All section references are to the Insurance Article of the Annotated Code of Maryland, unless otherwise specified.
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1 COMPANY: Revised 10/04/10 NAIC Code: FORM(S): DATE: SERFF/MIA Tracking No.: INDIVIDUAL WHOLE LIFE INSURANCE All section references are to the Insurance Article of the Annotated Code of Maryland, unless otherwise specified. Brief Description & Law/Regulation Cite "X" Means Form/ A. Filing Requirements A1. NAIC Company Number on Submission Letter COMAR B A2. Duplicate Forms - COMAR A A3. Listing of Forms - COMAR C A4. Description of New Features - COMAR J A5. Form Number - COMAR D A6. Form must be legible (b)(5) and COMAR E A7. Corporate Name - COMAR G A8. Unacceptable Modifications - COMAR H A9. Specimen Data - COMAR K A10. Advertising Prohibited - COMAR A11. Variable information and Statement of Variability COMAR A(1) A12. Filing Fee Insufficient (a)(9) A13. Form number in lower left corner of form must match the SERFF field A14. Illustration notice and certification - COMAR A and COMAR B, C, and D(1)(b) A15. Contracts Comprised of Insert Pages - COMAR B A16. Contracts Comprised of Sections - COMAR C A17. Actuarial memo required COMAR N
2 B. Content of form(s) Required Provisions B1. Exclusions for payment of death benefit B2. Payment in event of exclusion B3. Advertising COMAR B4. Term special (b)(6) B5. Brief descriptions front and back COMAR A B6. Brief description contents B7. Rated policy B8. War restrictions or aviation restriction COMAR E B9. Free look and COMAR A(5) B10. Change of nonforfeiture interest rate (k) and COMAR L B11. Name of beneficiary (a) B12. Entire contract B13. Application statements representations not warranties B14. Incontestable B15. Misstatement of age (b) B16. Reinstatement B17. Proceeds in installments B18. Dividends B19. Paid-up additions cost COMAR B20. Cash surrender of paid-up additions (i) B21. When cash values required B22. Right to elect nonforfeiture B23. Nonforfeiture options must be actuarially equivalent (b)(ii) and B24. Information about nonforfeiture calculations (f) and (g) B25. Deferral of payment of cash value B26. Surrender within 30 days of anniversary (d) 2
3 B CSO Mortality Table is standard for nonforfeiture COMAR B28. Same mortality table for nonforfeiture and reserves COMAR A(2) B29. Maximum nonforfeiture interest rate (j) B30. Contract governed by Maryland law and courts (1), (2), and (4) B31. Time limit for legal action (3) B32. Loan required B33. Loan value (d) B34. Notice before lapse (e) B35. Deferral of payment of loan (f) B36. Maximum loan interest rate (b) B37. Premium different than policy states (b) B38. Grace period B39. Refund of premiums beyond month of death B40. Renewable or convertible in brief description COMAR C B41. Statements re standard nonforfeiture value method COMAR B42. Cash value method if value not shown (g) B43. Automatic Premium Loan (g) C. Content of forms Prohibited Provisions C1. No health benefits COMAR A C2. No single and joint life contracts C3. Arbitration cannot be required (4) C4. Inconsistent, ambiguous, or misleading provisions (b) D. Applications D1. Corporate name and address COMAR G D2. Check-off blocks COMAR I(2) D3. Good Health Warranty COMAR B D4. Domestic Violence
4 D5. Legal travel (a)(4) D6. Health questions must be asked to the best of the applicant s knowledge and belief or application must include statement that all answers provided are representations and are not warranties - COMAR E and D7. Questions about hazardous activities must list activities considered to be hazardous - COMAR C D8. Questions about the use of habit-forming drugs must list specific drugs considered to be habit-forming COMAR D D9. Questions about symptoms or indications of physical/mental conditions must ask about known symptoms and known indications - COMAR F and G D10. Application Changes (c) D11. If the insurer uses an application form which contains language substantially as follows, Except that no change in amount, classification, plan of insurance or benefits shall be effective unless agreed to in writing by the applicant, with an additional statement that this exception is effective only in certain states, the form shall specifically name Maryland as one of the states in which the exception is effective COMAR B D12. Proxy - COMAR D13. Inconsistent, ambiguous, or misleading clauses or exceptions and conditions (b)(2) D14. If application is to be completed by more than one individual, application signature box must clearly indicate that signature applies only to portion of application completed by that individual COMAR J D15. Plan and amount of Insurance - COMAR A D16. Insurance Fraud-Required Disclosure , House Bill 404, Chpt. 271, Acts of 2008 D17. Replacement questions COMAR A E. Riders E1. Actuarial memo (d) E2. Signature COMAR M E3. Rider cash value E4. Requirement for visible wound must have exception for drowning or internal injuries (b)(4) E5. Risks may not be excluded from accidental death unless it caused the insured s death (b)(4) E6. Exclusion for drugs or poison must be only if voluntary (b)(4) 4
5 E7. Exclusion for insurrection or riot must be for voluntary participation - COMAR E8. Disability benefit must be waiver of premium, or disability must be total and permanent (x) E9. Purchase rates for paid-up additions rider COMAR B E10. Rider providing long term care benefits may be subject to Title 18 and COMAR COMMENTS: 5
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1/19/11 COMPANY: NAIC Code: FORM(S): DATE: SERFF Tracking No.: UNIVERSAL LIFE INSURANCE All section references are to the Insurance Article of the Annotated Code of Maryland, unless otherwise specified.
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