08 LC 28
3900ER
Senate
Bill 499
By:
Senator Hudgens of the 47th
A
BILL TO BE ENTITLED
AN ACT
AN ACT
To
amend Chapter 59 of Title 33 of the Official Code of Georgia Annotated, relating
to life settlements, so as to provide a short title; to provide for definitions;
to provide for license requirements for providers and brokers; to provide
suspension, revocation, and refusal to renew of such licenses; to provide for
requirements for life settlement contracts; to provide for certain reporting
requirements; to provide for certain privacy requirements; to provide for the
examination of licensees; to provide for the authority of the Commissioner of
Insurance to investigate persons involved in the life settlement business and in
suspected fraudulent practices; to provide for restrictions on advertising; to
provide for certain disclosures; to provide for requirements and procedures for
life settlement contracts; to authorize the Commissioner of Insurance to
promulgate rules and regulations; to provide for prohibited acts concerning life
settlement contracts; to provide for fraud prevention and control; to provide
for certain immunities from liability; to provide for confidentiality; to
provide for injunctions and other civil remedies; to provide for criminal
sanctions and penalties; to provide that violations of the chapter shall
constitute unfair trade practices; to provide for related matters; to provide
for effective dates and applicability; to repeal conflicting laws; and for other
purposes.
BE
IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION
1.
Chapter
59 of Title 33 of the Official Code of Georgia Annotated, relating to life
settlements, is amended by striking the chapter in its entirety and inserting in
lieu thereof the following:
"CHAPTER
59
33-59-1.
This
chapter shall be known and may be cited as the 'Life Settlements
Act.'
33-59-2.
As
used in this chapter, the term:
(1)
'Advertisement' means any written, electronic, or printed communication or any
communication by means of recorded telephone messages or transmitted on radio,
television, the Internet, or similar communications media, including film
strips, motion pictures, and videos, published, disseminated, circulated, or
placed before the public, directly or indirectly, for the purpose of creating an
interest in or inducing a person to purchase or sell, assign, devise, bequest,
or transfer the death benefit or ownership of a life insurance policy or an
interest in a life insurance policy pursuant to a life settlement
contract.
(2)
'Broker' means a person who, on behalf of an owner and for a fee, commission, or
other valuable consideration, offers or attempts to negotiate life settlement
contracts between an owner and providers. A broker represents only the owner
and owes a fiduciary duty to the owner to act according to the owner´s
instructions, and in the best interest of the owner, notwithstanding the manner
in which the broker is compensated. A broker does not include an attorney,
certified public accountant, or financial planner retained in the type of
practice customarily performed in their professional capacity to represent the
owner whose compensation is not paid directly or indirectly by the provider or
any other person, except the owner.
(3)
'Business of life settlements' means an activity involved in, but not limited
to, offering to enter into, soliciting, negotiating, procuring, effectuating,
monitoring, or tracking of life settlement contracts.
(4)
'Chronically ill' means:
(A)
Being unable to perform at least two activities of daily living, such as eating,
toileting, transferring, bathing, dressing, or continence;
(B)
Requiring substantial supervision to protect the individual from threats to
health and safety due to severe cognitive impairment; or
(C)
Having a level of disability similar to that described in subparagraph (A) of
this paragraph as determined by the United States Secretary of Health and Human
Services.
(5)
'Financing entity' means an underwriter, placement agent, lender, purchaser of
securities, purchaser of a policy or certificate from a provider, credit
enhancer, or any entity that has a direct ownership in a policy or certificate
that is the subject of a life settlement contract, but:
(A)
Whose principal activity related to the transaction is providing funds to effect
the life settlement contract or purchase of one or more policies;
and
(B)
Who has an agreement in writing with one or more providers to finance the
acquisition of life settlement contracts.
Financing
entity does not include a nonaccredited investor or purchaser.
(6)
'Financing transaction' means a transaction in which a licensed provider obtains
financing from a financing entity including, without limitation, any secured or
unsecured financing, any securitization transaction, or any securities offering
which either is registered or exempt from registration under federal and state
securities law.
(7)
'Fraudulent life settlement act' includes:
(A)
Acts or omissions committed by any person who, knowingly and with intent to
defraud, for the purpose of depriving another of property or for pecuniary gain,
engages in acts, or permits its employees or its agents to engage in acts,
including, but not limited to:
(i)
Presenting, causing to be presented, or preparing with knowledge and belief that
it will be presented to or by a provider, premium finance lender, broker,
insurer, insurance producer, or any other person, false material information, or
concealing material information, as part of, in support of, or concerning a fact
material to one or more of the following:
(I)
An application for the issuance of a life settlement contract or insurance
policy;
(II)
The underwriting of a life settlement contract or insurance policy;
(III)
A claim for payment or benefit pursuant to a life settlement contract or
insurance policy;
(IV)
Premiums paid on an insurance policy;
(V)
Payments and changes in ownership or beneficiary made in accordance with the
terms of a life settlement contract or insurance policy;
(VI)
The reinstatement or conversion of an insurance policy;
(VII)
In the solicitation, offer to enter into, or effectuation of a life settlement
contract or insurance policy;
(VIII)
The issuance of written evidence of life settlement contracts or
insurance;
(IX)
Any application for or the existence of or any payments related to a loan
secured directly or indirectly by any interest in a life insurance policy;
or
(X)
Enter into any practice or plan which involves stranger originated life
insurance;
(ii)
Failing to disclose to the insurer where the request for such disclosure has
been asked for by the insurer that the prospective insured has undergone a life
expectancy evaluation by any person or entity other than the insurer or its
authorized representatives in connection with the issuance of the
policy;
(iii)
Employing any device, scheme, or artifice to defraud in the business of life
settlements; or
(iv)
In the solicitation, application, or issuance of a life insurance policy,
employing any device, scheme, or artifice in violation of state insurable
interest laws; and
(B)
In the furtherance of a fraud or to prevent the detection of a fraud, acts or
omissions of any person, its employees, or its agents acting with such
person´s permission, to:
(i)
Remove, conceal, alter, destroy, or sequester from the Commissioner the assets
or records of a licensee or other person engaged in the business of life
settlements;
(ii)
Misrepresent or conceal the financial condition of a licensee, financing entity,
insurer, or other person;
(iii)
Transact the business of life settlements in violation of laws requiring a
license, certificate of authority, or other legal authority for the transaction
of the business of life settlements;
(iv)
File with the Commissioner or the chief insurance regulatory official of another
jurisdiction a document containing false information or otherwise concealing
information about a material fact from the Commissioner;
(v)
Engage in embezzlement, theft, misappropriation, or conversion of moneys, funds,
premiums, credits, or other property of a provider, insurer, insured, owner,
insurance, policy owner, or any other person engaged in the business of life
settlements or insurance;
(vi)
Knowingly and with intent to defraud, enter into, broker, or otherwise deal in a
life settlement contract, the subject of which is a life insurance policy that
was obtained by presenting false information concerning any fact material to the
policy or by concealing, for the purpose of misleading another, information
concerning any fact material to the policy, where the owner or the owner´s
agent intended to defraud the policy´s issuer;
(vii)
Attempt to commit, assist, aid, or abet in the commission of, or conspiracy to
commit, the acts or omissions specified in this paragraph; or
(viii)
Misrepresent the state of residence of an owner to be a state or jurisdiction
that does not have a law substantially similar to this chapter for the purpose
of evading or avoiding the provisions of this chapter.
(8)
'Insured' means the person covered under the policy being considered for sale in
a life settlement contract.
(9)
'Life expectancy' means the arithmetic mean of the number of months the insured
under the life insurance policy to be settled can be expected to live as
determined by a life expectancy company considering medical records and
appropriate experiential data.
(10)
'Life insurance producer' means any person licensed in this state as a resident
or nonresident insurance producer who has received qualification or authority
for life insurance coverage or a life line of coverage pursuant to Chapter 23 of
this title.
