Florida Office of Insurance Regulation. 2013 Report on Life Insurance Limitations Based on Foreign Travel Experiences



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Transcription:

Florida 2013 Report on Life Insurance Limitations Based on Foreign Travel Experiences March 1, 2013

EXECUTIVE SUMMARY The Freedom to Travel Law, Section 626.9541(1)(dd), Florida Statutes, enacted in 2006, defines the conditions under which the refusal of life insurance or the refusal to continue existing life insurance based on past or future lawful travel constitutes an unfair trade practice. It is not a violation of Florida Statutes to ask life insurance and annuity applicants questions about past or future foreign travel it is, however, illegal to take adverse action based solely on an applicant s past or future lawful travel plans. Subsection 6 of the referenced statute requires the (Office) to report to the President of the Senate and the Speaker of the House of Representatives by March 1 of each year on the implementation of this paragraph. This is the seventh year of this annual report; the first report was issued on March 1, 2007. The reports from 2007-2012 can be found on the Office s website (http://www.floir.com). Section 626.9541(1)(dd), Florida Statutes, allows for limitations or denials of coverage if, the insurer can demonstrate that insureds who have traveled or intend to travel are a separate actuarially supportable class whose risk of loss is different from those insureds that have not traveled and do not intend to travel. The statute further provides that the Office can grant to insurers a variance to this requirement if coverage is limited or denied based on travel to specific countries whose conditions could adversely impact travelers health and safety. The Office found that Monumental Life Insurance Company met the criteria necessary to be granted a variance. The order approving a variance to the requirement was issued on February 15, 2008, granting a waiver due to travel to Iraq and Afghanistan; the waiver was limited to two years, unless otherwise extended. Subsequent orders were issued, further extending the waiver until February 15, 2014. No further requests have been submitted to the Office for consideration of a variance. Over the past seven years, the Office has refined its efforts to obtain, review and report information relating to Section 626.9541(1) (dd), Florida Statutes. For the 2013 Report, the Office identified and surveyed four hundred seventy-three (473) entities that wrote life insurance or annuity products during the scope period of July 1, 2011 to December 31, 2012. The annual survey of insurers is an important tool in gathering information pertaining to compliance with this law. Information presented in this report is a result of an expanded reporting period, which includes two filing sessions, in order to communicate calendar year reporting going forward. As required, the Office includes in each market conduct examination of a life insurer a review of information relating to compliance with the Freedom to Travel Law. When violations of law have been confirmed, administrative action has been exercised as appropriate. This year s survey exposed at least three companies that self-disclosed potential violations. Clarification is needed from several other companies that were unable to satisfactorily document their responses to the survey. Based on these results, the Office will conduct related investigations in 2013. Companies asking travel-related questions: As reported in survey year Number 2012 95 2011 93 2010 95 2009 104 2008 93 2007 105 2

Administrative Actions taken as a result of confirmed violations of Freedom to Travel Law: Administrative Action Entered Companies with Administrative Actions Total Fines/Penalties 2012 2 $ 21,000 2011 4 $ 99,000 2010 1 $ 10,500 2009 1 $ 50,000 2008 4 $344,000 2007 7 $108,000 The two companies with Administrative Actions in 2012 are State Farm Life Insurance Company for future travel to Mexico and Pacific Life Insurance Company for future travel to Venezuela. Both companies self-reported violations in the survey completed prior to the 2012 Report. REPORT 2013 - SURVEY RESULTS The Office received a 100% return response from all entities required to complete an online survey. The survey results revealed the following information: Life Insurance Applications* Companies answering yes Asked Past Foreign Travel Question 45 Asked Future Foreign Travel Question 89 Annuity Applications** Companies answering yes Asked Past Foreign Travel Question 6 Asked Future Foreign Travel Question 7 *Companies listed at the end of report **Annuity application: the six companies asking past foreign travel questions and seven companies asking future foreign travel questions are not the same companies. The 13 yes answers in this section represent eight different companies. These results show that questions regarding foreign travel remain more prevalent on life insurance applications than on annuity applications. It is also shown that some companies have procedures or underwriting guidelines in place related to foreign travel. Seven companies initially reported having a procedure or underwriting guideline in place that could limit the amount, extent, or kind of life insurance based on past foreign travel. When each company was asked to provide documents to support its response, only one company, CSA Fraternal Life, could do so. The following six companies reported that their initial response was in error, and revised their response to no : Central United Life Insurance Co. Guardian Ins. & Annuity Co., Inc. Manhattan Life Insurance Co. Luso-American Life Ins. Society Investors Consolidated Insurance Co. Philadelphia Financial Life Assurance Co. 3

