Chapter 195
2009 -- H 5199 SUBSTITUTE A AS
AMENDED
Enacted 11/05/09
A N A C T
RELATING TO INSURANCE -- LIFE SETTLEMENTS ACT
Introduced
By: Representatives Kennedy, San Bento, Gemma,
Date
Introduced: January 28, 2009
It is enacted by the
General Assembly as follows:
SECTION 1. Title 27 of the General Laws entitled
"INSURANCE" is hereby amended
by adding thereto the following chapter:
CHAPTER
72
LIFE
SETTLEMENTS ACT
27-72-1.
Title. – This chapter may be cited and shall be
known as the "Life Settlements
Act."
27-72-2.
Definitions. – As used in this chapter:
(1)
"Advertisement" means any written, electronic or printed
communication or any
communication by means of recorded telephone messages or
transmitted on radio, television, the
Internet or similar communications media, including
film strips, motion pictures and videos,
published, disseminated, circulated or placed before the
public, directly or indirectly, for the
purpose of creating an interest in or inducing a person to
purchase or sell, assign, devise, bequest
or transfer the death benefit or ownership of a life
insurance policy or an interest in a life
insurance policy pursuant to a life settlement contract.
(2)
"Broker" means a person who, on behalf of an owner and for a fee,
commission or
other valuable consideration, offers or attempts to
negotiate life settlement contracts between an
owner and provider. A broker represents only the owner and
owes a fiduciary duty to the owner
to act according to the owner's instructions, and in the
best interest of the owner, notwithstanding
the manner in which the broker is compensated. A broker
does not include an attorney, certified
public accountant or financial planner retained in the type
of practice customarily performed in
their professional capacity to represent the owner whose
compensation is not paid directly or
indirectly by the provider or any other person, except the
owner.
(3) "Business of
life settlements" means an activity involved in, but not limited to,
offering to enter into, soliciting, negotiating, procuring,
effectuating, monitoring, or tracking, of
life settlement contracts.
(4) "Chronically
ill" means:
(i) Being unable to perform at least two (2)
activities of daily living (i.e., eating, toileting,
transferring, bathing, dressing or continence);
(ii) Requiring
substantial supervision to protect the individual from threats to health and
safety due to severe cognitive impairment; or
(iii) Having a level
of disability similar to that described in subdivision (i)
as determined
by the United States Secretary of Health and Human
Services.
(5)
"Commissioner" means the director of the department of business
regulation or his or
her designee.
(6) "Federally
regulated entity" means a national bank, thrift, credit union, or any
entity
registered or exempt from registration under 15 U.S.C. section
80a-1 et. seq., 15 U.S.C. section
80b-1 et. seq., 15 U.S.C.
section 77a et. seq., and 15
U.S.C. section 78a et. seq., or any affiliate
thereof.
(7) "Financing
entity" means an underwriter, placement agent, lender, purchaser of
securities, purchaser of a policy or certificate from a
provider, credit enhancer, or any entity that
has a direct ownership in a policy or certificate that is
the subject of a life settlement contract, but:
(i)
Whose principal activity related to the transaction is providing funds to
effect the life
settlement contract or purchase of one or more policies; and
(ii) Who has an
agreement in writing with one or more providers to finance the
acquisition of life settlement contracts.
"Financing
entity" does not include a non-accredited investor or purchaser.
(8) "Financing
transaction" means a transaction in which a licensed provider obtains
financing from a financing entity including, without
limitation, any secured or unsecured
financing, any securitization
transaction, or any securities offering which either is registered or
exempt from registration under federal and state securities
law.
(9) "Fraudulent
life settlement act" includes:
(i)
Acts or omissions committed by any person who, knowingly and with intent to
defraud, for the purpose of depriving another of property or
for pecuniary gain, commits, or
permits its employees or its agents to engage in acts
including, but not limited to:
(A) Presenting,
causing to be presented or preparing with knowledge and belief that it
will be presented to or by a provider, premium finance
lender, broker, insurer, insurance producer
or any other person, false material information, or
concealing material information, as part of, in
support of, or concerning a fact material to one or more of
the following:
(I) An application
for the issuance of a life settlement contract or insurance policy;
(II) The underwriting
of a life settlement contract or insurance policy;
(III) A claim for
payment or benefit pursuant to a life settlement contract or insurance
policy;
(IV) Premiums paid on
an insurance policy;
(V) Payments and
changes in ownership or beneficiary made in accordance with the
terms of a life settlement contract or insurance policy;
(VI) The
reinstatement or conversion of an insurance policy;
(VII) In the
solicitation, offer to enter into, or effectuation of a life settlement
contract, or
insurance policy;
(VIII) The issuance of
written evidence of life settlement contract or insurance;
(IX) Any application
for or the existence of or any payments related to a loan secured
directly or indirectly by any interest in a life insurance
policy; or
(X) Enter into any
practice or plan which involves stranger originated life insurance
(STOLI).
(B) Failing to
disclose to the insurer where the request for such disclosure has been asked
for by the insurer that the prospective insured has
undergone a life expectancy evaluation by any
person or entity other than the insurer or its authorized
representatives in connection with the
issuance of the policy.
(C) Employing any
device, scheme, or artifice to defraud in the business of life
settlements.
(D) In the solicitation,
application or issuance of a life insurance policy, employing any
device, scheme or artifice in violation of state insurable
interest laws.
(ii) In the
furtherance of a fraud or to prevent the detection of a fraud any person
commits
or permits its employees or its agents to:
(A) Remove, conceal,
alter, destroy or sequester from the commissioner the assets or
records of a licensee or other person engaged in the business
of life settlements;
(B) Misrepresent or
conceal the financial condition of a licensee, financing entity, insurer
or other person;
(C) Transact the
business of life settlements in violation of laws requiring a license,
certificate of authority or other legal authority for the
transaction of the business of life
settlements;
(D) File with the
commissioner or the chief insurance regulatory official of another
jurisdiction a document containing false information or otherwise
concealing information about a
material fact from the commissioner;
(E) Engage in
embezzlement, theft, misappropriation or conversion of monies, funds,
premiums, credits or other property of a provider, insurer,
insured, owner, insurance, policy
owner or any other person engaged in the business of life
settlements or insurance;
(F) Knowingly and
with intent to defraud, enter into, broker, or otherwise deal in a life
settlement contract, the subject of which is a life insurance
policy that was obtained by presenting
false information concerning any fact material to the
policy or by concealing, for the purpose of
misleading another, information concerning any fact material to
the policy, where the owner or
the owner’s agent intended to defraud the policy’s
issuer;
(G) Attempt to
commit, assist, aid or abet in the commission of, or conspiracy to commit
the acts or omissions specified in this subsection; or
(H) Misrepresent the
state of residence of an owner to be a state or jurisdiction that does
not have a law substantially similar to this chapter for
the purpose of evading or avoiding the
provisions of this chapter.
(10)
"Insured" means the person covered under the policy being considered
for sale in a
life settlement contract.
(11) "Life
expectancy" means the arithmetic mean of the number of months the insured
under the life insurance policy to be settled can be
expected to live as determined by a life
expectancy company provider, broker, or financing entity
considering medical records and
appropriate experiential data.
(12) "Life
insurance producer" means any person licensed in this state as a resident
or
nonresident insurance producer who has received qualification or
authority for life insurance
coverage or a life line of coverage pursuant to chapter
27-2.4.
(13) "Life
settlement contract" means a written agreement entered into between a
provider and an owner, establishing the terms under which
compensation or any thing of value
will be paid, which compensation or thing of value is less
than the expected death benefit of the
insurance policy or certificate, in return for the owner’s
assignment, transfer, sale, devise or
bequest of the death benefit or any portion of an insurance
policy or certificate of insurance for
compensation; provided, however, that the minimum value for a life
settlement contract shall be
greater than a cash surrender value or accelerated death
benefit available at the time of an
application for a life settlement contract. “Life settlement
contract” also includes the transfer for
compensation or value of ownership or beneficial interest in a
trust or other entity that owns such
policy if the trust or other entity was formed or availed of
for the principal purpose of acquiring
one or more life insurance contracts, which life
insurance contract insures the life of a person
residing in this state.
