TITLE 14. INSURANCE
REGISTRAR'S NOTICE: The
following changes are exempt from the Virginia Administrative Process Act
pursuant to § 2.2-4002 C of the Code of Virginia, which exempts minor
changes to regulations published in the Virginia Administrative Code under the
Virginia Register Act (§ 2.2-4100 et seq. of the Code of Virginia) made by
the Virginia Code Commission pursuant to § 30-150 of the Code of Virginia.
Titles of Regulations: 14VAC5-45. Rules Governing
Suitability in Annuity Transactions (amending 14VAC5-45-40).
14VAC5-71. Rules Governing Viatical Settlement Providers and
Viatical Settlement Brokers (amending 14VAC5-71-31).
14VAC5-80. Rules Governing Variable Life Insurance (amending 14VAC5-80-60).
14VAC5-190. Rules Governing the Reporting of Cost and Utilization
Data Relating to Mandated Benefits and Mandated Providers (amending 14VAC5-190-50).
14VAC5-321. Use of the 2001 CSO Mortality Table in
Determining Reserve Liabilities and Nonforfeiture Benefits (amending 14VAC5-321-20).
14VAC5-322. Use of the 2001 CSO Preferred Class Structure
Mortality Table in Determining Reserve Liabilities (amending 14VAC5-322-20).
14VAC5-390. Rules Governing Insurance Premium Finance
Companies (amending 14VAC5-390-70).
Statutory Authority: §§ 12.1-13 and 38.2-223 of the Code
of Virginia.
Effective Date: October 12, 2020.
Agency Contact: Katie Johnson, Insurance Policy Advisor,
Bureau of Insurance, State Corporation Commission, P.O. Box 1157, Richmond, VA
23218, telephone (804) 371-9688, FAX (804) 371-9873, or email katie.johnson@scc.virginia.gov.
Summary:
The amendments update (i) obsolete links to forms and
websites, (ii) citations to the Code of Virginia due to the recodification of
Title 55 to Title 55.1, and (iii) citations to a repealed Virginia
Administrative Code (VAC) chapter to the current VAC chapter.
14VAC5-45-40. Duties of insurers and agents.
A. In recommending to a consumer the purchase of an annuity
or the exchange of an annuity that results in another insurance transaction or
series of insurance transactions, the agent, or the insurer where no agent is
involved, shall have reasonable grounds for believing that the recommendation
is suitable for the consumer on the basis of the facts disclosed by the
consumer as to his investments and other insurance products and as to his
financial situation and needs, including the consumer's suitability
information, and that there is a reasonable basis to believe all of the
following:
1. The consumer has been reasonably 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;
potential charges for and features of riders; limitations on interest returns;
insurance and investment components; and market risk;
2. The consumer would benefit from certain features of the
annuity, such as tax deferred growth, annuitization, or death or living
benefit;
3. The particular annuity as a whole, the underlying
subaccounts to which funds are allocated at the time of purchase or exchange of
the annuity, and riders and similar product enhancements, if any, are suitable
(and in the case of an exchange or replacement, the transaction as a whole is
suitable) for the particular consumer based on the consumer's suitability
information; and
4. In the case of an exchange or replacement of an annuity,
the exchange or replacement is suitable, including 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 consumer would benefit from product enhancements and
improvements; and
c. The consumer has had another annuity exchange or
replacement, and, in particular, an exchange or replacement within the
preceding 36 months.
B. Prior to the execution of a purchase, exchange, or
replacement of an annuity resulting from a recommendation, an agent, or insurer
where no agent is involved, shall make reasonable efforts to obtain the
consumer's suitability information.
C. Except as permitted under subsection D of this section, an
insurer shall not issue an annuity recommended to a consumer unless there is a
reasonable basis to believe the annuity is suitable based on the consumer's
suitability information.
D. 1. Except as provided in subdivision 2 of this subsection,
neither an agent, nor an insurer where no agent is involved, shall have any obligation
to a consumer under subsection A or C of this section related to any annuity
transaction if:
a. No recommendation is made;
b. A recommendation was made and was later found to have been
prepared based on materially inaccurate information provided by the consumer;
c. A consumer refuses to provide relevant suitability
information requested by the insurer or agent and the annuity transaction is
not recommended;
d. A consumer decides to enter into an annuity transaction
that is not based on a recommendation of the insurer or agent; or
e. A consumer fails to provide complete or accurate
information.
