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Ins 23.25(2) (2) An insurer shall establish reasonable procedures to prevent violations of sub. (1).
Ins 23.25 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97.
Ins 23.30 Ins 23.30 Requirements for funeral policies.
Ins 23.30(1) (1) No insurer may sell or issue a policy as a funeral policy unless all of the following occur:
Ins 23.30(1)(a) (a) The policy is an individual whole life or group whole life or an annuity policy.
Ins 23.30(1)(b) (b) The funeral policy if issued on a multi-premium basis provides an unintentional lapse provision which requires written notification to the insured and to one person designated by the insured to receive notification if no premium is received by the insurer during a grace period of no less than 30 days.
Ins 23.30(1)(c) (c) The funeral policy provides that death benefits which exceed the actual final costs of the burial expenses shall be paid to the insured's beneficiary or if no beneficiary is named, the insured's estate.
Ins 23.30(1)(d) (d) The funeral policy provides the unrestricted right to return the policy or certificate within 30 days of the date it is received by the policyholder. If the policyholder returns the policy or certificate, the insurance contract is void and all payments made under it shall be refunded directly to the policyholder by the insurer.
Ins 23.30(1)(e) (e) Notification of the right to return is conspicuously printed on the front page of the funeral policy or conspicuously attached to the funeral policy.
Ins 23.30(1)(f) (f) The insurance intermediary obtains a delivery receipt from the insured when the policy is given to the insured.
Ins 23.30(1)(g) (g) The funeral policy provides that cancellation of the prearranged funeral plan does not automatically cancel the policy.
Ins 23.30(2) (2) No insurer may submit policy forms for funeral policies pursuant to s. 631.20, Stats. unless the forms comply with ch. Ins 2 and all of the following are included in the filing:
Ins 23.30(2)(a) (a) An application form with provisions for signature by the applicant and insurance intermediary.
Ins 23.30(2)(b) (b) A consideration plan and, within 30 days of any revisions to the consideration plan, the revised consideration plan including all of the following:
Ins 23.30(2)(b)1. 1. A description of consideration which may be paid to any person relating to the sale or renewal of a funeral policy.
Ins 23.30(2)(b)2. 2. A listing describing all consideration the insurer provides to the funeral director or operator of the funeral establishment for endorsing the insurer's product or direct or indirect assistance in marketing of the product.
Ins 23.30(2)(c) (c) A specimen policy delivery receipt.
Ins 23.30 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97; r. (1) (b) and (2) (d), renum. (1) (c) to (h) to be (1) (b) to (g), am. (2) (b), Register, January, 2001, No. 541, eff. 2-1-01.
Ins 23.30 Note Ins 23.35Minimum benefit requirements. Cr. Register, July, 1997, No. 499, eff. 10-1-97; r. Register, January, 2001, No. 541, eff. 2-1-01.
Ins 23.30 Note Ins 23.40Consideration plans. Cr. Register, July, 1997, No. 499, eff. 10-1-97; r. Register, January, 2001, No. 541, eff. 2-1-01.
Ins 23.50 Ins 23.50 Minimum standards for claims payments under a funeral policy.
Ins 23.50(1) (1) The insurer shall not pay policy death benefits to a funeral director or funeral establishment unless the prearranged funeral plan is in effect at the time of the insured's death.
Ins 23.50(2) (2) In the event of the insured's death, the insurer shall not pay to the funeral director or establishment more than the actual final costs billed by the funeral director or funeral establishment. The remainder or excess due under the policy is to be paid to the beneficiary designated by the insured to receive any policy benefits which exceed the actual final costs or, if no beneficiary has been designated by the insured, the insured's estate.
Ins 23.50 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97.
Ins 23.60 Ins 23.60 Requirements for advertisements of funeral policies.
Ins 23.60(1)(1) Advertisements for funeral policies shall comply with all relevant statutes and rules, including but not limited to ch. Ins 2.
Ins 23.60(2) (2) An insurer or insurance intermediary placing or using or publishing an advertisement which may be utilized directly or indirectly in the solicitation or sale of a funeral policy shall disclose the following in a clear and conspicuous manner:
Ins 23.60(2)(a) (a) That a purpose of the advertisement is the solicitation of insurance.
Ins 23.60(2)(b) (b) That an insurance intermediary may contact any person who responds to the advertisement.
Ins 23.60(2)(c) (c) The identity of the insurer.
Ins 23.60(3) (3) No insurer or insurance intermediary may use a response from an advertisement of a prearranged funeral plan regardless of who placed or published the advertisement unless the advertisement includes the disclosures required under sub. (2).
Ins 23.60(4) (4) The insurer whose policy is advertised has the responsibility for the content, form and method of dissemination of all advertisements, regardless of who designed, created, wrote, printed or utilized them.
Ins 23.60(5) (5) An insurer shall require its insurance intermediaries, and all other persons or agencies acting on its behalf in preparing advertisements, to submit advertisements to it for approval prior to use of the advertisement.
Ins 23.60(6) (6) An insurer shall maintain a copy of every advertisement and all correspondence for each advertisement submitted for approval or used in Wisconsin for 3 years after the advertisement was last used.
Ins 23.60 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97.
Ins 23.70 Ins 23.70 Marketing procedures.
Ins 23.70(1) (1) The insurer shall establish and implement written marketing procedures for funeral policies to ensure compliance with solicitation, disclosure, and suitability requirements.
Ins 23.70(2) (2) The insurer shall train and monitor its agent force to ensure compliance with the written marketing procedures and provide each a copy of the written procedures.