(i)
"Life settlement contract" also includes a premium finance loan made
for a policy on
or before the date of issuance where:
(A) The loan proceeds
are not used solely to pay premiums for the policy and any costs
or expenses incurred by the lender or the borrower in
connection with the financing; or
(B) The owner
receives on the date of the premium finance loan a guarantee of the future
life settlement value of the policy; or
(C) The owner agrees
on the date of the premium finance loan to sell the policy or any
portion of its death benefit on any date following the
issuance of the policy.
(ii) "Life
Settlement Contract" does not include:
(A) A policy loan by
a life insurance company pursuant to the terms of the life insurance
policy or accelerated death provisions contained in the life
insurance policy, whether issued with
the original policy or as a rider;
(B)
A premium finance loan, as defined herein, or any loan made to an
insured, a trust
established by an insured, or an entity established by the
insured by a bank, federally regulated
entity, or other licensed financial institution or any transfer,
foreclosure, option to transfer, sale of
any interest in collateral of such loan subsequent
thereto for the purpose of evading regulation
under this chapter;
(C) A collateral
assignment of a life insurance policy by an owner;
(D) A loan made by a
lender that does not violate
14.6, provided such loan is not described in
subdivision (i) above, and is not otherwise within
the
definition of life settlement contract;
(E) An agreement
where all the parties:
(I) are closely
related to the insured by blood or law; or
(II) have a lawful substantial economic interest in the continued
life, heath and bodily
safety of the person insured, or are trusts established
primarily for the benefit of such parties;
(F) Any designation,
consent or agreement by an insured who is an employee of an
employer in connection with the purchase by the employer, or
trust established by the employer,
of life insurance on the life of the employee;
(G) A bona fide
business succession planning arrangement:
(I) Between one or more shareholders in a corporation or between
a corporation and one
or more of its shareholders or one or more trust
established by its shareholders;
(II) Between one or
more partners in a partnership or between a partnership and one or
more of its partners or one or more trust established by
its partners; or
(III) Between one or
more members in a limited liability company or between a limited
liability company and one or more of its members or one or more
trust established by its
members;
(H) An agreement
entered into by a service recipient, or a trust established by the service
recipient, and a service provider, or a trust established by
the service provider, who performs
significant services for the service recipient’s trade or
business; or
(I) Any other contract, transaction or arrangement from the
definition of life settlement
contract that the commissioner determines is not of the type
intended to be regulated by this
chapter.
(14) "Net death
benefit" means the amount of the life insurance policy or certificate to
be
settled less any outstanding debts or liens.
(15)
"Owner" means the owner of a life insurance policy or a certificate
holder under a
group policy, with or without a terminal illness, who
enters or seeks to enter into a life settlement
contract. For the purposes of this article, an owner shall not
be limited to an owner of a life
insurance policy or a certificate holder under a group policy
that insures the life of an individual
with a terminal or chronic illness or condition except
where specifically addressed. The term
"owner" does not
include:
(i)
Any provider or other licensee under this chapter;
(ii) A qualified
institutional buyer as defined in Rule 144A of the Federal Securities Act
of 1933, as amended;
(iii) A financing
entity;
(iv)
A special purpose entity; or
(v) A related
provider trust.
(16) "Patient identifying
information" means an insured’s address, telephone number,
facsimile number, electronic mail address, photograph or
likeness, employer, employment status,
social security number, or any other information that is
likely to lead to the identification of the
insured.
(17)
"Policy" means an individual or group policy, group certificate,
contract or
arrangement of life insurance owned by a resident of this state,
regardless of whether delivered or
issued for delivery in this state.
(18) "Premium
finance loan" is a loan made primarily for the purposes of making
premium payments on a life insurance policy, which loan is
secured by an interest in such life
insurance policy.
(19)
"Person" means any natural person or legal entity including, but not
limited to, a
partnership, limited liability company, association, trust or
corporation.
(20)
"Provider" means a person, other than an owner, who enters into or
effectuates a life
settlement contract with an owner, a provider does not include:
(i)
Any bank, savings bank, savings and loan association, credit union;
(ii) A licensed
lending institution or creditor or secured party pursuant to a premium
finance loan agreement which takes an assignment of a life
insurance policy or certificate issued
pursuant to a group life insurance policy as collateral for a
loan;
(iii) The insurer of
a life insurance policy or rider to the extent of providing accelerated
death benefits or riders or cash surrender value;
(iv)
Any natural person who enters into or effectuates no more than
one agreement in a
calendar year for the transfer of a life insurance policy or
certificate issued pursuant to a group
life insurance policy, for compensation or anything of
value less than the expected death benefit
payable under the policy;
(v) A purchaser;
(vi)
Any authorized or eligible insurer that provides stop loss
coverage to a provider;
purchaser, financing entity, special purpose entity, or related
provider trust;
(vii) A financing
entity;
(viii) A special
purpose entity;
(ix) A related
provider trust;
(x) A broker; or
(xi)
An accredited investor or qualified institutional buyer as defined;
respectively, in
regulation D, rule 501 or rule 144A of the Federal Securities
Act of 1933, as amended, who
purchases a life settlement policy from a provider.
(21) "Purchased
policy" means a policy or group certificate that has been acquired by a
provider pursuant to a life settlement contract.
(22)
"Purchaser" means a person who pays compensation or anything of value
as
consideration for a beneficial interest in a trust which is vested
with, or for the assignment,
transfer or sale of, an ownership or other interest in a life
insurance policy or a certificate issued
pursuant to a group life insurance policy which has been the
subject of a life settlement contract.
(23) "Related
provider trust’ means a titling trust or other trust established by a licensed
provider or a financing entity for the sole purpose of holding
the ownership or beneficial interest
in purchased policies in connection with a financing
transaction. In order to qualify as a related
provider trust, the trust must have a written agreement with
the licensed provider under which the
licensed provider is responsible for ensuring compliance with
all statutory and regulatory
requirements and under which the trust agrees to make all records
and files relating to life
settlement transactions available to the commissioner as if
those records and files were
maintained directly by the licensed provider.
(24) "Settled
policy" means a life insurance policy or certificate that has been
acquired by
a provider pursuant to a life settlement contract.
(25) "Special
purpose entity" means a corporation, partnership, trust, limited liability
company, or other legal entity formed solely to provide
either directly or indirectly access to
institutional capital markets:
(i)
For a financing entity or provider; or
(ii) In connection
with a transaction in which the securities in the special purpose entity
are acquired by the owner or by a “qualified
institutional buyer” as defined in Rule 144
promulgated under the Federal Securities Act of 1933, as amended;
or
(iii) The securities
pay a fixed rate of return commensurate with established asset-backed
institutional capital markets.
(26)
"Stranger-originated life insurance" or "STOLI" is a
practice or plan to initiate a life
insurance policy for the benefit of a third-party investor who,
at the time of policy origination, has
no insurable interest in the insured. STOLI practices
include, but are not limited to, cases in
which life insurance is purchased with resources or guarantees
from or through a person, or
entity, who, at the time of policy inception, could not
lawfully initiate the policy himself/herself
or itself, and where, at the time of inception, there is
an arrangement or agreement, whether
verbal or written, to directly or indirectly transfer the
ownership of the policy and/or the policy
benefits to a third party. Trusts, that are created to give
the appearance of insurable interest, and
are used to initiate policies for investors, violate
insurable interest laws and the prohibition
against wagering on life. STOLI arrangements do not include
those practices set forth in this
chapter.
(27) "Terminally
ill" means having an illness or sickness that can reasonably be expected
to result in death in twenty-four (24) months or less.
27-72-3.
Licensing requirements. – (a) No person,
wherever located, shall act as a
provider or broker with an owner or multiple owners who is a
resident of this state, without first
having obtained a license from the commissioner. If there is
more than one owner on a single
policy and the owners are residents of different states, the
life settlement contract shall be
governed by the law of the state in which the owner having the
largest percentage ownership
resides or, if the owners hold equal ownership, the state of
residence of one owner agreed upon in
writing by all owners.
