Insurance Adjusters, Agents and Brokers Regulations
N.L.R. 989/1996
Newfoundland and Labrador — Regulations
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Copyright 2006: Queens Printer,
St. John's, Newfoundland and Labrador, Canada
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CONSOLIDATED NEWFOUNDLAND
AND
LABRADOR REGULATION 989/96
Insurance Adjusters, Agents and Brokers Regulations
under the
Insurance Adjusters, Agents and Brokers Act
(O.C. 96-295)
Amended by:
56/97
CONSOLIDATED NEWFOUNDLAND
AND
LABRADOR REGULATION 989/96
Insurance Adjusters, Agents and Brokers Regulations
under the
Insurance Adjusters, Agents and Brokers Act
(O.C. 96?295)
Under the authority of
section 44 of the Insurance Adjusters, Agents and Brokers Act
and the Subordinate Legislation Revision and Consolidation Act
, the Lieutenant-Governor in Council makes the following regulations.
REGULATIONS
Analysis
PART I
LICENSING
Short title
Definitions
Application for licence
Application for renewal
Notice of termination
Work limited
Full time work required
Non-application
Adjusters
Examination result
Level I licensee
Level II licence
Courses required
Level
III
licence
Level IV licence
Sponsorship limited
Non-application
Insurance licences
Level I licence
Level II licence
Level II licence issued
Level
III
licence
Sponsored persons limited
Representative licence
Travel insurance agent
Property and casualty insurance
Alternative sponsor
Level I licence
Representation limited
Courses required
Level
III
licence
Sponsorship limited
Declaration
Liability coverage
Prohibitions on policy
Liability
Licence renewal
Conditional licence
Civil proceedings
Investigation
Violations by licensee
Sponsor's licence
Licences to corporate bodies
Licence expiration
Variance of time period
Multiple attempts
Return required by Act
Presumption
Transition
Presumption of licensure
Experience of applicant
Licence levels
Licences terminated
Application under s.59
PART II
TRUST ACCOUNTS
Trust accounts
Trust funds
Trust funds
Insurer interest
Beneficiary interest
Withdrawal of funds
Trust accounts
Accounting records
Accounting records
Access to records
Audited statement
Additional statement
PART
III
REPLACEMENT OF CONTRACTS OF
LIFE
INSURANCE
Definition
Inducement prohibited
Replacement detrimental
Amendment or replacement required
Statement of intention
Replacement insurance
Insurer's duties
Required information
Withdrawal of application
PART IV
REPEAL
Repeal
PART I
LICENSING
Short title
These regulations may be cited as the Insurance Adjusters, Agents and Brokers Regulations.
48/91 s1
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Definitions
In these regulations
(a)
"Act" means the Insurance Adjusters, Agents and Brokers Act
(b)
"A.I.I.C." means Associate of the Insurance Institute of Canada;
(c)
"Level I" means a licence which may be held by a student; and
(d)
"minister" means the minister appointed under the Executive Council Act
to administer this Act.
48/91 s2
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Application for licence
(1) Application for licence as an adjustment company, agent, broker or special insurance broker shall be submitted to the superintendent in accordance with the form prescribed by the minister.
(2) Application for licence as an adjuster or representative shall be submitted to the superintendent in accordance with the form prescribed by the minister.
48/91 s3
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Application for renewal
Notification of transfer of services shall be submitted on a form prescribed by the superintendent.
48/91 s4; 56/97 s1
[Rep. by 56/97 s2]
56/97 s2
[Rep. by 56/97 s2]
56/97 s2
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Notice of termination
A sponsor shall provide the superintendent with notice of termination in accordance with the form prescribed by the minister within 2 working days following dismissal, resignation or a termination of a sponsored licensee.
48/91 s8
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Work limited
A person licensed under the Act shall work only in the field of insurance for which a licence is issued.
48/91 s9
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Full time work required
A person holding an adjuster or representative Level I licence shall work full time as an adjuster or representative following issue of the licence.
