BILL ANALYSIS Ó SB 713 Page 1 Date of Hearing: June 28, 2011 ASSEMBLY COMMITTEE ON JUDICIARY Mike Feuer, Chair SB 713 (Calderon) - As Amended: June 15, 2011 PROPOSED CONSENT SENATE VOTE : 39-0 SUBJECT : INSURANCE: PROCEEDS: DISCLOSURE KEY ISSUE : SHOULD CALIFORNIA ADOPT NATIONAL DISCLOSURE STANDARDS, RECOMMENDED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS, TO REQUIRE LIFE INSURERS TO DISCLOSE DEATH SETTLEMENT PAYMENT OPTIONS AND OTHER SPECIFIED INFORMATION TO BENEFICIARIES OF RETAINED ASSET ACCOUNTS? FISCAL EFFECT : As currently in print this bill is keyed non-fiscal. SYNOPSIS A retained asset account (RAA) is a type of interest-bearing account that is established by an insurer for the beneficiary of a life insurance policy, and into which the insurer deposits the policy's death benefit. Although some of the accrued interest is distributed to the beneficiary, much of it is typically distributed to the insurer maintaining the account. According to the author, current law "lacks clear ground rules" for life insurers to disclose to their beneficiaries this and other key facts about retained asset accounts, and the rights of beneficiaries with respect to such accounts. To address this problem, this bill seeks to require insurers to provide beneficiaries, at the time a claim is made, written information describing the settlement options available under the policy, and any other option available for the receipt of proceeds and how to obtain specific details relevant to those options. If a RAA is one of the options under the policy, then this bill requires the insurer, at the time the claim is made, to provide specified disclosures consistent with a set of disclosures recently recommended by the National Association of Insurance Commissioners for adoption in all fifty states. This bill requires, in any case, that the same written disclosures be provided to the beneficiary before a RAA may be established. In SB 713 Page 2 addition, this bill requires an insurer to provide the beneficiary with a supplemental contract that clearly discloses the rights of the beneficiary and the obligations of the insurer if a retained asset account is to be used to settle life insurance benefits. For violations of these provisions, this bill subjects insurers to civil penalties identical to those that currently apply to insurers for violations of existing law prohibiting unfair methods of competition and unfair or deceptive acts. This bill contains language that makes it operative only if SB 599 is also enacted this session and becomes operative. Finally, this bill is supported by the California Department of Insurance and several major life insurance companies, and has no known opposition. SUMMARY : Enacts the Life Insurance Proceeds Disclosure Act of 2011, to establish disclosure standards for payment of life insurance benefits to a beneficiary by means of a retained asset account. Specifically, this bill : 1)Defines "retained asset account" (RAA) as a mechanism where life insurance settlement proceeds are payable by the insurer depositing the proceeds into an account with check or draft writing privileges, where the proceeds are retained by the insurer pursuant to a supplemental contract not involving annuity benefits. 2)Requires that insurers provide beneficiaries, at the time a claim is made, written information describing the settlement options available under the policy, and any other option available for the receipt of proceeds and how to obtain specific details relevant to those options. Provides that if a RAA is one of the options under the policy, then the information provided at the time a claim is made must include the specified disclosures below. 3)Requires the insurer to provide the following disclosures, unless previously disclosed as above, before a retained asset account may be established: a) Payment of the full benefit is accomplished by delivery of the draft book or checkbook. b) One draft or check may be written to access the entire amount, including interest, of the retained asset account at any time. c) Whether the available settlement options are preserved SB 713 Page 3 until the entire balance is withdrawn or the balance drops below the insurer's minimum balance requirements. d) A statement identifying the account as either a checking or draft account and an explanation of how the account works, including, but not limited to, any minimum check or draft amount requirements. e) Information about the account services provided and contact information where the beneficiary may request and obtain more details about those services. f) A description of any fees charged, if any. g) The frequency of statements showing the current account balance, the interest credited, drafts or checks written, and any other account activity. h) The guaranteed minimum interest rate to be credited to the account, how the actual interest rate will be determined, and the actual interest rate that would be credited to a newly opened account as of the date the disclosure is issued. i) The interest earned on the account may be taxable. j) Retained asset account funds held by insurance