Bill Text: NY A09845 | 2011-2012 | General Assembly | Amended
Bill Title: Requires insurers to perform a comparison of life insurance policies against the federal Death Master File to identify potential matches of its insureds or account holders and to complete a good faith effort to confirm the death of the insured and locate beneficiaries.
Spectrum: Strong Partisan Bill (Democrat 11-1)
Status: (Passed) 2012-12-17 - approval memo.21 [A09845 Detail]
Download: New_York-2011-A09845-Amended.html
S T A T E O F N E W Y O R K ________________________________________________________________________ 9845--A I N A S S E M B L Y April 18, 2012 ___________ Introduced by M. of A. MORELLE -- read once and referred to the Commit- tee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to unclaimed life insur- ance benefits THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The insurance law is amended by adding a new section 3213-a 2 to read as follows: 3 S 3213-A. UNCLAIMED BENEFITS. (A) DEFINITIONS. FOR THE PURPOSES OF 4 THIS SECTION: 5 (1) "ACCOUNT" MEANS ANY MECHANISM, WHETHER DENOTED AS A RETAINED ASSET 6 ACCOUNT OR OTHERWISE, WHEREBY THE SETTLEMENT OF PROCEEDS PAYABLE TO A 7 BENEFICIARY UNDER A POLICY IS ACCOMPLISHED BY THE INSURER OR AN ENTITY 8 ACTING ON BEHALF OF THE INSURER PLACING THE PROCEEDS INTO AN ACCOUNT 9 WHERE THOSE PROCEEDS ARE RETAINED BY THE INSURER AND THE BENEFICIARY HAS 10 CHECK OR DRAFT WRITING PRIVILEGES; OR ANY OTHER SETTLEMENT OPTION RELAT- 11 ING TO THE MANNER OF DISTRIBUTION OF THE PROCEEDS PAYABLE UNDER A POLI- 12 CY. 13 (2) "DEATH INDEX" MEANS THE DEATH MASTER FILE MAINTAINED BY THE UNITED 14 STATES SOCIAL SECURITY ADMINISTRATION OR ANY OTHER DATABASE OR SERVICE 15 THAT IS AT LEAST AS COMPREHENSIVE AS THE DEATH MASTER FILE MAINTAINED BY 16 THE UNITED STATES SOCIAL SECURITY ADMINISTRATION AND THAT IS ACCEPTABLE 17 TO THE SUPERINTENDENT. 18 (3) "INSURED" INCLUDES AN INDIVIDUAL COVERED BY A POLICY OR AN ANNUI- 19 TANT WHEN THE ANNUITY CONTRACT PROVIDES FOR BENEFITS TO BE PAID OR OTHER 20 MONIES TO BE DISTRIBUTED UPON THE DEATH OF THE ANNUITANT. 21 (4) "INSURER" MEANS A LIFE INSURANCE COMPANY OR FRATERNAL BENEFIT 22 SOCIETY. 23 (5) "LOST POLICY FINDER" MEANS A SERVICE MADE AVAILABLE BY THE DEPART- 24 MENT ON ITS WEBSITE OR OTHERWISE TO ASSIST CONSUMERS IN LOCATING 25 UNCLAIMED LIFE INSURANCE BENEFITS. 26 (6) "POLICY" MEANS A LIFE INSURANCE POLICY, ANNUITY CONTRACT, OR A 27 CERTIFICATE UNDER A LIFE INSURANCE POLICY OR ANNUITY CONTRACT, OR A EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD15333-02-2 A. 9845--A 2 1 CERTIFICATE ISSUED BY A FRATERNAL BENEFIT SOCIETY, UNDER WHICH BENEFITS 2 ARE TO BE PAID UPON THE DEATH OF THE INSURED. 