48/91 s10
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Non-application
Section 9 does not apply to a representative who works in an area of the province that, in the opinion of the superintendent, does not have sufficient population to support a full time representative.
48/91 s11
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Adjusters
Licences may be issued in the following categories:
(
a) Adjuster Level I;
(
b) Adjuster Level II;
(
c) Adjuster Level
III
(
d) Adjuster Level IV; and
(
e) Adjustment Company,
provided that applicants for Level I, Level II or Level
III
licences are sponsored by the holder of an adjuster Level IV licence.
48/91 s12
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Examination result
An adjuster Level I licence may be issued to a person who has achieved at least 75% success on an adjuster licence examination prescribed by the superintendent, or has equivalent qualifications acceptable to the superintendent.
48/91 s13
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Level I licensee
A person holding an adjuster Level I licence
(
a) shall work only on behalf of his or her sponsor or the sponsor's employer; and
(
b) during the first year following issue of the initial licence may assess claims or engage in negotiation of an insurance settlement only under supervision of a person holding an adjuster Level
III
or IV licence, who shall review and countersign a claim report or settlement offer submitted by the Level I licensee.
48/91 s14
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Level II licence
A person holding an adjuster Level I licence shall complete the requirements to qualify for an adjuster Level II licence and apply for a Level II licence within the 3 year period immediately following issue of the initial adjuster Level I licence, and failure to comply with this
section shall be cause for suspension, revocation or cancellation of the Level I licence.
48/91 s15; 56/97 s3
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Courses required
An adjuster Level II licence may be issued to a person who has held an adjuster Level I licence for at least 2 years and who has successfully completed all of the following courses of the Insurance Institute of Canada:
(
a) C11 - Principles and Practices of Insurance;
(
b) C12 - Insurance on Property;
(
c) C14 - Automobile Insurance; and
(
d) C17 - Claims 1, or
has equivalent qualifications acceptable to the superintendent.
48/91 s16
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Level
III
licence
An adjuster Level
III
licence may be issued to a person who has held an adjuster Level II licence for at least one year and who has successfully completed, within the 3 year period immediately preceding application, all of the following courses of the Insurance Institute of Canada:
(
a) C13 - Insurance Against Liability;
(
b) C33 - Insurance on Property -
Part II;
(
c) C46 - Claims II; and
(
d) C43 - Casualty Covers, or
has equivalent qualifications acceptable to the superintendent.
48/91 s17
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Level IV licence
An adjuster Level IV licence may be issued to a person who has held an adjuster Level
III
licence for at least one year and who has successfully completed, within the 7 year period immediately preceding application, the A.I.I.C. program of the Insurance Institute of Canada, including all of the following courses:
(
a) C32 - Bodily Injury Claims;
(
b) C16 - Insurance Organization, Accounts and Finance; and
(
c) another 2 optional courses, or
has equivalent qualifications acceptable to the superintendent.
48/91 s18
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Sponsorship limited
A person holding an adjuster Level IV licence shall not sponsor more than 5 persons holding adjuster Level I licences.
48/91 s19
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Non-application
The provisions of the Act and these regulations do not apply to a person adjusting or dealing solely with claims
(
a) under a contract of aircraft insurance;
(
b) under a contract of marine insurance;
(
c) under a contract of life insurance;
(
d) under a contract of accident insurance, sickness insurance or accident and sickness insurance;
(
e) under a contract of automobile insurance, provided that total property damage incurred by all parties does not exceed $1,500 and the claim does not involve
(
i) bodily injury,
(ii)
salvage,
(iii)
subrogation,
(iv)
fraud,
(
v) dispute as to coverage,
(vi)
dispute as to liability,
(vii)
total loss of a vehicle, or
(viii)
breach of a statute;
(
f) under a contract of property or liability insurance, provided that total damage incurred by all parties does not exceed $1,500 and the claim does not involve
(
i) bodily injury,
(ii)
salvage,
(iii)
subrogation,
(iv)
fraud,
(
v) dispute as to coverage,
(vi)
dispute as to liability, or
(vii)
breach of a statute; and
(
g) arising as a result of a catastrophic event where, in the opinion of the superintendent, the number of adjusters licensed under the Act does not facilitate the timely adjusting of losses arising from the catastrophe.