(b) Application for a
provider, or broker, license shall be made to the commissioner by
the applicant on a form prescribed by the commissioner,
and the application shall be accompanied
by a fee reasonable in an amount established by the
commissioner.
(c) A life insurance
producer who has been duly licensed as a resident insurance producer
with a life line of authority in this state or his or her
home state for at least one year and is
licensed as a nonresident producer in this state shall be
deemed to meet the licensing
requirements of this section and shall be permitted to operate as
a broker.
(d) Not later than
thirty (30) days from the first day of operating as a broker, the life
insurance producer shall notify the commissioner that he or she
is acting as a broker on a form
prescribed by the commissioner, and shall pay any applicable fee
to be determined by the
commissioner. Notification shall include an acknowledgement by the
life insurance producer that
he or she will operate as a broker in accordance with
this chapter.
(e) The insurer that
issued the policy that is the subject of a life settlement contract shall
not be responsible for any act or omission of a broker or
provider or purchaser arising out of or in
connection with the life settlement transaction, unless the
insurer receives compensation for the
placement of a life settlement contract from the provider or
purchaser or broker in connection
with the life settlement contract.
(f) A person licensed
as an attorney, certified public accountant or financial planner
accredited by a nationally recognized accreditation agency, who
is retained to represent the
owner, whose compensation is not paid directly or
indirectly by the provider or purchaser, may
negotiate life settlement contracts on behalf of the owner
without having to obtain a license as a
broker.
(g) Broker licenses
may be renewed on a schedule prescribed by the commissioner and
upon payment of the reasonable renewal fee as prescribed
by the commissioner. Failure to pay the
fee within the terms prescribed shall result in the
automatic revocation of the license requiring
periodic renewal.
(h) The term of a
provider license shall be perpetual; provided, that the provider files the
annual report and pays the fee as prescribed by the
commissioner. Failure to file the annual report
or pay the fees on or before the due date shall result
in immediate suspension of the license.
(i)
The applicant shall provide such information as the commissioner may require on
forms prepared by the commissioner. The commissioner shall
have authority, at any time, to
require such applicant to fully disclose the identity of its
stockholders (except stockholders
owning fewer than ten percent (10%) of the shares of an
applicant whose shares are publicly
traded), partners, officers and employees, and the
commissioner may, in the exercise of the
commissioner’s sole discretion, refuse to issue such a license in
the name of any person if not
satisfied that any officer, employee, stockholder or partner
thereof who may materially influence
the applicant's conduct meets the standards set forth in
this chapter.
(j) Upon the filing
of an application and the payment of the license fee, the commissioner
shall make an investigation of each applicant and may issue
a license if the commissioner finds
that the applicant:
(1) If a provider,
has provided a detailed plan of operation;
(2) Is competent and trustworthy and intends to transact its
business in good faith;
(3) Has a good
business reputation and has had experience, training or education so as to
be qualified in the business for which the license is
applied;
(4) If the provider
applicant is a legal entity, is formed or organized pursuant to the laws
of this state or is a foreign legal entity authorized to
transact business in this state, or provides a
certificate of good standing from the state of its domicile; and
(5) Has provided to
the commissioner an anti-fraud plan that meets the requirements of
this chapter and includes:
(i)
A description of the procedures for detecting and investigating possible
fraudulent acts
and procedures for resolving material inconsistencies
between medical records and insurance
applications;
(ii) A description of
the procedures for reporting fraudulent insurance acts to the
commissioner;
(iii) A description
of the plan for anti-fraud education and training of its underwriters and
other personnel; and
(iv)
A written description or chart outlining the arrangement of the
anti-fraud personnel
who are responsible for the investigation and reporting
of possible fraudulent insurance acts and
investigating unresolved material inconsistencies between medical
records and insurance
applications.
(k) The commissioner
shall not issue any license to any nonresident applicant, unless a
written designation of an agent for service of process is
filed and maintained with the
commissioner or unless the applicant has filed with the
commissioner the applicant's written
irrevocable consent that any action against the applicant may be
commenced against the applicant
by service of process on the commissioner.
(l) Each licensee
shall file with the commissioner on or before the first day of March of
each year an annual statement containing such information
as the commissioner by rule may
prescribe. The department may have this annual statement
renewed and analyzed by outside
consultant(s) and the total cost of that review shall be borne by,
billed directly to and paid by the
provider filing the annual statement.
(m) A provider may
not use any person to perform the functions of a broker as defined in
this chapter unless the person holds a current, valid
license as a broker, and as provided in this
section.
(n) A broker may not
use any person to perform the functions of a provider as defined in
this chapter unless such person holds a current, valid
license as a provider, and as provided in this
section.
(o)
A provider, or broker shall provide to the commissioner new or
revised information
about officers, ten percent (10%) or more stockholders,
partners, directors, members or
designated employees within thirty (30) days of the change.
(p) An individual
licensed as a broker shall complete, on a biennial basis, fifteen (15)
hours of training related to life settlements and life
settlement transactions, as required by the
commissioner; provided, however, that a life insurance producer
who is operating as a broker
pursuant to this section shall not be subject to the
requirements of this subsection. Any person
failing to meet the requirements of this subsection shall be
subject to the penalties imposed by the
commissioner.
27-72-4.
License suspension, revocation or refusal to renew. –
(a) The commissioner
may suspend, revoke or refuse to renew the license of any
licensee if the commissioner finds that:
(1) There was any
material misrepresentation in the application for the license;
(2) The licensee or
any officer, partner, member or director has been guilty of fraudulent
or dishonest practices, is subject to a final
administrative action or is otherwise shown to be
untrustworthy or incompetent to act as a licensee;
(3) The provider demonstrates
a pattern of unreasonably withholding payments to policy
owners;
(4) The licensee no
longer meets the requirements for initial licensure;
(5) The licensee or
any officer, partner, member or director has been convicted of a
felony, or of any misdemeanor of which criminal fraud is an
element; or the licensee has pleaded
guilty or nolo contendere
with respect to any felony or any misdemeanor of which criminal fraud
or moral turpitude is an element, regardless whether a
judgment of conviction has been entered by
the court;
(6) The provider has
entered into any life settlement contract using a form that has been
approved pursuant to this chapter;
(7) The provider has
failed to honor contractual obligations set out in a life settlement
contract;
(8) The provider has
assigned, transferred or pledged a settled policy to a person other
than a provider licensed in this state, a purchaser, an
accredited investor or qualified institutional
buyer as defined respectively in Regulation D, Rule 501 or
Rule 144A of the Federal Securities
Act of 1933, as amended, financing entity, special
purpose entity, or related provider trust; or
(9) The licensee or
any officer, partner, member or key management personnel has
violated any of the provisions of this chapter.
(b) Before the
commissioner denies a license application or suspends, revokes or refuses
to renew the license of any licensee under this chapter,
the commissioner shall conduct a hearing
in accordance with this state's laws governing
administrative hearings.
27-72-5.
Contract requirements. – (a) No person may use
any form of life settlement
contract in this state unless it has been filed with and
approved, if required, by the commissioner
in a manner that conforms with the filing procedures and
any time restrictions or deeming
provisions, if any, for life insurance forms, policies and
contracts. The commissioner is
authorized to contract with outside consultants to review life
settlement forms and the total cost
of that review shall be borne by, billed directly to,
and paid by the provider filing the form(s).
(b) No insurer may,
as a condition of responding to a request for verification of coverage
or in connection with the transfer of a policy pursuant
to a life settlement contract, require that the
owner, insured, provider or broker sign any form,
disclosure, consent, waiver or acknowledgment
that has not been expressly approved by the commissioner
for use in connection with life
settlement contracts in this state.
(c) A person shall
not use a life settlement contract form or provide to an owner a
disclosure statement form in this state unless first filed with
and approved by the commissioner.
