628.347(1)(b)
(b) “Recommendation" means advice provided by an insurance intermediary, or an insurer if no intermediary is involved, to an individual consumer that results in, or was intended to result in, the purchase, exchange, or replacement of an annuity in accordance with that advice, except that “recommendation” does not include general communication to the public, generalized customer service assistance or administrative support, general educational information and tools, prospectuses, and other product and sales materials.
628.347(1)(d)
(d) “Replacement" means a transaction in which a new annuity is to be purchased and it is known, or should be known to the proposing insurance intermediary, or to the proposing insurer if no intermediary is involved, that by reason of the transaction an existing policy or contract has been or is to be any of the following:
628.347(1)(d)1.
1. Lapsed, forfeited, surrendered or partially surrendered, assigned to the replacing insurer, or otherwise terminated.
628.347(1)(d)2.
2. Converted to reduced paid-up insurance, continued as extended term insurance, or otherwise reduced in value by the use of nonforfeiture benefits or other policy values.
628.347(1)(d)3.
3. Amended so as to effect either a reduction in benefits or a reduction in the term for which coverage would otherwise remain in force or for which benefits would otherwise be paid.
628.347(2)(a)
(a) When making a recommendation of an annuity, an insurance intermediary shall act in the best interest of the consumer under the circumstances known at the time the recommendation is made, without placing the financial interest of the intermediary or insurer ahead of the consumer's interest. An insurance intermediary has acted in the best interest of the consumer if the intermediary has satisfied the care obligation under sub.
(2b), the disclosure obligation under sub.
(2c), the conflict of interest obligation under sub.
(2d), and the documentation obligation under sub.
(2e). The requirements under this subsection and subs.
(2b) to
(2e) create only a regulatory obligation and do not create a fiduciary obligation or relationship.
628.347(2)(b)
(b) Any requirement applicable to an insurance intermediary under this subsection shall apply to every insurance intermediary who exercises material control or influence in the making of a recommendation and has received direct compensation as a result of the recommendation or sale, regardless of whether the intermediary has any direct contact with the consumer. Activities such as providing or delivering marketing or educational materials, product wholesaling or other back office product support, and conducting general supervision of an insurance intermediary do not, in and of themselves, constitute material control or influence.
628.347(2b)(a)
(a) In making a recommendation, an insurance intermediary shall exercise reasonable diligence, care, and skill to do all of the following:
628.347(2b)(a)1.
1. Know the consumer's financial situation, insurance needs, and financial objectives.
628.347(2b)(a)2.
2. Understand the available recommendation options after making a reasonable inquiry into the options available to the intermediary.
628.347(2b)(a)3.
3. Have a reasonable basis to believe the recommended option effectively addresses the consumer's financial situation, insurance needs, and financial objectives over the life of the product, as evaluated in light of the consumer profile information.
628.347(2b)(a)4.
4. Communicate the basis or bases of the recommendation to the consumer.
628.347(2b)(b)
(b) The requirements imposed on an insurance intermediary under par.
(a) include all of the following:
628.347(2b)(b)1.
1. Having a reasonable basis to believe the consumer would benefit from certain features of the annuity, such as tax-deferred growth, annuitization, a death or living benefit, or other insurance-related features.
628.347(2b)(b)2.
2. Making reasonable efforts to obtain consumer profile information from the consumer prior to the recommendation.
628.347(2b)(b)3.
3. Considering the types of products the intermediary is authorized and licensed to recommend or sell that address the consumer's financial situation, insurance needs, and financial objectives. Nothing in this subdivision requires analysis or consideration of products outside the authority and license of the intermediary or other possible alternative products or strategies available in the market at the time of the recommendation. Under this subdivision, an intermediary shall be held to standards applicable to intermediaries with similar authority and licensure.
628.347(2b)(be)
(be) If consumer profile information is obtained by an insurance intermediary, the insurance intermediary may not conceal the information from the insurer, and an insurance intermediary may not otherwise dissuade or attempt to dissuade the consumer from providing the information.
