Section 1. That sections 3916.01, 3916.02, 3916.03, 3916.04, | 5 |
3916.05, 3916.06, 3916.07, 3916.08, 3916.09, 3916.10, 3916.11, | 6 |
3916.12, 3916.13, 3916.14, 3916.15, 3916.16, 3916.17, 3916.18, | 7 |
3916.19, and 3916.20 be amended and sections 3916.031 and 3916.161 | 8 |
of the Revised Code be enacted to read as follows: | 9 |
(A)
"Advertising" means any
written, electronic, or printed | 11 |
communication or any communication by means of
recorded telephone | 12 |
messages or
transmitted on radio, television, the internet, or | 13 |
similar
communications media, including, but not limited to, film | 14 |
strips,
motion pictures, and videos, that is directly or | 15 |
indirectly
published, disseminated, circulated, or placed directly | 16 |
before
the public
for the purpose of creating an interest in or | 17 |
inducing
a person to
sell, assign, devise, bequest, or transfer | 18 |
the death benefit or ownership of a life insurance policy pursuant | 19 |
to a viatical
settlement
contract. | 20 |
(B)
"Business of viatical settlements" means an activity | 21 |
involved
in the offering, solicitation, negotiation, procurement, | 22 |
effectuation, purchasing, investing, financing, monitoring, | 23 |
tracking,
underwriting, selling, transferring, assigning, | 24 |
pledging, or
hypothecating or in any other manner acquiring an | 25 |
interest in a life insurance policy by means of viatical | 26 |
settlement contracts or
purchase
agreements or any similar | 27 |
activity related to viatical
settlement
contracts or purchase | 28 |
agreements. | 29 |
(1) Being unable to perform, for at least ninety days without | 33 |
substantial assistance from another individual due to a loss of | 34 |
functional capacity, at least two
activities of daily
living, | 35 |
including, but not limited to, eating,
toileting,
transferring, | 36 |
bathing, dressing, or continence; | 37 |
(D) "Escrow agent" means an independent third-party person | 44 |
who, pursuant to a written agreement, controls and effects, in an | 45 |
escrow transaction, the delivery of the escrow transaction related | 46 |
to the acquisition of a life insurance policy pursuant to a | 47 |
viatical settlement contract. "Escrow agent" does not include any | 48 |
person associated, affiliated with, or under the control of a | 49 |
person licensed under this chapter. | 50 |
(E)(1)
"Financing entity" means an underwriter, placement | 51 |
agent,
lender, purchaser of securities, purchaser of a policy or | 52 |
certificate from a
viatical settlement provider, credit enhancer, | 53 |
or any other person that
has a direct ownership interest in a | 54 |
policy or certificate
that is the subject of a viatical settlement | 55 |
contract and to which both of the
following apply: | 56 |
(1) Presenting, causing to be presented, or preparing with | 70 |
knowledge or belief that it will be presented to or by a viatical | 71 |
settlement provider, viatical settlement broker, life expectancy | 72 |
provider, viatical
settlement
purchaser, financing entity, | 73 |
insurer, insurance broker,
insurance
agent, or any other person, | 74 |
any false material
information, or
concealing any material | 75 |
information, as part of,
in support of, or
concerning a fact | 76 |
material to, one or more of
the following: | 77 |
(3) Presenting, causing to be presented, or preparing with | 111 |
knowledge or reason to believe that it will be presented, to or by | 112 |
a
viatical settlement provider, viatical settlement broker, | 113 |
insurer,
insurance agent, financing entity, viatical settlement | 114 |
purchaser,
or any other person, in connection with a viatical | 115 |
settlement
transaction or insurance transaction, an insurance | 116 |
policy or
certificate that the actor knows was fraudulently | 117 |
obtained by the
insured, the owner, or any agent of the insured or | 118 |
ownerRecklessly entering into, negotiating, brokering, or | 119 |
otherwise dealing in a viatical settlement contract involving a | 120 |
life insurance policy that was obtained by presenting false | 121 |
information of any fact material to the policy, or by concealing | 122 |
information concerning any fact material to the policy for the | 123 |
purpose of misleading and with the intent to defraud the insurer | 124 |
of
the policy, the viatical settlement provider, or the viator; | 125 |
(4) Committing any embezzlement, theft, misappropriation, or | 126 |
conversion of moneys, funds, premiums, credits or other property | 127 |
of a
viatical settlement provider, insurer, insured, viator, | 128 |
insurance
policyowner, or any other person engaged in the business | 129 |
of
viatical settlements or insurance; | 130 |
(H)(M)
"Related provider trust" means a titling trust or any | 167 |
other
trust established by a licensed viatical settlement provider | 168 |
or a financing entity for the sole purpose of holding ownership or | 169 |
beneficial interest in purchased policies in connection with a | 170 |
financing transaction, provided that the trust has a written | 171 |
agreement with the licensed viatical settlement provider under | 172 |
which the licensed viatical settlement provider is responsible for | 173 |
ensuring compliance with all statutory and regulatory requirements | 174 |
and under which the trust agrees to make all records and files | 175 |
related to viatical settlement transactions available to the | 176 |
superintendent as if those records and files were maintained | 177 |
directly by the licensed viatical settlement provider. | 178 |
(I)(N)
"Special purpose entity" means a corporation, | 179 |
partnership,
trust, limited liability company or other similar | 180 |
entity formed solely to
provide access, either directly or | 181 |
indirectly, to
institutional capital markets for a financing | 182 |
entity or licensed
viatical settlement provider or in connection | 183 |
with a transaction in which the securities in the special purpose | 184 |
entity meet either of the following standards: | 185 |
(K)(P)
"Viatical settlement broker" means a
person that, on | 194 |
behalf
of a viator and for a fee, commission, or
other valuable | 195 |
consideration, offers
or attempts to negotiate
viatical | 196 |
settlements between a viator and one or more
viatical
settlement | 197 |
providers or viatical settlement brokers.
"Viatical settlement | 198 |
broker" does
not include
an
attorney, a certified public | 199 |
accountant, or a
financial planner
accredited
by a nationally | 200 |
recognized
accreditation agency, who is
retained to
represent the | 201 |
viator and,
whose compensation is not
paid directly or indirectly | 202 |
by the
viatical settlement provider or
purchaser, and whose | 203 |
viatical
settlement activities are incidental to the practice of | 204 |
the
person's profession. | 205 |
(1)(a) A written agreement establishingbetween a viator and | 208 |
a viatical settlement provider or any affiliate of the viatical | 209 |
settlement provider that establishes the terms under which | 210 |
compensation or any thing of value, that is less than the expected | 211 |
death
benefit of the insurance policy or certificate will be paid | 212 |
in return
for the viator's present or future assignment, transfer, | 213 |
sale, devise, or
bequest of
the death benefit or ownership of any | 214 |
portion of the
insurance policy or
certificate of insurance; | 215 |
(b) Loan proceeds that are used solely to pay premiums for | 238 |
the policy and the costs of the loan including interest, | 239 |
arrangement fees, utilization fees and similar fees, closing | 240 |
costs, legal fees and expenses, trustee fees and expenses, and | 241 |
third-party collateral provider fees and expenses, including fees | 242 |
payable to letter of credit issuers. | 243 |
(c) A loan made by a regulated financial institution in which | 244 |
the lender takes an interest in a life insurance policy solely to | 245 |
secure repayment of a loan or, if there is a default on the loan | 246 |
and the policy is transferred, the transfer of such a policy by | 247 |
the lender, provided that neither the default itself nor the | 248 |
transfer is pursuant to an agreement or understanding with any | 249 |
other person for the purpose of evading regulation under this | 250 |
chapter; | 251 |
(O)(T)
"Viator" means the owner of a life insurance policy or | 319 |
a
certificate holder under a group policy
that has not previously | 320 |
been viaticated who resides in this state and who, in return for | 321 |
compensation or any thing of value that is less than the expected | 322 |
death
benefit of the policy or certificate, assigns, transfers, | 323 |
sells,
devises, or bequests the death benefit or ownership of any | 324 |
portion of
the insurance policy or certificate of insurance. For | 325 |
the
purposes of this chapter, a
"viator" is not limited to an | 326 |
owner of
a life insurance policy or a certificate holder under a | 327 |
group
policy insuring the life of an individual with a terminal or | 328 |
chronic illness or condition except where specifically addressed.
