Bill Text: CT SB00028 | 2016 | General Assembly | Introduced

---

Bill Title: An Act Concerning Accelerated Benefits Of Life Insurance Policies.

Spectrum: Committee Bill

Status: (Introduced - Dead) 2016-02-11 - Public Hearing 02/18 [SB00028 Detail]

Download: Connecticut-2016-SB00028-Introduced.html

---

General Assembly		Raised Bill No. 28
February Session, 2016		LCO No. 455
		*00455_______INS*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)

AN ACT CONCERNING ACCELERATED BENEFITS OF LIFE INSURANCE POLICIES.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Section 38a-457 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2016):

(a) As used in this section:

(1) "Accelerated benefits" means benefits payable under a life insurance policy sold in this state: (A) During the lifetime of the insured, in a lump sum or in periodic payments, as specified in the policy, (B) upon the occurrence of a qualifying event, as defined in the policy, and certified by a physician or an advanced practice registered nurse who is licensed under the laws of a state or territory of the United States, or such other foreign or domestic jurisdiction as the Insurance Commissioner may approve, and (C) [which] that reduce the death benefits otherwise payable under the life insurance policy.

(2) "Insurance policy" or "policy" means an insurance policy or certificate or rider or endorsement thereto.

(3) "Qualifying event" means (A) a medically determinable condition suffered by the insured that can be expected to result in death in a relatively short period of time, such as twelve months and may include, but is not limited to, coronary artery disease, myocardial infarction, stroke, kidney failure or liver disease, (B) a [medical] medically determinable condition that would, in the absence of extensive or extraordinary medical treatment, result in death in a relatively short period of time, such as twelve months, [or] (C) a medically determinable condition [suffered by the insured, which has resulted in the insured being considered a chronically ill individual for the purposes of Section 101(g) of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, and which] that has caused the insured to be confined for at least six months (i) in such insured's place of residence under the supervision of a physician or an advanced practice registered nurse, or (ii) in an institution, as defined in the policy, that provides necessary care or treatment of an injury, illness or loss of functional capacity, and for which it has been medically determined that such insured is expected to remain confined in such place of residence or institution until death, (D) a medically determinable condition that has resulted in (i) the insured being permanently unable to perform two activities of daily living without substantial assistance from another individual, or (ii) severe permanent cognitive impairment of the insured, or (E) a medically determinable condition that has resulted in the insured being considered a chronically ill individual for the purposes of Section 7702B and Section 101(g) of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time. As used in this subdivision, "activity of daily living" means bathing, continence, dressing, eating, toileting or transferring.

(b) [On and after October 1, 1990, any] Any life insurance company or fraternal [benefits] benefit society doing business in this state may issue accelerated benefits life insurance policies, as described in this section, and certificates, riders or endorsements to existing life insurance policies that provide accelerated benefits, as described in this section.

(c) An accelerated benefits life insurance policy shall not include a policy providing for disability income protection coverage or long-term care coverage, as defined in sections 38a-501 and 38a-528.

(d) (1) [Death benefits may not be reduced] No life insurance company or fraternal benefit society may reduce death benefits more than the amount of the accelerated benefits paid plus any applicable actuarial discount appropriate to the policy design for policies without additional premium payments. When an accelerated benefit is paid, the amount paid may be considered as (A) a pro rata reduction in cash value or death benefits, or both, or (B) a lien against the death benefit of the contract and the access to the cash value shall be restricted to any excess of the cash value over the sum of other outstanding loans and the lien.

(2) The accidental death benefit, if any, in the policy shall not be affected by the payment of the accelerated benefit.

(e) [All accelerated benefits policies] Each life insurance company or fraternal benefit society that issues accelerated benefits life insurance policies shall comply with the following disclosure requirements for such policies:

(1) [The face of every accelerated benefits policy shall contain] Inclusion on the face of each such policy of: (A) A description of coverage [which] that uses the terminology "accelerated", and (B) the following statement: "Benefits as specified under this policy will be reduced upon receipt of an accelerated benefit."

(2) Disclosure, [is required,] at the time of application and at the time the accelerated benefits payment request is submitted, of the potential tax implications of receiving [this] the accelerated benefits payout. The disclosure statement shall indicate that the receipt of accelerated benefits may be taxable and that the insured should seek assistance from their personal tax advisor. Such disclosure shall be prominently displayed on the first page of the policy.

(3) [Prior] Provision to the applicant, prior to or concurrent with the application, [the applicant shall be given] of a written disclosure including, but not limited to, a brief description of the accelerated benefit, the effect of the payment of an accelerated benefit on the policy's cash value, death benefit, premium, policy loans and policy liens, and definitions of the conditions or occurrences triggering payment of the accelerated benefits. In the event of direct mail solicitation, the disclosure shall be [made] provided upon acceptance of the application.

(4) [The insurer shall disclose] Disclosure by such insurance company in its solicitation of any separate identifiable premium for the accelerated benefit. Those [insurers] insurance companies indicating that this accelerated benefit is offered without additional premium shall furnish a written explanation to the Insurance Commissioner when filing the product.

(5) [Prior] Provision to the applicant, prior to or concurrent with the request for accelerated death benefits, [the applicant shall be given] of an illustration demonstrating the effect of the payment of an accelerated benefit on the policy's cash value, death benefit, premium, policy loans and policy liens.

(6) Inclusion of the following statement, in any life insurance policy or any certificate, rider or endorsement thereto, that provides accelerated benefits pursuant to the occurrence of a qualifying event, as set forth in subparagraph (C), (D) or (E) of subdivision (3) of subsection (a) of this section, printed in a conspicuous and readily discernible manner: "This policy is not a long-term care policy as defined in sections 38a-501 and 38a-528 of the Connecticut General Statutes.".

(f) [The insurer] Each life insurance company that issues an accelerated benefits life insurance policy shall file with the Insurance Department the information concerning the manner by which the actuarial discount and mortality charge, if any, is calculated for the accelerated benefit. The commissioner, if he or she determines that such discount or mortality charge is excessive, shall hold a hearing to determine such reasonable charges.

[(g) Any life insurance policy or any certificate, rider or endorsement thereto, which provides accelerated benefits pursuant to the occurrence of a qualifying event, as defined in subparagraph (C) of subdivision (3) of subsection (a) of this section, shall contain the following statement printed in a conspicuous and readily discernible manner: "This policy is not a long-term care policy as defined in sections 38a-501 and 38a-528 of the Connecticut General Statutes."]

[(h)] (g) The Insurance Commissioner may adopt, in accordance with chapter 54, such regulations as the commissioner deems necessary for the purpose of this section, including the medically determinable conditions that are considered to be qualifying events as set forth in subdivision (3) of subsection (a) of this section, and the authority to establish the minimum or maximum benefit, if any, payable under an accelerated benefit policy. Prior to the effective date of any such regulations, any such policy may be filed with the commissioner and, at the commissioner's discretion, may be approved.

This act shall take effect as follows and shall amend the following sections:
Section 1	October 1, 2016	38a-457

Statement of Purpose:

To redefine "qualifying event" for purposes of accelerated benefits of a life insurance policy.

[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]