628.347(2b)(c)
(c) The requirements under this subsection shall apply to the annuity as a whole, the underlying subaccounts to which funds are allocated at the time of purchase or exchange of the annuity, and any riders and similar product enhancements.
628.347(2b)(d)
(d) The factors generally relevant in determining under this subsection whether an annuity effectively addresses the consumer's financial situation, insurance needs, and financial objectives shall be the consumer profile information, characteristics of the insurer, and product costs, rates, benefits and features. The level of importance of each factor may vary depending on the facts and circumstances of a particular case, and no factor may be considered in isolation.
628.347(2b)(e)
(e) Nothing in this subsection requires that an annuity with the lowest onetime or multiple occurrence compensation structure be recommended.
628.347(2b)(f)
(f) Nothing in this subsection requires that the insurance intermediary have an ongoing monitoring obligation, although such obligation may be separately owed under the terms of a fiduciary, consulting, investment advising, or financial planning agreement between the consumer and intermediary.
628.347(2b)(g)
(g) In the case of an exchange or replacement of an annuity, the insurance intermediary shall consider the whole transaction, which includes taking into consideration all of the following:
628.347(2b)(g)1.
1. Whether the consumer will incur a surrender charge, be subject to the commencement of a new surrender period, lose existing benefits, including death, living, or other contractual benefits, or be subject to increased fees, investment advisory fees, or charges for riders and similar product enhancements.
628.347(2b)(g)2.
2. Whether the replacing product would substantially benefit the consumer in comparison to the replaced product over the life of the product.
628.347(2b)(g)3.
3. Whether the consumer has had another annuity exchange or replacement, particularly within the preceding 60 months.
628.347(2b)(h)1.1. Subject to subd.
2., an insurance intermediary shall have no obligation to a consumer under this subsection if any of the following applies:
628.347(2b)(h)1.b.
b. The intermediary made a recommendation that is later found to have been prepared based on inaccurate material information provided by the consumer.
628.347(2b)(h)1.c.
c. The consumer refuses to provide relevant consumer profile information and the annuity transaction is not recommended.
628.347(2b)(h)1.d.
d. The consumer decides to enter into an annuity transaction that is not based on a recommendation made by the intermediary.
628.347(2b)(h)2.
2. An insurer's issuance of an annuity under the circumstances specified in subd.
1. a. to
d. shall be reasonable under all circumstances actually known to the insurer at the time the annuity is issued.
628.347(2c)(a)
(a) Prior to the recommendation or sale of an annuity, an insurance intermediary shall prominently disclose to the consumer, on a form substantially similar to Appendix A of the National Association of Insurance Commissioners Annuity Suitability Model Regulation that shall be posted on the office's Internet site, all of the following information:
628.347(2c)(a)1.
1. A description of the scope and terms of the intermediary's relationship with the consumer and the role of the intermediary in the transaction.
628.347(2c)(a)2.
2. An affirmative statement on whether the intermediary is licensed and authorized to sell fixed annuities, fixed indexed annuities, variable annuities, life insurance, mutual funds, stocks, bonds, and certificates of deposit.
628.347(2c)(a)3.
3. An affirmative statement describing the insurers for which the intermediary is authorized, contracted, appointed, or otherwise able to sell insurance products, using whichever of the following descriptions is appropriate:
628.347(2c)(a)3.c.
c. From 2 or more insurers although primarily contracted with one insurer.
628.347(2c)(a)4.
4. A description of the sources and types of cash compensation and noncash compensation to be received by the intermediary, including whether the intermediary is to be compensated for the sale of a recommended annuity by commission as part of a premium or other remuneration received from the insurer or another intermediary, or by fee as a result of a contract for advice or consulting services.
628.347(2c)(a)5.
5. A notice of the consumer's right to request additional information regarding cash compensation.
628.347(2c)(b)
(b) Upon request of the consumer or the consumer's designated representative, an insurance intermediary shall disclose all of the following:
628.347(2c)(b)1.
1. A reasonable estimate of the amount of cash compensation to be received by the intermediary, which may be stated as a range of amounts or percentages.