48/91 s20
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Insurance licences
Licences may be issued in the following categories, provided that the applicant is sponsored by a life or accident and sickness insurer licensed under the Insurance Companies Act:
(
a) Life Insurance Representative Level I;
(
b) Life Insurance Representative Level II;
(
c) Life Insurance Representative Level
III
(
d) Life Insurance Agent;
(
e) Life Insurance Broker;
(
f) Accident and Sickness Insurance Representative;
(
g) Accident and Sickness Insurance Agent;
(
h) Accident and Sickness Insurance Broker; and
(
i) Travel Insurance Agent.
48/91 s21
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Level I licence
A life insurance representative Level I licence may be issued to a person who has achieved at least 75% success on both a life insurance representative licence examination and an accident and sickness insurance representative licence examination prescribed by the superintendent, or has equivalent qualifications acceptable to the superintendent.
48/91 s22
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Level II licence
A person holding a life insurance representative Level I licence shall complete the requirements prescribed to qualify for a life insurance representative Level II licence and apply for a Level II licence within the 3 year period immediately following issue of the initial life insurance representative Level I licence, and failure to comply with this
section shall be cause for suspension, revocation or cancellation of the Level I licence.
48/91 s23; 56/97 s4
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Level II licence issued
A life insurance representative Level II licence may be issued to a person who has held a life insurance representative Level I licence for at least one year and who has successfully completed the Life Underwriters Association Training Courses I and II, or has equivalent qualifications acceptable to the superintendent.
48/91 s24
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Level
III
licence
A life insurance representative Level
III
licence may be issued to a person who has held a life insurance representative Level II licence for at least one year and who has successfully completed the courses and examinations required for designation as a chartered life underwriter, or has equivalent qualifications acceptable to the superintendent.
48/91 s25
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Sponsored persons limited
A sponsoring life insurer shall not sponsor more than 5 life insurance representative Level I licensees for each life insurance representative Level II or
III
licensee sponsored by the sponsor.
48/91 s26
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Representative licence
An accident and sickness insurance representative licence may be issued to a person who has achieved at least 75% success on an accident and sickness insurance representative licence examination prescribed by the superintendent, or has equivalent qualifications acceptable to the superintendent.
48/91 s27
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Travel insurance agent
A natural person who represents a travel insurance agent may act under authority of the agent's licence.
48/91 s28
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Property and casualty insurance
Licences may be issued in the following categories, provided that the applicant is sponsored by a property and casualty insurer licensed under the Insurance Companies Act:
(
a) Property and Casualty Insurance Representative Level I;
(
b) Property and Casualty Insurance Representative Level II;
(
c) Property and Casualty Insurance Representative Level
III
(
d) Property and Casualty Insurance Agent;
(
e) Property and Casualty Insurance Broker; and
(
f) Special Insurance Broker.
48/91 s29
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Alternative sponsor
An applicant for a property and casualty insurance representative Level I, II or
III
licence may be sponsored by a licensed property and casualty insurance agent or broker as an alternative to the sponsor required in
section 28.
48/91 s30
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Level I licence
A property and casualty insurance representative Level I licence may be issued to a person who has
(
a) achieved at least 75% success on a property and casualty insurance representative licence examination prescribed by the superintendent; or
(
b) successfully completed the "Fundamentals of Insurance" course of the Insurance Brokers Association of Canada, or
has equivalent qualifications acceptable to the superintendent.
48/91 s31
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Representation limited
A person holding a property and casualty insurance representative Level I licence shall represent only his or her sponsor.