Ins 23.70(3) (3) The insurer shall maintain a copy of the marketing procedures.
Ins 23.70(4) (4) The insurer shall maintain a copy of the list of funeral goods and services contracted for in the prearranged funeral plan at the time of the application.
Ins 23.70(5) (5) No insurer may accept an application unless the application is complete and on a form approved under s. 631.20, Stats., and in compliance with this section.
Ins 23.70(6) (6) The insurer shall provide the following disclosures and statements and ask the following questions on the application form in print no less than 12 point type:
[Disclosures]
The total price of the prearranged funeral plan.
Whether the cost of the final expenses is or is not guaranteed.
The minimum dollar amount of the death benefit payable under the funeral policy.
1.The total amount of premium the applicant will pay for the funeral policy, including total premium to be paid for a multi-pay policy.
[Statements]
You should not need more than one life insurance policy to fund a prearranged funeral plan.
If you have an existing life insurance policy or annuity, you may be able to assign some or all of an existing policy's benefits to fund the prearranged funeral plan rather than purchase an additional insurance policy.
It may not be in your best interests to borrow on the cash value of an existing life insurance policy to pay the premium on a funeral policy that will be used to fund a prearranged funeral plan.
The life insurance or annuity policy you are purchasing may not fully fund the costs of the funeral goods and services provided.
[Questions]
Do you have another life insurance or annuity policy in force?
a. If so, with which company?
b. If so, do you intend to replace your current insurance policy with this policy?
Do you presently have a prearranged funeral plan of any kind with a funeral home?
If so, do you intend to replace the funding of your existing prearranged plan with this policy?
Ins 23.70 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97.
Ins 23.80 Ins 23.80 Suitability.
Ins 23.80(1)(1) An insurer shall establish written suitability standards to assure that inappropriate, unsuitable or excessive insurance is not sold or issued to fund prearranged funeral plans.
Ins 23.80(2) (2) An insurer shall require that the suitability standards include, but not limited to the following:
Ins 23.80(2)(a) (a) The appropriateness of using a funeral policy to fund a prearranged funeral plan.
Ins 23.80(2)(b) (b) The appropriateness of using an existing insurance policy to fund the prearranged funeral plan.
Ins 23.80(2)(c) (c) The appropriateness of replacing any existing policy with a funeral policy.
Ins 23.80(3) (3) The insurer shall train and monitor its insurance intermediaries to ensure compliance with the suitability standards in their sales practices.
Ins 23.80(4) (4) An insurer or an insurance intermediary shall take an application or issue a funeral policy only if the funeral policy is suitable for the applicant.
Ins 23.80 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97; correction in (2) made under s. 13.93 (2m) (b) 1., Stats., Register, January, 2001, No. 541.
Ins 23.90 Ins 23.90 Solicitation and disclosure requirements.
Ins 23.90(1)(1) Any insurance intermediary who solicits funeral policies shall comply with all applicable statutes and rules, including but not limited to s. 628.34 (1), Stats. and ch. Ins 20.
Ins 23.90(2) (2) Every insurance intermediary intending to solicit the sale of a funeral policy shall at the time of the initial contact or communication with the prospective buyer, clearly and expressly disclose:
Ins 23.90(2)(a) (a) The name of the individual insurance intermediary who solicited the sale of the funeral policy.
Ins 23.90(2)(b) (b) The name of the funeral home represented.
Ins 23.90(2)(c) (c) A statement that insurance is being sold.
Ins 23.90(2)(d) (d) The identity of the insurer.
Ins 23.90(2)(e) (e) The type of insurance being solicited.
Ins 23.90(3) (3) Insurance intermediaries shall not:
Ins 23.90(3)(a) (a) Make any misleading representation or incomplete or fraudulent comparison of any insurance policies or insurers for the purpose of inducing, or tending to induce, any person to lapse, forfeit, surrender, terminate, retain, pledge, assign, borrow on or convert any insurance policy or to take out a policy of insurance with another insurer.
Ins 23.90(3)(b) (b) Employ undue pressure to purchase or recommend the purchase of insurance or any method of marketing having the effect of inducing or tending to induce, the purchase of insurance through force, fright, or threat, whether explicit or implied.
Ins 23.90(3)(c) (c) Make use directly or indirectly of any method of marketing which fails to disclose in a conspicuous manner that a purpose is solicitation of the purchase of insurance and that contact will be made by an insurance intermediary.
Ins 23.90(3)(d) (d) Use any advertisement, or responses from any advertisement, which has not been approved by the insurer.
Ins 23.90(4) (4) No insurance intermediary may directly or indirectly prevent or dissuade or attempt to prevent or dissuade any person from filing a complaint with the office of the commissioner of insurance, cooperating with the office of the commissioner of insurance in any investigation or attending or giving testimony at any proceeding authorized by law.
Ins 23.90(5) (5) An insurance intermediary shall provide the insurer at the time the funeral policy application is submitted, a list of the funeral goods and services contracted for by the insured in the prearranged funeral plan.
Ins 23.90(6) (6) After receiving a funeral policy from the insurer, the insurance intermediary shall:
Ins 23.90(6)(a) (a) Promptly deliver the policy to the policyholder.
Ins 23.90(6)(b) (b) Obtain from the insured a signed policy delivery receipt.
Ins 23.90(6)(c) (c) Keep a copy of the signed policy delivery receipt for at least 3 years after termination of the policy.
Ins 23.90(6)(d) (d) Forward a copy of the signed policy delivery receipt to the insurer within 7 days of delivery.
Ins 23.90 History History: Cr. Register, July, 1997, No. 499, eff. 10-1-97.
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