628.347(2c)(b)2.
2. Whether the cash compensation is a onetime or multiple occurrence amount and, if a multiple occurrence amount, the frequency and amount of the occurrence, which may be stated as a range of amounts or percentages.
628.347(2c)(c)
(c) Prior to or at the time of the recommendation or sale of an annuity, the insurance intermediary shall have a reasonable basis to believe the consumer has been informed of various features of the annuity, including the potential surrender period and surrender charges, potential tax penalty if the consumer sells, exchanges, surrenders, or annuitizes the annuity, mortality and expense fees, investment advisory fees, annual fees, potential charges for and features of riders and other options, limitations on interest returns, potential changes in non-guaranteed elements of the annuity, insurance and investment components, and market risk.
628.347(2d)
(2d) Conflict of interest obligation. An insurance intermediary shall identify and avoid or reasonably manage and disclose material conflicts of interest, including material conflicts related to an ownership interest.
628.347(2e)
(2e) Documentation obligation. An insurance intermediary shall, at the time of making a recommendation or sale of an annuity, do all of the following, as applicable:
628.347(2e)(a)
(a) If an annuity is recommended, make a written record of any recommendation and the basis for the recommendation subject to this section.
628.347(2e)(b)
(b) If a consumer refuses to provide consumer profile information, obtain a signed statement from the consumer, on a form substantially similar to Appendix B of the National Association of Insurance Commissioners Annuity Suitability Model Regulation that shall be posted on the office's Internet site, that documents all of the following:
628.347(2e)(b)1.
1. A consumer's refusal to provide consumer profile information.
628.347(2e)(b)2.
2. A consumer's understanding of the ramifications of not providing his or her consumer profile information or of providing insufficient consumer profile information.
628.347(2e)(c)
(c) If an annuity is not recommended, obtain a signed statement from the consumer, on a form substantially similar to Appendix C of the National Association of Insurance Commissioners Annuity Suitability Model Regulation that shall be posted on the office's Internet site, that acknowledges an annuity transaction is not recommended if the consumer decides to enter into an annuity transaction that is not based on the intermediary's recommendation.
628.347(3)
(3) Insurer's supervisory responsibility. 628.347(3)(a)(a) An insurer shall establish a supervision system that is reasonably designed to achieve the insurer's and its insurance intermediaries' compliance with this section. Under the system, the insurer shall do at least all of the following:
628.347(3)(a)1.
1. Maintain reasonable procedures to inform its insurance intermediaries of the requirements of this section and incorporate the requirements of this section into relevant insurance intermediary training manuals.
628.347(3)(a)2.
2. Establish standards for insurance intermediary product training and maintain reasonable procedures to require its insurance intermediaries to comply with the requirements of sub.
(4m).
628.347(3)(a)3.
3. Provide product-specific training and training materials that explain all material features of its annuity products to its insurance intermediaries.
628.347(3)(a)4.
4. Maintain procedures for review of each recommendation before issuance of an annuity that are designed to ensure that there is a reasonable basis to determine that a recommendation would effectively address a consumer's financial situation, insurance needs, and financial objectives. An insurer's procedures may apply a screening system for the purpose of identifying selected transactions for additional review. An insurer's procedures may be accomplished electronically or through other means, including physical review. An electronic or other system may be designed to require additional review only of those transactions identified for additional review by the selection criteria.
628.347(3)(a)5.
5. Maintain reasonable procedures to detect recommendations that do not comply with subs.
(2) to
(2e), which may include confirmation of consumer profile information, systematic customer surveys, interviews, confirmation letters, producer statements or attestations, and programs of internal monitoring. Nothing in this subdivision prevents an insurer from complying with this subdivision by applying sampling procedures or by confirming consumer profile information after issuance or delivery of the annuity, or both.
628.347(3)(a)6.
6. Annually provide a report to senior management, including to the senior manager responsible for audit functions, that details a review, with appropriate testing, that is reasonably designed to determine the effectiveness of the supervision system, the exceptions found, and corrective action taken or recommended, if any.
628.347(3)(a)7.
