Ins 2.05(5)(d)(d) Hospital insurance.
Ins 2.05(5)(e)(e) Basic or primary medical insurance.
Ins 2.05(5)(f)(f) Major medical benefit.
Ins 2.05(5)(g)(g) Surgical benefit.
Ins 2.05(6)(6)Disability benefits not listed. Disability benefits which are not specifically listed above will be examined at the time of filing to determine whether a separate statement of premium is required.
Ins 2.05(7)(7)Reserve values. Reserve values, on account of included provisions, will be based upon the requirements of s. 623.06, Stats., or other applicable statutes or, in the absence of specific requirements, on such additional standards as the commissioner of insurance may prescribe.
Ins 2.05(8)(8)Effective date. On or after April 1, 1965, no life insurance policy shall be approved for use and no such policy heretofore approved shall be issued or delivered in this state unless it meets the requirements of this rule.
Ins 2.05 NoteNote: See historical note relating to s. Ins 2.05 as printed with this rule as released in December, 1984.
Ins 2.05 HistoryHistory: 1-2-56; r. and recr. Register, March, 1965, No. 111, eff. 4-1-65; emerg. am. (1), (2) and (3) (b), eff. 6-22-76; am. (1), (2) and (3)(b), Register, September, 1976, No. 249, eff. 10-1-76; am. (1), (2) and (3) (b), Register, March, 1979, No. 279, eff. 4-1-79; r. (9) under s. 13.93 (2m) (b) 16., Stats., Register December, 1984, No. 348; corrections made under s. 13.93 (2m) (b) 6., Stats., Register, June, 1997, No. 498.
Ins 2.07Ins 2.07Replacement of life insurance or annuity contracts; disclosure requirements.
Ins 2.07(1)(1)Purpose. The purpose of this section is:
Ins 2.07(1)(a)(a) To regulate the activities of insurers and producers with respect to the replacement of existing life insurance and annuities.
Ins 2.07(1)(b)(b) To protect the interests of life insurance and annuity purchasers by establishing minimum standards of conduct to be observed in replacement or financed purchase transactions to assure that purchasers receive information with which a decision can be made in the purchaser’s best interest, reduce the opportunity for misrepresentation and incomplete disclosure, and establish penalties for failure to comply with requirements of this section.
Ins 2.07(2)(2)Scope. This section shall apply to the solicitation of life insurance and annuities authorized by s. Ins 6.75 (1) (a) and (b), covering residents of this state, and issued by insurers including insurance corporations, fraternal benefit societies, or the State Life Insurance Fund. Except as specifically stated, this section shall not apply to transactions involving any of the following:
Ins 2.07(2)(a)(a) Credit life insurance.
Ins 2.07(2)(b)(b) Group life insurance or group annuities where there is no direct solicitation of individuals by a producer. Direct solicitation shall not include any group meeting held by a producer solely for the purpose of educating or enrolling individuals or, when initiated by an individual member of the group, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual. Group life insurance or group annuity certificates marketed through direct response solicitation shall be subject to the provisions of sub. (8).
Ins 2.07(2)(c)(c) Group life insurance and annuities used to fund prearranged funeral contracts.
Ins 2.07(2)(d)(d) An application to the existing insurer that issued the existing policy or contract when a contractual change or a conversion privilege is being exercised; or, when the existing policy or contract is being replaced by the same insurer pursuant to a program filed with and approved by the commissioner; or, when a term conversion privilege is exercised among corporate affiliates.
Ins 2.07(2)(e)(e) Proposed life insurance that is to replace life insurance under a binding or conditional receipt issued by the same insurer.
Ins 2.07(2)(f)(f) Policies or contracts used to fund an employee pension or welfare benefit plan that is covered by the Employee Retirement Income Security Act, ERISA, 29 USC 1001 et. seq., a plan described by sections 401(a), 401(k) or 403(b) of the Internal Revenue Code, where the plan, for purposes of ERISA, is established or maintained by an employer, a governmental or church plan defined in section 414 of the Internal Revenue Code, a governmental or church welfare benefit plan, or a deferred compensation plan of a state or local government or tax exempt organization under Section 457 of the Internal Revenue Code, or a nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor. This section shall apply to policies or contracts used to fund any plan or arrangement that is funded solely by contributions an employee elects to make, whether on a pre-tax or after-tax basis, and where the insurer has been notified that plan participants may choose from among 2 or more insurers and there is a direct solicitation of an individual employee by a producer for the purchase of a contract or policy. As used in this subsection, direct solicitation shall not include any group meeting held by a producer solely for the purpose of educating individuals about the plan or arrangement or enrolling individuals in the plan or arrangement or, when initiated by an individual employee, assisting with the selection of investment options offered by a single insurer in connection with enrolling that individual employee.
Ins 2.07(2)(g)(g) Where new coverage is provided under a life insurance policy or contract and the cost is borne wholly by the insured’s employer or by an association of which the insured is a member.
Ins 2.07(2)(h)(h) Existing life insurance that is a non-convertible term life insurance policy that will expire in 5 years or less from the date of issue and cannot be renewed.
Ins 2.07(2)(i)(i) Immediate annuities that are purchased with proceeds from an existing annuity contract. Immediate annuities purchased with proceeds from an existing life insurance policy are not exempted from the requirements of this section.
Ins 2.07(2)(j)(j) Structured settlements.
Ins 2.07(2)(k)(k) Registered contracts shall be exempt from the requirements of subs. (6) (a) 2. and (7) (b) with respect to the provision of illustrations or policy summaries; however, premium or contract contribution amounts and identification of the appropriate prospectus or offering circular shall be required instead.
Ins 2.07(3)(3)Definitions. In this section:
Ins 2.07(3)(a)(a) “Direct response solicitation” means a solicitation through a sponsoring or endorsing entity or individually solely through mail, telephone, the Internet or other mass communication media.
Ins 2.07(3)(b)(b) “Existing insurer” means the insurer whose policy or contract is or will be changed or affected in a manner described within the definition of “replacement.”
Ins 2.07(3)(c)(c) “Existing policy or contract” means an individual life insurance policy or annuity contract in force, including a policy under a binding or conditional receipt or a policy or contract that is within an unconditional refund period.