The commissioner shall disapprove a life settlement
contract form or disclosure statement form if,
in the commissioner’s opinion, the contract or
provisions contained therein fail to meet the
requirements of this chapter or are unreasonable, contrary to the
interests of the public, or
otherwise misleading or unfair to the owner. At the
commissioner’s discretion, the commissioner
may require the submission of advertising material. The
commissioner is authorized to contract
with outside consultants to review life settlement forms
and/or advertising and the total cost of
that review shall be borne by, billed directly to, and
paid by the provider filing the form(s).
27-72-6.
Reporting requirements and privacy. – (a) For any policy settled within five
(5) years of policy issuance,
each provider shall file with the commissioner on or before March 1
of each year an annual statement containing such
information as the commissioner may prescribe
by regulation. In addition to any other requirements, the
annual statement shall specify the total
number, aggregate face amount and life settlement proceeds
of policies settled during the
immediately preceding calendar year, together with a breakdown of
the information by policy
issue year. The annual statement shall also include the
names of the insurance companies whose
policies have been settled and the brokers that have settled
said policies.
(1) Such information
shall be limited to only those transactions where the insured is a
resident of this state and shall not include individual
transaction data regarding the business of
life settlements or information that there is a reasonable
basis to believe could be used to identify
the owner or the insured.
(2) Every provider
that willfully fails to file an annual statement as required in this
section, or willfully fails to reply within thirty (30) days
to a written inquiry by the commissioner
in connection therewith, shall, in addition to other
penalties provided by this chapter, be subject,
upon due notice and opportunity to be heard, to a penalty
of up to two hundred fifty dollars
($250) per day of delay, not to exceed twenty-five
thousand dollars ($25,000) in the aggregate,
for each such failure.
(3) The department may
have this annual report reviewed and analyzed by outside
consultant(s) and the total cost of that review shall be borne by,
billed directly to, and paid by the
provider filing the annual statement.
(b) Except as
otherwise allowed or required by law, a provider, broker,
insurance
company, insurance producer, information bureau, rating
agency or company, or any other person
with actual knowledge of an insured's identity, shall not
disclose the identity of an insured or
information that there is a reasonable basis to believe could be
used to identify the insured or the
insured's financial or medical information to any other person
unless the disclosure:
(1) Is necessary to effect a life settlement contract between
the owner and a provider and
the owner and insured have provided prior written consent
to the disclosure;
(2) Is necessary to
effectuate the sale of life settlement contracts, or interests therein, as
investments, provided the sale is conducted in accordance with
applicable state and federal
securities law and provided further that the owner and the
insured have both provided prior
written consent to the disclosure;
(3) Is provided in
response to an investigation or examination by the commissioner or any
other governmental officer or agency or pursuant to the
requirements of this chapter;
(4) Is a term or
condition to the transfer of a policy by one provider to another provider,
in which case the receiving provider shall be required
to comply with the confidentiality
requirements of this chapter;
(5) Is necessary to
allow the provider or its authorized representatives to make contacts
for the purpose of determining health status. For the
purposes of this section, the term "authorized
representative" shall not include any person who has or may
have any financial interest in the
settlement contract other than a provider, licensed broker,
financing entity, related provider trust
or special purpose entity; further, a provider or broker
shall require its authorized representative
to agree in writing to adhere to the privacy provisions
of this chapter; or
(6) Is required to
purchase stop loss coverage.
(c) Non-public
personal information solicited or obtained in connection with a proposed
or actual life settlement contract shall be subject to
the provisions applicable to financial
institutions under the federal Gramm
Leach Bliley Act, P.L. 106-102 (1999), and all other
state
and federal laws relating to confidentiality of
non-public personal information.
27-72-7.
Examination. – (a) The
commissioner may, when the commissioner deems it
reasonably necessary to protect the interests of the public,
examine the business and affairs of any
licensee or applicant for a license. The commissioner may
order any licensee or applicant to
produce any records, books, files or other information
reasonably necessary to ascertain whether
such licensee or applicant is acting or has acted in
violation of the law or otherwise contrary to
the interests of the public. The expenses incurred in
conducting any examination shall be paid by
the licensee or applicant.
(b) In lieu of an
examination under this chapter of any foreign or alien licensee licensed
in this state, the commissioner may, at the
commissioner’s discretion, accept an examination
report on the licensee as prepared by the commissioner for
the licensee’s state of domicile or port-
of-entry state.
(c) Names of and
individual identification data, or for all owners and insureds
shall be
considered private and confidential information and shall not be
disclosed by the commissioner
unless required by law.
(d) Records of all
consummated transactions and life settlement contracts shall be
maintained by the provider for three (3) years after the death
of the insured and shall be available
to the commissioner for inspection during reasonable
business hours.
(e) Conduct of
examinations.
(1) Upon determining
that an examination should be conducted, the commissioner shall
issue an examination warrant appointing one or more
examiners to perform the examination and
instructing them as to the scope of the examination. In
conducting the examination, the examiner
shall use methods common to the examination of any life
settlement licensee and should use
those guidelines and procedures set forth in an examiners’
handbook adopted by a national
organization.
(2) Every licensee or
person from whom information is sought, its officers, directors and
agents shall provide to the examiners timely, convenient and
free access at all reasonable hours at
its offices to all books, records, accounts, papers,
documents, assets and computer or other
recordings relating to the property, assets, business and
affairs of the licensee being examined.
The officers, directors, employees and agents of the
licensee or person shall facilitate the
examination and aid in the examination so far as it is in their
power to do so. The refusal of a
licensee, by its officers, directors, employees or agents, to
submit to examination or to comply
with any reasonable written request of the commissioner
shall be grounds for suspension or
refusal of, or nonrenewal of any
license or authority held by the licensee to engage in the life
settlement business or other business subject to the
commissioner's jurisdiction. Any proceedings
for suspension, revocation or refusal of any license or
authority shall be conducted pursuant to
section 42-35-1 et seq.
(3) The commissioner
shall have the power to issue subpoenas, to administer oaths and to
examine under oath any person as to any matter pertinent to
the examination. Upon the failure or
refusal of a person to obey a subpoena, the commissioner may
petition a court of competent
jurisdiction, and upon proper showing, the court may enter an
order compelling the witness to
appear and testify or produce documentary evidence.
(4) When making an
examination under this chapter, the commissioner may retain
attorneys, appraisers, independent actuaries, independent
certified public accountants or other
professionals and specialists as examiners, the reasonable cost of
which shall be borne by the
licensee that is the subject of the examination.
(5) Nothing contained
in this chapter shall be construed to limit the commissioner's
authority to terminate or suspend an examination in order to
pursue other legal or regulatory
action pursuant to the insurance laws of this state. Findings
of fact and conclusions made pursuant
to any examination shall be prima facie evidence in any
legal or regulatory action.
(6) Nothing contained
in this chapter shall be construed to limit the commissioner's
authority to use and, if appropriate, to make public any final
or preliminary examination report,
any examiner or licensee work papers or other documents,
or any other information discovered or
developed during the course of any examination in the
furtherance of any legal or regulatory
action which the commissioner may, in his or her sole
discretion, deem appropriate.
(f) Examination
reports.
(1) Examination
reports shall be comprised of only facts appearing upon the books, from
the testimony of its officers or agents or other persons
examined concerning its affairs, and such
conclusions and recommendations as the examiners find reasonably
warranted from the facts.
(2) No later than
sixty (60) days following completion of the examination, the examiner
in charge shall file with the commissioner a verified
written report of examination under oath.
Upon receipt of the verified report, the commissioner
shall transmit the report to the licensee
examined, together with a notice that shall afford the
licensee examined a reasonable opportunity
of not more than thirty (30) days to make a written
submission or rebuttal with respect to any
matters contained in the examination report and which shall
become part of the report or to
request a hearing on any matter in dispute.
(3) In the event the
commissioner determines that regulatory action is appropriate as a
result of an examination, the commissioner may initiate any
proceedings or actions provided by
law.
(g) Confidentiality
of examination information.
(1) Names and
individual identification data for all owners, purchasers, and insureds shall
be considered private and confidential information and
shall not be disclosed by the
commissioner, unless the disclosure is to another regulator or is
required by law.
