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| PRIOR PRINTER'S NO. 1322 | PRINTER'S NO. 2159 |
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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE BILL |
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| INTRODUCED BY DeLUCA, D. COSTA, FABRIZIO, PASHINSKI, GIBBONS, MELIO, SEIP, R. TAYLOR, WALKO, KORTZ, GALLOWAY AND CALTAGIRONE, MARCH 26, 2009 |
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| AS AMENDED ON SECOND CONSIDERATION, HOUSE OF REPRESENTATIVES, JUNE 15, 2009 |
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| AN ACT |
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1 | Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An |
2 | act relating to insurance; amending, revising, and |
3 | consolidating the law providing for the incorporation of |
4 | insurance companies, and the regulation, supervision, and |
5 | protection of home and foreign insurance companies, Lloyds |
6 | associations, reciprocal and inter-insurance exchanges, and |
7 | fire insurance rating bureaus, and the regulation and |
8 | supervision of insurance carried by such companies, |
9 | associations, and exchanges, including insurance carried by |
10 | the State Workmen's Insurance Fund; providing penalties; and |
11 | repealing existing laws," providing for suitability of |
12 | annuity transactions. |
13 | The General Assembly of the Commonwealth of Pennsylvania |
14 | hereby enacts as follows: |
15 | Section 1. The act of May 17, 1921 (P.L.682, No.284), known |
16 | as The Insurance Company Law of 1921, is amended by adding an |
17 | article to read: |
18 | ARTICLE IV-B |
19 | SUITABILITY OF ANNUITY TRANSACTIONS |
20 | Section 401-B. Definitions. |
21 | The following words and phrases when used in this article |
22 | shall have the meanings given to them in this section unless the |
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1 | context clearly indicates otherwise: |
2 | "Annuity." A fixed annuity or variable annuity that is |
3 | individually solicited, whether the product is classified as an |
4 | individual or group annuity. |
5 | "Commissioner." The Insurance Commissioner of the |
6 | Commonwealth. |
7 | "General agent." An insurance producer that provides |
8 | supervision on behalf of an insurer to an insurer's sales force |
9 | in a particular geographic region or territory. |
10 | "Independent agency." A producer entity that does not |
11 | exclusively represent one insurance company. |
12 | "Insurance producer." A person who sells, solicits or |
13 | negotiates contracts of insurance as defined in section 601-A of |
14 | the act of May 17, 1921 (P.L.789, No.285), known as The |
15 | Insurance Department Act of 1921. |
16 | "Insurer." A life insurance company licensed or required to |
17 | be licensed under section 202 or a fraternal benefit society as |
18 | defined in section 2403. |
19 | "Recommendation." Advice provided by an insurance producer, |
20 | or an insurer where no producer is involved, to an individual |
21 | consumer that results in a purchase or exchange of an annuity in |
22 | accordance with that advice. |
23 | Section 402-B. Applicability and scope. |
24 | (a) General rule.--This article shall apply to any |
25 | recommendation to purchase or exchange an annuity made to a |
26 | consumer by an insurance producer, or an insurer where no |
27 | producer is involved, that results in the purchase or exchange |
28 | recommended. |
29 | (b) Exclusions.--Unless otherwise specifically included, |
30 | this article shall not apply to recommendations involving the |
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1 | following: |
2 | (1) Direct response solicitations where there is no |
3 | recommendation based on information collected from the |
4 | consumer pursuant to this article. |
5 | (2) Annuity contracts used to fund: |
6 | (i) An employee pension or welfare benefit plan that |
7 | is covered by the Employee Retirement Income Security Act |
8 | of 1974 (Public Law 93-406, 88 Stat. 829). |
9 | (ii) A plan described by sections 401(a) or (k), |
10 | 403(b), 408(k) or (p) of the Internal Revenue Code of |
11 | 1986 (Public Law 99-514, 26 U.S.C. §§ 401(a) or (k), |
12 | 403(b), 408(k) or (p)), when the plan, for purposes of |
13 | the Employee Retirement Income Security Act of 1974, is |
14 | established or maintained by an employer. |
15 | (iii) A governmental or church plan defined in |
16 | section 414 of the Internal Revenue Code of 1986 or a |
17 | deferred compensation plan of a State or local government |
18 | or tax exempt organization under section 457 of the |
19 | Internal Revenue Code of 1986. |
20 | (iv) A nonqualified deferred compensation |
21 | arrangement established or maintained by an employer or |
22 | plan sponsor. |
23 | (v) Settlements of or assumptions of liabilities |
24 | associated with personal injury litigation or any dispute |
25 | or claim resolution process. |
26 | (vi) Formal prepaid funeral contracts. |
27 | Section 403-B. Duties of insurers and insurance producers. |
28 | (a) General duties.--In making a recommendation to a |
