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February 5, 2001 Ms. Carolyn Johnson Ms. Rosanne Mead Re: January 6, 2001 draft - Life Insurance And Annuities Suitability Model
Regulation Dear Carolyn and Rosanne: The following comments are submitted on behalf of the Insurance Marketplace
Standards Association ("IMSA"), a national association designed to
promote high ethical standards of conduct in the life insurance marketplace,
whose 244 member companies represent in excess of 83% market share for
individually-sold life insurance, annuity and long-term care insurance products
in the United States. IMSA appreciates the thoughtful evaluation of previous comments submitted to
members of the NAIC Suitability Working Group (the "Working Group")
which has led to the issuance of the January 6, 2001 draft of the proposed NAIC
Life Insurance and Annuities Suitability Model Regulation (the "Model
Regulation"). In particular, IMSA commends the Working Group's
acknowledgment of IMSA membership by providing a "safe harbor" within
the Model Regulation to the extent an insurer complies on a continuing basis
with IMSA membership requirements which include IMSA’s "needs-based
selling" standard. We believe the "safe harbor" provision under
Section 5, D., (1) of the Model Regulation is warranted for the reasons set
forth below. I. IMSA’s "needs-based selling" standard. IMSA's "needs-based selling" standard is embodied within IMSA
Principle 1, Code A which reads as follows: To conduct its business according to high standards of honesty and
fairness, a company will implement policies and procedures designed to provide
reasonable assurance that: The insurable needs or financial objectives of its customers are determined
based upon relevant information obtained from the customer and the company
enters into transactions which assist the customer in meeting his or her
insurable needs or financial objectives. All IMSA member companies are required to abide by IMSA’s "needs-based
selling" standard on a continuous basis for IMSA membership purposes. IMSA
has a "continuous improvement" concept embodied within IMSA standards
and articulated in the April 2000 edition of the IMSA Assessment Handbook which
provides that an IMSA member company is required to conduct periodic, regular
evaluations of its compliance with IMSA standards and take corrective action, if
necessary. This "continuous improvement" concept suggests that IMSA
membership is not a "one time snapshot" analyzing a company’s
compliance with IMSA standards at a point int time but rather connotes that
compliance with IMSA standards is a dynamic process designed to occur at all
member companies on a regular, continual basis. II. NAIC Life Insurance And Annuities Suitability Model Regulation (January 6, 2001 draft). A. Section 5, B. Section 5, B. of the Model Regulation states: An insurer's policies and procedures shall include at least the following: (1) Informing its producers of the requirements of this regulation and
incorporating those requirements into any relevant producer training manuals
prepared by the insurer; (2) Providing each producer with the insurer's guidelines as to information
that should be obtained from a customer prior to making recommendations to a
customer; and (3) Establishing and maintaining a system reasonably designed to detect, on
either an individual or aggregate basis, producer practices that are not in
compliance with guidelines established in accordance with this section.
Compliance with this regulation may include, but shall not be limited to,
systematic customer surveys, interviews, confirmation letters or programs of
internal monitoring. 1. Section 5, B., (1) Section 5, B., (1) of the Model Regulation requires insurers to inform their
producers of the requirements of the Model Regulation and incorporate those
requirements into any relevant producer training manuals. IMSA maintains similar
requirements to the extent that all member companies are required to communicate
to captive and independent distributors and appropriate company employees the
company's policies and procedures designed to comply with IMSA standards
(including IMSA's "needs-based selling" standard). Further, IMSA
requires that a company's distributors and appropriate company employees are
trained in the company's policies and procedures, applicable laws and
regulations and the Principles and Code of Ethical Market Conduct. To comply
with this requirement training must include: -- How to analyze customer insurable needs and financial objectives to assist
them with making buying decisions about what is appropriate for them; -- The use of fact-finding tools for determining customer needs and financial
objectives; -- Complaint handling; -- Use and approval of marketing and sales materials; -- Fair competition guidelines, including those related to disparaging
competitors or inappropriate statements regarding competitors; -- Replacement policies and procedures, including definitions and when
replacements are appropriate; -- Licensing and appointment requirements; -- Qualifications for potential distributors; -- Company product features: benefits, limitations, costs, values, charges
and operations; -- Preparation and use of sales illustrations; -- Updates on changes in laws and regulations and related changes to company
policies and procedures; and -- Ethical Market Conduct practices. 2. Section 5, B., (2) Section 5, B., (2) requires an insurer to provide each producer with the
insurer's guidelines as to information that should be obtained from a customer
prior to making recommendations to a customer. Under IMSA standards, IMSA member
companies are required to maintain policies and procedures which encourage the
use of fact-finding tools to determine customers' insurable needs or financial
objectives. As stated above, all IMSA member companies must communicate these
policies and procedures to their distributors and appropriate company employees
in order to comply with IMSA standards. 3. Section 5, B., (3) Section 5, B., (3) requires an insurer to establish and maintain a system
reasonably designed to detect, on either an individual or aggregate basis,
producer practices of noncompliance with guidelines established in accordance
with this section. To comply with this requirement insurers may use a variety of
different techniques including systematic customer surveys, interviews,
