N.J. Admin. Code § 11:4-52.3

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

Section 11:4-52.3 - Policies to be illustrated

(a) Each insurer marketing policies to which these rules are applicable shall notify the Commissioner whether a policy form is to be marketed with or without an illustration.

1. For policy forms filed after July 6, 1998, the identification shall be made at the time of filing. Any previous identification may be changed by notice to the Commissioner.

(b) If the insurer identifies a policy form as one to be marketed without an illustration, any use of an illustration for any policy using that form prior to the first policy anniversary is prohibited. Notwithstanding whether a policy form has been designated to be marketed with an illustration, an insurer is responsible for any illustration used by its producer or other authorized representative or agent in connection with the marketing of its products.

(c) If a policy form is identified by the insurer as one to be marketed with an illustration, and an insurer or its producer or other authorized representative or agent markets a policy subject to these rules with an illustration, a basic illustration prepared and delivered in accordance with these rules is required, except that a basic illustration need not be provided to individual members of a group or to individuals insured under multiple lives coverage issued to a single applicant unless the coverage is marketed to these individuals. The illustration furnished an applicant for a non-term group life insurance policy or policies issued to a single applicant on multiple lives may be either an individual or composite illustration representative of the coverage on the lives of members of the group or the multiple lives covered.

(d) Potential enrollees of non-term group life subject to these rules shall be furnished a quotation with the enrollment materials. The quotation shall show potential policy values for sample ages and policy years on a guaranteed and non-guaranteed basis appropriate to the group and the coverage. This quotation shall not be considered an illustration for purposes of these rules, but all information provided shall be consistent with the illustrated scale. A basic illustration shall be provided at delivery of the certificate to enrollees for non-term group life who enroll for more than the minimum premium necessary to provide pure death benefit protection. In addition, the insurer shall make a basic illustration available to any non-term group life enrollee who requests it.

N.J. Admin. Code § 11:4-52.3

Amended by R.2007 d.392, effective 12/17/2007.
See: 39 N.J.R. 3711(a), 39 N.J.R. 5346(a).
Deleted (a)1; recodified (a)2 as (a)1; and in (a)1, deleted "and shall be accompanied by a certification for that policy form that satisfies the requirements of N.J.A.C. 11:4-52.9(f)" following "filing".