2. An insurer or agent's recommendation subject to subdivision
1 of this subsection shall be reasonable under all the circumstances actually
known to the insurer or agent at the time of the recommendation.
E. An agent, or where no agent is involved the responsible
insurer representative, shall at the time of sale:
1. Make a record of any recommendation subject to subsection A
of this section;
2. Obtain a customer signed statement, documenting a
customer's refusal to provide suitability information, if any; and
3. Obtain a customer signed statement acknowledging that an
annuity transaction is not recommended if a customer decides to enter into an
annuity transaction that is not based on the agent's or insurer's
recommendation.
F. 1. An insurer either shall assure that a system to
supervise recommendations that is reasonably designed to achieve compliance
with this chapter is established and maintained by complying with subdivisions
3 and 4 of this subsection or shall establish and maintain such a system,
including the following:
a. The insurer shall maintain reasonable procedures to inform
its agents of the requirements of this chapter and shall incorporate the
requirements of this chapter into relevant agent training manuals;
b. The insurer shall establish standards for agent product
training and shall maintain reasonable procedures to require its agents to
comply with the requirements of 14VAC5-45-45;
c. The insurer shall provide product-specific training and
training materials that explain all material features of its annuity products
to its agents;
d. The insurer shall maintain procedures for review of each
recommendation prior to issuance of an annuity that are designed to ensure that
there is a reasonable basis to determine that a recommendation is suitable.
Such review procedures may apply a screening system for the purpose of
identifying selected transactions for additional review and may be accomplished
electronically or through other means including physical review. Such an
electronic or other system may be designed to require additional review only of
those transactions identified for additional review by the selection criteria;
e. The insurer shall maintain reasonable procedures to detect
recommendations that are not suitable. This may include confirmation of
consumer suitability information, systematic customer surveys, interviews,
confirmation letters, and programs of internal monitoring. Nothing in this
subdivision prevents an insurer from complying with this subdivision by
applying sampling procedures, or by confirming suitability information after
issuance or delivery of the annuity; and
f. The insurer shall annually provide a report to senior management,
including to the senior manager responsible for audit functions, which 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.
2. An agent and independent agency either shall adopt a system
established by an insurer to supervise recommendations of its agents that is
reasonably designed to achieve compliance with this chapter or shall establish
and maintain such a system, including, but not limited to:
a. Maintaining written procedures; and
b. Conducting periodic reviews of records that are reasonably
designed to assist in detecting and preventing violations of this chapter.
3. An insurer may contract with a third party, including an
agent or independent agency, to establish and maintain a system of supervision
as required by subdivision 1 of this subsection with respect to agents under
contract with or employed by the third party.
4. An insurer shall make reasonable inquiry to assure that the
third party contracting under subdivision 3 of this subsection is performing
the functions required under subdivision 1 of this subsection and shall take
action that is reasonable under the circumstances to enforce the contractual
obligation to perform the functions. An insurer may comply with its obligation
to make reasonable inquiry by doing all of the following:
a. The insurer annually obtains a certification from a third
party senior manager who has responsibility for the delegated functions that
the manager has a reasonable basis to represent, and does represent, that the
third party is performing the required functions; and
b. The insurer, based on reasonable selection criteria,
periodically selects third parties contracting under subdivision 3 of this
subsection for a review to determine whether the third parties are performing
the required functions. The insurer shall perform those procedures to conduct
the review that are reasonable under the circumstances.
5. An insurer that contracts with a third party pursuant to
subdivision 3 of this subsection and that complies with the requirements to
supervise in subdivision 4 of this subsection shall have fulfilled its
responsibilities under subdivision 1 of this subsection.
6. An insurer, agent, or independent agency is not required by
subdivision 1 or 2 of this subsection to:
a. Review, or provide for review of, all agent-solicited
transactions; or
b. Include in its system of supervision an agent's
recommendations to consumers of products other than the annuities offered by
the insurer, agent, or independent agency.
7. An agent or independent agency contracting with an insurer
pursuant to subdivision 3 of this subsection, when requested by the insurer
pursuant to subdivision 4 of this subsection, shall promptly give a
certification as described in subdivision 4 or give a clear statement that it
is unable to meet the certification criteria.
