Any insurer

14  issuing policies or contracts pursuant to this subsection

15  shall appoint the agents that it uses to sell such policies or

16  contracts, as provided in chapter 626.

17         (d)  An insurer issuing policies or contracts pursuant

18  to this subsection is subject to part IX of chapter 626,

19  Unfair Insurance Trade Practices, and the office may take such

20  actions against the insurer for a violation as are provided in

21  that part.

22         (e)  Policies and contracts issued pursuant to this

23  subsection are not subject to the premium tax specified in s.

24  624.509.

25         (f)  Applications for life insurance coverage offered

26  under this subsection must contain, in contrasting color and

27  not less than 12-point type, the following statement on the

28  same page as the applicant's signature:

29  

30         "This policy is primarily governed by the laws

31         of a foreign country. As a result, all of the

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 1         rating and underwriting laws applicable to

 2         policies filed in this state do not apply to

 3         this coverage, which may result in your

 4         premiums being higher than would be permissible

 5         under a Florida-approved policy. Any purchase

 6         of individual life insurance should be

 7         considered carefully, as future medical

 8         conditions may make it impossible to qualify

 9         for another individual life policy. If the

10         insurer issuing your policy becomes insolvent,

11         this policy is not covered by the Florida Life

12         and Health Insurance Guaranty Association. For

13         information concerning individual life coverage

14         under a Florida-approved policy, consult your

15         agent or the Florida Department of Financial

16         Services."

17  

18         (g)  All life insurance policies and annuity contracts

19  issued pursuant to this subsection must contain on the first

20  page of the policy or contract, in contrasting color and not

21  less than 10-point type, the following statement:

22  

23         "The benefits of the policy providing your

24         coverage are governed primarily by the law of a

25         country other than the United States."

26  

27         (h)  All single premium life insurance policies and

28  single premium annuity contracts issued to persons who are not

29  residents of the United States pursuant to this subsection are

30  subject to the provisions of chapter 896.

31  

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 1         Section 2.  Subsection (2) of section 627.404, Florida

 2  Statutes, is amended to read:

 3         627.404  Insurable interest; personal insurance.--

 4         (2)  A charitable organization that meets the

 5  requirements of s. 501(c)(3) of the Internal Revenue Code of

 6  1986, as amended, may own or purchase life insurance on an

 7  insured who consents to the ownership or purchase of that

 8  insurance. For purposes of this subsection, the term

 9  "charitable organization" means:

10         (a)  Any organization that meets the requirements of s.

11  501(c)(3) of the Internal Revenue Code of 1986, as amended;

12         (b)  Any organization to which a charitable

13  contribution could be made under s. 170(c)(1), s. 170(c)(2),

14  or s. 170(c)(3) of the Internal Revenue Code of 1986, as

15  amended; or

16         (c)  Any trust, partnership, limited liability company,

17  or similar entity that is approved in writing by an

18  organization described in paragraph (a) or paragraph (b) to

19  procure or cause to be procured the combination of a life

20  insurance policy and annuity contract on the life of an

21  individual insured. Before an entity described in this

22  paragraph can qualify as a "charitable organization" for

23  purposes of this subsection, either:

24         1.  The individual insured must be an "accredited

25  investor" as defined in s. 230.501(a) in Rule 501 Reg D of the

26  Securities Act Rules; or

27         2.  The approving organization described in paragraph

28  (a) or paragraph (b) must have total assets in excess of $5

29  million at the time the application for the life insurance

30  policy and annuity contract is made.

31  

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 1  Except in the case of a material default or insolvency of

 2  either the life insurer or annuity company or a

 3  misrepresentation of the individual insured on the application

 4  for either the life insurance policy or annuity contract

 5  providing grounds for a contest by the life insurer or annuity

 6  company, the life insurance policy procured or caused to be

 7  procured by an entity described in paragraph (c) may not be

 8  assigned or transferred by such entity. Such charitable

 9  organization has an insurable interest in the life of the

10  insured whether the charitable organization originally

11  purchased the insurance or the insurance is later transferred

12  to the charitable organization by the insured.

13         Section 3.  Section 627.4554, Florida Statutes, is

14  created to read:

15         627.4554  Annuity investments by seniors.--

16         (1)  PURPOSE; CONSTRUCTION.--

17         (a)  The purpose of this section is to set forth

18  standards and procedures for recommendations to senior

19  consumers which result in a transaction involving annuity

20  products to appropriately address the insurance needs and

21  financial objectives of senior consumers at the time of the

22  transaction.

23         (b)  Nothing in this section shall be construed to

24  create or imply a private cause of action for a violation of

25  this section.

26         (2)  APPLICATION.--This section applies to any

27  recommendation to purchase or exchange an annuity made to a

28  senior consumer by an insurance agent, or an insurer where no

29  agent is involved, that results in the purchase or exchange

30  recommended.

