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Health of Insured at Policy
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Health of Insured at Policy

The NYSID has posted Filing Guidance for equity-indexed annuities on its website, now that changes have been made to the nonforfeiture law to specifically address these products. Most important is the explicit prohibition against using the CL6 certification process for these filings. Properly marked, the Department states that submissions will be given priority in the prior approval queue.

Because the “Deemer” process is statutorily mandated, it remains available. It is worth noting that this guidance indicates that deemer filings “will be handled within the time frames specified by statute.” This may be a filing strategy worth seriously considering because experience has shown that priority given to innovative product submissions often does not result in a very speedy review. If EIAs move at a similar pace, the statutory time frames of the deemer law may be an attractive alternative and yet still result in a full review prior to marketing the product.

In addition to this guidance, the Department has provided an important warning in preparing these submissions to which companies will want to pay close attention. NY’s new law (which will be effective October 8, 2008) requires the submission of a demonstration that the present value of the possible 1% reduction in the guaranteed minimum interest rate does not exceed the market value of the benefit. The Department notes here that the Memorandum of Variable Material (where some companies have placed their GMIR procedures under the current nonforfeiture law) is a publicly available document. If your company seeks confidential treatment of that present value demonstration, it must be separate from the other filing material and a specific request for confidentiality is required.

Finally, the NY Insurance Department asks that EIA submissions include a sample sales illustration. They further indicate that, on a case-by-case basis, marketing material may be requested.
In several recent policy form reviews, both prior approvals, and post-approval reviews, the NYSID has raised an issue that may warrant some investigation of policy delivery practices at your company. It arises when applications include a statement along the lines that the policy does not take effect unless the insured is insurable or in “good health” at the time the policy is delivered.

At policy delivery, there are two possibilities: one is that money was collected and a conditional receipt or temporary insurance agreement provided. The Department’s position is that when a conditional receipt was issued the insured need not be insurable at delivery and so the affirmation in the signature section is not permissible. The other possibility is that no money was collected for the application. In that instance, a statement in the base application regarding continued good health status is permissible, but the Department requires that a form such as a “Statement of Good Health” be used at delivery (this must be a filed and approved form) in order to collect information on health status.

This position is likely to come up in future post-approval reviews, and so companies would be well-advised to review applications approved on a CL6 basis, as well as their actual practices on policy delivery to determine whether they are in compliance with the rules set out above or whether a revision to the form or the filing of a Statement of Good Health should be considered.