| 329 |
"Viator" does not include any of the following: | 330 |
(P)(U)
"Viatical settlement purchaser" means a person who | 339 |
givesprovides a
sum of money as consideration for a life | 340 |
insurance policy or an
interest in the death benefits of a life | 341 |
insurance policy that has been or will be the subject of a | 342 |
viatical settlement contract, or a
person who owns, acquires, or | 343 |
is entitled to a beneficial interest
in a trust that owns a | 344 |
viatical settlement contract or is the
beneficiary of a life | 345 |
insurance policy that has been or will be
the subject of a | 346 |
viatical settlement contract, for the purpose of
deriving an | 347 |
economic benefit.
"Viatical settlement purchaser"
does
not include | 348 |
any of the following: | 349 |
(S)
"Securities Act of 1933" has the same
meaning as in | 366 |
section
1707.01 of the Revised Code(X) "Regulated financial | 367 |
institution" means a bank, a savings association, or credit union | 368 |
operating under authority granted by the superintendent of | 369 |
financial institutions, the regulatory authority of any other | 370 |
state of the United States, the office of thrift supervision, the | 371 |
national credit union administration, or the office of the | 372 |
comptroller of the currency. | 373 |
Sec. 3916.02. No(A) Notwithstanding division (C) of this | 374 |
section, no person shall operate in this state as a
viatical | 375 |
settlement provider or, viatical settlement broker, or life | 376 |
expectancy provider without
first
having obtained a license from | 377 |
the superintendent of
insurance
and, if different fromthe owner | 378 |
of the insurance policy to be viaticated is not a resident of this | 379 |
state, from the comparable
official of the state of residence
of | 380 |
the viatorowner. If | 381 |
(B) If there is
more than one viatorowner on a single policy | 382 |
or
certificate and the
viatorsowners are residents of different | 383 |
states, the
viatical settlement
shall be governed by the law of | 384 |
the state in
which the viatorowner having the largest percentage | 385 |
ownership of the
policy or
certificate resides or, if the viators | 386 |
owners hold equal
ownership, the
state of residence of one viator | 387 |
owner agreed upon in
writing by all
viatorsowners. | 388 |
(B) A license issued under
this
chapter to a person other | 403 |
than an individual authorizes all
partners, officers, members, or | 404 |
designated employees of the person
to act as viatical settlement | 405 |
providers or viatical settlement
brokers, as applicable, and all | 406 |
those partners, officers, members,
or designated employees shall | 407 |
be named in the application and any
supplements to the | 408 |
application. | 409 |
(C) Upon the filing of an application under this section and | 410 |
the
payment of the license fee,
the superintendent shall make an | 411 |
investigation of the applicant and issue to
the applicant a | 412 |
license that
states in substance that the person is authorized to | 413 |
act as a viatical
settlement provider or, viatical settlement | 414 |
broker, or life expectancy provider, as applicable, if all of the | 415 |
following apply: | 416 |
(a) A surety bond executed and issued by an insurer | 444 |
authorized to issue surety bonds in this state. The bond shall be | 445 |
in favor of this state and shall authorize recovery by the | 446 |
superintendent on behalf of any person in this state who sustains | 447 |
damages as a result of an erroneous act, failure to act, | 448 |
conviction of fraud or conviction of unfair practices committed by | 449 |
a licensed viatical settlement provider or licensed viatical | 450 |
settlement broker. | 451 |
(E) An applicant shall provide all information requested by | 460 |
the
superintendent. The superintendent may, at any time, require | 461 |
an applicant to
fully disclose the identity of all stockholders, | 462 |
partners, officers, members,
and employees, and may, in the | 463 |
exercise of the superintendent's discretion,
refuse to issue a | 464 |
license to an applicant that is not an individual if the | 465 |
superintendent is not
satisfied that each officer, employee, | 466 |
stockholder, partner, or member who may
materially influence the | 467 |
applicant's conduct meets the standards set forth in
this chapter. | 468 |
(E)(F) Except as otherwise provided in this division, a | 469 |
license
as a
viatical settlement provider or, viatical settlement | 470 |
broker, or life expectancy provider
expires on the last
day of | 471 |
March next after its issuance or
continuance. A license as a | 472 |
viatical settlement provider
or,
viatical settlement broker, or | 473 |
life expectancy provider may, in the
discretion of the | 474 |
superintendent and the payment of an annual renewal fee | 475 |
established
by the superintendent by rule adopted in accordance | 476 |
with
chapterChapter 119.
of the Revised Code, be continued past | 477 |
the last
day of March next after its issue
and after the last day | 478 |
of March
in each succeeding year. Failure
to pay the renewal fee | 479 |
by the
required date results in the expiration of the
license | 480 |
without a hearing under Chapter 119. of the Revised Code. | 481 |
(G)(I) A viatical settlement
provider
or, viatical settlement | 496 |
broker, or life expectancy provider shall provide to the | 497 |
superintendent new or
revised
information regarding any change
in | 498 |
its officers, any stockholder owning ten per cent or
more of its | 499 |
stockholdersstock, or its partners,
directors, members, or | 500 |
designated
employees within thirty days of the change. | 501 |
Sec. 3916.05. (A) A person shall not use a viatical | 520 |
settlement
contract form or provide a disclosure statement form to | 521 |
a viator in this state
unless the viatical settlement contract | 522 |
form or the disclosure statement form
is filed with and approved | 523 |
by the superintendent of
insurance. The superintendent shall | 524 |
disapprove a viatical settlement contract
form or a disclosure | 525 |
statement form if, in the superintendent's opinion, the
viatical | 526 |
settlement contract
form, the disclosure statement form, or any | 527 |
provision contained therein fails to meet the requirements of | 528 |
section 3916.06 of the Revised Code, is
unreasonable, is contrary | 529 |
to the
interests of the public, or is otherwise misleading or | 530 |
unfair to the
viator.