(11)(A)
'Life settlement contract' means a written agreement entered into between a
provider and an owner establishing the terms under which compensation or any
thing of value will be paid, which compensation or thing of value is less than
the expected death benefit of the insurance policy or certificate, in return for
the owner´s assignment, transfer, sale, devise, or bequest of the death
benefit or any portion of an insurance policy or certificate of insurance for
compensation; provided, however, that the minimum value for a life settlement
contract shall be greater than a cash surrender value or accelerated death
benefit available at the time of an application for a life settlement contract.
Life settlement contract also includes the transfer for compensation or value of
ownership or beneficial interest in a trust or other entity that owns such
policy if the trust or other entity was formed or availed of for the principal
purpose of acquiring one or more life insurance contracts, which life insurance
contract insures the life of a person residing in this state.
(B)
Life settlement contract also includes:
(i)
A written agreement for a loan or other lending transaction, secured primarily
by an individual or group life insurance policy; and
(ii)
A premium finance loan made for a policy on or before the date of issuance of
the policy where:
(I)
The loan proceeds are not used solely to pay premiums for the policy and any
costs or expenses incurred by the lender or the borrower in connection with the
financing;
(II)
The owner receives on the date of the premium finance loan a guarantee of the
future life settlement value of the policy; or
(III)
The owner agrees on the date of the premium finance loan to sell the policy or
any portion of its death benefit on any date following the issuance of the
policy.
(C)
Life settlement contract does not include:
(i)
A policy loan by a life insurance company pursuant to the terms of the life
insurance policy or accelerated death provisions contained in the life insurance
policy, whether issued with the original policy or as a rider;
(ii)
A premium finance loan, as defined in paragraph (18) of this Code section, or
any loan made by a bank or other licensed financial institution, provided that
neither default on such loan nor the transfer of the policy in connection with
such default is pursuant to an agreement or understanding with any other person
for the purpose of evading regulation under this chapter;
(iii)
A collateral assignment of a life insurance policy by an owner;
(iv)
A loan made by a lender that does not violate Chapter 22 of this title, provided
such loan is not described in this paragraph as being included in the definition
of a life settlement contract, and is not otherwise within the definition of
life settlement contract;
(v)
An agreement where all the parties are closely related to the insured by blood
or law or have a lawful substantial economic interest in the continued life,
health, and bodily safety of the person insured or are trusts established
primarily for the benefit of such parties;
(vi)
Any designation, consent, or agreement by an insured who is an employee of an
employer in connection with the purchase by the employer, or trust established
by the employer, of life insurance on the life of the employee;
(vii)
A bona fide business succession planning arrangement between:
(I)
One or more shareholders in a corporation or between a corporation and one or
more of its shareholders or one or more trust established by its
shareholders;
(II)
One or more partners in a partnership or between a partnership and one or more
of its partners or one or more trust established by its partners;
or
(III)
One or more members in a limited liability company or between a limited
liability company and one or more of its members or one or more trust
established by its members;
(viii)
An agreement entered into by a service recipient, or a trust established by the
service recipient, and a service provider or a trust established by the service
provider, who performs significant services for the service recipient´s
trade or business; or
(ix)
Any other contract, transaction, or arrangement from the definition of life
settlement contract that the Commissioner determines is not of the type intended
to be regulated by this chapter.
(12)
'Net death benefit' means the amount of the life insurance policy or certificate
to be settled less any outstanding debts or liens.
(13)
'Owner' means the owner of a life insurance policy or a certificate holder under
a group policy, with or without a terminal illness, who enters or seeks to enter
into a life settlement contract. For the purposes of this chapter, an owner
shall not be limited to an owner of a life insurance policy or a certificate
holder under a group policy that insures the life of an individual with a
terminal or chronic illness or condition except where specifically addressed.
Owner does not include:
(A)
Any provider or other licensee under this chapter;
(B)
A qualified institutional buyer as defined in Rule 144A of the federal
Securities Act of 1933, as amended;
(C)
A financing entity;
(D)
A special purpose entity; or
(E)
A related provider trust.
(14)
'Patient identifying information' means an insured´s address, telephone
number, facsimile number, e-mail address, photograph or likeness, employer,
employment status, social security number, or any other information that is
likely to lead to the identification of the insured.
(15)
'Person' means any natural person or legal entity, including, but not limited
to, a partnership, limited liability company, association, trust, or
corporation.
(16)
'Policy' means an individual or group policy, group certificate, contract, or
arrangement of life insurance owned by a resident of this state, regardless of
whether delivered or issued for delivery in this state.
(17)
'Premium finance loan' is a loan made primarily for the purposes of making
premium payments on a life insurance policy, which loan is secured by an
interest in such life insurance policy.
(18)
'Provider' means a person, other than an owner, who enters into or effectuates a
life settlement contract with an owner. A provider does not
include:
(A)
Any bank, savings bank, savings and loan association, or credit
union;
(B)
A licensed lending institution or creditor or secured party pursuant to a
premium finance loan agreement which takes an assignment of a life insurance
policy or certificate issued pursuant to a group life insurance policy as
collateral for a loan;
(C)
The insurer of a life insurance policy or rider to the extent of providing
accelerated death benefits or riders under this title or cash surrender
value;
(D)
Any natural person who enters into or effectuates no more than one agreement in
a calendar year for the transfer of a life insurance policy or certificate
issued pursuant to a group life insurance policy for compensation or any thing
of value less than the expected death benefit payable under the
policy;
(E)
A purchaser;
(F)
Any authorized or eligible insurer that provides stop loss coverage to a
provider, purchaser, financing entity, special purpose entity, or related
provider trust;
(G)
A financing entity;
(H)
A special purpose entity;
(I)
A related provider trust;
(J)
A broker; or
(K)
An accredited investor or qualified institutional buyer as defined in,
respectively, Regulation D, Rule 501, or Rule 144A of the federal Securities Act
of 1933, as amended, who purchases a life settlement policy from a
provider.
(19)
'Purchased policy' means a policy or group certificate that has been acquired by
a provider pursuant to a life settlement contract.
(20)
'Purchaser' means a person who pays compensation or any thing of value as
consideration for a beneficial interest in a trust which is vested with, or for
the assignment, transfer, or sale of, an ownership or other interest in a life
insurance policy or a certificate issued pursuant to a group life insurance
policy which has been the subject of a life settlement contract.
(21)
'Related provider trust' means a titling trust or other trust established by a
licensed provider or a financing entity for the sole purpose of holding the
ownership or beneficial interest in purchased policies in connection with a
financing transaction. In order to qualify as a related provider trust, the
trust must have a written agreement with the licensed provider under which the
licensed provider is responsible for ensuring compliance with all statutory and
regulatory requirements and under which the trust agrees to make all records and
files relating to life settlement transactions available to the department as if
those records and files were maintained directly by the licensed
provider.
(22)
'Settled policy' means a life insurance policy or certificate that has been
acquired by a provider pursuant to a life settlement contract.
(23)
'Special purpose entity' means a corporation, partnership, trust, limited
liability company, or other legal entity formed solely to provide either
directly or indirectly access to institutional capital markets for a financing
entity or provider; or in connection with a transaction in which the securities
in the special purpose entity are acquired by the owner or by a qualified
institutional buyer as defined in Rule 144 promulgated under the federal
Securities Act of 1933, as amended, or the securities pay a fixed rate of return
commensurate with established asset-backed institutional capital
markets.
(24)
'Stranger originated life insurance' is a practice or plan to initiate a life
insurance policy for the benefit of a third party investor who, at the time of
policy origination, has no insurable interest in the insured. Stranger
originated life insurance practices include, but are not limited to, cases in
which life insurance is purchased with resources or guarantees from or through a
person or entity who, at the time of policy inception, could not lawfully
initiate the policy himself or herself or itself, and where, at the time of
inception, there is an arrangement or agreement, whether oral or written, to
directly or indirectly transfer the ownership of the policy or the policy
benefits to a third party. Trusts that are created to give the appearance of
insurable interest and are used to initiate policies for investors violate
insurable interest laws and the prohibition against wagering on life. Stranger
originated life insurance arrangements do not include those practices set forth
in subparagraph (C) of paragraph (11) of this Code section.
