Ala. Admin. Code r. 482-1-133-.03

Current through Register Vol. 43, No. 02, November 27, 2024

Section 482-1-133-.03 - Definitions

(1) DIRECT-RESPONSE SOLICITATION. A solicitation through a sponsoring or endorsing entity or individually solely through mails, telephone, the Internet or other mass communication media.

(2) EXISTING INSURER. The insurance company whose policy or contract is or will be changed or affected in a manner described within the definition of REPLACEMENT.

(3) EXISTING POLICY OR CONTRACT. An individual life insurance policy (policy) or annuity contract (contract) in force, including a policy under a binding or conditional receipt or a policy or contract that is within an unconditional refund period.

(4) FINANCED PURCHASE. The purchase of a new policy involving the actual or intended use of funds obtained by the withdrawal or surrender of, or by borrowing from values of an existing policy on the same insured to pay all or part of any premium due on the new policy. For purposes of a regulatory review of an individual transaction only, if a withdrawal, surrender or borrowing involving the policy values of an existing policy is used to pay premiums on a new policy on the same insured and issued by the same company within four (4) months before or thirteen (13) months after the effective date of the new policy, it will be deemed prima facie evidence of the policyholder's intent to finance the purchase of the new policy with existing policy values. This prima facie standard is not intended to increase or decrease the monitoring obligations contained in Rule 482-1-133-.05(a)5 of this chapter.

(5) ILLUSTRATION. A presentation or depiction that includes non-guaranteed elements of a policy of life insurance over a period of years as defined in Chapter 482-1-114.

(6) INSURED. The person who is covered by insurance on his or her life.

(7) POLICY OWNER. The owner named in the life insurance policy.

(8) POLICY SUMMARY. For the purposes of this chapter:

(a) For policies or contracts other than universal life policies. A written statement regarding a policy or contract which shall contain to the extent applicable, but need not be limited to, the following information: current death benefit; annual contract premium; current cash surrender value; current dividend; application of current dividend; and amount of outstanding loan.

(b) For universal life policies. A written statement that shall contain at least the following information: the beginning and end date of the current report period; the policy value at the end of the previous report period and at the end of the current report period; the total amounts that have been credited or debited to the policy value during the current report period, identifying each by type (e.g., interest, mortality, expense and riders); the current death benefit at the end of the current report period on each life covered by the policy; the net cash surrender value of the policy as of the end of the current report period; and the amount of outstanding loans, if any, as of the end of the current report period.

(9) PRODUCER. For the purposes of this chapter, shall be defined to include agents, brokers and producers.

(10) REPLACING INSURER. The insurance company that issues or proposes to issue a new policy or contract that replaces an existing policy or contract or is a financed purchase.

(11) REGISTERED CONTRACT. A variable annuity contract or variable life insurance policy subject to the prospectus delivery requirements of the Securities Act of 1933.

(12) REPLACEMENT. A transaction in which a new policy or contract is to be purchased, and it is known or should be known to the proposing producer, or to the proposing insurer if there is no producer, that by reason of the transaction, an existing policy or contract on the same insured or annuitant 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 policy 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.

(13) SALES MATERIAL. A sales illustration and any other written, printed or electronically presented information created, or completed or provided by the company or producer and used in the presentation to the policy or contract owner related to the policy or contract purchased.

Author: Commissioner of Insurance

Ala. Admin. Code r. 482-1-133-.03

New Rule: Filed May 25, 2004; effective January 1, 2005. Filed with LRS June 3, 2004. Rule is not subject to the Alabama Administrative Procedure Act. Revised: Filed December 22, 2004; effective January 1, 2005. Filed with LRS December 22, 2004. Rule is not subject to the Alabama Administrative Procedure Act.

Statutory Authority:Code of Ala. 1975, §§ 27-2-17.