3 (B) APPLICABILITY. THIS SECTION SHALL APPLY TO: 4 (1) EVERY POLICY, LAPSED POLICY, CONTRACT AND CERTIFICATE ISSUED BY A 5 DOMESTIC INSURER AND ANY ACCOUNT ESTABLISHED UNDER OR AS A RESULT OF 6 SUCH POLICY; AND 7 (2) EVERY POLICY, LAPSED POLICY, CONTRACT AND CERTIFICATE DELIVERED OR 8 ISSUED FOR DELIVERY IN NEW YORK BY AN AUTHORIZED FOREIGN INSURER AND ANY 9 ACCOUNT ESTABLISHED UNDER OR AS A RESULT OF SUCH POLICY. 10 (3) NOTWITHSTANDING PARAGRAPHS ONE AND TWO OF THIS SUBSECTION, WITH 11 RESPECT TO A POLICY DELIVERED OR ISSUED FOR DELIVERY OUTSIDE THIS STATE, 12 AN INSURER MAY, IN LIEU OF THE REQUIREMENTS OF THIS SECTION, IMPLEMENT 13 PROCEDURES THAT MEET THE MINIMUM REQUIREMENTS OF THE STATE IN WHICH THE 14 POLICY WAS DELIVERED OR ISSUED, PROVIDED THAT THE SUPERINTENDENT 15 CONCLUDES THAT SUCH OTHER REQUIREMENTS ARE NO LESS FAVORABLE TO THE 16 POLICYOWNER AND BENEFICIARY THAN THOSE REQUIRED BY THIS SECTION. 17 (4) NOTWITHSTANDING THE PROVISIONS OF PARAGRAPHS ONE AND TWO OF THIS 18 SUBSECTION, THIS SECTION SHALL NOT APPLY TO LAPSED POLICIES THAT WERE 19 SEARCHED WITHIN THE THREE HUNDRED SIXTY-FIVE DAYS PRECEDING THE EFFEC- 20 TIVE DATE OF THIS SECTION OR THAT WERE SEARCHED MORE THAN THREE HUNDRED 21 SIXTY-FIVE DAYS PRIOR TO THE MOST RECENT SEARCH CONDUCTED BY THE INSUR- 22 ER. 23 (C) IDENTIFYING INFORMATION. PRIOR TO A POLICY'S ISSUANCE OR AN 24 ACCOUNT'S ESTABLISHMENT, AND UPON ANY CHANGE OF INSURED, OWNER, OR BENE- 25 FICIARY, EVERY INSURER SHALL REQUEST INFORMATION SUFFICIENT TO ENSURE 26 THAT ALL BENEFITS OR OTHER MONIES ARE DISTRIBUTED TO THE APPROPRIATE 27 PERSONS UPON THE DEATH OF THE INSURED OR ACCOUNT HOLDER, INCLUDING, AT A 28 MINIMUM, THE NAME, ADDRESS, SOCIAL SECURITY NUMBER, AND TELEPHONE NUMBER 29 OF EVERY OWNER, INSURED AND BENEFICIARY OF SUCH POLICY OR ACCOUNT, AS 30 APPLICABLE. 31 (D) STANDARDS FOR INVESTIGATING CLAIMS. (1) EVERY INSURER SHALL USE 32 THE LATEST AVAILABLE UPDATED VERSION OF THE DEATH INDEX TO CROSS-CHECK 33 EVERY POLICY AND ACCOUNT SUBJECT TO THIS SECTION, EXCEPT AS SPECIFIED IN 34 SUBSECTION (G) OF THIS SECTION. THE CROSS-CHECKS SHALL BE PERFORMED NO 35 LESS FREQUENTLY THAN QUARTERLY. THE SUPERINTENDENT MAY PROMULGATE RULES 36 AND REGULATIONS THAT ALLOW AN INSURER TO APPLY FOR AN EXEMPTION FROM THE 37 REQUIREMENT THAT THE INSURER PERFORM THE CROSS-CHECKS NO LESS FREQUENTLY 38 THAN QUARTERLY, PROVIDED, HOWEVER, THE INSURER MUST NOT BE ALLOWED TO 39 PERFORM SUCH CROSS-CHECKS LESS THAN SEMI-ANNUALLY. 40 (2) THE CROSS-CHECKS SHALL BE PERFORMED USING: 41 (I) THE SOCIAL SECURITY NUMBER OF THE INSURED OR ACCOUNT HOLDER; OR 42 (II) WHERE THE SOCIAL SECURITY NUMBER IS NOT KNOWN TO THE INSURER, THE 43 NAME AND DATE OF BIRTH OF THE INSURED OR ACCOUNT HOLDER. 