(2) Except as
otherwise provided in this chapter, all examination reports, working papers,
recorded information, documents and copies thereof produced
by, obtained by or disclosed to the
commissioner or any other person in the course of an examination
made under this chapter, or in
the course of analysis or investigation by the
commissioner of the financial condition or market
conduct of a licensee shall be confidential by law and
privileged, shall not be subject to open
records, shall not be subject to subpoena, and shall not be
subject to discovery or admissible in
evidence in any private civil action. The commissioner is
authorized to use the documents,
materials or other information in the furtherance of any
regulatory or legal action brought as part
of the commissioner's official duties. The licensee
being examined may have access to all
documents used to make the report.
(h) Conflict of
interest.
(1) An examiner may not
be appointed by the commissioner if the examiner, either
directly or indirectly, has a conflict of interest or is
affiliated with the management of or owns a
pecuniary interest in any person subject to examination under
this chapter. This section shall not
be construed to automatically preclude an examiner from
being:
(i)
An owner;
(ii) An insured in a
life settlement contract or insurance policy; or
(iii) A beneficiary
in an insurance policy that is proposed for a life settlement contract.
(2) Notwithstanding
the requirements of this clause, the commissioner may retain from
time to time, on an individual basis, qualified actuaries,
certified public accountants, or other
similar individuals who are independently practicing their
professions, even though these persons
may from time to time be similarly employed or retained
by persons subject to examination under
this chapter.
(i)
Immunity from liability.
(1) No cause of action
shall arise nor shall any liability be imposed against the
commissioner, the commissioner's authorized representatives or any
examiner appointed by the
commissioner for any statements made or conduct performed in good
faith while carrying out the
provisions of this chapter.
(2) No cause of
action shall arise, nor shall any liability be imposed against any person
for the act of communicating or delivering information or
data to the commissioner or the
commissioner's authorized representative or examiner pursuant to an
examination made under
this chapter, if the act of communication or delivery was
performed in good faith and without
fraudulent intent or the intent to deceive. This paragraph does
not abrogate or modify in any way
any common law or statutory privilege or immunity
heretofore enjoyed by any person identified
in subdivision (1).
(3) A person
identified in subdivision (1) or (2) shall be entitled to an award of
attorney's
fees and costs if he or she is the prevailing party in a
civil cause of action for libel, slander or any
other relevant tort arising out of activities in carrying
out the provisions of this chapter and the
party bringing the action was not substantially justified
in doing so. For purposes of this section a
proceeding is "substantially justified" if it had a
reasonable basis in law or fact at the time that it
was initiated.
(j) Investigative
authority of the commissioner.
(1) The commissioner may
investigate suspected fraudulent life settlement acts and
persons engaged in the business of life settlements.
(k) Cost of
examinations.
(1) The total cost of
examinations performed pursuant to this chapter shall be borne by
the provider(s) or broker(s) examined companies in
accordance with the provision of paragraph
27-13.1-7. The commissioner
is authorized to retain contract examiners and consultants to
perform the examinations. The commissioner shall review and
affirmatively endorse detailed
billings from the qualified contract examiner before summary
billings are sent to the insurer.
27-72-8.
Advertising. – (a) A
broker, or provider licensed pursuant to this chapter may
conduct or participate in advertisements within this state.
Such advertisements shall comply with
all Rhode Island advertising and marketing laws or rules
and regulations promulgated by the
commissioner that are applicable to life insurers or to brokers,
and providers licensed pursuant to
this chapter.
(b) Advertisements
shall be accurate, truthful and not misleading in fact or by
implication.
(c) No person or
trust shall:
(1) Directly or
indirectly, market, advertise, solicit or otherwise promote the purchase of
a policy for the sole purpose of or with an emphasis on
settling the policy; or
(2) Use the words
“free”, “no cost” or words of similar import in the marketing,
advertising, soliciting or otherwise promoting of the purchase of
a policy.
(d) The commissioner
is authorized to contract with outside consultants to review
advertisements and the total cost of that review shall be borne by,
billed directly to, and paid by
the provider utilizing or proposing to utilize the
advertisement.
27-72-9.
Disclosures to owners. – (a) The
provider or broker shall provide in writing, in
a separate document that is signed by the owner, the
following information to the owner no later
than the date of application for a life settlement
contract:
(1) The fact that possible
alternatives to life settlement contracts exist, including, but not
limited to, accelerated benefits offered by the issuer of the
life insurance policy;
(2) The fact that
some or all of the proceeds of a life settlement contract may be taxable
and that assistance should be sought from a professional
tax advisor;
(3) The fact that the
proceeds from a life settlement contract could be subject to the
claims of creditors;
(4) The fact that
receipt of proceeds from a life settlement contract may adversely affect
the recipients' eligibility for public assistance or
other government benefits or entitlements and
that advice should be obtained from the appropriate
agencies;
(5) The fact that the
owner has a right to terminate a life settlement contract within fifteen
(15) days of the date it is
executed by all parties and the owner has received the disclosures
contained herein. Rescission, if exercised by the owner, is
effective only if both notice of the
rescission is given, and the owner repays all proceeds and any
premiums, loans, and loan interest
paid on account of the provider within the rescission
period. If the insured dies during the
rescission period, the contract shall be deemed to have been
rescinded subject to repayment by
the owner or the owner’s estate of all proceeds and any
premiums, loans, and loan interest to the
provider;
(6) The fact that
proceeds will be sent to the owner within three (3) business days after
the provider has received the insurer or group
administrator’s acknowledgement that ownership
of the policy or interest in the certificate has been
transferred and the beneficiary has been
designated in accordance with the terms of the life settlement
contract;
(7) The fact that
entering into a life settlement contract may cause other rights or benefits,
including conversion rights and waiver of premium benefits that
may exist under the policy or
certificate of a group policy to be forfeited by the owner and
that assistance should be sought
from a professional financial advisor;
(8) The date by which
the funds will be available to the owner and the transmitter of the
funds;
(9) The fact that the
commissioner shall require delivery of a buyer’s guide or a similar
consumer advisory package in the form prescribed by the
commissioner to owners during the
solicitation process;
(10) The disclosure
document shall contain the following language: “all medical,
financial or personal information solicited or obtained by a
provider or broker about an insured,
including the insured’s identity or the identity of family
members, a spouse or a significant other,
may be disclosed as necessary to effect the life
settlement contract between the owner and
provider. If you are asked to provide this information, you
will be asked to consent to the
disclosure. The information may be provided to someone who buys
the policy or provides funds
for the purchase. You may be asked to renew your
permission to share information every two (2)
years";
(11) The fact that
the commissioner shall require providers and brokers to print separate
signed fraud warnings on their applications and on their
life settlement contracts is as follows:
“Any person who
knowingly presents false information in an application for insurance or
life settlement contract is guilty of a crime and may be
subject to fines and confinement in
prison.”
(12) The fact that
the insured may be contacted by either the provider or its
authorized
representative for the purpose of determining the insured’s health
status or to verify the insured's
address. This contact is limited to once every three (3)
months if the insured has a life expectancy
of more than one year, and no more than once per month
if the insured has a life expectancy of
one year or less;
(13) The affiliation,
if any, between the provider and the issuer of the insurance policy to
be settled;
(14) That a broker
represents exclusively the owner, and not the insurer or the provider or
any other person, and owes a fiduciary duty to the owner,
including a duty to act according to the
owner’s instructions and in the best interest of the owner;
(15) The document
shall include the name, address and telephone number of the provider;
(16) The name,
business address, and telephone number of the independent third-party
escrow agent, and the fact that the owner may inspect or
receive copies of the relevant escrow or
trust agreements or documents;
(17) The fact that a change
of ownership could in the future limit the insured’s ability to
purchase future insurance on the insured’s life because there
is a limit to how much coverage
insurers will issue on one life;
(b) The written
disclosures shall be conspicuously displayed in any life settlement
contract furnished to the owner by a provider including any
affiliations or contractual
arrangements between the provider and the broker.
