N.J. Admin. Code § 11:4-2.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 11:4-2.1 - Purpose and scope

(a) The purpose of this subchapter is:

1. To regulate the activities of insurers and producers with respect to the replacement of existing life insurance and annuities; and

2. To 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:

i. Assuring that a purchaser receives information with which a decision can be made in his or her own best interest;

ii. Reducing the opportunity for misrepresentation and incomplete disclosures; and

iii. Establishing penalties for failure to comply with the requirements of this subchapter.

(b) This subchapter shall apply to all replacement transactions of life insurance policies and annuities contracts issued or delivered in this State except as set forth at (c) below.

(c) Unless otherwise specifically included, this subchapter shall not apply to transactions involving:

1. Credit life insurance;

2. Group life insurance or group annuities where there is no direct solicitation of individuals by an insurance producer. Direct solicitation shall not include any group meeting held by an insurance producer solely for the purpose of educating or enrolling individuals or, when initiated by an individual member of the group, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual. Group life insurance or group annuity certificates marketed through direct response solicitation shall be subject to the provisions of N.J.A.C. 11:4-2.7;

3. Group life insurance and group annuities used to fund prearranged funeral contracts where there is no direct solicitation of individuals by an insurance producer. Direct solicitation shall not include any group meeting held by an insurance producer solely for the purpose of educating or enrolling individuals or, when initiated by an individual member of the group, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual;

4. An application to the existing insurer that issued the existing policy or contract when a contractual change or a conversion privilege is being exercised; or when the existing policy or contract is being replaced by the same insurer pursuant to a program filed with and approved by the Commissioner, or when a term conversion privilege is exercised among corporate affiliates;

5. Proposed life insurance that is to replace life insurance under a binding or conditional receipt issued by the same company;

6. Policies or contracts used to fund:

i. An employee pension or welfare benefit plan that is covered by the Employee Retirement and Income Security Act (ERISA);

ii. A plan described by Sections 401(a), 401(k) or 403(b) of the Internal Revenue Code, where the plan, for purposes of ERISA, is established or maintained by an employer;

iii. A governmental or church plan defined in Section 414 of the Internal Revenue Code, a governmental or church welfare benefit plan, or a deferred compensation plan of a state or local government or a tax exempt organization under Section 457 of the Internal Revenue Code; or

iv. A nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor;

7. Where new coverage is provided under a life insurance policy or contract and the cost is borne wholly by the insured's employer or by an association of which the insured is a member;

8. Existing life insurance that is a non-convertible term life insurance policy that shall expire in five years or less and cannot be renewed;

9. Immediate annuities that are purchased with proceeds from an existing annuity contract. Immediate annuities purchased with proceeds from an existing life insurance policy are not exempted from the requirements of this subchapter; or

10. Structured settlements.

(d) Notwithstanding (c)6 above, this subchapter shall apply to policies or contracts used to fund any plan or arrangement that is funded solely by contributions an employee elects to make, whether on a pre-tax or after tax basis, and where the insurer has been notified that plan participants may choose from among two or more insurers and there is a direct solicitation of an individual employee by an insurance producer for the purchase of a contract or policy. As used in this subsection, direct solicitation shall not include any group meeting held by an insurance producer solely for the purpose of educating individuals about the plan or arrangement or enrolling individuals in the plan or arrangement or, when initiated by an individual employee, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual employee.

(e) Registered contracts shall be exempt from the requirements of N.JA.C. 11:4-2.4(a)3 and 2.6(a)2 with respect to the providing of illustrations or policy summaries; however, in lieu of providing such illustrations of policy summaries, premium or contract contribution amounts and identification of the appropriate prospectus or offering circular shall be provided on such contracts.

N.J. Admin. Code § 11:4-2.1

Amended by R.2004 d.414, effective 11/1/2004 (operative January 30, 2005).
See: 36 N.J.R. 2147(a), 36 N.J.R. 4930(a).
Rewrote the section.
Amended by R.2008 d.221, effective 8/4/2008.
See: 40 N.J.R. 1603(a), 40 N.J.R. 4598(a).
In (c)4, inserted ", or when a term conversion privilege is exercised among corporate affiliates;".