At the superintendent's
discretion, the | 531 |
superintendent
may require the submission of advertising
material | 532 |
to which
section 3916.17 of the Revised Code applies. | 533 |
(e) That the viator has a right to rescind the viatical | 560 |
settlement
contract for at least fifteenby providing notice of | 561 |
rescission and repaying all proceeds and any premiums, loans, and | 562 |
loan interest paid as a result of the viatical settlement within | 563 |
sixty calendar days after all parties sign the viatical settlement | 564 |
contract or thirty calendar days after the
viator receives the | 565 |
viatical
settlement proceeds, as provided in
section 3916.08 of | 566 |
the Revised Code, whichever is sooner. If the insured dies during | 567 |
the rescission period, the viatical settlement contract shall be | 568 |
deemed to
have been
rescinded, subject to repayment by the viator | 569 |
or the viator's estate of all viatical
settlement proceeds and any | 570 |
premiums, loans, and loan interest to the
viatical settlement | 571 |
companylicensed viatical settlement provider within sixty days of | 572 |
the death of the
insured. | 573 |
(h) That following execution of the viatical settlement | 585 |
contract, the licensed viatical settlement provider, or the | 586 |
licensed viatical settlement provider's
authorized representative | 587 |
may contact the insured for the purpose
of determining the | 588 |
insured's health status and to confirm the
insured's residential | 589 |
or business address and telephone number or
for other purposes | 590 |
permitted by law. Any such contact shall be
limited to once in | 591 |
any three-month period if the insured has a
life expectancy of | 592 |
more than one year or to once per month if the
insured has a life | 593 |
expectancy of one year or less. | 594 |
"All medical, financial, or personal information solicited or | 608 |
obtained by a viatical settlement provider or viatical settlement | 609 |
broker
about an insured, including the insured's identity or the | 610 |
identity
of family members, a spouse, or a significant other may | 611 |
be disclosed as
necessary to effect the viatical settlement | 612 |
between the viator and
the viatical settlement provider. If you | 613 |
are asked to provide
this information, you will be asked to | 614 |
consent to the disclosure.
The information may be provided to | 615 |
someone who buys the policy or
provides funds for the purchase. | 616 |
You may be asked to renew your
permission to share information | 617 |
every two years." | 618 |
(e) The dollar amount of the current death benefit payable
to | 642 |
the licensed
viatical
settlement provider under the policy or | 643 |
certificate, and, if known, the
availability of any additional | 644 |
guaranteed insurance benefits, the dollar
amount of any accidental | 645 |
death and dismemberment benefits under the policy or
certificate, | 646 |
and the viatical settlement provider'sextent to which the | 647 |
viator's interest in those
benefits will be transferred as a | 648 |
result to the viatical settlement contract. | 649 |
(d) The amount and method of calculating the licensed | 667 |
viatical settlement
broker's compensation and, if any portion of | 668 |
the licensed viatical settlement broker's
compensation is taken | 669 |
from the viatical settlement offer, the
total amount of the | 670 |
viatical settlement offer and the licensed viatical settlement | 671 |
broker's compensation as a percentage of that total. As used in | 672 |
this division, "compensation" includes anything of value paid or | 673 |
given to a licensed viatical settlement broker for the placement | 674 |
of a policy. | 675 |
(D) If, for the purpose of engaging in the business of | 687 |
viatical settlements, a licensed viatical settlement broker or | 688 |
licensed viatical settlement provider is
party to a plan, | 689 |
transaction, or series of transactions to
originate, renew, | 690 |
continue, or finance a life insurance policy
with the insurer | 691 |
that issued the policy within the first five
years of the | 692 |
issuance of that policy the licensed viatical settlement broker or | 693 |
licensed viatical settlement provider shall fully disclose the | 694 |
plan, transaction, or
series of transactions to that insurer | 695 |
prior to the initiation of
the plan, transaction, or series of | 696 |
transactions. | 697 |
(B) Within twenty days after a viator executes
documents | 713 |
necessary to transfer any rights under an insurance
policy or | 714 |
certificate or within twenty days of entering any
expressed or | 715 |
implied
agreement, option,
promise, or other form of
understanding | 716 |
to viaticate the policy,
the licensed viatical settlement
provider | 717 |
shall
give written notice to the
insurer that issued that | 718 |
insurance
policy or certificate that the
policy or certificate has | 719 |
or will
become a viaticated policy or
certificate. The notice | 720 |
shall be
accompanied by the documents
required by division (C) of | 721 |
this
section. | 722 |
(C) The licensed viatical settlement provider shall deliver a | 723 |
copy of
the
medical
release required under division (A)(2) of | 724 |
this
section, a
copy of
the viator's application for the viatical | 725 |
settlement
contract, the
notice required under division (B) of | 726 |
this section,
and a request
for verification of coverage to the | 727 |
insurer that
issued the life
insurance policy or certificate that | 728 |
is the
subject of the
viatical transaction. The licensed viatical | 729 |
settlement
provider shall
use the NAIC's
form for verification of | 730 |
coverage
unless standards for
verification areanother form is | 731 |
developed or
approved by
the superintendent of insurance. | 732 |
(D) The insurer shall respond to a request for verification | 733 |
of
coverage submitted on an approved form by a licensed viatical | 734 |
settlement provider or licensed viatical settlement broker
within | 735 |
thirty calendar days
after the date the request
is
received and | 736 |
shall indicate whether,
based on the medical
evidence
and | 737 |
documents provided, the insurer
intends to pursue an | 738 |
investigation at that time regarding possible
fraud or the | 739 |
validity of the life
insurance contract or
certificate that is | 740 |
the subject of the
request.
The insurer shall
accept an original | 741 |
or facsimile or electronic copy of such request
and any | 742 |
accompanying authorization signed by the viator. Failure
by the | 743 |
insurer to meet its obligations under this division is a | 744 |
violation of division (D) of section 3916.16 and section 3916.21 | 745 |
of the Revised Code. | 746 |
(E) Prior to or at the time of execution of the viatical | 747 |
settlement contract, the licensed viatical settlement provider | 748 |
shall obtain
a witnessed
document in which the viator consents to | 749 |
the
viatical
settlement contract, represents that the viator has a | 750 |
full and
complete understanding of the viatical settlement | 751 |
contract and a
full and complete understanding of the benefits of | 752 |
the life
insurance policy or certificate, and acknowledges that | 753 |
the viator
is entering into the viatical settlement contract | 754 |
freely and
voluntarily and, for persons with a terminal or chronic | 755 |
illness or
condition, acknowledges that the insured has a terminal | 756 |
or chronic
illness and that the terminal or chronic illness or | 757 |
condition was
diagnosed after the life insurance policy or | 758 |
certificate was
issued. | 759 |
Sec. 3916.08. (A) Each viatical settlement contract entered | 768 |
into
in this state
shall provide the viator with an unconditional | 769 |
absolute right
to rescind the contract
for at least fifteenby | 770 |
providing notice of rescission and repaying all proceeds and any | 771 |
premiums, loans, and loan interest paid as a result of the | 772 |
viatical settlement within sixty calendar days after all parties | 773 |
sign the viatical settlement contract or thirty calendar days | 774 |
after
the receipt of the viatical
settlement
proceeds pursuant to | 775 |
division (A) of section 3916.09 of the Revised Code. If the | 776 |
insured
dies during the rescission period, the viatical
settlement | 777 |
contract is deemed to have been rescinded, subject to repayment of | 778 |
all viatical settlement proceeds and any premiums, loans, and loan | 779 |
interest to the licensed viatical settlement
provider within sixty | 780 |
days of the death of the insured.
If | 781 |
(B) If a licensed viatical settlement provider has paid | 782 |
commissions or other
compensation to a licensed viatical | 783 |
settlement broker and the viator rescinds the
viatical settlement | 784 |
contract, the licensed viatical settlement broker shall refund all | 785 |
such commissions and compensation to the licensed viatical | 786 |
settlement provider, within
five business days following receipt | 787 |
of written notice from the
licensed viatical settlement provider. | 788 |
The notice shall include a copy of the viator's
notice of | 789 |
recession or the notice of the death of the viator. | 790 |
Sec. 3916.09. (A) The licensed viatical settlement provider | 797 |
shall
instruct
the viator to send the executed documents required | 798 |
to
effect the change in
ownership, assignment, or
change in | 799 |
beneficiary directly to the independent escrow agent. Within
three | 800 |
business days after the
date the escrow agent receives the | 801 |
documents, or from the date the licensed
viatical settlement | 802 |
provider
receives the documents if the viator
erroneously provides | 803 |
the
documents directly to the licensed viatical settlement | 804 |
provider, the licensed viatical settlement
provider shall pay or | 805 |
transfer
the proceeds of the viatical
settlement to an escrow or | 806 |
trust
account in a state or federally
charteredregulated | 807 |
financial
institution whose deposits
are
insured by the federal | 808 |
deposit
insurance corporation.