companies are not guaranteed by the Federal Deposit Insurance Corporation (FDIC), but are guaranteed by State Guaranty Associations, and that the State Guaranty Association coverage limits vary by state. aa) A statement that advises the beneficiary to contact the National Organization of Life and Health Insurance Guaranty Associations (NOLHGA) to learn more about the coverage limitations applicable to his or her account, and that provides the beneficiary with the current Internet Web site address and telephone number for NOLHGA. bb) A description of the insurer's policy regarding RAAs that become inactive, including the policy with respect to inactive accounts that are at risk of escheating to the state pursuant to the California Unclaimed Property Law. 4)Requires insurers to send the beneficiary at least one statement per quarter, and a statement for any month in which there has been account activity. 5)Requires an insurer to provide the beneficiary with a supplemental contract that clearly discloses the rights of the beneficiary and the obligations of the insurer if the insurer settles life insurance benefits through a RAA. 6)Provides that an insurer that fails to comply with these SB 713 Page 4 requirements is in violation of existing law prohibiting unfair methods of competition and unfair or deceptive acts in the business of insurance, thereby making the insurer liable to the state for a civil penalty to be fixed by the Insurance Commissioner, up to five thousand dollars ($5,000) for each violation, or up to ten thousand dollars ($10,000) per violation if willful. 7)Contains language providing that this act will become operative only if SB 599 of this session also is enacted and becomes effective. EXISTING LAW : 1)Prohibits insurance companies from engaging in any unfair method of competition or any unfair or deceptive act or practice, including but not limited to knowingly misrepresenting to claimants pertinent facts or policy provisions relating to any issues of coverage or claims handling. (Insurance Code Section 790.03(h)(1).) 2)Requires an insurer to disclose to a first party claimant or beneficiary that all benefits, coverage, time limits, or other provisions of an insurance policy issued by that insurer that may apply to the claim presented by the claimant. (California Code of Regulations, Title 10, Section 2695.4(a).) 3)Provides that any person who engages in any unfair methods of competition or unfair or deceptive acts, as specified, is liable to the state for a civil penalty to be fixed by the Insurance Commissioner, not to exceed five thousand dollars ($5,000) for each act, or, if the act or practice was willful, not to exceed ten thousand dollars ($10,000) for each act. (Insurance Code Section 790.35.) COMMENTS : According to the author, current law "lacks clear ground rules" for life insurers to disclose to their beneficiaries certain key facts about retained asset accounts (RAA) and their rights with respect to such accounts. To address this problem, this bill seeks to require insurers to provide beneficiaries, at the time a claim is made, written information describing the settlement options available under the policy, and any other option available for the receipt of proceeds and how to obtain specific details relevant to those options. If a RAA is one of the options under the policy, then SB 713 Page 5 this bill requires the insurer, at the time the claim is made, to provide specified disclosures consistent with a set of disclosures recommended by the National Association of Insurance Commissioners for adoption in all fifty states. This bill requires, in any case, that the same written disclosures be provided to the beneficiary before a RAA may be established. In addition, this bill requires an insurer to provide the beneficiary with a supplemental contract that clearly discloses the rights of the beneficiary and the obligations of the insurer if a retained asset account is to be used to settle life insurance benefits. For violations of these provisions, this bill subjects insurers to civil penalties identical to those that currently apply to insurer for violations of existing law prohibiting unfair methods of competition and unfair or deceptive acts. Background on retained asset accounts and related consumer concerns. A retained asset account is a type of interest-bearing account that is established by an insurer for the beneficiary of a life insurance policy, and into which the insurer deposits the policy's death benefit. According to Liberty Mutual and Pacific Life Insurance, two prominent insurers who utilize such accounts: Retained asset accounts were developed in response to policyholders who wanted their life insurer to provide a service that would allow them to delay major financial decisions during an emotional and vulnerable time. RAA's provide consumers with the option of leaving death benefit proceeds in an account on deposit with the insurance company instead of receiving a lump sum payment. If the beneficiary elects to participate in the retained asset service, a bank account is established in the beneficiary's name