31         (3)  DEFINITIONS.--For purposes of this section:

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 1         (a)  "Annuity" means a fixed annuity or variable

 2  annuity that is individually solicited, whether the product is

 3  classified as an individual annuity or a group annuity.

 4         (b)  "Recommendation" means advice provided by an

 5  insurance agent, or an insurer if no insurance agent is

 6  involved, to an individual senior consumer which results in a

 7  purchase or exchange of an annuity in accordance with that

 8  advice.

 9         (c)  "Senior consumer" means a person 65 years of age

10  or older. In the event of a joint purchase by more than one

11  party, a purchaser is considered to be a senior consumer if

12  any of the parties is age 65 or older.

13         (4)  DUTIES OF INSURERS AND INSURANCE AGENTS.--

14         (a)  In recommending to a senior consumer the purchase

15  of an annuity or the exchange of an annuity that results in

16  another insurance transaction or series of insurance

17  transactions, an insurance agent, or an insurer if no

18  insurance agent is involved, shall have reasonable grounds for

19  believing that the recommendation is suitable for the senior

20  consumer on the basis of the facts disclosed by the senior

21  consumer as to his or her investments and other insurance

22  products and as to his or her financial situation and needs.

23         (b)  Before executing a purchase or exchange of an

24  annuity resulting from a recommendation to a senior consumer,

25  an insurance agent, or an insurer if no insurance agent is

26  involved, shall make reasonable efforts to obtain information

27  concerning the senior consumer's financial status, tax status,

28  and investment objectives and such other information used or

29  considered to be reasonable by the insurance agent, or the

30  insurer if no agent is involved, in making the recommendation.

31  

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 1         (c)1.  Except as provided under subparagraph 2., an

 2  insurance agent, or an insurer if no insurance agent is

 3  involved, shall not have any obligation to a senior consumer

 4  under paragraph (a) related to any recommendation if the

 5  senior consumer:

 6         a.  Refuses to provide relevant information requested

 7  by the insurer or insurance agent;

 8         b.  Decides to enter into an insurance transaction that

 9  is not based on a recommendation of the insurer or insurance

10  agent; or

11         c.  Fails to provide complete or accurate information.

12         2.  An insurer or insurance agent's recommendation

13  subject to subparagraph 1. shall be reasonable under all the

14  circumstances actually known to the insurer or insurance agent

15  at the time of the recommendation.

16         (d)1.  An insurer or insurance agent shall ensure that

17  a system to supervise recommendations which is reasonably

18  designed to achieve compliance with this section is

19  established and maintained by complying with subparagraphs 3.,

20  4., and 5., or shall establish and maintain such a system,

21  including, but not limited to:

22         a.  Maintaining written procedures.

23         b.  Conducting periodic reviews of its records that are

24  reasonably designed to assist in detecting and preventing

25  violations of this section.

26         2.  A managing general agent and an insurance agency

27  shall adopt a system established by an insurer to supervise

28  recommendations of its insurance agents which is reasonably

29  designed to achieve compliance with this section or shall

30  establish and maintain such a system, including, but not

31  limited to:

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 1         a.  Maintaining written procedures.

 2         b.  Conducting periodic reviews of records that are

 3  reasonably designed to assist in detecting and preventing

 4  violations of this section.

 5         3.  An insurer may contract with a third party,

 6  including a managing general agent or an insurance agency, to

 7  establish and maintain a system of supervision as required by

 8  subparagraph 1. with respect to insurance agents under

 9  contract with or employed by the third party.

10         4.  An insurer shall make reasonable inquiry to ensure

11  that such third party contracting under subparagraph 3. is

12  performing the functions required under subparagraph 1. and

13  shall take such action as is reasonable under the

14  circumstances to enforce the contractual obligation to perform

15  the functions. An insurer may comply with its obligation to

16  make reasonable inquiry by:

17         a.  Annually obtaining a certification from a third

18  party senior manager who has responsibility for the delegated

19  functions that the manager has a reasonable basis to

20  represent, and does represent, that the third party is

21  performing the required functions.

22         b.  Based on reasonable selection criteria,

23  periodically selecting third parties contracting under

24  subparagraph 3. for a review to determine whether the third

25  parties are performing the required functions. The insurer

26  shall perform any procedures necessary to conduct the review

27  which are reasonable under the circumstances.

28         5.  An insurer that contracts with a third party

29  pursuant to subparagraph 3. and complies with the requirements

30  specified in subparagraph 4. is deemed to have fulfilled its

31  responsibilities under subparagraph 1.

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 1         6.  An insurer, managing general agent, or insurance

 2  agency is not required by subparagraph 1. or subparagraph 2.