8. No person may provide a certification under subdivision 4 a
of this subsection unless:
a. The person is a senior manager with responsibility for the
delegated functions; and
b. The person has a reasonable basis for making the
certification.
G. An agent shall not dissuade or attempt to dissuade a
consumer from:
1. Truthfully responding to an insurer's request for
confirmation of suitability information;
2. Filing a complaint; or
3. Cooperating with the investigation of a complaint.
H. Sales made in compliance with FINRA requirements
pertaining to suitability and supervision of annuity transactions shall satisfy
the requirements under this chapter:
1. This subsection applies to FINRA broker-dealer sales of
annuities if the suitability and supervision is similar to those applied to
variable annuity sales. However, nothing in this subsection shall limit the
commission's ability to enforce (including investigate) the provisions of this
chapter.
2. For subdivision 1 of this subsection to apply, an insurer
shall:
a. Monitor the FINRA member broker-dealer using information
collected in the normal course of an insurer's business; and
b. Provide to the FINRA member broker-dealer information and
reports that are reasonably appropriate to assist the FINRA member
broker-dealer to maintain its supervision system.
I. Compliance with FINRA Rule 2111 (http://finra.complinet.com/en/display/display_main.html?rbid=2403&element_id=9859)
(https://www.finra.org/rules-guidance/rulebooks/finra-rules/2111)
pertaining to suitability shall satisfy the requirements under this section for
the recommendation of variable annuities. However, nothing in this subsection
shall limit the commission's ability to enforce the provisions of this chapter.
14VAC5-71-31. License requirements for viatical settlement
providers.
A. No person shall act as a viatical settlement provider with
a resident of this Commonwealth without first obtaining a license from the
commission.
B. The license issued to a viatical settlement provider shall
allow the licensee to enter or effectuate a viatical settlement contract only
by operating within the scope of its license as a viatical settlement provider.
1. No provision of this chapter shall be deemed to authorize
any viatical settlement provider to transact any business other than that of a
viatical settlement provider. A viatical settlement provider license shall not
authorize the licensee to transact any business in this Commonwealth for which
registration, certification or a license is required under any section of the
Code of Virginia other than § 38.2-6002.
2. "Viatical settlement provider" does not include,
and licensing as a viatical settlement provider shall not be required of, the
following persons: (i) a bank, savings bank, savings and loan association,
credit union, or other licensed lending institution that takes an assignment of
a life insurance policy as collateral for a loan; (ii) the issuer of a life
insurance policy providing accelerated death benefits governed by 14VAC5-70 and
pursuant to the contract; (iii) an authorized or eligible insurer that provides
stop loss coverage to a viatical settlement provider, viatical settlement
purchaser, financing entity, special purpose entity or related provider trust;
(iv) a financing entity; (v) a natural person who enters into or effectuates no
more than one agreement in a calendar year for the transfer of life insurance
policies for any value less than the expected death benefit; (vi) a special
purpose entity; (vii) a related provider trust; (viii) a viatical settlement
purchaser; or (ix) the accredited investor, qualified institutional buyer or
qualified institutional purchaser under the Securities Act of 1933, as amended,
provided the person is acting in the capacity of a person listed above and is
neither entering into nor attempting to enter into, nor effectuating nor
attempting to effectuate a viatical settlement contract in this Commonwealth or
with any resident of this Commonwealth.
3. Except as provided in subdivision 2 (v) of this subsection,
no person listed in subdivision 2 of this subsection shall attempt to enter
into or effectuate a viatical settlement contract in this Commonwealth or with
any resident of this Commonwealth without first becoming licensed as a viatical
settlement provider in accordance with the provisions of this chapter.
Notwithstanding the foregoing and in accordance with § 38.2-6002 F of the Code
of Virginia, no licensed insurer shall be licensed as, or authorized to
transact the business of, a viatical settlement provider in this Commonwealth.
C. The licensee shall be a legal entity that enters into or
effectuates, or seeks to enter into or effectuate, a viatical settlement
contract. The license shall authorize the licensee's partners, officers,
members, and designated employees to act on behalf of the viatical settlement
provider provided such individual is named in the legal entity's application
for license or the application's supplements.
D. A license issued prior to July 1, 2004, shall expire on
June 30, 2004, unless the license is renewed in accordance with the provisions
of this section or subject to actions of termination, suspension, or revocation
prior to expiry.