Thirty-two companies initially reported having a procedure or underwriting guideline that could limit life insurance based on future foreign travel. When the Office requested documentation to support those responses, these 20 companies provided such documents: 5 Star Life Ins. Co. American Amicable Life Insurance Co. of Texas C. M. life Insurance Co. Massachusetts Mutual Life Insurance Co. MML Bay State Life Insurance Co. CMFG Life Insurance Co. CSA Fraternal Life Genworth Life Insurance Co. of New York Genworth Life Insurance Co. Genworth Life and Annuity Insurance Co. Members Life Insurance Co. Monumental Life Insurance Co. Reliastar Life Insurance Co. Security Life of Denver Insurance Co. Starmount Life Insurance Co. Philadelphia Financial Life Assurance Co. Pioneer American Insurance Co. Pioneer Security Life Insurance Co. Occidental Life Ins. Co. of N. C. Pacific Life Insurance Co. Out of the 32 companies, four companies indicated that verbal guidance is given to its agents and employees as it relates to this issue and to the Variance from the Freedom to Travel waiver: Ohio State Insurance Co. Great Southern Life Insurance Co. Americo Financial Life & Annuity Insurance Co. Investors Life Insurance Co. of North America Out of the 32 companies, eight companies reported that their response should have been no : Central United Life Insurance Co. Primerica Life Insurance Co. Manhattan Life Insurance Co. Guardian Ins. & Annuity Co. Inc. Family Life Insurance Co. Investors Consolidated Insurance Co. Luso-American Life Insurance Society Equitrust Life Insurance Co. Eight companies initially reported having an existing procedure or underwriting guideline in place that either limited or denied a request by an individual to increase the amount of their coverage based on foreign travel. The following six companies provided documentation to support their response: CSA Fraternal Life Monumental Life Insurance Co. Pacific Life Insurance Co. Northwestern Mutual Life Insurance Co. Reliastar Life Insurance Co. Security Life of Denver Insurance Co. Out of these 8 companies, two companies communicated that their answer should have been no : Guardian Insurance & Annuity Co., Inc. Luso-American Life Insurance Co. Six companies self-reported that insurance was postponed or denied for a total of 24 applicants traveling to Iraq and/or Afghanistan. In those instances, the companies asserted that the variance applied: American Family Life Assurance Co. of Columbus Axa Equitable Life Insurance Co. Pruco Life Insurance Co. USAA Life Insurance Co. Monumental Life Insurance Co. State Farm Life Insurance Co. 4

One company, State Farm Life Insurance Company, self-reported a total of two instances where coverage was denied based on foreign residency greater than 180 days. The countries named were Senegal and Malaysia. The company asserts that neither instance was a violation of Rule 69O- 125.003(10), Florida Administrative Code, which differentiates between foreign travel and residency as being absent from the United States for more than 180 consecutive days. One company, Starmount Life Insurance Company, indicated that it considered additional information in one denial of coverage. The company asserts that the denial was not based solely on foreign travel, and therefore, did not conflict with the requirements of Section 626.9541(1)(dd)(2), Florida Statutes. Three potential violations for denying coverage due to travel were self-reported from three companies, and are currently under review by the Office: Genworth Life and Annuity - travel to Israel Pruco Life Insurance Company - travel to the Bahamas State Farm Life Insurance Company - travel to Colombia EXAMINATIONS AND CONSUMER COMPLAINTS One Freedom to Travel target examination was completed during the scope. There were no violations of the Freedom to Travel Law reported. Consumer complaints were reviewed for the scope period; no related consumer complaints were filed with the Department of Financial Services. 5