29 | consumer for the purchase of an annuity or the exchange of an |
30 | annuity that results in another insurance transaction or series |
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1 | of insurance transactions, the insurance producer, or the |
2 | insurer where no insurance producer is involved, shall have |
3 | reasonable grounds for believing that the recommendation is |
4 | suitable for the consumer on the basis of the facts disclosed by |
5 | the consumer as to the consumer's investments and other |
6 | insurance products and as to the consumer's financial situation |
7 | and needs. |
8 | (b) Consumer information.--Prior to the execution of a |
9 | purchase or exchange of an annuity resulting from a |
10 | recommendation, an insurance producer, or an insurer where no |
11 | insurance producer is involved, shall make reasonable efforts to |
12 | obtain information concerning all of the following: |
13 | (1) The consumer's financial status. |
14 | (2) The consumer's tax status. |
15 | (3) The consumer's investment objectives. |
16 | (4) Other information used or considered to be |
17 | reasonable by the insurance producer, or the insurer where no |
18 | insurance producer is involved, in making recommendations to |
19 | the consumer. |
20 | (c) Obligation limits.-- |
21 | (1) Neither an insurance producer nor an insurer where |
22 | no insurance producer is involved shall have any obligation |
23 | to a consumer under subsection (a) related to any |
24 | recommendation that is reasonable under all the circumstances |
25 | actually known to the insurer or insurance producer at the |
26 | time of the recommendation when a consumer: |
27 | (i) Refuses to provide relevant information |
28 | requested by the insurer or insurance producer. |
29 | (ii) Decides to enter into an insurance transaction |
30 | that is not based on a recommendation of the insurer or |
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1 | insurance producer. |
2 | (iii) Fails to provide complete or accurate |
3 | information. |
4 | (d) Supervision of recommendations.-- |
5 | (1) An insurer shall assure that a system to supervise |
6 | recommendations that is reasonably designed to achieve |
7 | compliance with this article is established and maintained by |
8 | complying with paragraphs (3) and (4), or shall establish and |
9 | maintain such a system that includes at least the following: |
10 | (i) Maintaining written procedures. |
11 | (ii) Conducting periodic reviews of its records that |
12 | are reasonably designed to assist in detecting and |
13 | preventing violations of this article. |
14 | (2) A general agent or independent agency shall adopt a |
15 | system established by an insurer to supervise recommendations |
16 | of its insurance producers that is reasonably designed to |
17 | achieve compliance with this article, or shall establish and |
18 | maintain a system that is reasonably designed to achieve |
19 | compliance with this article. The system must include at |
20 | least the following: |
21 | (i) Maintaining written procedures. |
22 | (ii) Conducting periodic reviews of records that are |
23 | reasonably designed to assist in detecting and preventing |
24 | violations of this article. |
25 | (3) An insurer may contract with a third party, |
26 | including a general agent or independent agency, to establish |
27 | and maintain a system of supervision as required by paragraph |
28 | (1) with respect to insurance producers under contract with |
29 | or employed by the third party. |
30 | (4) An insurer shall make reasonable inquiry to assure |
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1 | that the third party contracting under paragraph (3) is |
2 | performing the functions required under paragraph (1) and |
3 | shall take such action as is reasonable under the |
4 | circumstances to enforce the contractual obligation to |
5 | perform the functions. An insurer may comply with its |
6 | obligation to make reasonable inquiry by doing both of the |
7 | following: |
8 | (i) The insurer annually obtains, electronically or |
9 | otherwise,a certification from a third party senior |
10 | manager who has responsibility for the delegated |
11 | functions that the manager has a reasonable basis to |
12 | represent, and does represent, that the third party is |
13 | performing the required functions. |
14 | (ii) The insurer, based on reasonable selection |
15 | criteria, periodically selects third parties contracting |
16 | under paragraph (3) for a review to determine whether the |
17 | third parties are performing the required functions. The |
18 | insurer shall perform procedures to conduct the review |
19 | that are reasonable under the circumstances. |
20 | (5) An insurer that contracts with a third party under | <-- |
21 | paragraph (3) that complies with the requirements to |
22 | supervise under paragraph (4) shall have fulfilled its |
23 | responsibilities under paragraph (1). |
24 | (6) An insurer, general agent or independent agency is |
25 | not required to do either of the following: |