(25)
'Terminally ill' means having an illness or sickness that can reasonably be
expected to result in death in 24 months or less.
33-59-3.
(a)
No person, wherever located, shall act as a provider or broker with an owner or
multiple owners who are residents of this state without first having obtained a
license from the Commissioner. If there is more than one owner on a single
policy and the owners are residents of different states, the life settlement
contract shall be governed by the law of the state in which the owner having the
largest percentage ownership resides or, if the owners hold equal ownership, the
state of residence of one owner agreed upon in writing by all
owners.
(b)
Application for a provider or broker license shall be made to the Commissioner
by the applicant on a form prescribed by the Commissioner and the application
shall be accompanied by a fee in an amount established by the Commissioner;
provided, however, that the license and renewal fees for a provider license
shall be reasonable and that the license and renewal fees for a broker license
shall not exceed those established for an insurance producer, as such fees are
otherwise provided for in this title.
(c)
A life insurance producer who has been duly licensed as a resident insurance
producer with a life line of authority in this state or his or her home state
for at least one year and is licensed as a nonresident producer in this state
shall be deemed to meet the licensing requirements of this Code section and
shall be permitted to operate as a broker.
(d)
Not later than 30 days from the first day of operating as a broker, the life
insurance producer shall notify the Commissioner that he or she is acting as a
broker on a form prescribed by the Commissioner and shall pay any applicable fee
to be determined by the Commissioner. Notification shall include an
acknowledgment by the life insurance producer that he or she will operate as a
broker in accordance with this chapter.
(e)
The insurer that issued the policy that is the subject of a life settlement
contract shall not be responsible for any act or omission of a broker, provider,
or purchaser arising out of or in connection with the life settlement
transaction unless the insurer receives compensation for the placement of a life
settlement contract from the provider, purchaser, or broker in connection with
the life settlement contract.
(f)
A person licensed as an attorney, certified public accountant, or financial
planner accredited by a nationally recognized accreditation agency who is
retained to represent the owner and whose compensation is not paid directly or
indirectly by the provider or purchaser may negotiate life settlement contracts
on behalf of the owner without having to obtain a license as a
broker.
(g)
Licenses may be renewed every year on the anniversary date upon payment of the
periodic renewal fee. As specified by subsection (b) of this Code section, the
renewal fee for a provider shall not exceed a reasonable fee. Failure to pay
the fee within the terms prescribed shall result in the automatic revocation of
the license requiring periodic renewal.
(h)
The term of a provider license shall be equal to that of a domestic stock life
insurance company and the term of a broker license shall be equal to that of an
insurance producer license. Licenses requiring periodic renewal may be renewed
on their anniversary date upon payment of the periodic renewal fee as specified
in subsection (b) of this Code section. Failure to pay the fees on or before
the renewal date shall result in expiration of the license.
(i)
The applicant shall provide such information as the Commissioner may require on
forms prepared by the Commissioner. The Commissioner shall have authority, at
any time, to require such applicant to fully disclose the identity of its
stockholders, except stockholders owning fewer than 10 percent of the shares of
an applicant whose shares are publicly traded, partners, officers, and
employees, and the Commissioner may, in the exercise of the Commissioner´s
sole discretion, refuse to issue such a license in the name of any person if not
satisfied that any officer, employee, stockholder, or partner thereof who may
materially influence the applicant´s conduct meets the standards of this
chapter.
(j)
A license issued to a partnership, corporation, or other entity authorizes all
members, officers, and designated employees to act as a licensee under the
license if those persons are named in the application and any supplements to the
application.
(k)
Upon the filing of an application and the payment of the license fee, the
Commissioner shall make an investigation of each applicant and may issue a
license if the Commissioner finds that the applicant:
(1)
If a provider, has provided a detailed plan of operation;
(2)
Is competent and trustworthy and intends to transact its business in good
faith;
(3)
Has a good business reputation and has had experience, training, or education so
as to be qualified in the business for which the license is
applied;
(4)
If the applicant is a legal entity, is formed or organized pursuant to the laws
of this state or is a foreign legal entity authorized to transact business in
this state or provides a certificate of good standing from the state of its
domicile; and
(5)
Has provided to the Commissioner an antifraud plan that meets the requirements
of Code Section 33-59-14 and includes:
(A)
A description of the procedures for detecting and investigating possible
fraudulent acts and procedures for resolving material inconsistencies between
medical records and insurance applications;
(B)
A description of the procedures for reporting fraudulent insurance acts to the
Commissioner;
(C)
A description of the plan for antifraud education and training of its
underwriters and other personnel; and
(D)
A written description or chart outlining the arrangement of the antifraud
personnel who are responsible for the investigation and reporting of possible
fraudulent insurance acts and investigating unresolved material inconsistencies
between medical records and insurance applications.
(l)
The Commissioner shall not issue any license to any nonresident applicant unless
a written designation of an agent for service of process is filed and maintained
with the Commissioner or unless the applicant has filed with the Commissioner
the applicant´s written irrevocable consent that any action against the
applicant may be commenced against the applicant by service of process on the
Commissioner.
(m)
Each licensee shall file with the Commissioner on or before the first day of
March of each year an annual statement containing such information as the
Commissioner by rule may prescribe.
(n)
A provider may not use any person to perform the functions of a broker as
defined in paragraph (2) of Code Section 33-59-2 unless the person holds a
current, valid license as a broker and as provided in this Code
section.
(o)
A broker may not use any person to perform the functions of a provider as
defined in paragraph (18) of Code Section 33-59-2 unless such person holds a
current, valid license as a provider and as provided in this Code
section.
(p)
A provider and a broker shall provide to the Commissioner new or revised
information about officers, 10 percent or more stockholders, partners,
directors, members, and designated employees within 30 days of any
change.
(q)
An individual licensed as a broker shall complete on a biennial basis 15 hours
of training related to life settlements and life settlement transactions as
required by the Commissioner; provided, however, that a life insurance producer
who is operating as a broker pursuant to this Code section shall not be subject
to the requirements of this subsection. Any person failing to meet the
requirements of this subsection shall be subject to the penalties imposed by the
Commissioner.
33-59-4.
(a)
The Commissioner may suspend, revoke, or refuse to renew the license of any
licensee if the Commissioner finds that:
(1)
There was any material misrepresentation in the application for the
license;
(2)
The licensee or any officer, partner, member, or director has been guilty of
fraudulent or dishonest practices, is subject to a final administrative action,
or is otherwise shown to be untrustworthy or incompetent to act as a
licensee;
(3)
The provider demonstrates a pattern of unreasonably withholding payments to
policy owners;
(4)
The licensee no longer meets the requirements for initial
licensure;
(5)
The licensee or any officer, partner, member, or director has been convicted of
a felony or of any misdemeanor of which criminal fraud is an element; or the
licensee has pleaded guilty or nolo contendere with respect to any felony or any
misdemeanor of which criminal fraud or moral turpitude is an element regardless
whether a judgment of conviction has been entered by the court;
(6)
The provider has entered into any life settlement contract that has not been
approved pursuant to this chapter;
(7)
The provider has failed to honor contractual obligations set out in a life
settlement contract;
(8)
The provider has assigned, transferred, or pledged a settled policy to a person
other than a provider licensed in this state, a purchaser, an accredited
investor or qualified institutional buyer as defined, respectively, in
Regulation D, Rule 501, or Rule 144A of the federal Securities Act of 1933, as
amended, financing entity, special purpose entity, or related provider trust;
or
(9)
The licensee or any officer, partner, member, or key management personnel has
violated any of the provisions of this chapter.
(b)
Before the Commissioner denies a license application or suspends, revokes, or
refuses to renew the license of any licensee under this chapter, the
Commissioner shall conduct a hearing in accordance Chapter 2 of this
title.
33-59-5.