48/91 s32
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Courses required
A property and casualty insurance representative Level II licence may be issued to a person who has held a property and casualty representative Level I licence for at least one year and who has successfully completed within the 4 year period immediately preceding the application
(
a) the following courses of the Insurance Institute of Canada:
(
i) C11 - Principles and Practices of Insurance,
(ii)
C71 - Personal Lines Production,
(iii)
C17 - Claims 1,
(iv)
C14 - Automobile Insurance,
(
v) C12 - Insurance on Property, and
(vi)
C72 - Commercial Lines Production 1; or
(
b) Parts 1 and 2 of the Canadian Accredited Insurance Broker designation program, or
has equivalent qualifications acceptable to the superintendent.
48/91 s33
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Level
III
licence
A property and casualty insurance representative Level
III
licence may be issued to a person who has held a property and casualty insurance representative Level II licence for at least one year and who has successfully completed the A.I.I.C. program of the Insurance Institute of Canada or the Canadian Accredited Insurance Broker designation program, or has equivalent qualifications acceptable to the superintendent.
48/91 s34
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Sponsorship limited
A sponsor shall not sponsor more than 5 property and casualty insurance representative Level I licensees for each property and casualty insurance representative Level II or Level
III
licensee sponsored by the sponsor.
48/91 s35
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Declaration
The declaration required from a special insurance broker in subsection 25(4) of the Act shall be in a form prescribed by the superintendent.
48/91 s36
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Liability coverage
(1) A licence shall not be issued except upon proof satisfactory to the superintendent that the applicant will be covered for the duration of the licence by a policy of
(
a) liability insurance for an amount of at least $1 million, or $1.5 million in the case of a special insurance broker under
section 24 of the Act, in respect of an occurrence with regard to negligent acts, errors or omissions with extended coverage for loss resulting from fraudulent acts pertaining to the licensed activity; and
(
b) fidelity insurance against losses arising from dishonesty of employees, a proprietor, partners, directors, officers or shareholders for an amount of at least $100,000 in respect of an occurrence.
(2) The policies of insurance referred to in this
section shall be in a form acceptable to the superintendent and shall be issued by an underwriting insurer acceptable to the superintendent.
(3) A licence expires on the date of the effective cancellation or non-renewal of an insurance policy unless before that date the insurance is replaced in compliance with subsection (1).
135/93 s1; 56/97 s5
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Prohibitions on policy
A policy of insurance specified in
section 36
(
a) shall not contain a deductible clause in an amount greater than $10,000 for each occurrence, unless the licensee files proof of financial responsibility acceptable to the superintendent; or
(
b) shall not be cancelled, terminated or renewed and a person shall not be deleted from a group policy, except upon 60 days' notice by registered mail from the underwriting insurer or the licensee to the superintendent, provided that the superintendent may waive the period of 60 days' notice or a part of it following proof satisfactory to the superintendent that the licensee has ceased licensed activity or is covered by another policy of insurance acceptable to the superintendent.
48/91 s38; 135/93 s2
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Liability
An underwriting insurer or an insured who issues, or who permits to be cancelled, terminated or not renewed, or who deletes a licensee from a policy of insurance in violation of
section 37 shall be liable together with the licensee concerned for all damages arising as a result of that violation.
48/91 s39; 135/93 s3
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Licence renewal
Upon becoming aware that a licensee has been charged with
(
a) an offence under the Criminal Code;
(
b) a quasi-criminal offence under another Act of the Parliament of Canada or a provincial legislature,
the superintendent may cause an investigation to be made into the matter and after the licensee has been given an opportunity to be heard, the superintendent may suspend, revoke, or place conditions upon the licensee's licence.
48/91 s40; 56/97 s6
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Conditional licence
Upon becoming aware that a licensee has been charged with
(
a) an offence under the Criminal Code
relating to a licensed activity;
(
b) a quasi-criminal offence under another Act of the Parliament of Canada or a provincial legislature relating to a licensed activity; or
(
c) an offence under the Act,
the superintendent shall cause an investigation to be made into the matter and after the licensee has been given an opportunity to be heard, the superintendent may suspend, revoke, or place conditions upon the licensee's licence.