Upon
payment of the
settlement | 809 |
proceeds
into the escrow or trust
account, the escrow agent
or | 810 |
trustee
shall deliver the original
change in ownership, | 811 |
assignment,
or
change in beneficiary forms to
the licensed | 812 |
viatical settlement provider, a representative of the
licensed | 813 |
viatical settlement provider, or
related provider trust. Upon the | 814 |
licensed
provider'sescrow agent's receipt of
the acknowledgment | 815 |
of the
properly completed transfer of
ownership,
assignment, or | 816 |
designation of beneficiary from the
insurance
company, the | 817 |
licensed providerescrow agent shall instruct the escrow
agent to | 818 |
pay the settlement proceeds to the viator. The escrow
agent shall | 819 |
make payment within three business days of the date
the provider | 820 |
received the acknowledged forms from the insurance
companyFunds | 821 |
are considered sent by a licensed viatical settlement provider to | 822 |
a viator as of the
date that the escrow agent either releases the | 823 |
funds for wire
transfer to the viator or places a check for | 824 |
delivery to the
viator via United States postal service or other | 825 |
nationally
recognized delivery service. | 826 |
(B) Failure to transfer the proceeds to the viator within
the | 827 |
period of time disclosed pursuant to division (A)(1)(f)
of
section | 828 |
3916.06 of the Revised Code renders the viatical
settlement | 829 |
contract voidable by the viator for lack of
consideration until | 830 |
the time
consideration is tendered to and
accepted by the viator. | 831 |
If a viatical settlement
contract is
voided by the viator pursuant | 832 |
to this division, ownership of
the
insurance policy or certificate | 833 |
reverts to the viator or to
the
viator's estate if the viator is | 834 |
deceased, irrespective of any
transfer of ownership of the policy | 835 |
or certificate by the viator, licensed
viatical settlement | 836 |
provider, or any other person. | 837 |
Sec. 3916.10. After a viatical settlement has occurred, | 838 |
contact with the insured for the purpose of
determining the health | 839 |
status of the insured by the licensed viatical settlement
provider | 840 |
or licensed
viatical settlement broker shall be made only by the | 841 |
licensed
viatical
settlement provider or, licensed viatical | 842 |
settlement broker licensed
in this state, or the authorized | 843 |
representative of the licensed viatical settlement
provider or | 844 |
licensed viatical settlement broker.
The licensed
viatical | 845 |
settlement
provider or, licensed viatical
settlement broker, or | 846 |
authorized
representative shall
not contact the insured for the | 847 |
purpose of
determining
the
insured's health status more than once | 848 |
every three
months if the
insured
has a life expectancy of more | 849 |
than one year,
or more than
once per month if
the insured has a | 850 |
life expectancy
of one year or
less. The licensed viatical | 851 |
settlement provider or licensed
viatical settlement
broker shall | 852 |
explain the procedure
for making these contacts at
the time the | 853 |
viatical settlement
contract is
entered into. | 854 |
(2) Every licenseelicensed viatical settlement provider, | 892 |
licensed viatical settlement broker, or
person from whom | 893 |
information is
sought, and
all officers,
directors, employees, | 894 |
and agents of any
licenseelicensed viatical settlement
provider, | 895 |
licensed viatical settlement broker, or person
from whom | 896 |
information is
sought, shall provide
to the examiners timely, | 897 |
convenient, and
free access at all
reasonable hours at the | 898 |
licensee'slicensed viatical settlement
provider, licensed | 899 |
viatical settlement broker, or person's offices to all
books, | 900 |
records, accounts,
papers, documents, assets, and computer
or | 901 |
other recordings
relating to the property, assets, business,
and | 902 |
affairs of the
licenseelicensed viatical settlement provider or | 903 |
licensed viatical settlement broker being
examined. The officers, | 904 |
directors, employees, and
agents of the
licenseelicensed | 905 |
viatical settlement provider, licensed viatical settlement broker, | 906 |
or person shall
facilitate the examination
and aid in the | 907 |
examination so far as it
is in their power to do
so. | 908 |
The refusal of a licenseelicensed viatical settlement | 909 |
provider or licensed viatical settlement
broker, by its officers, | 910 |
directors,
employees,
or agents, to
submit to examination or to | 911 |
comply with
any reasonable
written
request of the superintendent | 912 |
shall be
grounds for suspension,
revocation, denial of issuance, | 913 |
or
nonrenewal of any license or
authority held by the licensee | 914 |
viatical settlement provider or viatical settlement broker to | 915 |
engage in the
viatical
settlement business or other business | 916 |
subject to the
superintendent's jurisdiction. Any proceedings for | 917 |
suspension,
revocation, or denial, or nonrenewal of any license or | 918 |
authority
is subject
to chapterChapter 119. of the Revised Code. | 919 |
(3) The superintendent has the power to issue subpoenas, to | 920 |
administer oaths, and to examine under oath any person as to any | 921 |
matter
pertinent to the examination. Upon the failure or refusal | 922 |
of a
person to obey a subpoena, the superintendent may petition a | 923 |
court
of competent jurisdiction, and, upon proper showing, the | 924 |
court may
enter an order compelling the witness to appear and | 925 |
testify or
produce documentary evidence. Failure to obey the court | 926 |
order
shall be punishable as contempt of court. | 927 |
(4) When making an examination under this chapter, the | 928 |
superintendent may retain attorneys, appraisers, independent | 929 |
actuaries,
independent certified public accountants, or other | 930 |
professionals and
specialists as examiners, and the licensee | 931 |
licensed viatical settlement provider or licensed viatical | 932 |
settlement broker that
is the subject of
the
examination shall | 933 |
bear the cost of those
examiners. Examiners
who
are appointed by | 934 |
the superintendent, but
who are not employees
of
the department | 935 |
of insurance, shall be
compensated for their
work,
travel, and | 936 |
living expenses at
reasonable and customary
rates. | 937 |
(6) Nothing contained in this chapter limits the | 944 |
superintendent's
authority to use and, if appropriate, to make | 945 |
public any final or preliminary
examination report, any examiner | 946 |
or licenseelicensed viatical settlement provider or licensed | 947 |
viatical settlement broker working papers or
other
documents, or | 948 |
any other
information discovered or developed
during
the course | 949 |
of any
examination in the furtherance of any
legal or
regulatory | 950 |
action
that the superintendent, in the
superintendent's
sole | 951 |
discretion,
considers appropriate. | 952 |
(C)(1) Examination reports shall be comprised of only facts | 953 |
appearing upon the books, records, or other documents of the | 954 |
licensee, its