E. 1. If at the time of renewal, a viatical settlement
provider has viatical settlements where an insured, who is a resident of this
Commonwealth, has not died, it shall do one of the following:
a. Renew or maintain its license until the earlier of: (i) the
date the viatical settlement provider properly assigns, sells or otherwise
transfers the viatical settlements; or (ii) the date that the last insured
covered by a viatical settlement transaction has died; or
b. Appoint, in writing, a viatical settlement provider or
viatical settlement broker that is licensed in this Commonwealth to make all
inquiries to the viator, or the viator's designee, regarding health status of
the insured or any other matters. A copy of the appointment, acknowledged by
the appointed provider or broker should be filed with the commission.
2. No viatical settlement provider shall fail to renew or seek
to otherwise terminate its license without certifying to the commission that it
has ceased doing business in this Commonwealth and is in compliance with the
requirements of subdivision 1 of this subsection. The commission may require
documentation supportive of the certification.
F. A license expiring on June 30 may be renewed effective
July 1 for a one-year period ending on June 30 of the following year if the
required renewal application and nonrefundable renewal fee have been received
and the license is not terminated, suspended, or revoked at the time of
renewal.
G. Initial and renewal applications shall be submitted to the
Bureau of Insurance in a form acceptable to the commission. Forms are available
through the website for the Bureau of Insurance, at http://www.state.va.us/scc/division/boi
https://scc.virginia.gov/pages/Company-Licensing-and-Registration-Procedures.
H. Initial applications for licenses that are to be issued on
or after July 1, 2003, shall be accompanied by a nonrefundable application fee
of $500. A licensee may request renewal by submitting a renewal application and
renewal fee of $300 on or before March 1 of the year in which the license shall
expire. A viatical settlement provider's failure to submit a renewal
application and fee within the prescribed time shall result in the imposition
of penalties or other appropriate regulatory action. Notice of the requirements
for renewal will be mailed by the Bureau of Insurance to each licensee's
mailing address as shown in the records of the Bureau of Insurance. Renewal
forms may be posted on the website for the Bureau of Insurance, at http://www.state.va.us/scc/division/boi
https://scc.virginia.gov/pages/Company-Licensing-and-Registration-Procedures.
I. Each application shall fully and clearly disclose the
identity of the applicant by complying with the provisions of this subsection.
1. An application for initial licensure shall identify all of
the applicant's affiliates, directors, partners, and officers, and also each
stockholder, member or employee having, owning or holding a 10% or greater
interest in the applicant or an affiliate of the applicant. A renewal
application shall update or confirm the accuracy of the information filed with
the initial application and any intervening renewal applications or 30-day reports
required by 14VAC5-71-70.
2. The commission may require the applicant to disclose the
identity of all stockholders, members, and employees.
3. The applicant shall name and fully identify any individual,
including any director, partner, officer, member or designated employee, that
is to be authorized to act on behalf of the applicant under the license.
4. The commission, in the exercise of its discretion, may
refuse to issue a license in the name of a legal entity if not satisfied that
all directors, officers, employees, stockholders, partners, members thereof, or
other individuals who may materially influence the applicant's conduct meet the
standards of this chapter and Chapter 60 (§ 38.2-6000 et seq.) of Title 38.2 of
the Code of Virginia.
J. Each application shall include evidence of the viatical
settlement provider's financial accountability acceptable to the commission in
accordance with the provisions of this subsection.
1. A surety bond in the amount of $100,000, in a form approved
by the commission, shall be acceptable evidence of the viatical settlement
provider's financial accountability provided (i) the surety bond is for the use
and benefit only of the Commonwealth of Virginia and any person having a cause
of action against the principal arising out of breaches of laws set forth in
this chapter or Chapter 60 (§ 38.2-6000 et seq.) of Title 38.2 of the Code of
Virginia; (ii) the surety bond is issued by an insurer licensed in this
Commonwealth to transact the business of suretyship or approved by the
commission to issue surplus lines coverage; (iii) the surety is neither
directly nor indirectly under the same ownership or management as the principal
on the bond; and (iv) termination provisions acceptable to the commission
provide that the bond and coverage thereunder shall not be terminated without
30 days' written notice to the commission.