7. Establish and maintain reasonable procedures to assess, prior to or upon issuance or delivery of an annuity, whether an insurance intermediary has provided to a consumer the information required to be provided under this section.
628.347(3)(a)8.
8. Establish and maintain reasonable procedures to identify and address suspicious refusals by consumers to provide consumer profile information.
628.347(3)(a)9.
9. Establish and maintain reasonable procedures to identify and eliminate any sales contests, sales quotas, bonuses, and noncash compensation that are based on the sales of specific annuities within a limited period of time. Nothing in this subdivision prohibits the receipt of health insurance, office rent, office support, retirement benefits, or other employee benefits by employees so long as those benefits are not based upon the volume of sales of a specific annuity within a limited period of time.
628.347(3)(am)
(am) Except as permitted under sub.
(2b) (h), an insurer may not issue an annuity recommended to a consumer unless there is a reasonable basis to believe the annuity will effectively address the particular consumer's financial situation, insurance needs, and financial objectives based on the consumer's consumer profile information.
628.347(3)(b)1.1. Nothing in this subsection restricts an insurer from contracting for the performance of a function required under par.
(a), including maintenance of procedures. An insurer is responsible for taking appropriate corrective action and may be subject to sanctions and penalties under subs.
(5) and
(6), regardless of whether the insurer contracts for the performance of a function and regardless of the insurer's compliance with subd.
2. 628.347(3)(b)2.
2. An insurer's supervision system under par.
(a) shall include supervision of any contractual performance under this subsection, including all of the following:
628.347(3)(b)2.a.
a. Monitoring and, as appropriate, conducting audits to ensure that the contracted function is properly performed.
628.347(3)(b)2.b.
b. Annually obtaining a certification from a senior manager who has responsibility for the contracted function that the manager has a reasonable basis to represent, and does represent, that the function is properly performed.
628.347(3)(c)
(c) An insurer is not required to include in its system of supervision an insurance intermediary's recommendations to consumers of products other than the annuities offered by the insurer or include consideration of, or comparison to, options available to the intermediary or compensation relating to those options other than annuities or other products offered by the insurer.
628.347(3m)
(3m) Prohibited acts of intermediary. An insurance intermediary may not dissuade, or attempt to dissuade, a consumer from doing any of the following:
628.347(3m)(a)
(a) Truthfully responding to an insurer's request for confirmation of consumer profile information.
628.347(4)(a)
(a) Recommendations and sales of annuities made in compliance with comparable standards shall satisfy the requirements of this section. This subsection applies to all recommendations and sales of annuities made by financial professionals in compliance with business rules, controls, and procedures that satisfy a comparable standard even if the standard does not otherwise apply to the annuity or recommendation.
628.347(4)(b)
(b) Nothing in this subsection limits the commissioner's ability to investigate and enforce the provisions of this section.
628.347(4)(c)
(c) Nothing in par.
(a) limits an insurer's obligation to comply with sub.
(3) (am), although the insurer may base its analysis on information received from either the financial professional or the entity responsible for supervising the financial professional, including the financial professional's broker-dealer or an investment adviser registered under federal or state securities law.
628.347(4)(d)
(d) In order for par.
(a) to apply, an insurer shall do all of the following:
628.347(4)(d)1.
1. Monitor the relevant conduct of the financial professional or the entity responsible for supervising the financial professional, including the financial professional's broker-dealer or an investment adviser registered under federal or state securities law, using information collected in the normal course of an insurer's business.
628.347(4)(d)2.
2. Provide to the entity responsible for supervising the financial professional, including the financial professional's broker-dealer or investment adviser registered under federal or state securities law, the information and reports that are reasonably appropriate to assist the entity with maintaining its supervision system.
628.347(4m)(a)(a) An insurance intermediary may not solicit the sale of an annuity product unless the insurance intermediary has adequate knowledge of the product to recommend the annuity and the insurance intermediary is in compliance with the insurer's standards for product training. An insurance intermediary may rely on insurer-provided product-specific training standards and materials to comply with this paragraph.