confirmation letters or programs of internal monitoring. IMSA requires its member companies to establish and enforce policies and
procedures reasonably designed to monitor compliance with the Principles and
Code of Ethical Market Conduct and applicable laws and regulations. The primary
purpose of such monitoring systems is to detect instances of non-compliance with
a company's policies and procedures. By utilizing these monitoring systems, an
IMSA member company has a greater likelihood of detecting isolated occurrences
of non-compliant activity and correcting that behavior before it becomes a
systemic practice. IMSA member companies may fulfill IMSA’s monitoring requirements through
various means including internal auditing, telephonic or written surveys of
captive or independent distributors and appropriate company employees, LIMRA CAP
or other customer surveys, complaint analysis and information, lapse trends,
replacement activity reports, customer transactions histories (surrenders,
withdrawals, not-takens), underwriting exception reports, lists or numbers of
rejected field advertising pieces submitted for home office review and approval,
disciplinary records and other appropriate measures. Most importantly, IMSA member companies are required to take corrective
action when instances of non-compliance are detected. To determine when
corrective action may be appropriate, companies may perform on-site office
inspections, interview customers, interview captive or independent distributors
and appropriate company employees, survey customers, survey captive and
independent distributors or appropriate company employees, or use "mystery
shoppers" to identify non-compliant practices in the sale of the company's
products. Based upon this comparison of IMSA standards to Section 5, B. of the Model
Regulation, IMSA standards clearly require IMSA member companies to comply with
each of the elements of Section 5, B. of the proposed Model Regulation. B. Section 5, C. Section 5, C. states: An insurer may contract with a third party, such as an insurance agency or
brokerage firm, to deliver information and perform the functions described in
section 5, B. (1) and (2). An insurer utilizing such a contract shall perform
a reasonable inquiry to assure the third party is performing all duties
required by this regulation. IMSA standards require member companies to maintain an adequate system of
supervision of the sales and marketing activities of distributors and
appropriate company employees in order to monitor their compliance with the
Principles and Code of Ethical Market Conduct and applicable laws and
regulations. IMSA standards also permit an insurer to delegate responsibility
for supervising sales and marketing activities to independent intermediaries.
However, ultimate responsibility to reasonably assure compliance with IMSA's
supervision and monitoring requirements must be borne by the member company. In
those instances in which supervision of monitoring requirements are delegated to
independent intermediaries, the IMSA member company must continue to supervise
the performance of those obligations and bears ultimate responsibility for
compliance with all other provisions of the Principles and Code of Ethical
Market Conduct in the sales and marketing of its covered products. If an IMSA member company delegates any supervisory responsibility to
independent intermediaries, the company shall enter into a written agreement
with the intermediary which specifies the responsibilities delegated.
Thereafter, the IMSA member company must monitor whether the independent
intermediary is performing those responsibilities according to the terms of the
written agreement. To monitor compliance, IMSA member companies are expected to maintain a
monitoring system that routinely uses various testing methods to identify
instances of non-compliance with its policies and procedures. These testing
methods may include documentation review, interviews or field validation
techniques, direct observation, sampling or surveys. IMSA independent assessors must review the company's monitoring system during
the independent assessment phase of the IMSA membership process. The independent
assessor is asked to exercise professional business judgment to evaluate the
company's monitoring system to determine the nature and scope of independent
testing to be performed. It is expected that IMSA independent assessors will
conduct testing methods to confirm that the company's home office and field
distribution sales and marketing practices for covered products are conducted in
a manner consistent with its policies and procedures. IMSA's supervision and monitoring standards as outlined above require IMSA
member companies to conduct something more than a reasonable inquiry to
determine whether third parties are performing delegated duties. Since ultimate
responsibility for compliance with IMSA's monitoring standards must be borne by
the member company, some testing methods must be employed by the company and/or
its independent assessor to determine whether the company's monitoring system
and any monitoring duties delegated to third parties comply with IMSA standards. III. Conclusion. The information set forth above demonstrates that IMSA member companies,
through their continuous compliance with IMSA standards, meet the requirements
of the proposed Model Regulation. Accordingly, the "safe harbor" or
"exemption" from compliance with the requirements of the proposed
Model Regulation provided to IMSA member companies under Section 5, B., (1) of
the Model Regulation is warranted. IMSA would like to thank the members of the Working Group for their careful
consideration of our earlier comment letters and their appropriate
acknowledgment of the efforts IMSA member companies have undertaken to promote
life insurance, annuity and long-term care insurance products sales designed to
meet their customers' financial needs and objectives. We look forward to continuing our dialogue with members of the Working Group
at the upcoming interim meeting in Kansas City and at the NAIC Spring National
Meeting in Nashville, Tennessee. Please do not hesitate to contact me via phone
at (202) 624-2179 or via email at DonaldWalters@IMSAethics.org if you should
have any questions. Sincerely, Cc: Tim Mullen, NAIC
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