26 | (i) Review or provide for review of all insurance |
27 | producer-solicited transactions. |
28 | (ii) Include in its system of supervision an |
29 | insurance producer's recommendations to consumers of |
30 | products other than the annuities offered by the insurer, |
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1 | general agent or independent agency. |
2 | (6) (7) A general agent or independent agency | <-- |
3 | contracting with an insurer pursuant to paragraph (3) shall |
4 | promptly, when requested by the insurer pursuant to paragraph |
5 | (4), give a certification as described in paragraph (4) or |
6 | give a clear statement that it is unable to meet the |
7 | certification criteria. |
8 | (7) (8) No person may provide a certification under | <-- |
9 | paragraph (4)(i) unless both the following conditions are |
10 | met: |
11 | (i) The person is a senior manager with |
12 | responsibility for the delegated functions. |
13 | (ii) The person has a reasonable basis for making |
14 | the certification. |
15 | (e) Compliance with other rules.--Compliance with the |
16 | Financial Industry Regulatory Authority Conduct Rules pertaining |
17 | to suitability shall satisfy the requirements under this section |
18 | for the recommendation of annuities registered under the |
19 | Securities Act of 1933 (48 Stat. 74, 15 U.S.C. § 77a et seq.) or |
20 | rules and regulations adopted under the Securities Act of 1933. |
21 | Nothing in this subsection shall limit the commissioner's |
22 | ability to enforce the provisions of this article. |
23 | (f) Internal audit and compliance procedures.--Nothing in |
24 | this article shall exonerate an insurer from the internal audit |
25 | and compliance procedure requirements under section 405-A. |
26 | Section 404-B. Mitigation of responsibility. |
27 | (a) Corrective actions.--The commissioner may order: |
28 | (1) An insurer to take reasonably appropriate corrective |
29 | action for any consumer harmed by the insurer's or by its |
30 | insurance producer's violation of this article. |
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1 | (2) An insurance producer to take reasonably appropriate |
2 | corrective action for any consumer harmed by the insurance |
3 | producer's violation of this article. |
4 | (3) A general agent or independent agency that employs |
5 | or contracts with an insurance producer to sell or solicit |
6 | the sale of annuities to consumers, to take reasonably |
7 | appropriate corrective action for any consumer harmed by the |
8 | insurance producer's violation of this article. |
9 | (b) Reduction of penalty.--Any applicable penalty permitted |
10 | under section 406-B may be reduced or eliminated if corrective |
11 | action for the consumer was taken promptly after a violation was |
12 | discovered. |
13 | Section 405-B. Recordkeeping. |
14 | An insurer, general agent, independent agency and insurance |
15 | producer shall maintain or be able to make available to the |
16 | commissioner records of the information collected from the |
17 | consumer and other information used in making the |
18 | recommendations that were the basis for insurance transactions |
19 | for five years after the insurance transaction is completed by |
20 | the insurer. An insurer is permitted but shall not be required |
21 | to maintain documentation on behalf of an insurance producer. |
22 | Section 406-B. Enforcement. |
23 | (a) Penalties and remedies.--Upon a determination by hearing |
24 | that this article has been violated, the commissioner may pursue |
25 | one or more of the following courses of action: |
26 | (1) Issue an order requiring the person in violation to |
27 | cease and desist from engaging in the violation. |
28 | (2) Suspend or revoke or refuse to issue or renew the |
29 | certificate or license of the person in violation. |
30 | (3) Impose a civil penalty of not more than $5,000 for |
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1 | each violation. |
2 | (4) Impose any other penalty or remedy deemed |
3 | appropriate by the commissioner, including restitution. |
4 | (b) Other remedies.--The enforcement remedies imposed under |
5 | this section are in addition to any other remedies or penalties |
6 | that may be imposed by any other applicable statute, including |
7 | the act of July 22, 1974 (P.L.589, No.205), known as the Unfair |
8 | Insurance Practices Act. Violations of this article are deemed |
9 | and defined by the commissioner to be an unfair method of |
10 | competition and an unfair or deceptive act or practice pursuant |
11 | to the Unfair Insurance Practices Act. |
12 | Section 407-B. Private cause of action. |
13 | Nothing in this article shall be construed to create or imply |
14 | a private cause of action for a violation of this article. |
15 | Section 408-B. Rules and regulations. |
16 | The Insurance Department shall promulgate such rules and |
17 | regulations that are necessary for the administration and |
18 | enforcement of this article. |
19 | Section 2. This act shall take effect in 60 180 days. | <-- |
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