44 (3) IF AN INSURER ONLY HAS A PARTIAL NAME, SOCIAL SECURITY NUMBER, 45 DATE OF BIRTH, OR A COMBINATION THEREOF, OF THE INSURED OR ACCOUNT HOLD- 46 ER UNDER A POLICY OR ACCOUNT, THE INSURER SHALL USE THE AVAILABLE INFOR- 47 MATION TO PERFORM THE CROSS-CHECK. 48 (4) EVERY INSURER SHALL IMPLEMENT REASONABLE PROCEDURES TO ACCOUNT FOR 49 COMMON VARIATIONS IN DATA THAT WOULD OTHERWISE PRECLUDE AN EXACT MATCH 50 WITH A DEATH INDEX. 51 (E) MULTIPLE POLICY SEARCH PROCEDURES. (1) UPON RECEIVING NOTIFICATION 52 OF THE DEATH OF AN INSURED OR ACCOUNT HOLDER OR IN THE EVENT OF A MATCH 53 MADE BY A DEATH INDEX CROSS-CHECK PURSUANT TO SUBSECTION (D) OF THIS 54 SECTION, AN INSURER SHALL SEARCH EVERY POLICY OR ACCOUNT SUBJECT TO THIS 55 SECTION TO DETERMINE WHETHER THE INSURER HAS ANY OTHER POLICIES OR 56 ACCOUNTS FOR THE INSURED OR ACCOUNT HOLDER. A. 9845--A 3 1 (2) EVERY INSURER THAT RECEIVES A NOTIFICATION OF THE DEATH OF THE 2 INSURED OR ACCOUNT HOLDER, OR IDENTIFIES A DEATH INDEX MATCH, SHALL 3 NOTIFY EACH INSURER IN ITS HOLDING COMPANY SYSTEM OF THE NOTIFICATION OR 4 VERIFIED DEATH INDEX MATCH, WHO SHALL THEN PERFORM THE SEARCH REQUIRED 5 BY PARAGRAPH ONE OF THIS SUBSECTION. 6 (F) STANDARDS FOR LOCATING CLAIMANTS. (1) EVERY INSURER SHALL ESTAB- 7 LISH PROCEDURES TO REASONABLY CONFIRM THE DEATH OF AN INSURED OR ACCOUNT 8 HOLDER AND TO LOCATE BENEFICIARIES WITHIN NINETY DAYS AFTER THE IDEN- 9 TIFICATION OF A POTENTIAL MATCH MADE BY A DEATH INDEX CROSS-CHECK OR BY 10 A SEARCH CONDUCTED BY THE INSURER PURSUANT TO SUBSECTION (E) OF THIS 11 SECTION. 12 (2) ONCE THE BENEFICIARY OR BENEFICIARIES UNDER THE POLICY OR ACCOUNT 13 HAVE BEEN LOCATED, THE INSURER SHALL PROVIDE TO THE BENEFICIARY OR BENE- 14 FICIARIES THE INFORMATION NECESSARY TO MAKE A CLAIM PURSUANT TO THE 15 TERMS OF THE POLICY OR ACCOUNT. THE INSURER SHALL PROCESS ALL CLAIMS AND 16 MAKE PROMPT PAYMENTS AND DISTRIBUTIONS IN ACCORDANCE WITH ALL APPLICABLE 17 LAWS, RULES, AND REGULATIONS. 18 (3) NOTHING HEREIN SHALL PREVENT AN INSURER FROM REQUIRING SATISFAC- 19 TORY PROOF OF LOSS, SUCH AS A DEATH CERTIFICATE, AS A CONDITION FOR 20 CONCLUSIVELY DETERMINING THE DEATH OF THE INSURED. 21 (G) THIS SECTION SHALL NOT APPLY TO: 22 (1) GROUP LIFE INSURANCE POLICIES WHERE THE INSURER DOES NOT MAINTAIN 23 RECORDS ON ITS ADMINISTRATIVE SYSTEMS CONTAINING THE INFORMATION NECES- 24 SARY TO COMPLY WITH THE REQUIREMENTS OF THIS SECTION; 25 (2) ANY POLICY OR CERTIFICATE OF LIFE INSURANCE THAT PROVIDES A DEATH 26 BENEFIT UNDER AN EMPLOYEE BENEFIT, GOVERNMENT OR CHURCH PLAN SUBJECT TO 27 OR AS DEFINED UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 28 (29 USC 1002), AS PERIODICALLY AMENDED, OR UNDER ANY FEDERAL EMPLOYEE 29 BENEFIT PROGRAM. 