48/91 s41; 56/97 s6
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Civil proceedings
Upon becoming aware that civil proceedings have been commenced in a court of competent jurisdiction against a licensee in a matter arising from a licensed activity, the superintendent may cause an investigation to be made into the matter and after the licensee has been given an opportunity to be heard, the superintendent may suspend, revoke, or place conditions upon the licensee's licence.
48/91 s42; 56/97 s6
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Investigation
The superintendent may commence or re-open an investigation or hearing at any time.
48/91 s43
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Violations by licensee
The superintendent may suspend, revoke, or place conditions upon a licence if, after an investigation and after the licensee has been given an opportunity to be heard, the superintendent has evidence satisfactory to him or her that the licensee
(
a) may have engaged in misrepresentation or in a fraudulent, deceitful or dishonest act;
(
b) has made a material mistake in the application for a licence;
(
c) has violated the provisions of
(
i) the Insurance Companies Act,
(ii)
the Insurance Contracts Act,
(iii)
the Life Insurance Act,
(iv)
the Fire Insurance Act,
(
v) the Accident and Sickness Insurance Act,
(vi)
the Automobile Insurance Act,
(vii)
the Trade Practices Act,
(viii)
the Act,
(ix)
the Insurance Acts of Canada or of a province to which the licensee is subject, or
(
x) a rule or regulation made under the authority of those Acts;
(
d) has unreasonably failed to make payment of money due to a person in relation to the licensed activity;
(
e) has placed insurance with insurers other than those licensed to transact business in the province, unless that insurance was placed in accordance with
section 24 of the Act; or
(
f) has demonstrated incompetence or untrustworthiness in relation to the licensed activity.
48/91 s44; 56/97 s6
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Sponsor's licence
When a sponsor's licence is suspended, revoked or cancelled, the licences of all persons sponsored by that sponsor are suspended until the sponsor's licence is restored or until a transfer of services to another sponsor is approved by the superintendent.
48/91 s45; 56/97 s7
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Licences to corporate bodies
A licence may be issued to a body corporate or partnership only where the superintendent is satisfied that
(
a) at least one of the persons responsible for the regular operation of the applicant
(
i) holds the highest level of licence in the field of insurance in which the applicant proposes to engage, or
(ii)
has equivalent qualifications acceptable to the superintendent; and
(
b) financial resources sufficient to fund the operation of the applicant are available.
48/91 s46
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Licence expiration
A natural person who applies for a licence
(
a) within 2 years following the expiration of a licence issued under the Act shall be eligible for the level of licence previously held;
(
b) more than 2 years following expiration of a licence issued under the Act shall be required to successfully complete the qualifications prescribed in
section 12, 21, 26 or 30 and the superintendent may then issue the level of licence which the superintendent considers appropriate.
48/91 s47
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Variance of time period
The superintendent may, in his or her absolute discretion, vary a time period stated in these regulations, upon written application stating reasons why a variation is requested, and the superintendent may require that information, assurances or hearings that he or she considers appropriate.
48/91 s48
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Multiple attempts
A person who does not achieve at least 75% in an examination prescribed by the superintendent in
section 12, 21, 26 or 30 shall be permitted to register for another examination attempt after the expiry of the following periods of time:
(
a) second attempt - one month after the first attempt;
(
b) third attempt - one month after the second attempt; and
(
c) subsequent attempts - 6 months after the previous attempt.
48/91 s52
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Return required by Act
The return required by
section 34 of the Act shall be in the form of a letter signed by an officer or director of the insurer listing the names, licence numbers and addresses of all persons required to be identified.
48/91 s53
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Presumption
For the purpose of subsection 38(2) of the Act, a person who has procured insurance contracts on behalf of a fraternal or mutual benefit society in the preceding year in an amount of insurance in excess of $100,000 shall be presumed to be devoting or intending to devote more than 50% of his or her time to the solicitation or procurement of insurance contracts for the society.
48/91 s54
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Transition
A person who holds a valid licence issued under the Life and Accident Insurance Agents Licensing Act
or the Insurance Adjusters Act
on the date the Act comes into force is considered to hold that licence under the Act and applications for renewal shall be made in accordance with these regulations.