and the beneficiary will received a personalized checkbook In 2010, the life insurance industry drew negative attention when it came to light that some insurers were paying life insurance benefits to families of deceased U.S. soldiers into RAAs as the default option of payment. Although some of the accrued interest in RAAs is distributed to the beneficiary, much of it is typically distributed to the insurer maintaining the account. For this reason, RAA's have been criticized as allowing insurers to profit from the death of beneficiaries' loved ones. (Evans, Fallen Soldiers' Families Denied Cash as SB 713 Page 6 Insurers Profit, Bloomberg, Jul. 28, 2010.) The California Department of Insurance (CDI) participates in an insurance regulator accreditation program developed by the National Association of Insurance Commissioners (NAIC). This accreditation program provides uniformity among the member state insurance departments as well as consumer protections. After the media fallout regarding retained asset accounts maintained by insurers, the NAIC began drafting revisions to its retained asset account bulletin in order to provide for better consumer protection. According to a presentation by the Consumer Liaison Committee (CLC) at the Fall 2010 NAIC national meeting, RAAs are associated with many reported consumer protection problems. For example, it appears that some leading insurers that utilize RAAs fulfill consumer selection of a "lump sum" payment request by issuing an RAA checkbook as the default option, instead of issuing a single check for the death benefits, as might be expected when a lump sum payment is requested. According to the CLC, this practice may violate the life insurance contract, and potentially mislead the beneficiary because an RAA is simply not the equivalent of a true lump sum payment. Other problems for consumers result when insurers: (1) make misleading statements to the beneficiary implying that RAAs are insured by the FDIC, when in fact they are not; (2) fail to disclose to RAA beneficiaries that financial institutions will invest and earn money from these accounts; (3) imply that the RAAs are guaranteed by State Guaranty Funds to the same level of protection that FDIC-insured accounts are guaranteed. This bill implements RAA disclosure standards for insurers developed and recommended by NAIC. In December 2010, NAIC adopted a sample bulletin to reflect uniform standards for disclosure by insurers regarding the use of RAAs. This bulletin contains disclosure language which the NAIC recommends to be adopted by each member state. This bill adopts these NAIC recommendations into California law, often verbatim but in a few cases with a stronger standard tailored for California. It is clear that many of the disclosures are intended to address the precise problems described by the CLC in its report. For example, under this bill, the insurer must disclose prior to establishing an RAA that such funds held by insurance companies are not guaranteed by the FDIC, and that one RAA check may be written to access the entire amount of the RAA at any time, SB 713 Page 7 among other things. In addition, this bill seeks to require the insurer to provide to the beneficiary a supplemental contract disclosing the rights of the beneficiary and obligations of the insurer if the beneficiary chooses death settlement payment to be placed into a RAA. PENDING LEGISLATION: SB 599 (Kehoe), sponsored by the California Department of Insurance, seeks to require life insurers to provide beneficiaries with settlement options in the life insurance benefit claim form, and requires insurers to provide the beneficiary the written terms of each settlement option whenever the insurer recommends that the life insurance proceeds be distributed in the form of an RAA or any option other than a lump-sum payment. SB 599 is currently awaiting hearing in the Assembly Appropriations Committee After recent amendments, this bill is supported by the Department of Insurance and double jointed with SB 599 . The author reports diligently working with the California Department of Insurance (CDI) to address its concerns, and with the most recent set of amendments, including contingent enactment language with SB 599, CDI now officially supports the bill. In CDI's letter of support, the Insurance Commissioner states: CDI greatly appreciates (the author) working with us to enhance some of the NAIC-based disclosures, and the current version of SB 713 reflects these efforts. SB 713 ensures life insurance beneficiaries receive the information needed to help them to make informed decisions on whether an RAA is an appropriate benefit settlement option for them. SB 599 guarantees beneficiaries are afforded the opportunity to choose how they want to receive their benefits. Together, these bills create a sound RAA-related consumer protection package. REGISTERED SUPPORT / OPPOSITION : Support California Department of Insurance Liberty Mutual Group Metropolitan Life Insurance Company Pacific Life Insurance Company SB 713 Page 8 Opposition None on file Analysis Prepared by : Anthony Lew / JUD. / (916) 319-2334