30 (H) LOST POLICY FINDER. (1) THE SUPERINTENDENT SHALL DEVELOP AND 31 IMPLEMENT A LOST POLICY FINDER TO ASSIST REQUESTORS IN LOCATING 32 UNCLAIMED LIFE INSURANCE BENEFITS. THE LOST POLICY FINDER SHALL BE 33 AVAILABLE ONLINE AND VIA OTHER MEANS, INCLUDING BUT NOT LIMITED TO THE 34 DEPARTMENT'S TOLL FREE TELEPHONE NUMBER. THE SUPERINTENDENT SHALL ASSIST 35 A REQUESTOR IN USING THE LOST POLICY FINDER, INCLUDING INFORMING THE 36 REQUESTOR OF WHAT INFORMATION AN INSURER MAY NEED TO FACILITATE RESPOND- 37 ING TO THE REQUEST. 38 (2) AS SOON AS PRACTICABLE BUT NO LATER THAN THIRTY DAYS AFTER RECEIV- 39 ING A REQUEST FROM A REQUESTOR VIA THE LOST POLICY FINDER, THE SUPER- 40 INTENDENT SHALL: 41 (I) FORWARD THE REQUEST TO ALL INSURERS DEEMED NECESSARY BY THE SUPER- 42 INTENDENT IN ORDER TO SUCCESSFULLY RESPOND TO THE CONSUMER'S REQUEST; 43 AND 44 (II) INFORM THE REQUESTOR IN WRITING THAT THE REQUEST HAS BEEN 45 RECEIVED AND FORWARDED TO ALL INSURERS DEEMED NECESSARY BY THE SUPER- 46 INTENDENT IN ORDER TO SUCCESSFULLY RESPOND TO THE REQUEST. 47 (3) UPON RECEIVING A REQUEST FORWARDED BY THE SUPERINTENDENT THROUGH A 48 LOST POLICY FINDER APPLICATION, EVERY INSURER SHALL SEARCH FOR POLICIES 49 AND ANY ACCOUNTS SUBJECT TO THIS SECTION THAT INSURE THE LIFE OF, OR ARE 50 OWNED BY, AN INDIVIDUAL NAMED AS THE INSURED IN THE REQUEST FORWARDED BY 51 THE SUPERINTENDENT. 52 (4) WITHIN THIRTY DAYS OF RECEIVING THE REQUEST REFERENCED IN PARA- 53 GRAPH TWO OF THIS SUBSECTION, THE INSURER SHALL: 54 (I) REPORT TO THE SUPERINTENDENT THROUGH THE LOST POLICY FINDER THE 55 FINDINGS OF THE SEARCH CONDUCTED PURSUANT TO PARAGRAPH THREE OF THIS 56 SUBSECTION; A. 9845--A 4 1 (II) FOR EACH IDENTIFIED POLICY AND ACCOUNT INSURING THE LIFE OF, OR 2 OWNED BY, THE NAMED INSURED, PROVIDE TO A REQUESTOR WHO IS ALSO THE 3 BENEFICIARY OF RECORD ON THE IDENTIFIED POLICY OR ACCOUNT THE INFORMA- 4 TION NECESSARY TO MAKE A CLAIM PURSUANT TO THE TERMS OF THE POLICY OR 5 ACCOUNT; 6 (III) FOR EACH IDENTIFIED POLICY AND ACCOUNT INSURING THE LIFE OF, OR 7 OWNED BY, THE NAMED INSURED, PROVIDE TO A REQUESTOR WHO IS NOT THE BENE- 8 FICIARY OF RECORD ON THE IDENTIFIED POLICY OR ACCOUNT THE REQUESTED 9 INFORMATION TO THE EXTENT PERMISSIBLE TO BE DISCLOSED IN ACCORDANCE WITH 10 ANY APPLICABLE LAW, RULE, AND REGULATION AND TO TAKE SUCH OTHER STEPS 11 NECESSARY TO FACILITATE THE PAYMENT OF ANY BENEFIT THAT MAY BE DUE UNDER 12 THE IDENTIFIED POLICY OR ACCOUNT; AND 13 (IV) FOR EACH REQUEST WHERE NO POLICY OR ACCOUNT WAS LOCATED, INFORM 14 THE REQUESTOR OF THE RESULTS OF THE SEARCH AND ANY ADDITIONAL STEPS THE 15 REQUESTOR MAY TAKE TO LOCATE UNCLAIMED LIFE INSURANCE BENEFITS. 