agents, or other persons examined, or as ascertained | 955 |
from the testimony of its officers, agents, or other persons | 956 |
examined concerning its affairs, and the conclusions and | 957 |
recommendations that the examiners find reasonably warranted from | 958 |
the facts. | 959 |
(2) Upon completion of the examination, the examiner in | 960 |
charge
shall file with the superintendent a verified written | 961 |
report of
examination. Upon receipt of the verified report, the | 962 |
superintendent
shall transmit the report to the licenseelicensed | 963 |
viatical settlement
provider or licensed viatical settlement | 964 |
broker examined,
together with a
notice that
shall afford the | 965 |
licenseelicensed viatical settlement provider or licensed | 966 |
viatical settlement broker
examined a
reasonable
opportunity of | 967 |
not more than thirty days
from receipt
of the
report to make a | 968 |
written submission or
rebuttal with
respect to
any matters | 969 |
contained in the examination
report. | 970 |
(2) Except as otherwise provided in this chapter or in the | 978 |
law of
another state or jurisdiction that is substantially similar | 979 |
to this
chapter, all examination reports, working papers, recorded | 980 |
information, documents, and copies of those reports, papers, | 981 |
information, documents, and copies produced by, obtained by, or | 982 |
disclosed to the superintendent or to any other person in the | 983 |
course of an examination made under this chapter or under the law | 984 |
of another state or jurisdiction that is substantially similar to | 985 |
this chapter, or in the course of the superintendent's analysis or | 986 |
investigation of the financial condition or market conduct of a | 987 |
licensee are confidential by law and privileged, are not a public | 988 |
record open for inspection under section 149.43 of the Revised | 989 |
Code, are not subject to subpoena, and are not subject to | 990 |
discovery or admissible in evidence in any private civil action. | 991 |
The superintendent may use the documents, materials, or other | 992 |
information in the furtherance of any regulatory or legal action | 993 |
brought as part of the superintendent's official duties. | 994 |
(3) Documents, materials, or other information, including, | 995 |
but
not limited to, all working papers, and copies of working | 996 |
papers, in the
possession or control of the NAIC and its | 997 |
affiliates and
subsidiaries are confidential by law and | 998 |
privileged, are not subject to subpoena, and are not subject to | 999 |
discovery or
admissible in evidence in any private civil action, | 1000 |
if either of the
following applies: | 1001 |
(4) Neither the superintendent nor any person that received | 1012 |
the
documents, material, or other information while acting under | 1013 |
the
authority of the superintendent, including the NAIC and its | 1014 |
affiliates and subsidiaries, shall be permitted to testify in any | 1015 |
private
civil action concerning any confidential
documents, | 1016 |
materials, or information subject to division (D)(1) of
this | 1017 |
section. | 1018 |
(i) Share documents, materials, or other information, | 1022 |
including
the confidential and privileged documents, materials, or | 1023 |
information
subject to division (D)(1) of this section, with other | 1024 |
state, federal, and international regulatory agencies, with the | 1025 |
NAIC and its affiliates and subsidiaries, and with
state, federal, | 1026 |
and international law enforcement authorities, if
the recipient | 1027 |
agrees to maintain the confidentiality and
privileged status of | 1028 |
the document, material, communication, or
other information; | 1029 |
(ii) Receive documents, materials, communications, or | 1030 |
information, including otherwise confidential and privileged | 1031 |
documents,
materials, or information, from the NAIC and its | 1032 |
affiliates
and subsidiaries, and from regulatory and law | 1033 |
enforcement officials of other foreign or
domestic jurisdictions; | 1034 |
(8) Nothing contained in this chapter prevents or prohibits | 1053 |
the
superintendent from disclosing the content of an examination | 1054 |
report, preliminary examination report or results, or any matter | 1055 |
relating to those reports or results, to the official of any other | 1056 |
state or country that is comparable to the superintendent, or to | 1057 |
law enforcement officials of this or any other state or agency of | 1058 |
the federal government at any time, or to the NAIC, if the agency | 1059 |
or office receiving the report or matters relating to it agrees in | 1060 |
writing to hold it confidential and in a manner
consistent with | 1061 |
this chapter. | 1062 |
(2) Notwithstanding the requirements of division (E) of this | 1074 |
section, the superintendent may retain from time to time, on an | 1075 |
individual basis, qualified actuaries, certified public | 1076 |
accountants, or other similar individuals who are independently | 1077 |
practicing their professions, even though these persons may from | 1078 |
time to time be similarly employed or retained by persons subject | 1079 |
to examination under this chapter. | 1080 |
(2) When a market conduct examination is made of an insurera | 1093 |
licensed viatical settlement provider or licensed viatical | 1094 |
settlement broker,
the
insurerlicensed viatical settlement | 1095 |
provider or licensed viatical settlement broker shall pay the | 1096 |
expenses of the
examination. The
expenses of an
examination | 1097 |
include those incurred
on or after the
date on which the | 1098 |
superintendent notifies the
insurerlicensed viatical settlement | 1099 |
provider or licensed viatical settlement broker of the
examination | 1100 |
through the
issuance of the final examination report. | 1101 |
(3) Upon an insurer'sa licensed viatical settlement provider | 1102 |
or licensed viatical settlement
broker's failure to comply with | 1103 |
division (A) of
this
section, the
superintendent may initiate | 1104 |
proceedings in
accordance with
Chapter
119. of the Revised Code | 1105 |
to revoke,
suspend, or
refuse to renew
the certificate of | 1106 |
authority or
license of the insurerviatical settlement provider | 1107 |
or viatical settlement
broker. Additionally, the superintendent | 1108 |
may
request the attorney
general to initiate a civil
action in | 1109 |
the
court of common pleas of
Franklin county to obtain
and | 1110 |
enforce a
judgment for expenses
incurred in the performance of a | 1111 |
market
conduct examination. | 1112 |
(2) No cause of action shall arise nor shall any liability
be | 1118 |
imposed against any person for the act of communicating or | 1119 |
delivering
information or data to the superintendent, any | 1120 |
authorized representative
of the superintendent, or any examiner | 1121 |
appointed by the
superintendent pursuant to an examination made | 1122 |
under this chapter,
if the act of communication or delivery was | 1123 |
performed in good
faith and without fraudulent intent or the | 1124 |
intent to deceive.