The following companies ask questions related to foreign travel Scope July 1, 2011 through December 31, 2012: NAIC COMPANY CODE FL MARKET SHARE Life Premium as reported 2011 Annual Stmnt (%) COMPANY NAME 5 STAR LIFE INSURANCE COMPANY 77879 0.0095 ALLSTATE LIFE INSURANCE COMPANY 60186 0.5242 AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS 60380 0.1938 AMERICAN UNITED LIFE INSURANCE COMPANY 60895 0.1179 AMERICAN-AMICABLE LIFE INSURANCE COMPANY OF TEXAS 68594 0.0455 AMERICAN FIDELITY LIFE INSURANCE COMPANY 60429 0.0152 AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANY 61999 0.2603 AMICA LIFE INSURANCE COMPANY 72222 0.056 ATHENE ANNUITY & LIFE ASSURANCE COMPANY 61492 0.1093 AXA EQUITABLE LIFE INSURANCE COMPANY 62944 3.0754 BANNER LIFE INSURANCE COMPANY 94250 0.753 BENEFICIAL LIFE INSURANCE COMPANY 61395 0.0054 BEST MERIDIAN INSURANCE COMPANY 63886 0.0057 C.M. LIFE INSURANCE COMPANY 93432 0.511 CHARTER NATIONAL LIFE INSURANCE COMPANY 61808 0 CMFG LIFE INSURANCE COMPANY 62626 0.2646 COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY 62049 0.3035 COLUMBIAN LIFE INSURANCE COMPANY 76023 0.1456 COLUMBIAN MUTUAL LIFE INSURANCE COMPANY 62103 0.0391 DELAWARE AMERICAN LIFE INSURANCE COMPANY 62634 0.0037 EQUITRUST LIFE INSURANCE COMPANY 62510 0.0296 FAMILY LIFE INSURANCE COMPANY 63053 0.0084 FEDERATED LIFE INSURANCE COMPANY 63258 0.0657 FIDELITY INVESTMENTS LIFE INSURANCE COMPANY 93696 0.0128 FLORIDA COMBINED LIFE INSURANCE COMPANY 76031 0.0325 FREEDOM LIFE INSURANCE COMPANY OF AMERICA 62324 0.0117 GENERAL AMERICAN LIFE INSURANCE COMPANY 63665 0.418 GENWORTH LIFE AND ANNUITY INSURANCE COMPANY 65536 1.2501 GENWORTH LIFE INSURANCE COMPANY 70025 0.4322 GENWORTH LIFE INSURANCE COMPANY OF NEW YORK 72990 0.0193 GLEANER LIFE INSURANCE SOCIETY 56154 0.4657 GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY 63967 0.0574 GREAT SOUTHERN LIFE INSURANCE COMPANY 90212 0.801 GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY 68322 1.1062 GUARDIAN INSURANCE & ANNUITY COMPANY, INC. 78778 0.0809 GUARDIAN LIFE INSURANCE COMPANY OF AMERICA 64246 2.6811 HARTFORD LIFE AND ANNUITY INSURANCE COMPANY 71153 1.5505 HARTFORD LIFE INSURANCE COMPANY 88072 0.1093 6