(c) A broker shall
provide the owner and the provider with at least the following
disclosures no later than the date the life settlement contract
is signed by all parties. The
disclosures shall be conspicuously displayed in the life
settlement contract or in a separate
document signed by the owner and provide the following information:
(1) The name,
business address and telephone number of the broker;
(2) A full, complete
and accurate description of all the offers, counter-offers, acceptances
and rejections relating to the proposed life settlement
contract;
(3) A written
disclosure of any affiliations or contractual arrangements between the
broker and any person making an offer in connection with the
proposed life settlement contracts;
(4) The name of each
broker who receives compensation and the amount of
compensation received by that broker, which compensation includes
anything of value paid or
given to the broker in connection with the life settlement
contract;
(5) A complete
reconciliation of the gross offer or bid by the provider to the net amount
of proceeds or value to be received by the owner. For
the purpose of this section, gross offer or
bid shall mean the total amount or value offered by the
provider for the purchase of one or more
life insurance policies, inclusive of commissions and
fees; and
(6) The failure to
provide the disclosures or rights described in this section shall be
deemed an unfair trade practice pursuant to section
27-72-17.
27-72-10.
Disclosure to insurer. – (a) Without
limiting the ability of an insurer from
assessing the insurability of a policy applicant and
determining whether or not to issue the policy,
and in addition to other questions an insurance carrier
may lawfully pose to a life insurance
applicant, insurance carriers may inquire in the application
for insurance whether the proposed
owner intends to pay premiums with the assistance of
financing from a lender that will use the
policy as collateral to support the financing.
(1) If, as described in
this chapter, the loan provides funds which can be used for a
purpose other than paying for the premiums, costs, and
expenses associated with obtaining and
maintaining the life insurance policy and loan, the application
shall be rejected as a violation of
the prohibited practices in section 27-72-13.
(2) If the financing
does not violate section 27-72-13, the insurance carrier:
(i)
May make disclosures, including but not limited to such as the following, to
the
applicant and the insured, either on the application or an
amendment to the application to be
completed no later than the delivery of the policy:
“If you have entered
into a loan arrangement where the policy is used as collateral, and
the policy does change ownership at some point in the
future in satisfaction of the loan, the
following may be true:
(A) A change of
ownership could lead to a stranger owning an interest in the insured’s
life;
(B) A change of
ownership could in the future limit your ability to purchase future
insurance on the insured’s life because there is a limit to how
much coverage insurers will issue
on one life;
(C) Should there be a
change of ownership and you wish to obtain more insurance
coverage on the insured’s life in the future, the insured’s
higher issue age, a change in health
status, and/or other factors may reduce the ability to
obtain coverage and/or may result in
significantly higher premiums;
(D) You should
consult a professional advisor, since a change in ownership in
satisfaction of the loan may result in tax consequences to the
owner, depending on the structure of
the loan;” and
(b) May require
certifications, such as the following, from the applicant and/or the
insured:
(1) "I have not
entered into any agreement or arrangement providing for the future sale of
this life insurance policy";
(2) "My loan
arrangement for this policy provides funds sufficient to pay for some or all
of the premiums, costs, and expenses associated with
obtaining and maintaining my life insurance
policy, but I have not entered into any agreement by which I
am to receive consideration in
exchange for procuring this policy"; and
(3) "The
borrower has an insurable interest in the insured.”
27-72-11.
General rules. – (a) A provider entering into a
life settlement contract with
any owner of a policy, wherein the insured is terminally
or chronically ill, shall first obtain:
(1) If the owner is
the insured, a written statement from a licensed attending physician
that the owner is of sound mind and under no constraint or
undue influence to enter into a
settlement contract; and
(2) A document in
which the insured consents to the release of his/her medical records to
a provider, settlement broker, or insurance producer
and, if the policy was issued less than two (2)
years from the date of application for a settlement
contract, to the insurance company that issued
the policy.
(b) The insurer shall
respond to a request for verification of coverage submitted by a
provider, settlement broker, or life insurance producer not
later than thirty (30) calendar days
from the date the request is received. The request for
verification of coverage must be made on a
form approved by the commissioner. The insurer shall
complete and issue the verification of
coverage or indicate in which respects it is unable to
respond. In its response, the insurer shall
indicate whether, based on the medical evidence and documents
provided, the insurer intends to
pursue an investigation at this time regarding the validity
of the insurance contract.
(c) Before or at the
time of execution of the settlement contract, the provider shall obtain
a witnessed document in which the owner consents to the
settlement contract, represents that the
owner has a full and complete understanding of the
settlement contract, that the owner has a full
and complete understanding of the benefits of the policy,
acknowledges that the owner is entering
into the settlement contract freely and voluntarily, and,
for persons with a terminal or chronic
illness or condition, acknowledges that the insured has a
terminal or chronic illness and that the
terminal or chronic illness or condition was diagnosed after
the policy was issued.
(d) The insurer shall
not unreasonably delay effecting change of ownership or beneficiary
with any life settlement contract lawfully entered into in
this state or with a resident of this state.
(e) If a settlement
broker or life insurance producer performs any of these activities
required of the provider, the provider is deemed to have
fulfilled the requirements of this chapter.
(f) If a broker
performs those verification of coverage activities
required of the provider,
the provider is deemed to have fulfilled the requirements
of section 27-72-9.
(g) Within twenty
(20) days after an owner executes the life settlement contract, the
provider shall give written notice to the insurer that issued
that insurance policy that the policy
has become subject to a life settlement contract. The
notice shall be accompanied by the
documents required by subdivision 27-72-10(a)(2).
(h) All medical
information solicited or obtained by any licensee shall be subject to the
applicable provision of state law relating to confidentiality of
medical information, if not
otherwise provided in this chapter.
(i)
All life settlement contracts entered into in this state shall provide that the
owner may
rescind the contract on or before fifteen (15) days after the
date it is executed by all parties
thereto. Rescission, if exercised by the owner, is effective
only if both notice of the rescission is
given, and the owner repays all proceeds and any premiums,
loans, and loan interest paid on
account of the provider within the rescission period. If the
insured dies during the rescission
period, the contract shall be deemed to have been rescinded
subject to repayment by the owner or
the owner’s estate of all proceeds and any premiums,
loans, and loan interest to the provider.
(j) Within three (3)
business days after receipt from the owner of documents to effect the
transfer of the insurance policy, the provider shall pay the
proceeds of the settlement to an escrow
or trust account managed by a trustee or escrow agent in
a state or federally chartered financial
institution pending acknowledgement of the transfer by the issuer
of the policy. The trustee or
escrow agent shall be required to transfer the proceeds due
to the owner within three (3) business
days of acknowledgement of the transfer from the insurer.
(k) Failure to tender
the life settlement contract proceeds to the owner by the date
disclosed to the owner renders the contract voidable
by the owner for lack of consideration until
the time the proceeds are tendered to and accepted by the
owner. A failure to give written notice
of the right of rescission hereunder shall toll the right
of rescission until thirty (30) days after the
written notice of the right of rescission has been given.
(l) Any fee paid by a
provider, party, individual, or an owner to a broker in exchange for
services provided to the owner pertaining to a life settlement
contract shall be computed as a
percentage of the offer obtained, not the face value of the
policy. Nothing in this section shall be
construed as prohibiting a broker from reducing such broker's
fee below this percentage if the
broker so chooses.
(m) The broker shall
disclose to the owner anything of value paid or given to a broker,
which relates to a life settlement contract.