(a)
No person may use any form of life settlement contract in this state unless it
has been filed with and approved, if required, by the Commissioner in a manner
that conforms with the filing procedures and any time restrictions or deeming
provisions, if any, for life insurance forms, policies, and
contracts.
(b)
No insurer may, as a condition of responding to a request for verification of
coverage or in connection with the transfer of a policy pursuant to a life
settlement contract, require that the owner, insured, provider, or broker sign
any form, disclosure, consent, waiver, or acknowledgment that has not been
expressly approved by the Commissioner for use in connection with life
settlement contracts in this state.
(c)
A person shall not use a life settlement contract form or provide to an owner a
disclosure statement form in this state unless first filed with and approved by
the Commissioner. The Commissioner shall disapprove a life settlement contract
form or disclosure statement form if, in the Commissioner´s opinion, the
contract or provisions contained therein fail to meet the requirements of Code
Sections 33-59-8, 33-59-9, 33-59-11, and 33-59-15 or are unreasonable, contrary
to the interests of the public, or otherwise misleading or unfair to the owner.
At the Commissioner´s discretion, the Commissioner may require the
submission of advertisement material.
33-59-6.
(a)(1)
For any policy settled within five years of policy issuance, each provider shall
file with the Commissioner on or before March 1 of each year an annual statement
containing such information as the Commissioner may prescribe by rule or
regulation. In addition to any other requirements, the annual statement shall
specify the total number, aggregate face amount, and life settlement proceeds of
policies settled during the immediately preceding calendar year, together with a
breakdown of the information by policy issue year. The annual statement shall
also include the names of the insurance companies whose policies have been
settled and the brokers that have settled said policies.
(2)
Such information shall be limited to only those transactions where the insured
is a resident of this state and shall not include individual transaction data
regarding the business of life settlements or information that there is a
reasonable basis to believe could be used to identify the owner or the
insured.
(3)
Every provider that willfully fails to file an annual statement as required in
this Code section or willfully fails to reply within 30 days to a written
inquiry by the Commissioner in connection therewith, shall, in addition to other
penalties provided by this chapter, be subject, upon due notice and opportunity
to be heard, to a penalty of up to $250.00 per day of delay, not to exceed
$25,000.00 in the aggregate, for each such failure.
(b)
Except as otherwise allowed or required by law, a provider, broker, insurance
company, insurance producer, information bureau, rating agency or company, or
any other person with actual knowledge of an insured´s identity shall not
disclose the identity of an insured or information that there is a reasonable
basis to believe could be used to identify the insured or the insured´s
financial or medical information to any other person unless the
disclosure:
(1)
Is necessary to effect a life settlement contract between the owner and a
provider and the owner and insured have provided prior written consent to the
disclosure;
(2)
Is necessary to effectuate the sale of life settlement contracts, or interests
therein, as investments, provided that the sale is conducted in accordance with
applicable state and federal securities law and provided further that the owner
and the insured have both provided prior written consent to the
disclosure;
(3)
Is provided in response to an investigation or examination by the Commissioner
or any other governmental officer or agency or pursuant to the requirements of
Code Section 33-59-7;
(4)
Is a term or condition to the transfer of a policy by one provider to another
provider, in which case the receiving provider shall be required to comply with
the confidentiality requirements of this subsection;
(5)
Is necessary to allow the provider or broker or their authorized representatives
to make contacts for the purpose of determining health status. For the purposes
of this paragraph, the term 'authorized representative' shall not include any
person who has or may have any financial interest in the settlement contract
other than a provider, licensed broker, financing entity, related provider
trust, or special purpose entity. A provider or broker shall require its
authorized representative to agree in writing to adhere to the privacy
provisions of this chapter; or
(6)
Is required to purchase stop loss coverage.
(c)
Nonpublic personal information solicited or obtained in connection with a
proposed or actual life settlement contract shall be subject to the provisions
applicable to financial institutions under the federal Gramm-Leach-Bliley Act,
P.L. 106-102 (1999), and all other state and federal laws relating to
confidentiality of nonpublic personal information.
33-59-7.
(a)
The Commissioner may, when the Commissioner deems it reasonably necessary to
protect the interests of the public, examine the business and affairs of any
licensee or applicant for a license. The Commissioner may order any licensee or
applicant to produce any records, books, files, or other information reasonably
necessary to ascertain whether such licensee or applicant is acting or has acted
in violation of the law or otherwise contrary to the interests of the public.
The expenses incurred in conducting any examination shall be paid by the
licensee or applicant.
(b)
In lieu of an examination under this chapter of any foreign or alien licensee
licensed in this state, the Commissioner may, at the Commissioner´s
discretion, accept an examination report on the licensee as prepared by the
Commissioner for the licensee´s state of domicile or port-of-entry
state.
(c)
Names of and individual identification data for all owners and insureds shall be
considered private and confidential information and shall not be disclosed by
the Commissioner unless required by law.
(d)
Records of all consummated transactions and life settlement contracts shall be
maintained by the provider for three years after the death of the insured and
shall be available to the Commissioner for inspection during reasonable business
hours.
(e)(1)
Upon determining that an examination should be conducted, the Commissioner shall
issue an examination warrant appointing one or more examiners to perform the
examination and instructing them as to the scope of the examination. In
conducting the examination, the examiner shall use methods common to the
examination of any life settlement licensee and should use those guidelines and
procedures set forth in an examiners´ handbook adopted by a national
organization.
(2)
Every licensee or person from whom information is sought, its officers,
directors, and agents shall provide to the examiners timely, convenient, and
free access at all reasonable hours at its offices to all books, records,
accounts, papers, documents, assets, and computer or other recordings relating
to the property, assets, business, and affairs of the licensee being examined.
The officers, directors, employees, and agents of the licensee or person shall
facilitate the examination and aid in the examination so far as it is in their
power to do so. The refusal of a licensee, by its officers, directors,
employees, or agents, to submit to examination or to comply with any reasonable
written request of the Commissioner shall be grounds for suspension or refusal
of or nonrenewal of any license or authority held by the licensee to engage in
the life settlement business or other business subject to the
Commissioner´s jurisdiction. Any proceedings for suspension, revocation,
or refusal of any license or authority shall be conducted pursuant to
Chapter 2 of this title.
(3)
The Commissioner shall have the power to issue subpoenas, to administer oaths,
and to examine under oath any person as to any matter pertinent to the
examination. Upon the failure or refusal of a person to obey a subpoena, the
Commissioner may petition a court of competent jurisdiction and, upon proper
showing, the court may enter an order compelling the witness to appear and
testify or produce documentary evidence.
(4)
When making an examination under this Code section, the Commissioner may retain
attorneys, appraisers, independent actuaries, independent certified public
accountants, or other professionals and specialists as examiners, the reasonable
cost of which shall be borne by the licensee that is the subject of the
examination.
(5)
Nothing contained in this Code section shall be construed to limit the
Commissioner´s authority to terminate or suspend an examination in order to
pursue other legal or regulatory action pursuant to the insurance laws of this
state. Findings of fact and conclusions made pursuant to any examination shall
be prima-facie evidence in any legal or regulatory action.
(6)
Nothing contained in this Code section shall be construed to limit the
Commissioner´s authority to use and, if appropriate, to make public any
final or preliminary examination report, any examiner or licensee work papers or
other documents, or any other information discovered or developed during the
course of any examination in the furtherance of any legal or regulatory action
which the Commissioner may, in his or her sole discretion, deem
appropriate.
(f)(1)
Examination reports shall be comprised of only facts appearing upon the books,
from the testimony of the licensee´s officers or agents or other persons
examined concerning the licensee´s affairs, and such conclusions and
recommendations as the examiners find reasonably warranted from the
facts.
(2)
No later than 60 days following completion of the examination, the examiner in
charge shall file with the Commissioner a verified written report of examination
under oath. Upon receipt of the verified report, the Commissioner shall
transmit the report to the licensee examined, together with a notice that shall
afford the licensee examined a reasonable opportunity of not more than 30 days
to make a written submission or rebuttal with respect to any matters contained
in the examination report and which shall become part of the report or to
request a hearing on any matter in dispute.
