Section 3120.50 Duties of Insurers and Insurance
Producers
a) Best
Interest Obligations. An insurance producer, when making a recommendation of
an annuity, shall act in the best interest of the consumer under the
circumstances known at the time the recommendation is made without placing the insurance
producer’s or the insurer’s financial interest ahead of the consumer’s
interest. An insurance producer has acted in the best interest of the consumer
if the insurance producer has satisfied the following obligations regarding
care, disclosure, conflict of interest, and documentation:
1) Care
obligation
A) The insurance
producer, in making a recommendation, shall exercise reasonable diligence, care,
and skill to:
i) Know
the consumer’s financial situation, insurance needs and financial objectives;
ii) Understand
the available recommendation options after making a reasonable inquiry into
options available to the insurance producer;
iii) Have
a reasonable basis to believe the recommended option effectively addresses the
consumer’s financial situation, insurance needs, and financial objectives over
the life of the product, as evaluated in light of the consumer profile
information; and
iv) Communicate
to the consumer the basis or bases of the recommendation.
B) The
requirements under subsection (a)(1)(A) include making reasonable efforts to
obtain consumer profile information from the consumer before recommending an
annuity.
C) The
requirements under subsection (a)(1)(A) require an insurance producer to
consider the types of products the insurance producer is authorized and
licensed to recommend or sell that address the consumer’s financial situation,
insurance needs, and financial objectives. This does not require analysis or
consideration of any products outside the authority and license of the insurance
producer or other possible alternative products or strategies available in the
market at the time of the recommendation. An insurance producer shall not be
held to standards other than those that apply to the individual professional
licenses held by the insurance producer.
D) The
requirements under this subsection (a) do not create a fiduciary obligation or
relationship and only create a regulatory obligation as established in this
Part.
E) The
consumer profile information, characteristics of the insurer, and product
costs, rates, benefits, and features are those factors generally relevant in
determining whether an annuity effectively addresses the consumer’s financial
situation, insurance needs, and financial objectives, but the level of
importance of each factor under the care obligation of this subsection (a)(1) may
vary depending on the facts and circumstances of a particular case. However,
each factor may not be considered in isolation.
F) The
requirements under subsection (a)(1)(A) include having a reasonable basis to
believe the consumer would benefit from certain features of the annuity, such
as annuitization, death or living benefit, or other insurance-related features.
G) The
requirements under subsection (a)(1)(A) apply to the particular annuity as a
whole and the underlying subaccounts to which funds are allocated at the time
of purchase or exchange of an annuity, and riders and similar product
enhancements, if any.
H) The
requirements under subsection (a)(1)(A) do not mean the annuity with the lowest
one-time or multiple occurrence compensation structure must necessarily be
recommended.
I) The
requirements under subsection (a)(1)(A) do not mean the insurance producer has
ongoing monitoring obligations under the care obligation under this subsection
(a)(1), although such an obligation may be separately owed under the terms of a
fiduciary, consulting, investment advising or financial planning agreement
between the consumer and the insurance producer.
J) In
the case of an exchange or replacement of an annuity, the insurance producer shall
consider the whole transaction, which includes taking into consideration
whether:
i) The
consumer will incur a surrender charge, be subject to the commencement of a new
surrender period, lose existing benefits, such as death, living, or other
contractual benefits, or be subject to increased fees, investment advisory fees,
or charges for riders and similar product enhancements;
ii) The
replacing product would substantially benefit the consumer in comparison to the
replaced product over the life of the product; and
iii) The
consumer had another annuity exchange or replacement and, in particular, an
exchange or replacement within the preceding 60 months.
K) Nothing
in this Part should be construed to require an insurance producer to obtain any
license other than an insurance producer license that authorizes the sale,
solicitation, or negotiation of insurance in Illinois, including but not
limited to any securities license, in order to fulfill the duties and
obligations contained in this Part, provided the insurance producer does not
give advice or provide services that are otherwise subject to securities laws
or engage in any other activity requiring other professional licenses.