(n) No person at any
time prior to, or at the time of, the application for, or issuance of, a
policy, or during a two (2) year period commencing with the
date of issuance of the policy, shall
enter into a life settlement regardless of the date the
compensation is to be provided and
regardless of the date the assignment, transfer, sale, devise,
bequest or surrender of the policy is
to occur. This prohibition shall not apply if the owner
certifies to the provider that:
(1) The policy was
issued upon the owner’s exercise of conversion rights arising out of a
group or individual policy, provided the total of the time
covered under the conversion policy
plus the time covered under the prior policy is at least
twenty-four (24) months. The time covered
under a group policy must be calculated without regard to a
change in insurance carriers,
provided the coverage has been continuous and under the same
group sponsorship; or
(2) The owner submits
independent evidence to the provider that one or more of the
following conditions have been met within the two (2) year
period:
(i)
The owner or insured is terminally or chronically ill;
(ii) The owner or
insured disposes of his/her ownership interests in a closely held
corporation, pursuant to the terms of a buyout or other similar
agreement in effect at the time the
insurance policy was initially issued;
(iii) The owner’s
spouse dies;
(iv)
The owner divorces his or her spouse;
(v) The owner retires
from full-time employment;
(vi)
The owner becomes physically or mentally disabled and a physician
determines that
the disability prevents the owner from maintaining
full-time employment; or
(vii) A final order,
judgment or decree is entered by a court of competent jurisdiction, on
the application of a creditor of the owner, adjudicating the
owner bankrupt or insolvent, or
approving a petition seeking reorganization of the owner or
appointing a receiver, trustee or
liquidator to all or a substantial part of the owner’s assets;
(3) Copies of the
independent evidence required by subdivision 27-72-11(n)(2)
shall be
submitted to the insurer when the provider submits a request to
the insurer for verification of
coverage. The copies shall be accompanied by a letter of
attestation from the provider that the
copies are true and correct copies of the documents received
by the provider. Nothing in this
section shall prohibit an insurer from exercising its right
to contest the validity of any policy;
(4) If the provider
submits to the insurer a copy of independent evidence provided for in
subdivision 27-72-11(n)(2) when the provider submits a request to
the insurer to effect the
transfer of the policy to the provider, the copy is deemed to
establish that the settlement contract
satisfies the requirements of this section.
27-72-12.
Authority to promulgate regulations -- Conflict of laws. –
(a) The
Commissioner may:
(1) Promulgate
regulations implementing this chapter and regulating the activities and
relationships of providers, brokers, insurers and their agents,
subject to statutory limitations on
administrative rule making.
(2) Provide by
regulation that the commissioner is authorized and may in his or her
discretion recover the reasonable cost of legal services
incurred by the department in enforcement
actions under this chapter either from the licensee against
whom the action is taken or by way of
an assessment of all providers licensed pursuant to
subsection 27-72-3(a). The assessment
formula shall be set by regulation based upon information
provided in the prior years annual
statement filed pursuant to subsection 27-72-3(l).
(b) Conflict of laws.
(1) If there is more
than one owner on a single policy, and the owners are
residents of
different states, the life settlement contract shall be governed
by the law of the state in which the
owner having the largest percentage ownership resides or,
if the owners hold equal ownership, the
state of residence of one owner agreed upon in writing by
all of the owners. The law of the state
of the insured shall govern in the event that equal
owners fail to agree in writing upon a state of
residence for jurisdictional purposes.
(2) A provider from
this state who enters into a life settlement contract with an owner
who is a resident of another state that has enacted
statutes or adopted regulations governing life
settlement contracts, shall be governed in the effectuation of
that life settlement contract by the
statutes and regulations of the owner’s state of residence. If
the state in which the owner is a
resident has not enacted statutes or regulations governing
life settlement contracts, the provider
shall give the owner notice that neither state regulates
the transaction upon which he or she is
entering. For transactions in those states, however, the
provider is to maintain all records required
as if the transactions were executed in the state of
residence. The forms used in those states need
not be approved by the department.
(3) If there is a
conflict in the laws that apply to an owner and a purchaser in any
individual transaction, the laws of the state that apply to the
owner shall take precedence and the
provider shall comply with those laws.
27-72-13.
Prohibited practices. – (a) it is unlawful for any person to:
(1) Enter into a life
settlement contract if such person knows or reasonably should have
known that the life insurance policy was obtained by means
of a false, deceptive or misleading
application for such policy;
(2) Engage in any
transaction, practice or course of business if such person knows or
reasonably should have known that the intent was to avoid the
notice requirements of this
chapter;
(3) Engage in any
fraudulent act or practice in connection with any transaction relating to
any settlement involving an owner who is a resident of
this state;
(4) Issue, solicit,
market or otherwise promote the purchase of an insurance policy for the
purpose of or with an emphasis on settling the policy;
(5) Enter into a
premium finance agreement with any person or agency, or any person
affiliated with such person or agency, pursuant to which such
person shall receive any proceeds,
fees or other consideration, directly or indirectly, from the
policy or owner of the policy or any
other person with respect to the premium finance agreement
or any settlement contract or other
transaction related to such policy that are in addition to the
amounts required to pay the principal,
interest and service charges related to policy premiums
pursuant to the premium finance
agreement or subsequent sale of such agreement; provided,
further, that any payments, charges,
fees or other amounts in addition to the amounts required
to pay the principal, interest and service
charges related to policy premiums paid under the premium
finance agreement shall be remitted
to the original owner of the policy or to his or her
estate if he or she is not living at the time of the
determination of the overpayment;
(6) With respect to
any settlement contract or insurance policy and a broker, knowingly
solicit an offer from, effectuate a life settlement contract
with or make a sale to any provider,
financing entity or related provider trust that is controlling,
controlled by, or under common
control with such broker unless such relationship has been
disclosed to the owner;
(7) With respect to
any life settlement contract or insurance policy and a provider,
knowingly enter into a life settlement contract with an owner,
if, in connection with such life
settlement contract, anything of value will be paid to a broker
that is controlling, controlled by, or
under common control with such provider or the financing
entity or related provider trust that is
involved in such settlement contract unless such relationship
has been disclosed to the owner;
(8) With respect to a
provider, enter into a life settlement contract unless the life
settlement promotional, advertising and marketing materials, as
may be prescribed by regulation,
have been filed with the commissioner. In no event shall
any marketing materials expressly
reference that the insurance is “free” for any period of time.
The inclusion of any reference in the
marketing materials that would cause an owner to reasonably
believe that the insurance is free for
any period of time shall be considered a violation of
this chapter; or
(9) With respect to
any life insurance producer, insurance company, broker, or provider
make any statement or representation to the applicant or
policyholder in connection with the sale
or financing of a life insurance policy to the effect
that the insurance is free or without cost to the
policyholder for any period of time unless provided in the policy.
(b) A violation of
this section shall be deemed a fraudulent life settlement act.
27-72-14.
Fraud prevention and control. – (a) Fraudulent life settlement acts,
interference and participation of convicted felons prohibited.
(1) A person shall
not commit a fraudulent life settlement act.
(2) A person shall
not knowingly and intentionally interfere with the enforcement of the
provisions of this chapter or investigations of suspected or
actual violations of this chapter.
(3) A person in the
business of life settlements shall not knowingly or intentionally
permit any person convicted of a felony involving dishonesty
or breach of trust to participate in
the business of life settlements.
(b) Fraud warning
required.
(1) Life settlement
contracts and applications for life settlement contracts, regardless of
the form of transmission, shall contain the following
statement or a substantially similar
statement:
“Any person who
knowingly presents false information in an application for insurance or
life settlement contract is guilty of a crime and may be
subject to fines and confinement in
prison.”
(2) The lack of a
statement as required in subdivision (1) of this subsection does not
constitute a defense in any prosecution for a fraudulent life
settlement act.
(c) Mandatory
reporting of fraudulent life settlement acts.
(1) Any person
engaged in the business of life settlements having knowledge or a
reasonable belief that a fraudulent life settlement acts is
being, will be or has been committed
shall provide to the commissioner the information required
by, and in a manner prescribed by, the
commissioner.
(2) Any other person
having knowledge or a reasonable belief that a fraudulent life
settlement act is being, will be or has been committed may
provide to the commissioner the
information required by, and in a manner prescribed by, the
commissioner.
(d) Immunity from
liability.
(1) No civil
liability shall be imposed on and no cause of action shall arise from a
person’s furnishing information concerning suspected,
anticipated or completed fraudulent life
settlement acts or suspected or completed fraudulent insurance
acts, if the information is provided
to or received from:
(i)
The commissioner or the commissioner’s employees, agents or representatives;
(ii) Federal, state
or local law enforcement or regulatory officials or their employees,
agents or representatives;
(iii) A person
involved in the prevention and detection of fraudulent life settlement acts
or that person’s agents, employees or representatives;
(iv)
Any regulatory body or their employees, agents or
representatives, overseeing life
insurance, life settlements, securities or investment fraud;
(v) The life insurer
that issued the life insurance policy covering the life of the insured; or
(vi)
The licensee and any agents, employees or representatives.