(3)
In the event the Commissioner determines that regulatory action is appropriate
as a result of an examination, the Commissioner may initiate any proceedings or
actions provided by law.
(g)(1)
Names and individual identification data for all owners, purchasers, and
insureds shall be considered private and confidential information and shall not
be disclosed by the Commissioner unless the disclosure is to another regulator
or is required by law.
(2)
Except as otherwise provided in this chapter, all examination reports, working
papers, recorded information, documents, and copies thereof produced by,
obtained by, or disclosed to the Commissioner or any other person in the course
of an examination made under this chapter or in the course of analysis or
investigation by the Commissioner of the financial condition or market conduct
of a licensee shall be confidential by law and privileged, shall not be subject
to the provisions of Article 4 of Chapter 18 of Title 50, shall not be subject
to subpoena, and shall not be subject to discovery or admissible in evidence in
any private civil action. The Commissioner is authorized to use the documents,
materials, or other information in the furtherance of any regulatory or legal
action brought as part of the Commissioner´s official duties. The licensee
being examined may have access to all documents used to make the
report.
(h)(1)
An examiner may not be appointed by the Commissioner if the examiner, either
directly or indirectly, has a conflict of interest or is affiliated with the
management of or owns a pecuniary interest in any person subject to examination
under this chapter. This subsection shall not be construed to preclude
automatically an examiner from being:
(A)
An owner;
(B)
An insured in a life settlement contract or insurance policy; or
(C)
A beneficiary in an insurance policy that is proposed for a life settlement
contract.
(2)
Notwithstanding the requirements of this subsection, the Commissioner may retain
from time to time, on an individual basis, qualified actuaries, certified public
accountants, or other similar individuals who are independently practicing their
professions, even though these persons may from time to time be similarly
employed or retained by persons subject to examination under this
chapter.
(i)(1)
No cause of action shall arise nor shall any liability be imposed against the
Commissioner, the Commissioner´s authorized representatives, or any
examiner appointed by the Commissioner for any statements made or conduct
performed in good faith while carrying out the provisions of this
chapter.
(2)
No cause of action shall arise nor shall any liability be imposed against any
person for the act of communicating or delivering information or data to the
Commissioner or the Commissioner´s authorized representative or examiner
pursuant to an examination made under this chapter if the act of communication
or delivery was performed in good faith and without fraudulent intent or the
intent to deceive. This paragraph does not abrogate or modify in any way any
common law or statutory privilege or immunity heretofore enjoyed by any person
identified in paragraph (1) of this subsection.
(3)
A person identified in paragraph (1) or (2) of this subsection shall be entitled
to an award of attorney´s fees and costs if he or she is the prevailing
party in a civil cause of action for libel, slander, or any other relevant tort
arising out of activities in carrying out the provisions of this chapter and the
party bringing the action was not substantially justified in doing so. For
purposes of this subsection, a proceeding is substantially justified if it had a
reasonable basis in law or fact at the time that it was initiated.
(j)
The Commissioner may investigate suspected fraudulent life settlement acts and
persons engaged in the business of life settlements.
33-59-8.
(a)
A broker or provider licensed pursuant to this chapter may conduct or
participate in advertisements within this state. Such advertisements shall
comply with all advertising and marketing laws of this state and rules and
regulations promulgated by the Commissioner that are applicable to life insurers
or to brokers and providers licensed pursuant to this chapter.
(b)
Advertisements shall be accurate, truthful, and not misleading in fact or by
implication.
(c)
No person or trust shall:
(1)
Directly or indirectly, market, advertise, solicit, or otherwise promote the
purchase of a policy for the sole purpose of or with an emphasis on settling the
policy; or
(2)
Use the words 'free,' 'no cost,' or words of similar import in the marketing,
advertising, soliciting, or otherwise promoting of the purchase of a
policy.
33-59-9.
(a)
The provider shall provide in writing, in a separate document that is signed by
the owner and provider, the following information to the owner no later than the
date the life settlement contract is signed by all parties:
(1)
The fact that possible alternatives to life settlement contracts exist,
including, but not limited to, accelerated benefits offered by the issuer of the
life insurance policy;
(2)
The fact that some or all of the proceeds of a life settlement contract may be
taxable and that assistance should be sought from a professional tax
adviser;
(3)
The fact that the proceeds from a life settlement contract could be subject to
the claims of creditors;
(4)
The fact that receipt of proceeds from a life settlement contract may adversely
affect the recipients´ eligibility for public assistance or other
government benefits or entitlements and that advice should be obtained from the
appropriate agencies;
(5)
The fact that the owner has a right to terminate a life settlement contract
within 15 days of the date it is executed by all parties and the owner has
received the disclosures contained in this Code section. Rescission, if
exercised by the owner, is effective only if both notice of the rescission is
given and the owner repays all proceeds and any premiums, loans, and loan
interest paid on account of the provider within the rescission period. If the
insured dies during the rescission period, the contract shall be deemed to have
been rescinded subject to repayment by the owner or the owner´s estate of
all proceeds and any premiums, loans, and loan interest to the
provider;
(6)
The fact that proceeds will be sent to the owner within three business days
after the provider has received the insurer or group administrator´s
acknowledgment that ownership of the policy or interest in the certificate has
been transferred and the beneficiary has been designated in accordance with the
terms of the life settlement contract;
(7)
The fact that entering into a life settlement contract may cause other rights or
benefits, including conversion rights and waiver of premium benefits that may
exist under the policy or certificate of a group policy, to be forfeited by the
owner and that assistance should be sought from a professional financial
adviser;
(8)
The amount and method of calculating the compensation paid or to be paid to the
broker or any other person acting for the owner in connection with the
transaction, where the term 'compensation' includes any thing of value paid or
given;
(9)
The date by which the funds will be available to the owner and the transmitter
of the funds;
(10)
The fact that the Commissioner shall require delivery of a buyer´s guide or
a similar consumer advisory package in the form prescribed by the Commissioner
to owners during the solicitation process;
(11)
The disclosure document shall contain the following language:
'All
medical, financial, or personal information solicited or obtained by a provider
or broker about an insured, including the insured´s identity or the
identity of family members, a spouse, or a significant other, may be disclosed
as necessary to effect the life settlement contract between the owner and
provider. If you are asked to provide this information, you will be asked to
consent to the disclosure. The information may be provided to someone who buys
the policy or provides funds for the purchase. You may be asked to renew your
permission to share information every two years.';
(12)
The fact that the Commissioner shall require providers and brokers to print
separate signed fraud warnings on their applications and on their life
settlement contracts as follows:
'Any
person who knowingly presents false information in an application for insurance
or life settlement contract is guilty of a crime and may be subject to fines and
confinement in prison.';
(13)
The fact that the insured may be contacted by either the provider or broker or
its authorized representative for the purpose of determining the insured´s
health status or to verify the insured´s address. This contact is limited
to once every three months if the insured has a life expectancy of more than one
year and no more than once per month if the insured has a life expectancy of one
year or less;
(14)
The affiliation, if any, between the provider and the issuer of the insurance
policy to be settled;
(15)
That a broker represents exclusively the owner, and not the insurer or the
provider or any other person, and owes a fiduciary duty to the owner, including
a duty to act according to the owner´s instructions and in the best
interest of the owner;
(16)
The document shall include the name, address, and telephone number of the
provider;
(17)
The name, business address, and telephone number of the independent third-party
escrow agent, and the fact that the owner may inspect or receive copies of the
relevant escrow or trust agreements or documents; and
(18)
The fact that a change of ownership could in the future limit the insured´s
ability to purchase future insurance on the insured´s life because there is
a limit to how much coverage insurers will issue on one life.
(b)
The written disclosures shall be conspicuously displayed in any life settlement
contract furnished to the owner by a provider including any affiliations or
contractual arrangements between the provider and the broker.