Division (G)(2) of this sectionThis division | 1125 |
does not
abrogate or modify in any
way any common law or statutory | 1126 |
privilege or immunity previously enjoyed
by any person identified | 1127 |
in division (G)(1) of this
section. | 1128 |
(3) A person identified in division (G)(1) or (2) of this | 1129 |
section
shall be entitled to an award of attorney's fees and costs | 1130 |
if the
person is the prevailing party in a civil action for libel, | 1131 |
slander, or
any other relevant tort arising out of activities in | 1132 |
carrying out the
provisions of this chapter and the party bringing | 1133 |
the action was
not substantially justified in bringing the action. | 1134 |
For purposes
of this division (G)(3) of this section, a proceeding | 1135 |
is
"substantially
justified" if it had a reasonable basis in law | 1136 |
or
fact at the time that
it was initiated. | 1137 |
Sec. 3916.12. Each viatical settlement provider
and viatical | 1141 |
settlement broker licensed under this chapter
shall file with the | 1142 |
superintendent of insurance, on or before the first day of
March | 1143 |
of each year, an annual statement containing the information | 1144 |
required by the
superintendent by rule adopted in accordance with | 1145 |
chapterChapter 119. of the Revised Code. The superintendent may | 1146 |
require information concerning transactions involving a viator who | 1147 |
is a resident of this state only. The superintendent shall keep | 1148 |
confidential and not a matter of public record all individual | 1149 |
transaction data
regarding the business of viatical settlements | 1150 |
and data that could
compromise the privacy of personal, | 1151 |
financial, and health
information of the viator or insured. | 1152 |
Sec. 3916.13. Except as otherwise permitted or required by | 1153 |
law, a licensed viatical
settlement provider, licensed viatical | 1154 |
settlement
broker,
insurance company, insurance agent, insurance | 1155 |
broker, information
bureau, rating agency or company, or any other | 1156 |
person with actual
knowledge of
an insured's identity, shall not | 1157 |
disclose that
identity as an insured,
including
the insured's name | 1158 |
and
individual identification data, or the insured's
financial or | 1159 |
medical information, unless
any of the following apply: | 1160 |
(3) In lieu of an examination under this chapter of any | 1204 |
foreign
or alien licensee licensed under this chapter, the | 1205 |
superintendent,
at the superintendent's discretion, may accept an | 1206 |
examination
report on the licensee as prepared by the official of | 1207 |
the
licensee's state of domicile or port-of-entry state who is | 1208 |
comparable to the superintendent. As far as is practical, the | 1209 |
superintendent shall cooperate with that official for any | 1210 |
examination of a foreign or alien licensee. | 1211 |
(4) The licensee or any officer, partner, member, key | 1232 |
management
personnel, or designee of the licensee has been | 1233 |
convicted of or has pleaded
guilty or no
contest
to a felony or to | 1234 |
a misdemeanor involving fraud, moral turpitude, dishonesty,
or | 1235 |
breach of trust, regardless of whether a judgment of conviction | 1236 |
has been
entered by the court. | 1237 |
(10) The licensee or any officer, partner, member, key | 1262 |
management
personnel, or designee of the licensee has committed | 1263 |
any coercive, fraudulent,
or dishonest
act, or made any untrue, | 1264 |
deceptive, or misleading statement, in connection
with a viatical | 1265 |
transaction or a proposed viatical transaction. | 1266 |
(B) Before the superintendent refuses to issue a license | 1267 |
under
this chapter, or suspends,or revokes, or refuses to renew | 1268 |
the
license of a
viatical settlement provider or, viatical | 1269 |
settlement
broker, or life expectancy provider, the superintendent | 1270 |
shall provide the licensee or applicant
with notice and an | 1271 |
opportunity for hearing as provided in
chapterChapter
119. of the | 1272 |
Revised Code, except as follows: | 1273 |
(b) If the certified mail envelope is returned with an | 1282 |
endorsement showing that service was refused, or that the envelope | 1283 |
was
unclaimed, the notice and all subsequent notices required by | 1284 |
Chapter
119. of the Revised Code may be served by ordinary mail to | 1285 |
the last known address of the
licensee or applicant. The mailing | 1286 |
shall be evidenced by a certificate of
mailing. Service is deemed | 1287 |
complete as of the date of such certificate
provided that the | 1288 |
ordinary mail envelope is not returned by the postal
authorities | 1289 |
with an endorsement showing failure of delivery. The time period | 1290 |
in which to request a hearing, as provided in Chapter 119. of the | 1291 |
Revised Code,
begins to run on the date of mailing. | 1292 |
(2) Any subpoena for the appearance of a witness or the | 1310 |
production of
documents or other evidence at a hearing, or for the | 1311 |
purpose of taking
testimony for use at a hearing, shall be served | 1312 |
by certified mail, return
receipt requested, by an attorney or by | 1313 |
an employee of the department
designated by the superintendent. | 1314 |
Such subpoenas shall be enforced in the
manner provided in section | 1315 |
119.09 of the Revised Code. Nothing in this section shall be | 1316 |
construed as limiting the superintendent's other statutory powers | 1317 |
to issue
subpoenas. | 1318 |
Sec. 3916.16. (A) It is a violation of this chapter for
any | 1319 |
person to enter into a viatical settlement contract prior to the | 1320 |
application for or
issuance of a policy that is the subject of | 1321 |
the viatical
settlement contract or within a
two-yearfive-year | 1322 |
period
commencing with the date of issuance of the
insurance | 1323 |
policy or
certificate unless the viator certifies to the licensed | 1324 |
viatical
settlement provider that one or more of the following | 1325 |
conditions
have been met within that two-year periodfive years | 1326 |
after the
issuance of the policy: | 1327 |
(1) The policy or certificate was issued upon the viator's | 1328 |
exercise of conversion rights arising out of a group
policy or | 1329 |
certificate,
provided the total of the time covered
under the | 1330 |
conversion policy or
certificate plus the time covered
under the | 1331 |
groupprior policy or
certificate is at least
twenty-foursixty | 1332 |
months. The
time covered
under thea group
policy or certificate | 1333 |
shall be
calculated without
regard to any
change in insurance | 1334 |
carriers,
provided the coverage
has been
continuous and under the | 1335 |
same group
sponsorship. | 1336 |
(B) Copies of the independent evidence described in division | 1383 |
(A)(4)(2) of this section and documents
required by section | 1384 |
3916.07
of the Revised Code shall be
submitted to the insurer when | 1385 |
the licensed
viatical settlement provider or any other party | 1386 |
entering into a viatical settlement contract with a viator submits | 1387 |
a request to the insurer for
verification of coverage.
The copies | 1388 |
shall be accompanied by a
letter of attestation from
the licensed | 1389 |
viatical
settlement provider that
the copies are true and
correct | 1390 |
copies of the documents received
by the licensed viatical | 1391 |
settlement
provider. | 1392 |
(C) If the licensed viatical settlement provider submits to | 1393 |
the
insurer a
copy of the owner or insured's certification and | 1394 |
independent
evidence described
in division
(A)(4)(2) of this | 1395 |
section when the
licensed viatical settlement provider submits a | 1396 |
request to the
insurer to effect the
transfer of the policy or | 1397 |
certificate to the licensed viatical settlement
provider,
the | 1398 |
copy
conclusively establishes that the
viatical settlement | 1399 |
contract
satisfies the requirements of this
section, and the | 1400 |
insurer shall
timely respond to the request. | 1401 |
(D) No insurer, as a condition of responding to a request for | 1402 |
verification of coverage or effecting the transfer of a policy | 1403 |
pursuant to a viatical settlement contract, may require the | 1404 |
viator, insured, licensed viatical settlement provider, or | 1405 |
licensed viatical settlement broker to sign any
form, disclosure, | 1406 |
consent, or waiver form that has not been
approved by the | 1407 |
superintendent of insurance for use in connection
with viatical | 1408 |
settlement contracts. | 1409 |
(F) A licensed viatical settlement provider or licensed | 1417 |
viatical settlement broker that is party to a
plan, transaction, | 1418 |
or series of transactions to originate, renew,
continue, or | 1419 |
finance a life insurance policy with the insurer for
the purpose | 1420 |
of engaging in the business of viatical settlements at
any time | 1421 |
prior to or during the first five years after the insurer
issues | 1422 |
the policy shall fully disclose the plan, transaction, or
series | 1423 |
of transactions to the insurer that issued that policy. | 1424 |
Sec. 3916.161. (A) No licensed viatical settlement broker | 1425 |
knowingly shall solicit an offer from, effectuate a viatical | 1426 |
settlement with, or make a sale to any licensed viatical | 1427 |
settlement provider, viatical settlement purchaser, financing | 1428 |
entity, or related provider trust that is controlling, controlled | 1429 |
by,
or under common control with the licensed viatical settlement | 1430 |
broker. | 1431 |
(B) No licensed viatical settlement provider knowingly shall | 1432 |
enter into a
viatical settlement contract with a viator, if, in | 1433 |
connection with
that contract, anything of value will be paid to | 1434 |
a licensed viatical settlement
broker that is controlling, | 1435 |
controlled by, or under common control
with that licensed | 1436 |
viatical settlement provider or the viatical settlement purchaser, | 1437 |
financing entity or related provider trust that is involved in the | 1438 |
contract. | 1439 |
Sec. 3916.17. (A) The general assembly hereby declares
that | 1442 |
the
purpose of this section is to provide prospective viators
with | 1443 |
clear and unambiguous statements in the advertisement of
viatical | 1444 |
settlements and to assure the clear, truthful, and
adequate | 1445 |
disclosure of the benefits, risks, limitations, and
exclusions of | 1446 |
any viatical settlement contract. This purpose is
intended to be | 1447 |
accomplished by the establishment of guidelines and
standards of | 1448 |
permissible and impermissible conduct in the
advertising of | 1449 |
viatical settlements to assure that product
descriptions are | 1450 |
presented in a manner that prevents unfair,
deceptive, or | 1451 |
misleading advertising and is conducive to accurate
presentation | 1452 |
and description of viatical settlements through the
advertising | 1453 |
media and material used by viatical settlement
licensees. | 1454 |
Divisions (B) to (P)(Q) of this section apply to any | 1455 |
advertising
of
viatical settlement contracts, or any related | 1456 |
products or
services
intended for dissemination in this state, | 1457 |
including, but
not
limited to, internet advertising viewed by | 1458 |
persons located in
this
state. In cases in which disclosure | 1459 |
requirements are
established
pursuant to federal regulation, this | 1460 |
section shall be
interpreted
so as to minimize or eliminate | 1461 |
conflict with federal
regulation
wherever possible. | 1462 |
(C) Every licensed viatical settlement licenseeprovider and | 1471 |
licensed viatical settlement broker shall establish and
at all | 1472 |
times shall maintain a
system of control over the content,
form, | 1473 |
and method of
dissemination of all advertisements of its | 1474 |
contracts, products,
and services. All advertisements, regardless | 1475 |
of by whom they are
written, created, designed, or presented, | 1476 |
shall be the
responsibility of the licensed viatical settlement | 1477 |
licenseeprovider or licensed viatical settlement broker
and of | 1478 |
the individual who created or
presented the advertisement.