2) Disclosure
Obligation
A) Before
recommending or selling an annuity, the insurance producer shall prominently
disclose to the consumer on a form substantially similar to the form that
appears in Appendix A:
i) A
description of the scope and terms of the relationship with the consumer and
the role of the insurance producer in the transaction;
ii) An
affirmative statement on whether the insurance producer is licensed and
authorized to sell the following products:
· Fixed annuities;
· Fixed
indexed annuities;
· Variable
annuities;
· Life
insurance;
· Mutual
funds;
· Stocks
and bonds; and
· Certificates
of deposit
iii) An
affirmative statement describing the insurers for which the insurance producer
is authorized, contracted (or appointed), or otherwise able to sell insurance
products, using the following descriptions:
· From
one insurer;
· From
two or more insurers; or
· From two or more insurers although
primarily contracted with one insurer.
iv) A
description of the sources and types of cash compensation and non-cash
compensation to be received by the insurance producer, including whether the insurance
producer is to be compensated for the sale of a recommended annuity by
commission as part of a premium or other remuneration received from the
insurer, intermediary or other insurance producer or by fee as a result of a
contract for advice or consulting services; and
v) A
notice of the consumer’s right to request additional information regarding cash
compensation described in subsection (a)(2)(B);
B) Upon
request of the consumer or the consumer’s designated representative, the insurance
producer shall disclose:
i) A
reasonable estimate of the amount of cash compensation to be received by the insurance
producer, which may be stated as a range of amounts or percentages; and
ii) Whether
the cash compensation is a one-time or multiple occurrence amount, and if a
multiple occurrence amount, the frequency and amount of the occurrence, which
may be stated as a range of amounts or percentages; and
C) Before
or at the time of the recommendation or sale of an annuity, the insurance producer
shall have a reasonable basis to believe the consumer has been informed of
various features of the annuity, such as the potential surrender period and
surrender charge, potential tax penalty if the consumer sells, exchanges,
surrenders or annuitizes the annuity, mortality and expense fees, investment
advisory fees, any annual fees, potential charges for and features of riders or
other options of the annuity, limitations on interest returns, potential
changes in non-guaranteed elements of the annuity, insurance and investment
components and market risk.
3) Conflict
of Interest Obligation. An insurance producer shall identify and avoid or
reasonably manage and disclose to the consumer material conflicts of interest,
including material conflicts of interest related to an ownership interest.
4) Documentation
Obligation. An insurance producer shall at the time of recommendation or sale:
A) Make a
written record of any recommendation and the basis for the recommendation
subject to this Part;
B) Obtain
a consumer-signed statement on a form substantially similar to Appendix B
documenting:
i) A
customer’s refusal to provide the consumer profile information, if any;
ii) A customer’s
understanding of the ramifications of not providing consumer profile
information or providing insufficient consumer profile information; and
C) Obtain
a consumer-signed statement on a form substantially similar to Appendix C
acknowledging the annuity transaction is not recommended if a customer decides
to enter into an annuity transaction that is not based on the insurance producer’s
recommendation.
5) Application
of Best Interest Obligation. Any requirement applicable to an insurance
producer under this subsection (a) shall apply to every insurance producer who
has exercised material control or influence in the making of a recommendation
and has received direct compensation as a result of the recommendation or sale,
regardless of whether the insurance producer had any direct contact with the
consumer. Activities such as providing or delivering marketing or educational
materials, product wholesaling or other back-office product support, and
general supervision of an insurance producer do not, in and of themselves,
constitute material control or influence.
b) Transactions
Not Based on a Recommendation
1) Except
as provided under subsection (b)(2), an insurance producer shall have no
obligation to a consumer under subsection (a)(1) related to any annuity
transaction if:
A) No recommendation is
made;
B) A
recommendation was made and was later found to have been prepared based on
materially inaccurate information provided by the consumer;
C) A
consumer refused to provide relevant consumer profile information and the
annuity transaction is not recommended; or
D) A
consumer decides to enter into an annuity transaction that is not based on a
recommendation of the insurance producer.