(c)
A broker shall provide the owner and the provider with at least the following
disclosures no later than the date the life settlement contract is signed by all
parties. The disclosures shall be conspicuously displayed in the life
settlement contract or in a separate document signed by the owner and provide
the following information:
(1)
The name, business address, and telephone number of the broker;
(2)
A full, complete, and accurate description of all the offers, counter-offers,
acceptances, and rejections relating to the proposed life settlement
contract;
(3)
A written disclosure of any affiliations or contractual arrangements between the
broker and any person making an offer in connection with the proposed life
settlement contracts;
(4)
The name of each broker who receives compensation and the amount of compensation
received by that broker, which compensation includes any thing of value paid or
given to the broker in connection with the life settlement contract;
and
(5)
A complete reconciliation of the gross offer or bid by the provider to the net
amount of proceeds or value to be received by the owner. For the purpose of
this subsection, gross offer or bid shall mean the total amount or value offered
by the provider for the purchase of one or more life insurance policies,
inclusive of commissions and fees.
(d)
The failure to provide the disclosures or rights described in this Code section
shall be deemed an unfair trade practice pursuant to Code Section
33-59-17.
33-59-10.
(a)
Without limiting the ability of an insurer from assessing the insurability of a
policy applicant and determining whether or not to issue the policy and in
addition to other questions an insurance carrier may lawfully pose to a life
insurance applicant, insurance carriers may inquire in the application for
insurance whether the proposed owner intends to pay premiums with the assistance
of financing from a lender that will use the policy as collateral to support the
financing.
(b)
If, as described in paragraph (11) of Code Section 33-59-2, the loan provides
funds which can be used for a purpose other than paying for the premiums, costs,
and expenses associated with obtaining and maintaining the life insurance policy
and loan, the application shall be rejected as a violation of the prohibited
practices in Code Section 33-59-13.
(c)
If the financing does not violate Code Section 33-59-13 in this manner, the
insurance carrier:
(1)
May make disclosures, including, but not limited to, such as the following, to
the applicant and the insured, either on the application or an amendment to the
application to be completed no later than the delivery of the policy:
'If
you have entered into a loan arrangement where the policy is used as collateral
and the policy does change ownership at some point in the future in satisfaction
of the loan, the following may be true:
(A)
A change of ownership could lead to a stranger owning an interest in the
insured´s life;
(B)
A change of ownership could in the future limit your ability to purchase future
insurance on the insured´s life because there is a limit to how much
coverage insurers will issue on one life;
(C)
Should there be a change of ownership and you wish to obtain more insurance
coverage on the insured´s life in the future, the insured´s higher
issue age, a change in health status, or other factors may reduce the ability to
obtain coverage or may result in significantly higher premiums; and
(D)
You should consult a professional adviser since a change in ownership in
satisfaction of the loan may result in tax consequences to the owner, depending
on the structure of the loan.'; and
(2)
May require certifications, such as the following, from the applicant and the
insured: '(A) I have not entered into any agreement or arrangement providing
for the future sale of this life insurance policy;
(B)
My loan arrangement for this policy provides funds sufficient to pay for some or
all of the premiums, costs, and expenses associated with obtaining and
maintaining my life insurance policy, but I have not entered into any agreement
by which I am to receive consideration in exchange for procuring this policy;
and
(C)
The borrower has an insurable interest in the insured.'
33-59-11.
(a)
A provider entering into a life settlement contract with any owner of a policy,
wherein the insured is terminally or chronically ill, shall first
obtain:
(1)
If the owner is the insured, a written statement from a licensed attending
physician that the owner is of sound mind and under no constraint or undue
influence to enter into a settlement contract; and
(2)
A document in which the insured consents to the release of his or her medical
records to a provider, settlement broker, or insurance producer and, if the
policy was issued less than two years from the date of application for a
settlement contract, to the insurance company that issued the
policy.
(b)
The insurer shall respond to a request for verification of coverage submitted by
a provider, settlement broker, or life insurance producer not later than 30
calendar days after the date the request is received. The request for
verification of coverage must be made on a form approved by the Commissioner.
The insurer shall complete and issue the verification of coverage or indicate in
which respects it is unable to respond. In its response, the insurer shall
indicate whether, based on the medical evidence and documents provided, the
insurer intends to pursue an investigation at this time regarding the validity
of the insurance contract.
(c)
Before or at the time of execution of the settlement contract, the provider
shall obtain a witnessed document in which the owner consents to the settlement
contract, represents that the owner has a full and complete understanding of the
settlement contract, represents that the owner has a full and complete
understanding of the benefits of the policy, acknowledges that the owner is
entering into the settlement contract freely and voluntarily, and, for persons
with a terminal or chronic illness or condition, acknowledges that the insured
has a terminal or chronic illness and that the terminal or chronic illness or
condition was diagnosed after the policy was issued.
(d)
The insurer shall not unreasonably delay effecting change of ownership or
beneficiary with any life settlement contract lawfully entered into in this
state or with a resident of this state.
(e)
If a settlement broker or life insurance producer performs any of these
activities required of the provider, the provider is deemed to have fulfilled
the requirements of this Code section.
(f)
If a broker performs those verification of coverage activities required of the
provider, the provider is deemed to have fulfilled the requirements of
subsection (a) of Code Section 33-5-9.
(g)
Within 20 days after an owner executes the life settlement contract, the
provider shall give written notice to the insurer that issued that insurance
policy that the policy has become subject to a life settlement contract. The
notice shall be accompanied by the documents required by Code Section
33-59-10.
(h)
All medical information solicited or obtained by any licensee shall be subject
to the applicable provision of state law relating to confidentiality of medical
information if not otherwise provided in this chapter.
(i)
All life settlement contracts entered into in this state shall provide that the
owner may rescind the contract on or before 15 days after the date it is
executed by all parties thereto. Rescission, if exercised by the owner, is
effective only if both notice of the rescission is given and the owner repays
all proceeds and any premiums, loans, and loan interest paid on account of the
provider within the rescission period. If the insured dies during the
rescission period, the contract shall be deemed to have been rescinded subject
to repayment by the owner or the owner´s estate of all proceeds and any
premiums, loans, and loan interest to the provider.
(j)
Within three business days after receipt from the owner of documents to effect
the transfer of the insurance policy, the provider shall pay the proceeds of the
settlement to an escrow or trust account managed by a trustee or escrow agent in
a state or federally chartered financial institution pending acknowledgment of
the transfer by the issuer of the policy. The trustee or escrow agent shall be
required to transfer the proceeds due to the owner within three business days of
acknowledgment of the transfer from the insurer.
(k)
Failure to tender the life settlement contract proceeds to the owner by the date
disclosed to the owner renders the contract voidable by the owner for lack of
consideration until the time the proceeds are tendered to and accepted by the
owner. A failure to give written notice of the right of rescission hereunder
shall toll the right of rescission until 30 days after the written notice of the
right of rescission has been given.
(l)
Any fee paid by a provider, party, individual, or an owner to a broker in
exchange for services provided to the owner pertaining to a life settlement
contract shall be computed as a percentage of the offer obtained, not the face
value of the policy. Nothing in this Code section shall be construed as
prohibiting a broker from reducing such broker´s fee below this percentage
if the broker so chooses.
(m)
The broker shall disclose to the owner any thing of value paid or given to a
broker, which relates to a life settlement contract.