A | 1479 |
system of control shall include
regular routine notification, at | 1480 |
least once a year, to agents and
others authorized by the | 1481 |
licensed viatical
settlement licenseeprovider or licensed | 1482 |
viatical settlement broker who disseminate advertisements of the | 1483 |
requirements and procedures for approval prior to the use of any | 1484 |
advertisements not furnished by the licensed viatical settlement | 1485 |
licenseeprovider or licensed viatical settlement broker. | 1486 |
(C)(D) All advertisements that are subject to this section | 1487 |
shall be
truthful and not misleading in fact or by implication. | 1488 |
The form and content of an advertisement of a viatical settlement | 1489 |
contract shall be sufficiently complete and clear so as to avoid | 1490 |
deception and shall not have the capacity or tendency to mislead | 1491 |
or deceive. The determination of whether an advertisement has the | 1492 |
capacity or tendency to mislead or deceive shall be made by the | 1493 |
superintendent of insurance, from the overall impression that the | 1494 |
advertisement may be reasonably expected to create upon a person | 1495 |
of average education or intelligence within the segment of the | 1496 |
public to which it is directed. | 1497 |
(1)
"Guaranteed,"
"fully secured,"
"100 percent secured," | 1503 |
"fully
insured,"
"secure,"
"safe,"
"backed by rated insurance | 1504 |
companies,"
"backed by federal law,"
"backed by state law," or | 1505 |
"state guaranty
funds," or similar representations; | 1506 |
An advertisement shall not omit material information or use | 1529 |
any
words, phrases, statements, references, or illustrations if | 1530 |
the omission
or use has the capacity, tendency, or effect of | 1531 |
misleading or deceiving
viators, as to the nature or extent of any | 1532 |
benefit, loss covered,
premium payable, or state or federal tax | 1533 |
consequence. The fact
that the viatical settlement contract | 1534 |
offered is made available
for inspection prior to consummation of | 1535 |
the sale, that an offer is
made to refund the payment if the | 1536 |
viator is not satisfied, or that
the viatical settlement contract | 1537 |
includes a
"free look" period
that satisfies or exceeds legal | 1538 |
requirements, does not remedy any
misleading statements. | 1539 |
(5) The words
"free,"
"no cost,"
"without cost,"
"no | 1552 |
additional
cost,"
"at no extra cost," or words of similar import | 1553 |
shall not be used
with respect to any life insurance policy or to | 1554 |
any benefit or service unless
true. An advertisement may
specify | 1555 |
the charge for a benefit or a
service or may state that a
charge | 1556 |
is included in the payment or
use other appropriate
language. | 1557 |
(b) In using testimonials, appraisals, analyses, or | 1569 |
endorsements,
the licensed viatical settlement licenseeprovider | 1570 |
or licensed viatical settlement broker makes as its own
all the | 1571 |
statements contained
in the testimonials, appraisals,
analyses, | 1572 |
or endorsements, and
the statements are subject to all
the | 1573 |
provisions of this section. | 1574 |
(c) If the individual making a testimonial, appaisal | 1575 |
appraisal,
analysis,
or endorsement has a
funancialfinancial | 1576 |
interest in the
viatical
settlement
provider or related entity | 1577 |
subject of that testimonial, appraisal, analysis, or endorsement | 1578 |
directly or indirectly as a stockholder,
director,
officer, | 1579 |
employee, or otherwise, or receives any benefit
directly
or | 1580 |
indirectly other than required union scale wages, that
fact
shall | 1581 |
be prominently disclosed in the advertisement. | 1582 |
(d) An advertisement shall not state or
im-plyimply that a | 1583 |
viatical
settlement contract benefit or service has been approved | 1584 |
or endorsed by a group of individuals, society,
association, or | 1585 |
other organization unless that is the fact and
unless any | 1586 |
relationship between the individualgroup of individuals, society, | 1587 |
association, or
organization and the licensed viatical settlement | 1588 |
provider
is disclosed.