2. The requirement of a surety bond may be waived for a
licensee that (i) has and maintains an errors and omissions insurance policy,
in the sum of not less than $100,000 per occurrence and $1 million for all
occurrences within one year, issued by an insurer licensed in this Commonwealth
or approved by the commission to issue surplus lines coverage or (ii) makes and
maintains a deposit of not less than $100,000 with the State Treasurer that
complies in form and amount with the requirements of § 38.2-1045 A of the Code
of Virginia.
3. No such policy or bond shall be terminated and no such
deposit shall be withdrawn without 30 days' prior written notice to the licensee
and the commission. Termination or withdrawal without the required notice and
approval of the commission shall be grounds for suspension or revocation of, or
refusal to renew, a license.
K. A nonresident applicant, as a condition precedent to receiving
or holding a license and in addition to all other licensing requirements, shall
designate a resident of this Commonwealth as the person upon whom any process,
notice, or order required or permitted by law to be served upon such
nonresident viatical settlement provider may be served.
1. The licensee shall promptly notify the clerk of the
commission in writing of every change in its designated agent for service of
process.
2. Whenever a nonresident viatical settlement provider
transacting business in this Commonwealth fails to appoint or maintain a
registered agent in this Commonwealth, or whenever its registered agent cannot
with reasonable diligence be found at the registered office, the clerk of the
commission shall be an agent of the nonresident upon whom service may be made
in accordance with § 12.1-19.1 of the Code of Virginia.
L. The commission may require such additional information as
is necessary to make the findings required by subsection M of this section and
to otherwise determine whether the applicant complies with the requirements of
§ 38.2-6002 of the Code of Virginia.
M. Upon the filing of the initial application for licensure
and the payment of the nonrefundable application fee, the commission shall make
such investigation of each applicant as the commission may determine to be
appropriate and issue a license if it finds that the applicant: (i) has
provided a detailed plan of operation; (ii) is competent and trustworthy; (iii)
indicates its intention to act in good faith within the confines of the
license; (iv) has a good business reputation; (v) if an individual, has had
experience, training or education that qualifies him for licensure; (vi) if a
resident partnership, limited liability company, or corporation, has recorded
the existence of the partnership, limited liability company, or corporation
pursuant to law; (vii) if a corporation, has specific authority to act as a
viatical settlement provider in its charter; (viii) if a nonresident
partnership, limited liability company, or corporation, has furnished proof of
its authority to transact business in Virginia; and (ix) has provided an
anti-fraud plan that meets the requirements of § 38.2-6011 E 2 of the Code of
Virginia.
N. The commission may suspend, revoke, refuse to issue, or refuse
to renew the license of a viatical settlement provider if the commission finds
that the applicant or licensee has (i) made any material misrepresentation in
the application; (ii) been guilty of fraudulent or dishonest practices; (iii)
been subject to a final administrative action or has otherwise been shown to be
untrustworthy or incompetent to act as a viatical settlement provider; (iv)
demonstrated a pattern of unreasonable payments to viators; (v) been convicted
of a felony or any misdemeanor involving fraud or moral turpitude; (vi) entered
into any viatical settlement contract that has not been approved pursuant to
this chapter; (vii) failed to honor contractual obligations set out in a
viatical settlement contract; (viii) demonstrated or represented that it no
longer meets the requirements for initial licensure; (ix) assigned,
transferred, or pledged a viaticated policy to a person other than a viatical
settlement provider licensed in this Commonwealth, a viatical settlement
purchaser, a financing entity, a special purpose entity, a related provider
trust, or an accredited investor or a qualified institutional buyer as
described in Regulation D (17 CFR 230.501 through 17 CFR 230.508) and
defined, respectively, in Rule 501 (17 CFR 230.501) and Rule 144A (17 CFR
230.144A) under the Securities Act of 1933, as amended; (x) violated any
provisions of this chapter, Chapter 60 (§ 38.2-6000 et seq.) of Title 38.2 of
the Code of Virginia or other applicable provisions of Title 38.2 or rules
promulgated thereunder; or has in its employ any officer, partner, member, or
key management personnel who has violated provisions of this chapter, Chapter
60 of Title 38.2 or other applicable provisions of Title 38.2 or is affiliated
with any person who has in its employ any such officer, partner, member, or key
management personnel; or (xi) renewed or requested renewal of its license
before implementing the anti-fraud initiatives required by § 38.2-6011 E of the
Code of Virginia.
O. No applicant to whom a license is refused after a hearing,
nor any licensee whose license is revoked, shall apply again for a license
under this chapter until after the expiration of a period of five years from
the date of the commission's order, or such other period of time as the
commission may specify in its order.