(n)
No person at any time prior to, or at the time of, the application for, or
issuance of, a policy, or during a two-year period commencing with the date of
issuance of the policy, shall enter into a life settlement contract regardless
of the date the compensation is to be provided and regardless of the date the
assignment, transfer, sale, devise, bequest, or surrender of the policy is to
occur. This prohibition shall not apply if the owner certifies to the provider
that:
(1)
The policy was issued upon the owner´s exercise of conversion rights
arising out of a group or individual policy, provided that the total of the time
covered under the conversion policy plus the time covered under the prior policy
is at least 24 months. The time covered under a group policy must be calculated
without regard to a change in insurance carriers, provided that the coverage has
been continuous and under the same group sponsorship; or
(2)
The owner submits independent evidence to the provider that one or more of the
following conditions have been met within the two-year period:
(A)
The owner or insured is terminally or chronically ill;
(B)
The owner or insured disposes of his or her ownership interests in a closely
held corporation, pursuant to the terms of a buyout or other similar agreement
in effect at the time the insurance policy was initially issued;
(C)
The owner´s spouse dies;
(D)
The owner divorces his or her spouse;
(E)
The owner retires from full-time employment;
(F)
The owner becomes physically or mentally disabled and a physician determines
that the disability prevents the owner from maintaining full-time employment;
or
(G)
A final order, judgment, or decree is entered by a court of competent
jurisdiction, on the application of a creditor of the owner, adjudicating the
owner bankrupt or insolvent, or approving a petition seeking reorganization of
the owner or appointing a receiver, trustee, or liquidator to all or a
substantial part of the owner´s assets.
Copies
of the independent evidence required by paragraph (2) of this subsection shall
be submitted to the insurer when the provider submits a request to the insurer
for verification of coverage. The copies shall be accompanied by a letter of
attestation from the provider that the copies are true and correct copies of the
documents received by the provider. Nothing in this Code section shall prohibit
an insurer from exercising its right to contest the validity of any policy. If
the provider submits to the insurer a copy of independent evidence provided for
in subparagraph (A) of paragraph (2) of this subsection when the provider
submits a request to the insurer to effect the transfer of the policy to the
provider, the copy is deemed to establish that the settlement contract satisfies
the requirements of this subsection.
33-59-12.
(a)
The Commissioner may promulgate regulations implementing this chapter and
regulating the activities and relationships of providers, brokers, insurers, and
their agents subject to statutory limitations on administrative rule
making.
(b)(1)
If there is more than one owner on a single policy, and the owners are residents
of different states, the life settlement contract shall be governed by the law
of the state in which the owner having the largest percentage ownership resides
or, if the owners hold equal ownership, the state of residence of one owner
agreed upon in writing by all of the owners. The law of the state of the
insured shall govern in the event that equal owners fail to agree in writing
upon a state of residence for jurisdictional purposes.
(2)
A provider from this state who enters into a life settlement contract with an
owner who is a resident of another state that has enacted statutes or adopted
regulations governing life settlement contracts shall be governed in the
effectuation of that life settlement contract by the statutes and regulations of
the owner´s state of residence. If the state in which the owner is a
resident has not enacted statutes or regulations governing life settlement
contracts, the provider shall give the owner notice that neither state regulates
the transaction upon which he or she is entering. For transactions in those
states, however, the provider is to maintain all records required if the
transactions were executed in the state of residence. The forms used in those
states need not be approved by the Commissioner.
(3)
If there is a conflict in the laws that apply to an owner and a purchaser in any
individual transaction, the laws of the state that apply to the owner shall take
precedence and the provider shall comply with those laws.
33-59-13.
(a)
It shall be unlawful for any person to:
(1)
Enter into a life settlement contract if such person knows or reasonably should
have known that the life insurance policy was obtained by means of a false,
deceptive, or misleading application for such policy;
(2)
Engage in any transaction, practice, or course of business if such person knows
or reasonably should have known that the intent was to avoid the notice
requirements of this Code section;
(3)
Engage in any fraudulent act or practice in connection with any transaction
relating to any settlement involving an owner who is a resident of this
state;
(4)
Issue, solicit, market, or otherwise promote the purchase of an insurance policy
for the purpose of or with an emphasis on settling the policy;
(5)
Enter into a premium finance agreement with any person or agency, or any person
affiliated with such person or agency, pursuant to which such person shall
receive any proceeds, fees, or other consideration, directly or indirectly, from
the policy or owner of the policy or any other person with respect to the
premium finance agreement or any settlement contract or other transaction
related to such policy that are in addition to the amounts required to pay the
principal, interest, and service charges related to policy premiums pursuant to
the premium finance agreement or subsequent sale of such agreement; provided,
further, that any payments, charges, fees, or other amounts in addition to the
amounts required to pay the principal, interest, and service charges related to
policy premiums paid under the premium finance agreement shall be remitted to
the original owner of the policy or to his or her estate if he or she is not
living at the time of the determination of the overpayment;
(6)
With respect to any settlement contract or insurance policy and a broker,
knowingly solicit an offer from, effectuate a life settlement contract with, or
make a sale to any provider, financing entity, or related provider trust that is
controlling, controlled by, or under common control with such
broker;
(7)
With respect to any life settlement contract or insurance policy and a provider,
knowingly enter into a life settlement contract with a owner, if, in connection
with such life settlement contract, any thing of value will be paid to a broker
that is controlling, controlled by, or under common control with such provider
or the financing entity or related provider trust that is involved in such
settlement contract;
(8)
With respect to a provider, enter into a life settlement contract unless the
life settlement promotional, advertisement, and marketing materials, as may be
prescribed by rule or regulation, have been filed with the Commissioner. In no
event shall any marketing materials expressly reference that the insurance is
'free' for any period of time. The inclusion of any reference in the marketing
materials that would cause an owner to reasonably believe that the insurance is
free for any period of time shall be considered a violation of this chapter;
or
(9)
With respect to any life insurance producer, insurance company, broker, or
provider, make any statement or representation to the applicant or policyholder
in connection with the sale or financing of a life insurance policy to the
effect that the insurance is free or without cost to the policyholder for any
period of time unless provided in the policy.
(b)
A violation of this Code section shall be deemed a fraudulent life settlement
act.
33-59-14.
(a)(1)
It shall be illegal for a person to commit a fraudulent life settlement
act.
(2)
A person shall not knowingly and intentionally interfere with the enforcement of
the provisions of this chapter or investigations of suspected or actual
violations of this chapter.
(3)
A person in the business of life settlements shall not knowingly or
intentionally permit any person convicted of a felony involving dishonesty or
breach of trust to participate in the business of life settlements.
(b)(1)
Life settlement contracts and applications for life settlement contracts,
regardless of the form of transmission, shall contain the following statement or
a substantially similar statement: 'Any person who knowingly presents false
information in an application for insurance or life settlement contract is
guilty of a crime and may be subject to fines and confinement in
prison.'
(2)
The lack of a statement as required in paragraph (1) of this subsection does not
constitute a defense in any prosecution for a fraudulent life settlement
act.
(c)(1)
Any person engaged in the business of life settlements having knowledge or a
reasonable belief that a fraudulent life settlement act is being, will be, or
has been committed shall provide to the Commissioner the information required
by, and in a manner prescribed by, the Commissioner.
(2)
Any other person having knowledge or a reasonable belief that a fraudulent life
settlement act is being, will be, or has been committed may provide to the
Commissioner the information required by, and in a manner prescribed by, the
Commissioner.
(d)(1)
No civil liability shall be imposed on and no cause of action shall arise from a
person´s furnishing information concerning suspected, anticipated, or
completed fraudulent life settlement acts or suspected or completed fraudulent
insurance acts if the information is provided to or received from:
(A)
The Commissioner or the Commissioner´s employees, agents, or
representatives;
(B)
Federal, state, or local law enforcement or regulatory officials or their
employees, agents, or representatives;
(C)
A person involved in the prevention and detection of fraudulent life settlement
acts or that person´s agents, employees, or representatives;
(D)
Any regulatory body or their employees, agents, or representatives overseeing
life insurance, life settlements, securities, or investment fraud;
(E)
The life insurer that issued the life insurance policy covering the life of the
insured; or
(F)
The licensee and any agents, employees, or representatives.
(2)
Paragraph (1) of this subsection shall not apply to statements made with actual
malice. In an action brought against a person for filing a report or furnishing
other information concerning a fraudulent life settlement act or a fraudulent
insurance act, the party bringing the action shall plead specifically any
allegation that paragraph (1) of this subsection does not apply because the
person filing the report or furnishing the information did so with actual
malice.