2) An
insurer’s issuance of an annuity subject to subsection (b)(1) shall be
reasonable under all the circumstances actually known to the insurer at the
time the annuity is issued.
c) Supervision
System
1) Except
as permitted under subsection (b), an insurer may not issue an annuity
recommended to a consumer unless there is a reasonable basis to believe the
annuity would effectively address the particular consumer’s financial
situation, insurance needs, and financial objectives based on the consumer’s
consumer profile information.
2) An
insurer shall establish and maintain a supervision system that is reasonably
designed to achieve the insurer's and its insurance producers' compliance with
this Part, including, but not limited to, the following:
A) The
insurer shall establish and maintain reasonable procedures to inform its
insurance producers of the requirements of this Part and shall incorporate the
requirements of this Part into relevant insurance producer training manuals;
B) The
insurer shall establish and maintain standards for insurance producer product
training and shall establish and maintain reasonable procedures to require its
insurance producers to comply with the requirements of Section 3120.60;
C) The
insurer shall provide product-specific training and training materials that explain
all material features of its annuity products to its insurance producers;
D) The
insurer shall establish and maintain procedures for the review of each
recommendation prior to issuance of an annuity that ensure there is a
reasonable basis to determine that the recommended annuity would effectively
address the particular consumer’s financial situation, insurance needs, and
financial objectives. The review procedures may apply a screening system to
identify selected transactions for additional review and may be accomplished
electronically or through other means, including, but not limited to, physical
review. Such a system may be designed to require additional review only of
those transactions identified for additional review by the selection criteria;
E) The
insurer shall maintain reasonable procedures to detect recommendations that are
not in compliance with subsections (a), (b), (d), and (e). This may include,
but is not limited to, confirmation of the consumer’s profile information,
systematic customer surveys, insurance producer and consumer interviews,
confirmation letters, insurance producer statements or attestations, and
programs of internal monitoring. Nothing in this subsection (c)(2)(E) prevents
an insurer from complying with this subsection by applying sampling procedures,
or by confirming the consumer profile information or other required information
under this Section after issuance or delivery of the annuity;
F) The
insurer shall establish and maintain reasonable procedures to assess, prior to
or upon the issuance or delivery of an annuity, whether an insurance producer
has provided to the consumer the information required to be provided under this
Section;
G) The
insurer shall establish and maintain reasonable procedures to identify and
address suspicious consumer refusals to provide consumer profile information;
H) The
insurer shall establish and maintain reasonable procedures to identify and
eliminate any sales contests, sales quotas, bonuses, and non-cash compensation
that are based on the sales of specific annuities within a limited period of
time. The requirements of this subsection (c)(2)(H) are not intended to
prohibit the receipt of health insurance, office rent, office support,
retirement benefits, or other employee benefits by employees as long as those
benefits are not based upon the volume of sales of a specific annuity within a
limited period of time; and
I) The
insurer shall annually provide a written report to senior management, including
the senior manager responsible for audit functions, that details a review, with
appropriate testing, reasonably designed to determine the effectiveness of the
supervision system, the exceptions found, and corrective action taken or
recommended, if any.
3) Nothing
in this subsection (c) restricts an insurer from contracting for the performance
of a function (including maintenance of procedures) required under this subsection.
An insurer is responsible for taking appropriate corrective action and may be
subject to sanctions and penalties pursuant to Section 3120.90 regardless of
whether the insurer contracts for the performance of a function and regardless
of the insurer's compliance with subsection (c)(4).