P. A licensed insurer shall be prohibited from transacting
the business of a viatical settlement provider.
14VAC5-80-60. Use of sales materials.
An insurer authorized to transact variable life insurance
business in this Commonwealth shall not use any sales material, advertising
material, or descriptive literature or other materials of any kind in
connection with its variable life insurance business in this Commonwealth which
is false, misleading, deceptive, or inaccurate.
Variable life insurance marketing communications shall be
subject to the additional requirements of Rules Governing Life Insurance and
Annuity Marketing Practices adopted, Chapter 40 (14VAC5-40-10 et seq.) of this
Title by the Commission in Case No. INS810107 Rules Governing
Advertisement of Life Insurance and Annuities (14VAC5-41-10).
14VAC5-190-50. Reporting and filing requirements.
A. Beginning May 1, 2018, and every other year thereafter,
any health insurance issuer licensed to issue an applicable policy or contract
in the Commonwealth of Virginia who reported greater than 5,000 covered lives
in Virginia during either of the individual calendar years comprising the
reporting period shall file with the Bureau of Insurance a separate Form 190-A
report for each calendar year in the reporting period.
B. The Form 190-A report may be obtained on the Bureau of
Insurance's webpage at http://www.scc.virginia.gov/boi/co/health/mandben.aspx,
https://scc.virginia.gov/pages/Mandated-Benefits-and-Mandated-Offers
and shall be filed electronically in accordance with the instructions that
appear on the Bureau of Insurance's webpage.
14VAC5-321-20. Definitions.
The following words and terms when used in this chapter shall
have the following meanings unless the context clearly indicates otherwise:
"2001 CSO Mortality Table" means that mortality
table, which is included in the Proceedings of the NAIC (2nd Quarter 2002),
consisting of separate rates of mortality for male and female lives, developed
by the American Academy of Actuaries CSO Task Force from the Valuation Basic
Mortality Table developed by the Society of Actuaries Individual Life Insurance
Valuation Mortality Task Force, and adopted by the NAIC in December 2002.
Unless the context indicates otherwise, the "2001 CSO Mortality
Table" includes both the ultimate form of that table and the select and
ultimate form of that table and includes both the smoker and nonsmoker
mortality tables and the composite mortality tables. It also includes both the
age-nearest-birthday and age-last-birthday bases of the mortality tables. The
2001 CSO Mortality Table may be accessed via the American Academy Society
of Actuaries' website, http://www.actuary.org/life/cso/appendix_a_jun02.xls
https://mort.soa.org/.
"2001 CSO Mortality Table (F)" means that mortality
table consisting of the rates of mortality for female lives from the 2001 CSO
Mortality Table.
"2001 CSO Mortality Table (M)" means that mortality
table consisting of the rates of mortality for male lives from the 2001 CSO
Mortality Table.
"Commission" means the State Corporation
Commission.
"Composite mortality tables" means mortality tables
with rates of mortality that do not distinguish between smokers and nonsmokers.
"NAIC" means the National Association of Insurance
Commissioners.
"Smoker and nonsmoker mortality tables" means
mortality tables with separate rates of mortality for smokers and nonsmokers.
14VAC5-322-20. Definitions.
The following words and terms when used in this chapter shall
have the following meanings unless the context clearly indicates otherwise:
"2001 CSO Mortality Table" means that mortality
table, consisting of separate rates of mortality for male and female lives,
developed by the American Academy of Actuaries CSO Task Force from the
Valuation Basic Mortality Table developed by the Society of Actuaries
Individual Life Insurance Valuation Mortality Task Force, and adopted by the
NAIC in December 2002. The 2001 CSO Mortality Table is included in the
Proceedings of the NAIC (2nd Quarter 2002) and supplemented by the 2001 CSO
Preferred Class Structure Mortality Table. Unless the context indicates
otherwise, the "2001 CSO Mortality Table" includes both the ultimate
form of that table and the select and ultimate form of that table and includes
both the smoker and nonsmoker mortality tables and the composite mortality
tables. It also includes both the age-nearest-birthday and age-last-birthday
bases of the mortality tables. The 2001 CSO Mortality Table may be accessed via
the American Academy Society of Actuaries' website, http://www.actuary.org/life/cso/appendix_a_jun02.xls
https://mort.soa.org/. Mortality tables in
the 2001 CSO Mortality Table include the following:
1. "2001 CSO Mortality Table (F)" means that
mortality table consisting of the rates of mortality for female lives from the
2001 CSO Mortality Table.
2. "2001 CSO Mortality Table (M)" means that
mortality table consisting of the rates of mortality for male lives from the
2001 CSO Mortality Table.
3. "Composite mortality tables" means mortality
tables with rates of mortality that do not distinguish between smokers and
nonsmokers.