(3)
A person identified in paragraph (1) of this subsection shall be entitled to an
award of attorney´s fees and costs if he or she is the prevailing party in
a civil cause of action for libel, slander, or any other relevant tort arising
out of activities in carrying out the provisions of this chapter and the party
bringing the action was not substantially justified in doing so. For purposes
of this paragraph, a proceeding is substantially justified if it had a
reasonable basis in law or fact at the time that it was initiated.
(4)
This subsection does not abrogate or modify common law or statutory privileges
or immunities enjoyed by a person described in paragraph (1) of this
subsection.
(e)(1)
The documents and evidence provided pursuant to subsection (d) of this Code
section or obtained by the Commissioner in an investigation of suspected or
actual fraudulent life settlement acts shall be privileged and confidential and
shall not be a public record and shall not be subject to discovery or subpoena
in a civil or criminal action.
(2)
Paragraph (1) of this subsection shall not prohibit release by the Commissioner
of documents and evidence obtained in an investigation of suspected or actual
fraudulent life settlement acts:
(A)
In administrative or judicial proceedings to enforce laws administered by the
Commissioner;
(B)
To federal, state, or local law enforcement or regulatory agencies, to an
organization established for the purpose of detecting and preventing fraudulent
life settlement acts, or to the National Association of Insurance Commissioners;
or
(C)
At the discretion of the Commissioner, to a person in the business of life
settlements that is aggrieved by a fraudulent life settlement act.
(3)
Release of documents and evidence under paragraph (2) of this subsection does
not abrogate or modify the privilege granted in paragraph (1) of this
subsection.
(f)
This chapter shall not:
(1)
Preempt the authority or relieve the duty of other law enforcement or regulatory
agencies to investigate, examine, and prosecute suspected violations of
law;
(2)
Preempt, supersede, or limit any provision of any state securities law or any
rule, order, or notice issued thereunder;
(3)
Prevent or prohibit a person from disclosing voluntarily information concerning
life settlement fraud to a law enforcement or regulatory agency other than the
department; or
(4)
Limit the powers granted elsewhere by the laws of this state to the Commissioner
or an insurance fraud unit to investigate and examine possible violations of law
and to take appropriate action against wrongdoers.
(g)(1)
Providers and brokers shall have in place antifraud initiatives reasonably
calculated to detect, prosecute, and prevent fraudulent life settlement acts.
At the discretion of the Commissioner, the Commissioner may order, or a licensee
may request and the Commissioner may grant, such modifications of the following
required initiatives as necessary to ensure an effective antifraud program. The
modifications may be more or less restrictive than the required initiatives so
long as the modifications may reasonably be expected to accomplish the purpose
of this subsection. Antifraud initiatives shall include:
(A)
Fraud investigators, who may be provider or broker employees or independent
contractors; and
(B)
An antifraud plan, which shall be submitted to the Commissioner. The antifraud
plan shall include, but not be limited to:
(i)
A description of the procedures for detecting and investigating possible
fraudulent life settlement acts and procedures for resolving material
inconsistencies between medical records and insurance applications;
(ii)
A description of the procedures for reporting possible fraudulent life
settlement acts to the Commissioner;
(iii)
A description of the plan for antifraud education and training of underwriters
and other personnel; and
(iv)
A description or chart outlining the organizational arrangement of the antifraud
personnel who are responsible for the investigation and reporting of possible
fraudulent life settlement acts and investigating unresolved material
inconsistencies between medical records and insurance applications.
(2)
Antifraud plans submitted to the Commissioner shall be privileged and
confidential and shall not be a public record and shall not be subject to
discovery or subpoena in a civil or criminal action.
33-59-15.
(a)
In addition to the penalties and other enforcement provisions of this chapter,
if any person violates this chapter or any rule or regulation implementing this
chapter, the Commissioner may seek an injunction in a court of competent
jurisdiction in the county where the person resides or has a principal place of
business and may apply for temporary and permanent orders that the Commissioner
determines necessary to restrain the person from further committing the
violation.
(b)
Any person damaged by the acts of another person in violation of this chapter or
any rule or regulation implementing this chapter may bring a civil action for
damages against the person committing the violation in a court of competent
jurisdiction.
(c)
The Commissioner may issue a cease and desist order upon a person who violates
any provision of this chapter, any rule, regulation, or order adopted by the
Commissioner, or any written agreement entered into with the Commissioner, in
accordance with Chapter 2 of this title.
(d)
When the Commissioner finds that such an action presents an immediate danger to
the public and requires an immediate final order, he or she may issue an
emergency cease and desist order reciting with particularity the facts
underlying such findings. The emergency cease and desist order shall become
effective immediately upon service of a copy of the order on the respondent and
shall remain effective for 90 days. If the department begins nonemergency cease
and desist proceedings under subsection (a) of this Code section, the emergency
cease and desist order shall remain effective, absent an order by an appellate
court of competent jurisdiction pursuant to Chapter 13 of Title 50. In the
event of a willful violation of this chapter, the trial court may award
statutory damages in addition to actual damages in an additional amount up to
three times the actual damage award. The provisions of this chapter may not be
waived by agreement. No choice of law provision may be utilized to prevent the
application of this chapter to any settlement in which a party to the settlement
is a resident of this state.
33-59-16.
(a)
It is a violation of this chapter for any person, provider, broker, or any other
party related to the business of life settlements to commit a fraudulent life
settlement act.
(b)
For criminal liability purposes, a person that commits a fraudulent life
settlement act shall be guilty of committing insurance fraud and shall be guilty
of a felony and, upon conviction, shall be punished by imprisonment for not less
than two nor more than ten years, or by a fine of not more than $10,000.00, or
both.
(c)
The Commissioner shall be empowered to levy a civil penalty:
(1)
Not exceeding $1,000.00 for each and every act in violation of this chapter or,
if the person knew or reasonably should have known the acts that he or she
committed were in violation of this chapter, the monetary penalty provided for
in this subsection may be increased to an amount up to $5,000.00 for each and
every act in violation; and
(2)
The amount of the claim for each violation upon any person, including those
persons and their employees licensed pursuant to this chapter, who is found to
have committed a fraudulent life settlement act or violated any other provision
of this chapter.
(d)
The license of a person licensed under this chapter that commits a fraudulent
life settlement act shall be revoked for a period of at least one
year.
33-59-17.
A
violation of this chapter shall be considered an unfair trade practice pursuant
to state law and subject to the penalties provided by state law.
33-59-18.
(a)
A provider lawfully transacting business in this state prior to July 1, 2009,
may continue to do so pending approval or disapproval of that person´s
application for a license as long as the application is filed with the
Commissioner not later than 30 days after publication by the Commissioner of an
application form and instructions for licensure of providers. If the
publication of the application form and instructions is prior to July 1, 2009,
then the filing of the application shall not be later than August 1, 2009.
During the time that such an application is pending with the Commissioner, the
applicant may use any form of life settlement contract that has been filed with
the Commissioner pending approval thereof, provided that such form is otherwise
in compliance with the provisions of this chapter. Any person transacting
business in this state under this provision shall be obligated to comply with
all other requirements of this chapter.
(b)
A person who has lawfully negotiated life settlement contracts between any owner
residing in this state and one or more providers for at least one year
immediately prior to July 1, 2009, may continue to do so pending approval or
disapproval of that person´s application for a license as long as the
application is filed with the Commissioner not later than 30 days after
publication by the Commissioner of an application form and instructions for
licensure of brokers. If the publication of the application form and
instructions is prior July 1, 2009, then the filing of the application shall not
be later than August 1, 2009. Any person transacting business in this state
under this provision shall be obligated to comply with all other requirements of
this chapter."
SECTION
2.
For
purposes of the promulgation of rules and regulations by the Commissioner of
Insurance, this Act shall become effective upon its approval by the Governor or
upon its becoming law without such approval. For all other purposes, this Act
shall become effective on July 1, 2009.
SECTION
3.
All
laws and parts of laws in conflict with this Act are repealed.
