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STATE OF NEW YORK
INSURANCE DEPARTMENT
EMPIRE STATE PLAZA
ALBANY, NEW YORK 12257
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Circular Letter No. 14 (1997)
August 1, 1997 |
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| TO: |
ALL INSURERS AUTHORIZED TO WRITE LIFE INSURANCE, ANNUITIES OR ACCIDENT AND HEALTH
INSURANCE IN NEW YORK STATE, INCLUDING ARTICLE 43 CORPORATIONS AND HEALTH MAINTENANCE
ORGANIZATIONS
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| RE: |
PROCEDURAL CHANGES IN THE APPROVAL PROCESS FOR LIFE INSURANCE, ANNUITY, AND
ACCIDENT AND HEALTH INSURANCE POLICY FORMS AND RATES |
Pursuant to Insurance Law Section 3201, the Superintendent must
approve policy forms prior to delivery in this state to ensure conformity
with the requirements of the law, and must do so within a reasonable time
after filing.
The interests of policyholders and insurers are best served by an
approval process that is unhindered by needless delay. Unfortunately, the
Department regularly receives from insurers incomplete submissions and forms
which clearly are not in compliance with New York law or regulation. These
inadequate and defective submissions account for needless delays and
inefficient use of the Department's limited resources which could be better
used to review and respond to properly filed and prepared submissions.
The Department is also endeavoring to improve its own processes and
procedures to make itself more responsive to its various constituencies.
Therefore, to prevent unnecessary delays and to ensure that new
products reach the market as expeditiously as possible, the Department will
take the following actions:
(1) The Department will return all product and rate submissions
that are incomplete or which fail to include all required form, rate and
actuarial material, including actuarial opinions and memoranda, or that
fail to comply with the Department's submission rules including those
found in Circular Letter 6 (1963) and Sections 52.31, 52.33, and 52.40
of Regulation 62 (11NYCRR52). If the submission is returned, the
Department will advise the insurer as to how the submission is defective
and identify the submission rule that needs to be addressed.
(2) The Department will return all product and rate submissions
that are not approvable because they clearly have not been drafted to
conform to New York Insurance Law or Department rules and regulations
or because they are clearly inconsistent with other applicable federal and
state laws. The specific statutes, rules and regulations to which the
submission must conform or with which the submission conflicts will be
stated in writing if the submission is returned.
(3) To avoid spending an excessive or disproportionate amount of
time reviewing any product or rate submission, the Department may return
a submission prior to completing its initial review if the submission is
poorly organized or difficult to understand or is found to contain several
substantive omissions or provisions which do not comply with the Insurance
Law or Department rules and regulations. In this instance, the reason for
such action, any preliminary comments and other appropriate guidance will
be provided to the insurer.
(4) The Department will close its submission file if a complete
written response to a Department comment letter or if other material due
and owing from an insurer is not received within 45 days of the date of
receipt of a comment letter or request by the Department. If a response
is received thereafter, the Department will reopen the file under a new
control number.
To help facilitate the approval process, the Department encourages
insurers to contact appropriate Department personnel prior to making their
submission with any questions concerning submission rules and filing
requirements or for any guidance regarding the rules, regulations or
statutes that apply to any insurance product intended for sale in this
state. Department personnel will be available for meetings or conference
calls to discuss new products, substantive or procedural requirements or
any other appropriate matter. Initial contacts in the Life and Health
Bureau may be made to:
Francis F. E. Morse, for life insurance and annuity legal issues,
Austin J. Rinella, for accident and health insurance legal issues,
William B. Carmello, for life insurance and annuity actuarial and
rating issues,and
James M. Gutterman, for accident and health insurance actuarial
and rating issues.
The Department wishes to remind insurers that they are responsible
for ensuring that all forms, rate material, actuarial opinions and
memoranda, submission letters, Flesch scores, required signatures,
explanations of variable material, and any other required items are
provided with their initial submission. In addition, insurers are
responsible for making sure that products submitted for approval conform
to the requirements of the New York Insurance Law and Department
rules and regulations and are not inconsistent with other applicable
federal or state laws. To this end, insurers should note that New York
requirements may differ from certain NAIC model rules and the rules
employed by other states.
Please direct all inquiries concerning this Circular Letter to
Fredric L. Bodner, Assistant Deputy Superintendent and Chief,
Life & Health Bureau, New York State Insurance Department,
Agency Building One, Empire State Plaza, Albany, New York 12257.
Very truly yours,
Fredric L. Bodner, J.D.
Assistant Deputy Superintendent
and Chief, Life & Health Bureau