(2) Subdivision (1) of
this subsection shall not apply to statements made with actual
malice. In an action brought against a person for filing a
report or furnishing other information
concerning a fraudulent life settlement act or a fraudulent
insurance act, the party bringing the
action shall plead specifically any allegation that
subdivision (1) does not apply because the
person filing the report or furnishing the information did
so with actual malice.
(3) A person
identified in subdivision (1) shall be entitled to an award of attorney’s fees
and costs if he or she is the prevailing party in a civil
cause of action for libel, slander or any
other relevant tort arising out of activities in carrying
out the provisions of this chapter and the
party bringing the action was not substantially justified
in doing so. For purposes of this section a
proceeding is “substantially justified” if it had a reasonable
basis in law or fact at the time that it
was initiated.
(4) This section does
not abrogate or modify common law or statutory privileges or
immunities enjoyed by a person described in subdivision (1).
(e) Confidentiality.
(1) The documents and
evidence provided pursuant to subsection (d) of this section or
obtained by the commissioner in an investigation of suspected
or actual fraudulent life settlement
acts shall be privileged and confidential and shall not be
a public record and shall not be subject
to discovery or subpoena in a civil or criminal action.
(2) Subdivision (1) of
this subsection does not prohibit release by the commissioner of
documents and evidence obtained in an investigation of
suspected or actual fraudulent life
settlement acts:
(i)
In administrative or judicial proceedings to enforce laws administered by the
commissioner;
(ii) To federal,
state or local law enforcement or regulatory agencies, to an organization
established for the purpose of detecting and preventing
fraudulent life settlement acts or to the
NAIC; or
(iii) At the discretion
of the commissioner, to a person in the business of life settlements
that is aggrieved by a fraudulent life settlement act.
(3) Release of
documents and evidence under subdivision (2) of this subsection does not
abrogate or modify the privilege granted in subdivision (1).
(f) Other law
enforcement or regulatory authority. This chapter shall not:
(1) Preempt the
authority or relieve the duty of other law enforcement or regulatory
agencies to investigate, examine and prosecute suspected
violations of law;
(2) Preempt,
supersede, or limit any provision of any state securities law or any rule,
order, or notice issued thereunder;
(3) Prevent or
prohibit a person from voluntarily disclosing information concerning life
settlement fraud to a law enforcement or regulatory agency other
than the insurance department;
or
(4) Limit the powers
granted elsewhere by the laws of this state to the commissioner or
an insurance fraud unit to investigate and examine
possible violations of law and to take
appropriate action against wrongdoers.
(g) Life settlement
antifraud initiatives.
(1) Providers and
brokers shall have in place antifraud initiatives reasonably calculated to
detect, prosecute and prevent fraudulent life settlement
acts. At the discretion of the
commissioner, the commissioner may order, or a licensee may
request and the commissioner may
grant, such modifications of the following required
initiatives as necessary to ensure an effective
antifraud program. The modifications may be more or less
restrictive than the required initiatives
so long as the modifications may reasonably be expected
to accomplish the purpose of this
section. Antifraud initiatives shall include:
(i)
Fraud investigators, who may be provider or broker employees or independent
contractors; and
(ii) An antifraud
plan, which shall be submitted to the commissioner. The antifraud plan
shall include, but not be limited to:
(A) A description of
the procedures for detecting and investigating possible fraudulent
life settlement acts and procedures for resolving material
inconsistencies between medical records
and insurance applications;
(B) A description of
the procedures for reporting possible fraudulent life settlement acts
to the commissioner;
(C) A description of
the plan for antifraud education and training of underwriters and
other personnel; and
(D) A description or
chart outlining the organizational arrangement of the antifraud
personnel who are responsible for the investigation and
reporting of possible fraudulent life
settlement acts and investigating unresolved material
inconsistencies between medical records
and insurance applications.
(2) Antifraud plans
submitted to the commissioner shall be privileged and confidential
and shall not be a public record and shall not be subject
to discovery or subpoena in a civil or
criminal action.
27-72-15.
Injunctions -- Civil remedies -- Cease and desist. – (a) In addition to the
penalties and other enforcement provisions of this chapter, if
any person violates this chapter or
any rule implementing this chapter, the commissioner may
seek an injunction in a court of
competent jurisdiction in this state and may apply for
temporary and permanent orders that the
commissioner determines necessary to restrain the person from
further committing the violation.
(b) Any person
damaged by the acts of another person in violation of this chapter or any
rule or regulation implementing this chapter, may bring a
civil action for damages against the
person committing the violation in a court of competent
jurisdiction.
(c) The commissioner
may issue a cease and desist order upon a person who
violates any
provision of this part, any rule or order adopted by the
commissioner, or any written agreement
entered into with the commissioner, in accordance with the
chapter governing administrative
procedures, section 42-35-1 et seq.
(d) When the
commissioner finds that such an action presents an immediate danger to the
public and requires an immediate final order, he may issue
an emergency cease and desist order
reciting with particularity the facts underlying such
findings. The emergency cease and desist
order is effective immediately upon service of a copy of
the order on the respondent and remains
effective for ninety (90) days. If the department begins
non-emergency cease and desist
proceedings under subsection (a), the emergency cease and desist
order remains effective, absent
an order by a court of competent jurisdiction pursuant
to section 42-35-1 et seq. In the event of a
willful violation of this chapter, the superior court may
award statutory damages in addition to
actual damages in an additional amount up to three (3) times
the actual damage award. The
provisions of this chapter may not be waived by agreement. No
choice of law provision may be
utilized to prevent the application of this chapter to any
settlement in which a party to the
settlement is a resident of this state.
27-72-16.
Penalties. – (a) It is
a violation of this chapter for any person, provider, broker,
or any other party related to the business of life
settlements, to commit a fraudulent life settlement
act.
(b) For criminal
liability purposes, a person that commits a fraudulent life settlement act
is guilty of committing insurance fraud and shall be
subject to additional penalties under section
27-54-1 et seq.
(c) The commissioner
shall be empowered to levy a civil penalty not exceeding one
thousand dollars ($1,000) and the amount of the claim for each
violation upon any person,
including those persons and their employees licensed pursuant
to this chapter, who is found to
have committed a fraudulent life settlement act or
violated any other provision of this chapter.
(d) The license of a
person licensed under this chapter that commits a fraudulent life
settlement act shall be revoked.
27-72-17. Unfair trade practices. -- A violation of this
chapter shall be considered an
unfair trade practice pursuant to state law and subject to
the penalties provided by state law.
27-72-18.
Effective Date. – (a) A provider lawfully
transacting business in this state
prior to the effective date of this act may continue to do
so pending approval or disapproval of
that person’s application for a license as long as the
application is filed with the commissioner not
later than thirty (30) days after publication by the
commissioner of an application form and
instructions for licensure of providers. If the publication of the
application form and instructions
is prior to the effective date of this act, then the
filing of the application shall not be later than
thirty (30) days after the effective date of this act.
During the time that such an application is
pending with the commissioner, the applicant may use any form
of life settlement contract that
has been filed with the commissioner pending approval
thereof, provided that such form is
otherwise in compliance with the provisions of this chapter.
Any person transacting business in
this state under this provision shall be obligated to
comply with all other requirements of this
chapter.
(b) A person who has
lawfully negotiated life settlement contracts between any owner
residing in this state and one or more providers for at least
one year immediately prior to the
effective date of this act may continue to do so pending
approval or disapproval of that person’s
application for a license as long as the application is filed
with the commissioner not later than
thirty (30) days after publication by the commissioner of an
application form and instructions for
licensure of brokers. If the publication of the application
form and instructions is prior to the
effective date of this chapter, then the filing of the
application shall not be later than thirty (30)
days after the effective date of this act. Any person
transacting business in this state under this
provision shall be obligated to comply with all other
requirements of this chapter.
SECTION 2. This act shall take effect on July 1, 2010.
=======
LC00252/SUB A
=======