If
the entity making the endorsement or | 1589 |
testimonial
is owned,
controlled, or managed by the licensed | 1590 |
viatical
settlement provider, or
receives any payment or other | 1591 |
consideration from the licensed
viatical
settlement provider for | 1592 |
making an endorsement or
testimonial, that
fact shall be disclosed | 1593 |
in the advertisement. | 1594 |
(H)(I) All advertisements about a licensed viatical | 1606 |
settlement
provider
or
its viatical settlement contract, | 1607 |
products,
or services shall
clearly identify the licensed | 1608 |
viatical settlement
provider's name. If any
specific viatical | 1609 |
settlement
contract is advertised, the viatical
settlement | 1610 |
contract shall be
identified either by form number or
some other | 1611 |
appropriate
description. If an application is part of
the | 1612 |
advertisement, the
name of the licensed viatical settlement | 1613 |
provider
shall be shown on the
application. | 1614 |
(I)(J) An advertisement shall not use a trade name, group | 1615 |
designation, name of the parent company of a licensed viatical | 1616 |
settlement
licenseeprovider or licensed viatical settlement | 1617 |
broker, name of a
particular division of the licensed viatical | 1618 |
settlement
licenseeprovider or licensed viatical
settlement | 1619 |
broker, service mark, slogan, symbol, or
other device
or | 1620 |
reference without disclosing the name of the licensed
viatical | 1621 |
settlement
licenseeprovider or licensed viatical
settlement | 1622 |
broker,
if either of the following applies regarding
the | 1623 |
advertisement: | 1624 |
(J)(K) An advertisement shall not use any combination of | 1634 |
words,
symbols, or physical materials that, by their content, | 1635 |
phraseology, shape, color, or other characteristics, are so | 1636 |
similar to a
combination of words, symbols, or physical materials | 1637 |
used by a
government program or agency or otherwise appear to be | 1638 |
of such a
nature that they tend to mislead prospective viators | 1639 |
into
believing that the solicitation is in some manner connected | 1640 |
with a
government program or agency. | 1641 |
(K)(L) An advertisement may state that a licensed viatical | 1642 |
settlement
provider is licensed in the state in which the | 1643 |
advertisement
appears, provided it does not exaggerate that fact | 1644 |
or suggest or
imply that competing viatical settlement providers | 1645 |
may not be so
licensed. The advertisement may ask the audience to | 1646 |
consult the
licensee'slicensed provider's web site or contact the | 1647 |
department of insurance to find
out if the state in which the | 1648 |
advertisement appears requires
licensing
and, if it does, whether | 1649 |
the viatical settlement
provider or viatical
settlement broker is | 1650 |
licensed. | 1651 |
(M)(N) All advertisements of an actual licenseelicensed | 1657 |
viatical settlement
provider or licensed viatical settlement | 1658 |
broker shall state the
name
of the actual
licenseelicensed | 1659 |
viatical settlement provider or licensed viatical settlement | 1660 |
broker. An advertisement
shall not use a
trade name, any group | 1661 |
designation, name of any
affiliate or
controlling entity of the | 1662 |
licenseelicensed viatical settlement provider
or licensed | 1663 |
viatical settlement broker, service mark, slogan, symbol,
or other | 1664 |
device
in a manner that would have the capacity or
tendency to | 1665 |
mislead or
deceive as to the true identity of the
actual licensee | 1666 |
licensed viatical settlement
provider or licensed viatical | 1667 |
settlement broker or create the false impression that an | 1668 |
affiliate
or controlling entity would have any responsibility for | 1669 |
the
financial obligation of the licenseelicensed viatical | 1670 |
settlement provider or
licensed viatical settlement broker. | 1671 |
(d) The NAIC, national association of securities dealers | 1741 |
(NASD)financial industry regulatory authority (FINRA),
the north | 1742 |
americanAmerican securities
amdiministratorsadministrators | 1743 |
association
(NASAA),
any employee, agent, or
representative of | 1744 |
any of those
associations., or other regulatory
body overseeing | 1745 |
life insurance,
viatical settlements, securities,
or
investment | 1746 |
fraud; | 1747 |
(2) The immunity provided in division (D)(1) of this section | 1750 |
shall not apply to any statement made with actual malice. In an | 1751 |
action brought against a person for filing a report or
furnishing | 1752 |
other information concerning a fraudulent viatical
settlement act | 1753 |
or a fraudulent insurance act, the party bringing
the action shall | 1754 |
plead specifically any allegation that the
immunity provided in | 1755 |
division (D)(1) of this section does not
apply because the person | 1756 |
filing the report or furnishing the information
did so with actual | 1757 |
malice. | 1758 |
(3) If a person is the prevailing party in a civil action
for | 1759 |
libel, slander, or any other relevant tort arising out of | 1760 |
activities in
carrying out the provisions of this chapter, if the | 1761 |
prevailing party is
a person identified in division (D)(1) of this | 1762 |
section and the
immunity described in that division applies to the | 1763 |
person, and if the party who brought the action was not | 1764 |
substantially
justified in doing so, the person who is the | 1765 |
prevailing party is
entitled to an award of attorney's fees and | 1766 |
costs arising out of
the action. However, the person is not | 1767 |
entitled to an award of attorney's fees if the person provided | 1768 |
information about the person's own fraudulent viatical settlement | 1769 |
acts. For purposes of this division,
an action is
"substantially | 1770 |
justified" if it had a reasonable
basis in law or fact at the time | 1771 |
that
it was initiated. | 1772 |
(G)(1) ViaticalLicensed viatical settlement providers and | 1814 |
licensed viatical settlement
brokers shall adopt and have in place | 1815 |
antifraud initiatives
reasonably calculated to detect, prosecute, | 1816 |
and prevent fraudulent
viatical settlement acts. At the discretion | 1817 |
of the
superintendent, the superintendent may order, or a licensee | 1818 |
licensed viatical settlement provider or licensed viatical | 1819 |
settlement broker may
request and the
superintendent may grant, | 1820 |
any modifications of the
following
required initiatives described | 1821 |
in divisions (G)(1)(a)
and (b) of
this section that are necessary | 1822 |
to ensure an effective
antifraud
program. The modifications may | 1823 |
be more or less
restrictive than
the
required initiatives so long | 1824 |
as the
modifications may
reasonably be expected to
accomplish the | 1825 |
purpose
of this section.
Antifraud initiatives
under this | 1826 |
division shall
include all of the
following: | 1827 |
(2) The superintendent, by rule adopted in accordance with | 1847 |
Chapter 119. of the Revised Code, may require that antifraud plans | 1848 |
required
under division (G)(1) of this section be submitted to the | 1849 |
superintendent. If the superintendent requires that antifraud | 1850 |
plans be submitted to the superintendent, the plans so submitted | 1851 |
are privileged and confidential, are not a public record
open for | 1852 |
inspection under section 149.43 of the
revised codeRevised Code, | 1853 |
and
are not
subject to discovery or subpoena in a civil or | 1854 |
criminal
action. | 1855 |
(H) No insurer that issued a policy being viaticated shall be | 1856 |
responsible, under this chapter, for any act or omission of a | 1857 |
licensed viatical settlement broker or licensed viatical | 1858 |
settlement provider arising out of or in
connection with the | 1859 |
viatical settlement transaction unless the
insurer receives | 1860 |
compensation for the placement of a viatical
settlement contract | 1861 |
from the licensed viatical settlement provider or licensed | 1862 |
viatical settlement broker
in connection with the viatical | 1863 |
settlement contract. | 1864 |
Sec. 3916.19. (A) In addition to the penalties and other | 1865 |
enforcement provisions contained in this chapter, if any person | 1866 |
violates any provision of this chapter or any rule or regulation | 1867 |
implementing any provision of this chapter that constitutes a | 1868 |
fraudulent viatical settlement act, the superintendent of | 1869 |
insurance may seek an injunction in a court of competent | 1870 |
jurisdiction and may apply for any temporary or permanent order | 1871 |
that the superintendent determines is necessary to restrain the | 1872 |
person from committing the violation. | 1873 |
(C) In addition to the penalties and other enforcement | 1881 |
provisions
contained in this chapter, any person who violates any | 1882 |
provision
of this chapter that constitutes a fraudulent viatical | 1883 |
settlement act is subject to a civil penalty of up to
ten
thousand | 1884 |
dollars per violation. Imposition of civil penalties
described in | 1885 |
this division shall be pursuant to an order of the
superintendent | 1886 |
issued under Chapter 119. of the Revised Code. The | 1887 |
superintendent's order may require a person found to be in | 1888 |
violation of this chapter to make restitution to persons aggrieved | 1889 |
by
violations of this chapter. | 1890 |
(B) Establish standards for evaluating the reasonableness of | 1899 |
payments
under
viatical settlement contracts for persons with a | 1900 |
terminal or chronic illness
or condition. This authority
includes, | 1901 |
but is not limited
to,
the regulation of discount rates
used to | 1902 |
determine the amount paid in exchange
for the assignment, | 1903 |
transfer, sale, devise, or bequest of a benefit under a
life | 1904 |
insurance policy or certificateinsuring persons with a terminal | 1905 |
or chronic illness or condition. | 1906 |
Section 2. That existing sections 3916.01, 3916.02, 3916.03, | 1914 |
3916.04, 3916.05, 3916.06, 3916.07, 3916.08, 3916.09, 3916.10, | 1915 |
3916.11, 3916.12, 3916.13, 3916.14, 3916.15, 3916.16, 3916.17, | 1916 |
3916.18, 3916.19, and 3916.20 of the Revised Code are hereby | 1917 |
repealed. | 1918 |