New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 11. Insurance |
Chapter III. Policy and Certificate Provisions |
Subchapter A. Life, Accident and Health Insurance |
Part 53. Life and Annuity Cost Disclosure and Sales Illustrations |
Subpart 53-3. Life Illustrations and Reports |
Sec. 53-3.2. General rules and illustrations
Latest version.
- (a) An illustration used in the sale of a life insurance policy and subject to this Subpart shall satisfy the applicable requirements of this Subpart, be clearly labeled “life insurance illustration” and contain the following basic information:(1) name of insurer;(2) name and business address of producer or insurer's authorized representative, if any;(3) name, age and sex of proposed insured, except where a composite illustration is permitted under this Subpart;(4) underwriting or rating classification upon which the illustration is based;(5) generic name of policy, the company product name, if different, and form number;(6) initial death benefit; and(7) dividend option election or application of non-guaranteed elements, if applicable.(b) When using an illustration in the sale of a life insurance policy, an insurer or its producers or other authorized representatives shall not:(1) represent the policy as anything other than a life insurance policy;(2) use or describe non-guaranteed elements in a manner that is misleading or has the capacity or tendency to mislead;(3) state or imply that the payment or amount of non-guaranteed elements is guaranteed;(4) use an illustration that does not comply with the requirements of this Subpart;(5) use an illustration that at any policy duration depicts policy performance more favorable to the policyowner than that produced by the illustrated scale of the insurer whose policy is being illustrated;(6) provide an applicant with an incomplete illustration;(7) represent in any way that premium payments will not be required for each year of the policy in order to maintain the illustrated death benefits, unless that is the fact;(8) use the term “vanish” or “vanishing premium,” or a similar term that implies the policy becomes paid up, to describe a plan for using non-guaranteed elements to pay a portion of future premiums;(9) except for policies that can never develop nonforfeiture values, use an illustration that is “lapse-supported;” or(10) use an illustration that is not “self-supporting.”(c) If an interest rate used to determine the illustrated non-guaranteed elements is shown, it shall not be greater than the earned interest rate underlying the disciplined current scale.(d) Pursuant to sections 4231 and 4232 of the Insurance Law, no sales illustration, preliminary information form or policy summary shall depict a persistency bonus, a specified additional amount or specified reduction in mortality costs or expense costs in a specific policy year, after the first policy year, unless such bonus, additional amount or reduction is guaranteed in the contract or policy.