N.J. Admin. Code § 11:4-52.9

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

Section 11:4-52.9 - Annual certifications

(a) The board of directors of each insurer shall appoint one or more illustration actuaries.

(b) The illustration actuary shall certify that the disciplined current scale used in illustrations is in conformity with the Actuarial Standard of Practice for Compliance with the NAIC Model Regulation on Life Insurance Illustrations promulgated by the Actuarial Standards Board, and that the illustrated scales used in insurer-authorized illustrations meet the requirements of these rules.

(c) The illustration actuary shall:

1. Be a member in good standing of the American Academy of Actuaries;

2. Be familiar with the standard of practice regarding life insurance policy illustrations;

3. Not have been found by the Commissioner, following appropriate notice and hearing to have:

i. Violated any provision of, or any obligation imposed by, the insurance law or other law in the course of his or her dealings as an illustration actuary;

ii. Been found guilty of fraudulent or dishonest practices;

iii. Demonstrated his or her incompetence, lack of cooperation, or untrustworthiness to act as an illustration actuary; or

iv. Resigned or been removed as an illustration actuary within the past five years as a result of acts or omissions indicated in any adverse report on examination or as a result of a failure to adhere to generally acceptable actuarial standards;

4. Not fail to notify the Commissioner of any action taken by a commissioner of another state similar to that under (c)3 above;

5. Disclose in the annual certification whether, since the last certification, a currently payable scale applicable for business issued within the previous five years and within the scope of the certification has been reduced for reasons other than changes in the experience factors underlying the disciplined current scale. If nonguaranteed elements illustrated for new policies are not consistent with those illustrated for similar in force policies, this must be disclosed in the annual certification. If nonguaranteed elements illustrated for both new and in force policies are not consistent with the nonguaranteed elements actually being paid, charged or credited to the same or similar forms, this must be disclosed in the annual certification; and

6. Disclose in the annual certification the single method used to allocate overhead expenses for all illustrations:

i. Fully allocated expenses;

ii. Marginal expenses or;

iii. A generally recognized expense table based on fully allocated expenses representing a significant portion of insurance companies and approved by the National Association of Insurance Commissioners.

(d) The illustration actuary shall file a certification with the board of directors and with the Commissioner annually for all policy forms for which illustrations are used, and before a new policy form is illustrated.

1. If an error in a previous certification is discovered, the illustration actuary shall notify the board of directors of the insurer and the Commissioner within 10 days.

(e) If an illustration actuary is unable to certify the scale for any policy form illustration the insurer intends to use, the actuary shall notify the board of directors of the insurer and the Commissioner within 10 days of his or her inability to certify.

(f) A responsible officer of the insurer, other than the illustration actuary, shall certify annually:

1. That the illustration formats meet the requirements of these rules and that the scales used in insurer-authorized illustrations are those scales certified by the illustration actuary; and

2. That the company has provided its agents with information about the expense allocation method used by the company in its illustrations and disclosed as required in (c)6 above.

(g) The annual certifications shall be provided to the Commissioner each year by a date determined by the insurer. Subsequent annual certifications shall be provided by the anniversary date of the initial annual certification, or a request to change the date of certification with a full explanation of the basis of the request shall be filed by that date. The original certification shall be mailed to the following address:

New Jersey Department of Banking and Insurance

Life and Health Actuarial

PO Box 325

Trenton, New Jersey 08625-0325

(h) If an insurer changes the illustration actuary responsible for all or a portion of the company's policy forms, the insurer shall notify the Commissioner within 10 days and disclose the reason for the change.

N.J. Admin. Code § 11:4-52.9

Amended by 51 N.J.R. 618(a), effective 5/6/2019