New Jersey Administrative Code › Title 11 - INSURANCE › Chapter 4 - ACTUARIAL SERVICES › Subchapter 2 - LIFE INSURANCE AND ANNUITIES REPLACEMENT › Section 11:4-2.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter, shall have the following meanings unless the context clearly indicates otherwise.
"Affiliate" means the term as defined in N.J.S.A. 17:27A-1a.
"Annuity" means the term as defined in 17B:17-5.
"Contract" means an annuity contract.
"Direct-response solicitation" means a solicitation through a sponsoring or endorsing entity or individually solely through mail, telephone, the Internet or other mass communication media.
"Existing insurer" means the insurance company whose policy or contract is or shall be changed or affected in a manner described within the definition of "replacement."
"Existing policy or contract" means an individual life insurance policy or annuity contract in force, including a policy under a binding or conditional receipt or a policy or contract, that is within an unconditional refund period.
"Financed purchase" means the purchase of a new policy involving the actual or intended use of funds obtained by the withdrawal or surrender of, or by borrowing from values of, an existing policy to pay all or part of any premium due on the new policy. For the purposes of a regulatory review of an individual transaction only, if the proceeds from a withdrawal, surrender or borrowing involving the policy values of an existing policy are used to pay premiums on a new policy owned by the same policyholder and issued by the same company within four months before and 13 months after the effective date of the new policy, it will be deemed prima facie evidence of the policyholder's intent to finance the purchase of the new policy with existing policy values. This prima facie standard is not intended to increase or decrease the monitoring obligations contained in 11:4-2.5(a)5.
"Illustration" means a presentation or depiction that includes non-guaranteed elements of a policy of life insurance over a period of years as defined at N.J.A.C. 11:4-5.2.
"Life insurance" means the term as defined at 17B:17-3.
"Policy" means a life insurance policy.
"Policy summary" means:
1. For policies or contracts other than universal life policies, a written statement regarding a policy or contract that shall contain to the extent applicable, but need not be limited to, the following information:
i. Current death benefit;
ii. Annual contract premium;
iii. Current cash surrender value;
iv. Current dividend;
v. Application of current dividend; and
vi. Amount of outstanding loan;
2. For universal life policies, a written statement that shall contain at least the following information:
i. The beginning and end date of the current report period;
ii. The policy value at the end of the previous report period and at the end of the current report period;
iii. The total amounts that have been credited or debited to the policy value during the current report period, identifying each by type (for example, interest, mortality, expense and riders);
iv. The current death benefit at the end of the current report period on each life covered by the policy;
v. The net cash surrender value of the policy as of the end of the current report period; and
vi. The amount of outstanding loans, if any, as of the end of the current report period.
"Insurance producer" means a person required to be licensed under the laws of this State to sell, solicit or negotiate insurance pursuant to 17:22A-28.
"Registered contract" means a variable annuity contract or variable life insurance policy subject to the prospectus delivery requirements of the Federal Securities Act of 1933, 15 U.S.C. §§
										77a et seq.
"Replacement" means a transaction in which a new policy or contract is to be purchased, and it is known or should be known to the proposing producer, or to the proposing insurer if there is no producer, that by reason of the transaction, an existing policy or contract has been or is to be:
1. Lapsed, forfeited, surrendered or partially surrendered, assigned to the replacing insurer or otherwise terminated;
2. Converted to reduced paid-up insurance, continued as extended term insurance, or otherwise reduced in value by the use of nonforfeiture benefits or other policy values;
3. Amended so as to effect either a reduction in benefits or in the term for which coverage would otherwise remain in force or for which benefits would be paid;
4. Reissued with any reduction in cash value; or
5. Used in a financed purchase.
"Replacing insurer" means the insurance company that issues or proposes to issue a new policy or contract that replaces an existing policy or contract or is a financed purchase.
"Sales material" means a sales illustration and any other written, printed or electronically presented information created or completed or provided by the company or producer and used in any presentation made to the policy or contract owner related to the policy or contract purchased.