ILLINOIS MUTUAL LIFE INSURANCE COMPANY 64580 0.0517 INTRAMERICA LIFE INSURANCE COMPANY 64831 0.0013 INVESTORS LIFE INSURANCE COMPANY OF NORTH AMERICA 63487 0.0184 JACKSON NATIONAL LIFE INSURANCE COMPANY 65056 0.5192 KANSAS CITY LIFE INSURANCE COMPANY 65129 0.0845 LIBERTY BANKERS LIFE INSURANCE COMPANY 68543 0.0294 LIBERTY LIFE ASSURANCE COMPANY OF BOSTON 65315 0.3193 LIBERTY NATIONAL LIFE INSURANCE COMPANY 65331 0.7319 LINCOLN BENEFIT LIFE COMPANY 65595 1.6661 MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY 65935 3.119 MEMBERS LIFE INSURANCE COMPANY 86126 0.0003 METLIFE INSURANCE COMPANY OF CONNECTICUT 87726 0.6268 METLIFE INVESTORS INSURANCE COMPANY 93513 0.0025 METLIFE INVESTORS USA INSURANCE COMPANY 61050 2.0704 METROPOLITAN LIFE INSURANCE COMPANY 65978 2.752 METROPOLITAN TOWER LIFE INSURANCE COMPANY 97136 0.1702 MIDLAND NATIONAL LIFE INSURANCE COMPANY 66044 0.7588 MML BAY STATE LIFE INSURANCE COMPANY 70416 0.0422 MONITOR LIFE INSURANCE COMPANY OF NEW YORK 81442 0.0004 MONUMENTAL LIFE INSURANCE COMPANY 66281 0.6365 MUTUAL OF AMERICA LIFE INSURANCE COMPANY 88668 0.0012 NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY 92657 0.382 NATIONWIDE LIFE INSURANCE COMPANY 66869 0.5078 NEW ENGLAND LIFE INSURANCE COMPANY 91626 0.2533 NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION 91596 1.2686 NEW YORK LIFE INSURANCE COMPANY 66915 2.6815 NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE 66974 0.4779 NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY 67091 7.4318 NYLIFE INSURANCE COMPANY OF ARIZONA 81353 0.0656 OCCIDENTAL LIFE INSURANCE COMPANY OF N CAROLINA 67148 0.0261 OHIO STATE LIFE INSURANCE COMPANY (THE) 67180 0.0493 PACIFIC LIFE INSURANCE COMPANY 67466 2.2842 PENN INSURANCE AND ANNUITY COMPANY 93262 0.1784 PENN MUTUAL LIFE INSURANCE COMPANY 67644 0.554 PIONEER AMERICAN INSURANCE COMPANY 67873 0.0073 PIONEER MUTUAL LIFE INSURANCE COMPANY 67911 0.0072 PIONEER SECURITY LIFE INSURANCE COMPANY 67946 0.0091 PRUCO LIFE INSURANCE COMPANY 79227 1.7844 PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE) 68241 1.1391 REASSURE AMERICA LIFE INSURANCE COMPANY 70211 0.7718 RELIASTAR LIFE INSURANCE COMPANY 67105 1.2157 SAGICOR LIFE INSURANCE COMPANY 60445 0.1206 SECURITY LIFE OF DENVER INSURANCE COMPANY 68713 1.3147 STATE FARM LIFE INSURANCE COMPANY 69108 3.0899 STONEBRIDGE LIFE INSURANCE COMPANY 65021 0.1138 7

SURETY LIFE INSURANCE COMPANY 69310 0.0324 TEXAS LIFE INSURANCE COMPANY 69396 0.0867 TRANSAMERICA LIFE INSURANCE COMPANY 86231 3.9814 UNITED OF OMAHA LIFE INSURANCE COMPANY 69868 1.1734 UNIVERSAL UNDERWRITERS LIFE INSURANCE COMPANY 70173 0.0135 USAA LIFE INSURANCE COMPANY 69663 0.8887 WESTERN RESERVE LIFE ASSURANCE COMPANY OF OHIO 91413 0.3129 WILLIAM PENN LIFE INSURANCE COMPANY OF NEW YORK 66230 0.1133 Estimated Total of Market Share - Life Premium 61.5096 NAIC COMPANY CODE FL MARKET SHARE Life Premium as reported 2011 Annual Stmnt (%) COMPANY NAME - FRATERNAL CSA FRATERNAL LIFE* 56138 0.1093 KNIGHTS OF COLUMBUS* 58033 23.5219 POLISH NATIONAL ALLIANCE OF THE US OF NA* 57622 0.0541 WOMAN'S LIFE INSURANCE SOCIETY* 56170 0.0267 * Estimated Total of Fraternal Market Share only Life Premium 23.712 8