4) An
insurer's supervision system under this subsection (c) shall include
supervision of contractual performance under this subsection (c)(4). This
includes, but is not limited to, the following:
A) Monitoring
and, as appropriate, conducting audits to assure that the contracted function
is properly performed; and
B) Annually
obtaining a certification from a senior manager who has responsibility for the
contracted function that the manager has a reasonable basis to represent, and
does represent, that the function is properly performed.
5) An
insurer is not required to include in its system of supervision:
A) An
insurance producer's recommendations to consumers of products other than the
annuities offered by the insurer; or
B) Consideration
of or comparison to options available to the insurance producer or compensation
relating to those options other than annuities or other products offered by the
insurer.
d) Prohibited
Practices. Neither an insurance producer nor an insurer shall dissuade, or
attempt to dissuade, a consumer from:
1) Truthfully
responding to an insurer's request for confirmation of consumer profile
information;
2) Filing
a complaint with the Department; or
3) Cooperating
with the investigation of a complaint.
e) Safe Harbor
1) Recommendations
and sales made in compliance with comparable standards shall satisfy the
requirements of this Part. This subsection applies to all recommendations and
sales of annuities made by financial professionals in compliance with business
rules, controls, and procedures that satisfy a comparable standard even if that
standard would not otherwise apply to the product or recommendation at issue.
However, nothing in this subsection limits the Director's ability to investigate
and enforce the provisions of this Part.
2) Nothing
in subsection (e)(1) shall limit the insurer’s obligation to comply with Section
3120.50(c)(1), although the insurer may base its analysis on information
received from either the financial professional or the entity supervising the
financial professional.
3) For subsection (e)(1)
to apply, an insurer shall:
A) Monitor
the relevant conduct of the financial professional seeking to rely on subsection
(e)(1) or the entity responsible for supervising the financial professional,
such as the financial professional’s broker-dealer or an investment adviser
registered under federal or State securities laws using information collected
in the normal course of an insurer’s business; and
B) Provide
to the entity responsible for supervising the financial professional seeking to
rely on subsection (e)(1), such as the financial professional’s broker-dealer
or investment adviser registered under federal or State securities laws,
information and reports that are reasonably appropriate to assist that entity in
maintaining its supervision system.
4) For
purposes of this subsection (e), “financial professional” means an insurance
producer that is regulated and acting as:
A) A
broker-dealer registered under federal or State securities laws or a registered
representative of a broker-dealer;
B) An
investment adviser registered under federal or State securities laws or an
investment adviser representative associated with the federal or state
registered investment adviser; or
C) A plan
fiduciary under Section 3(21) of the Employee Retirement Income Security Act of
1974 (ERISA) (29 U.S.C. 1002(21)) or fiduciary under Section 4975(e)(3) of the
Internal Revenue Code (IRC) (26 U.S.C. 4975(e)(3)) or any amendments or
successor statutes.
5) For purposes of this
subsection (e), “comparable standards” means:
A) With
respect to broker-dealers and registered representatives of broker-dealers,
applicable U.S. Securities and Exchange Commission (SEC) and Financial Industry
Regulatory Authority (FINRA) rules pertaining to best interest obligations and
supervision of annuity recommendations and sales, including, but not limited
to, Regulation Best Interest (17 CFR 240 (2022; this incorporation does not
include any later amendments or editions));
B) With
respect to investment advisers under federal or State securities laws or
investment adviser representatives, the fiduciary duties and all other
requirements imposed on such investment advisers or investment adviser
representatives by applicable contract or under the Investment Advisers Act of
1940 (15 U.S.C. 80b-1 et seq.), including, but not limited to, the SEC's Form
ADV (see https://www.sec.gov/about/forms/formadv.pdf); and
C) With
respect to plan fiduciaries or fiduciaries, means the duties, obligations,
prohibitions, and all other requirements attendant to such status under ERISA
or the IRC and any amendments or successor statutes.
(Source: Amended at 47 Ill.
Reg. 2312, effective February 3, 2023)