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NYSID

"New York: The Change Has (Started to) Come"

“The fabled New York State Insurance Department will open its doors Oct. 3 as a part of a new New York State Department of Financial Services. Insurers shouldn’t expect to see too much disruption – yet.” Click link to read more. http://www.lifeandhealthinsurancenews.com/News/2011/9/Pages/New-York-The-Change-Has-Started-to-Come.aspx

By ELIZABETH FESTA
Published 9/23/2011

Additional Guidance on NY's Reg 194

In a recent NYSID Office of General Counsel Opinion (11-07-01), the Department stated in response to an inquiry that: 

“A producer that receives ‘items like shirts, lunches, pens, pads,” and other merchandise as well as entertainment as compensation based in whole or in part on the sale of insurance contracs must disclose such compensation pursuant to §30.3(b) of Regulation 194.  (Footnote: ‘Compensation does not mean tangible goods with the insurer name, logo or other advertisement and having an aggregate value of less than $100 per year per insurer.  11 NYCRR 30.2(a).)  However, whether a producer must provide the precise value of entertainment and merchandise received from an insurer as compensation or may provide a reasonable estimate of such value depends on whether the amount of compensation is known at the time Regulation 194 requires disclosure.” 

NY Issues Press Release and §308 Letters

The New York State Insurance Department has issued a [press release] indicating that they have sent letters requesting information from the 172 licensed life insurers and fraternals. The letter requires these insurers to use the United States Social Security Administration’s Death Master File (who names these?) to identify policy holders who have died where no claim has been filed. The Department is also amending regulations to “require life insurers to perform regular SSA Master File cross-checks and to require life insurers to request more detailed beneficiary information (e.g. social security number, address) to facilitate locating and making payments to beneficiaries in the future.”

As is so often the case when a single part of a process is looked at with great scrutiny, the proposed solution may create new problems when the larger process is seen as a whole. There are clearly consumer protection issues when policy values are depleted after a policy holder dies. However, there will just as surely be new problems that arise with new mandates and procedures: protecting the social security numbers of beneficiaries is an obvious one.

Because I spend so much time on policy forms, I immediately wonder how this might need to be addressed in policy forms and what issues may arise there. The suggested shift in the burden of paying claims would seem to require new policy provisions. Time limits for claims so that beneficiaries further down the line can get their checks and the company stop receiving premium payments? Beneficiary designations becoming part of the policy because rights are retained or lost there? It seems certain that there will be disputes and litigation that will arise from forcing payouts to people who are easily found over people who are not.

Recently the life insurance industry has taken some tough criticism and then life insurance regulators get criticized secondarily for having failed to address the issues in advance of the negative publicity and react with new mandates. However, on this issue and on retained asset accounts, the criticism seems to be based on the idea that if insurers benefit financially, by definition, consumers are hurt and something has to change. I question the validity of that premise.

I would like to see life insurers be more successful in getting out an opposing view to the criticism. I would also like to see regulators more publicly confident in their existing regulations. That isn’t to say regulation can’t improve or that there aren’t new issues that need to be addressed. However, there are real, good and valid reasons why beneficiary provisions work the way they do. In some cases negative outcomes may happen. But that will always be true. It isn’t possible to regulate away all negative outcomes in specific situations. Holding on to death proceeds until the primary beneficiary comes forward - even if the life insurer benefits financially by continuing to receive premium payments from automatic deductions - may result in the wishes of the insured and the rights of the beneficiary being better protected.

I am hopeful that the information gathered by the NYSID will illustrate this and will allow the life insurance industry to put out a positive message. I also hope that regulators see that the laws and regulations already on the books and already vigorously enforced are strong and sufficient to protect the interests of consumers as a whole, even if there are specific situations, when looked at in isolation, where alternative outcomes would have been better for a particular individual. After all, regulations are about protecting large groups of people as a whole, not ensuring that for each individual the best possible outcome is achieved.

NY Posts New Individual Annuity Outline

Did you have a long weekend? How did you spend it? Me? I reviewed the newly posted 81-page Draft Individual Fixed and/or Variable Deferred Annuity Outline. I am in the process of drafting comments, which are due to the Department on or before April 3, 2011. Let me know if you’d like me to include a comment from your company or if you’d like to discuss anything in the proposed outline. Clients in the annuity market will likely be hearing from me with thoughts on how these proposed changes could impact your products or the way you do business today. There is a lot in the outline and it is much better to talk about the issues now than when we are all under the gun with a new product that needs to get out the door.

NY Issues Circular Letter on Excess Withdrawals and GMWBs

The NY Insurance Department today issued Circular Letter 5 (2011) establishing disclosure rules for excess withdrawals under GMWB riders. The regulatory concern expressed is that using the proportional methodology that many companies use for determining the impact on guaranteed benefits of an excess withdrawal could mean that “the reduction in the guaranteed withdrawal amount may be disproportionate compared to the excess withdrawal amount.” The Circular Letter includes an example where the Department concludes that a one-time $80 excess withdrawal results in a loss of $100 payments for life.

At one time, it is likely that this potential for an adverse and inadvertent economic consequence to the contract owner would have resulted in a “desk drawer” prohibition of the methodology, even in the face of insurers’ acknowledged need to limit anti-selection exposure. More recently, however, a typical approach is to require disclosure and, in fact, that is the mandate of this Circular Letter.

Two disclosures are required: The first in the annual (or other periodic) statement sent to the contract owner, and the second at the time of a request for an excess withdrawal. After considering a requirement that the disclosure be individual-specific, the Circular Letter permits a general disclosure so long as a personalized calculation is available that explains the specifics of the proposed transaction. The Circular Letter provides sample disclosure language that the Department indicates it finds acceptable.

The Circular Letter gives insurers 90 days from today to implement the disclosure.