 3  to:

 4         a.  Review or provide for review of all transactions

 5  solicited by an insurance agent; or

 6         b.  Include in its system of supervision an insurance

 7  agent's recommendations to senior consumers of products other

 8  than the annuities offered by the insurer, managing general

 9  agent, or insurance agency.

10         7.  A managing general agent or insurance agency

11  contracting with an insurer pursuant to subparagraph 3. shall

12  promptly, when requested by the insurer pursuant to

13  subparagraph 4., provide a certification as described in

14  subparagraph 4. or provide a clear statement that the managing

15  general agent or insurance agency is unable to meet the

16  certification criteria.

17         8.  A person may not provide a certification under

18  sub-subparagraph 4.a. unless the person is a senior manager

19  with responsibility for the delegated functions and has a

20  reasonable basis for making the certification.

21         (5)  MITIGATION OF RESPONSIBILITY.--

22         (a)  The office may order an insurer to take reasonably

23  appropriate corrective action for any senior consumer harmed

24  by a violation of this section by the insurer or the insurer's

25  insurance agent.

26         (b)  The department may order:

27         1.  An insurance agent to take reasonably appropriate

28  corrective action for any senior consumer harmed by a

29  violation of this section by the insurance agent.

30         2.  A managing general agency or insurance agency that

31  employs or contracts with an insurance agent to sell or

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 1  solicit the sale of annuities to senior consumers to take

 2  reasonably appropriate corrective action for any senior

 3  consumer harmed by a violation of this section by the

 4  insurance agent.

 5         (c)  Any applicable penalty under the Florida Insurance

 6  Code for a violation of paragraph (4)(a), paragraph (4)(b), or

 7  subparagraph (4)(c)2. may be reduced or eliminated, according

 8  to a schedule adopted by the office or the department, as

 9  appropriate, if corrective action for the senior consumer was

10  taken promptly after a violation was discovered.

11         (6)  RECORDKEEPING.--

12         (a)  Insurers, managing general agents, insurance

13  agencies, and insurance agents shall maintain or be able to

14  make available to the department or office, as appropriate,

15  records of the information collected from the senior consumer

16  and other information used in making the recommendations that

17  were the basis for insurance transactions for 5 years after

18  the insurance transaction is completed by the insurer. An

19  insurer is permitted, but shall not be required, to maintain

20  documentation on behalf of an insurance agent.

21         (b)  Records required to be maintained by this

22  regulation may be maintained in paper, photographic,

23  microprocess, magnetic, mechanical, or electronic media, or by

24  any process that accurately reproduces the actual document.

25         (7)  EXEMPTIONS.--Unless otherwise specifically

26  included, this section does not apply to recommendations

27  involving:

28         (a)  Direct-response solicitations where there is no

29  recommendation based on information collected from the senior

30  consumer pursuant to this section.

31         (b)  Contracts used to fund:

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 1         1.  An employee pension or welfare benefit plan that is

 2  covered by the Employee Retirement and Income Security Act;

 3         2.  A plan described by Sections 401(a), 401(k),

 4  403(b), 408(k), or 408(p) of the Internal Revenue Code of

 5  1986, as amended, if established or maintained by an employer;

 6         3.  A government or church plan defined in Section 414

 7  of the Internal Revenue Code of 1986, as amended, a government

 8  or church welfare benefit plan, or a deferred compensation

 9  plan of a state or local government or tax-exempt organization

10  under Section 457 of the Internal Revenue Code of 1986, as

11  amended;

12         4.  A nonqualified deferred compensation arrangement

13  established or maintained by an employer or plan sponsor;

14         5.  Settlements of or assumptions of liabilities

15  associated with personal injury litigation or any dispute or

16  claim resolution process; or

17         6.  Prepaid funeral contracts.

18         (8)  APPLICATION TO VARIABLE ANNUITIES.--Compliance

19  with the National Association of Securities Dealers Conduct

20  Rules in effect on January 1, 2004, shall satisfy the

21  requirements under this section for the recommendation of

22  variable annuities. This section does not limit the

23  department's ability to enforce the provisions of this section

24  with respect to insurance agents, insurance agencies, and

25  managing general agents, or the office's ability to enforce

26  the provisions of this section with respect to insurers.

27         Section 4.  Except for this section and section 2 of

28  this act, which shall take effect upon becoming a law, this

29  act shall take effect July 1, 2004.

30  

31  

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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                            CS/SB 2442

 3                                 

 4  The committee substitute also enacts legislation, based on
    model regulations adopted by the National Association of
 5  Insurance Commissioners (NAIC), which is intended to help
    protect senior consumers (age 65 or older) when they purchase
 6  or exchange annuity products. The measure is designed to
    ensure that the insurance needs and financial objectives of
 7  senior consumers are appropriately addressed by establishing
    standards and procedures for insurance agents, or insurance
 8  companies if no agent is involved, in the sale of these
    products to senior consumers.
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