16 (5) WHEN A BENEFICIARY IDENTIFIED IN PARAGRAPH FOUR OF THIS SUBSECTION 17 SUBMITS A CLAIM OR CLAIMS TO AN INSURER, THE INSURER SHALL PROCESS SUCH 18 CLAIMS AND MAKE PROMPT PAYMENTS AND DISTRIBUTIONS IN ACCORDANCE WITH ALL 19 APPLICABLE LAWS, RULES, AND REGULATIONS. 20 (6) WITHIN THIRTY DAYS OF THE FINAL DISPOSITION OF THE REQUEST, THE 21 INSURER SHALL REPORT TO THE SUPERINTENDENT THROUGH THE LOST POLICY 22 FINDER ANY BENEFITS PAID AND ANY OTHER INFORMATION REQUESTED BY THE 23 SUPERINTENDENT. 24 (7) EVERY INSURER SHALL ESTABLISH PROCEDURES TO ELECTRONICALLY RECEIVE 25 THE LOST POLICY FINDER APPLICATION REQUEST FROM, AND MAKE REPORTS TO, 26 THE SUPERINTENDENT AS PROVIDED FOR IN THIS SECTION. WHEN TRANSMITTED 27 ELECTRONICALLY, THE DATE THAT THE SUPERINTENDENT FORWARDS THE REQUEST 28 SHALL BE DEEMED TO BE THE DATE OF RECEIPT BY THE INSURER UNLESS THE DAY 29 IS A SATURDAY, SUNDAY OR A PUBLIC HOLIDAY, AS DEFINED IN SECTION TWEN- 30 TY-FIVE OF THE GENERAL CONSTRUCTION LAW AND, IN SUCH CASE, THE DATE OF 31 RECEIPT SHALL BE AS PROVIDED IN SECTION TWENTY-FIVE-A OF THE GENERAL 32 CONSTRUCTION LAW. THE SUPERINTENDENT MAY PROMULGATE RULES AND REGU- 33 LATIONS THAT ALLOW AN INSURER TO APPLY FOR AN EXEMPTION FROM THE 34 REQUIREMENT THAT IT ELECTRONICALLY RECEIVE THE LOST POLICY FINDER APPLI- 35 CATION REQUEST. 36 (I) ESCHEATING OF BENEFITS. IF THE INSURER IS UNABLE TO LOCATE THE 37 BENEFICIARY OR BENEFICIARIES PURSUANT TO THIS SECTION, BUT IS OTHERWISE 38 ABLE TO REASONABLY DETERMINE THE DEATH OF AN INSURED OR ACCOUNT HOLDER 39 AND FURTHER REASONABLY DETERMINES THAT A BENEFIT IS DUE IN ACCORDANCE 40 WITH THE APPLICABLE POLICY, SUCH DETERMINATION OF LIABILITY FOR A BENE- 41 FIT SHALL BE CONSIDERED NOTIFICATION OF A CLAIM AND THE BENEFIT OR 42 ACCOUNT VALUE SHALL ESCHEAT ACCORDING TO ARTICLE SEVEN OF THE ABANDONED 43 PROPERTY LAW. THE SUPERINTENDENT, IN CONJUNCTION WITH THE COMPTROLLER OF 44 THE STATE OF NEW YORK, SHALL PROMULGATE ANY RULES AND REGULATIONS NECES- 45 SARY TO IMPLEMENT THIS SUBSECTION. 46 (J) REPORTS. EVERY INSURER SUBJECT TO THIS SECTION SHALL INCLUDE IN 47 THE REPORT REQUIRED UNDER SECTION SEVEN HUNDRED THREE OF THE ABANDONED 48 PROPERTY LAW ANY INFORMATION ON UNCLAIMED BENEFITS DUE THE NUMBER OF 49 POLICIES AND ACCOUNTS THAT THE INSURER HAS IDENTIFIED PURSUANT TO THIS 50 SECTION FOR THE PRIOR CALENDAR YEAR UNDER WHICH ANY OUTSTANDING MONIES 51 HAVE NOT BEEN PAID OR DISTRIBUTED BY DECEMBER THIRTY-FIRST OF SUCH YEAR. 52 A COPY OF THE REPORT SHALL ALSO BE FILED WITH THE SUPERINTENDENT. 53 (K) THE SUPERINTENDENT IS AUTHORIZED TO PROMULGATE ANY RULES AND REGU- 54 LATIONS NECESSARY TO IMPLEMENT THE PROVISIONS OF THIS SECTION. 55 S 2. This act shall take effect on the one hundred eightieth day after 56 it shall have become a law.