4. "Smoker and nonsmoker mortality tables" means
mortality tables with separate rates of mortality for smokers and nonsmokers.
"2001 CSO Preferred Class Structure Mortality
Table" means mortality tables with separate rates of mortality for Super
Preferred Nonsmokers, Preferred Nonsmokers, Residual Standard Nonsmokers,
Preferred Smokers, and Residual Standard Smoker splits of the 2001 CSO Nonsmoker
and Smoker tables adopted by the NAIC in September 2006. The 2001 CSO Preferred
Class Structure Mortality Table is included in the Proceedings of the NAIC (3rd
Quarter 2006). Unless the context indicates otherwise, the "2001 CSO
Preferred Class Structure Mortality Table" includes both the ultimate form
of that table and the select and ultimate form of that table. It includes both
the smoker and nonsmoker mortality tables. It includes both the male and female
mortality tables and the gender composite mortality tables. It also includes
both the age-nearest-birthday and age-last-birthday bases of the mortality
table. The 2001 CSO Preferred Class Structure Mortality Table may be accessed
via the Society of Actuaries website, http://www.soa.org/research/individual-life/intl-2001-cso-preferred-class-structure-mortality-tables.aspx
https://www.soa.org/globalassets/assets/files/xls/2001-cso-preferred-class-structure-mortality-tables.xls.
"Commission" means the State Corporation
Commission.
"Commissioner" means the Commissioner of Insurance
in Virginia unless specific reference is made to another state, in which case
"commissioner" means the insurance commissioner, director,
superintendent or other supervising regulatory official of a given state who is
responsible for administering the insurance laws of that state.
"NAIC" means the National Association of Insurance
Commissioners.
"Statistical agent" means an entity with proven
systems for protecting the confidentiality of individual insured and insurer
information; demonstrated resources for and history of ongoing electronic
communications and data transfer ensuring data integrity with insurers, which
are its members or subscribers; and a history of and means for aggregation of
data and accurate promulgation of the experience modifications in a timely
manner.
14VAC5-390-70. Miscellaneous.
A. Any insurance agent or broker or any person who, with the
authorization or consent of a licensee, shall take any action on behalf on such
licensee shall be deemed to be an agent of such licensee as to such action.
This supersedes any contrary language in the insurance premium finance
contract.
B. Any licensee having knowledge of any violations of law or
irregularities committed by an insurance agent or agency shall promptly report
such violations or irregularities to the Commission. Violations and
irregularities required to be reported shall include, but not be limited to,
issuance of dishonored checks, failure to promptly refund unearned premiums and
failure to promptly deliver any monies or documents required to be delivered to
a licensee.
C. In the event of prepayment of an insurance premium finance
contract, interest shall be refunded to the insured on either a short-rate or a
pro-rata basis. Upon receipt from an insurer of the gross unearned premium, a
licensee shall refund to the insured within 10 business days of such receipt
any premium that is due the insured.
D. All refund checks payable to an insured shall be mailed to
the insured's last known address. If a refund check is returned to a licensee
unclaimed, the licensee shall make a diligent effort to locate the insured.
Each licensee shall maintain a separate account for unclaimed refunds due
insureds, and the balance of such account, together with a list of the names of
such insureds, shall be reported in the licensee's annual report to the
Commission. Whenever funds from such an account are disbursed, the licensee
shall retain proof of payment to the insureds. The requirements of this section
are in addition to the requirements of § 55-210.12 § 55.1-2524
of the Code of Virginia relating to disposition of unclaimed property.
E. Any company or person violating any provisions of this
chapter shall be subject to the penalties provided in §§ 38.2-218, 38.2-219,
38.2-4704, and 38.2-4710 of the Code of Virginia to the extent that they
are applicable to such company or person.
VA.R. Doc. No. R21-6460; Filed September 22, 2020, 12:03 p.m.