48/91 s55
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Presumption of licensure
A person whose employment does not require that person to hold a licence under the Life and Accident Insurance Agents Licensing Act
or the Insurance Adjusters Act
on the date the Act comes into force but which does require that person to hold a licence under the Act is considered to hold that licence from the date the Act comes into force until the date a licence is issued or refused under the Act, provided that application for licence is made within one month following the date the Act comes into force.
48/91 s56
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Experience of applicant
A person referred to in
section 51 or 52 who applies for a licence or renewal under the Act shall be eligible for the level of licence which corresponds with the years of experience indicated in the lists that follow:
(
a) insurance adjusting field
(
i) Adjuster Level I - under 3 years,
(ii)
Adjuster Level II - 3 years to under 5 years,
(iii)
Adjuster Level
III
- 5 years to under 7 years, and
(iv)
Adjuster Level IV - 7 years and over;
(
b) life insurance field
(
i) Life Insurance Representative Level I - under 3 years,
(ii)
Life Insurance Representative Level II - 3 years to under 6 years, and
(iii)
Life Insurance Representative Level
III
- 6 years and over; and
(
c) property and casualty insurance field
(
i) Property and Casualty Representative Level I - under 3 years,
(ii)
Property and Casualty Representative Level II - 3 years to under 6 years, and
(iii)
Property and Casualty Representative Level
III
- 6 years and over.
48/91 s57
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Licence levels
A natural person who is issued a licence under
section 53 may be issued higher levels of licence upon application and proof satisfactory to the superintendent that he or she has acquired the corresponding years of experience stated in
section 53, notwithstanding that the educational requirements prescribed in these regulations for those subsequent licences may not be met.
48/91 s58
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Licences terminated
A natural person who applies for a licence under the Act within 2 years after termination of
(
a) a licence held under the Life and Accident Insurance Agents Licensing Act
or the Insurance Adjusters Act;
(
b) employment which did not require a licence under the Life and Accident Insurance Agents Licensing Act
or the Insurance Adjusters Act
but which does require a licence under the Act,
shall be eligible for the level of licence prescribed in
section 53 and may take benefit of the provision of
section 54, provided that that person held the original licence or employment for a minimum of 3 years immediately before termination of the original licence or employment.
48/91 s59
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Application under s.59
A natural person who applies for a licence under the Act more than 2 years after termination of a licence or employment referred to in
section 55 shall be required to successfully complete the qualifications prescribed in
section 12, 21, 26 or 30 whereupon the superintendent may issue the level of licence that the superintendent considers appropriate.
48/91 s60
PART II
TRUST ACCOUNTS
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Trust accounts
An agent, broker and special insurance broker shall maintain a trust account that may be interest bearing at a chartered bank, trust company or credit union in the province to be used solely for the discharge of trust obligations under the Act.
48/91 s61
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Trust funds
All trust funds received by an agent, broker or special insurance broker, whether by cash, cheque or otherwise, shall be held apart from his or her own money or estate and shall be deposited in the trust account referred to in
section 57 or remitted to the beneficiary not later than 3 business days following the day on which the funds are received.
48/91 s62
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Trust funds
(1) A representative shall not maintain a trust account, unless authorized to do so by the superintendent, but shall hold all trust funds received separate and apart from his or her own money or estate and shall remit all trust funds to the beneficiary not later than 3 business days following the day on which the funds are received.
(2) A representative authorized by the superintendent to maintain a trust account shall do so in accordance with these regulations.
48/91 s63
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Insurer interest
Interest earned on funds held in trust for an insurer shall be the property of the agent, broker, special insurance broker or representative maintaining the account, unless otherwise agreed with the insurer.
48/91 s64
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Beneficiary interest
Interest earned on funds held in trust for a beneficiary other than an insurer shall be the property of and paid to that beneficiary with the trust funds.
48/91 s65
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Withdrawal of funds
Funds shall not be withdrawn from a trust account except for payment of
(
a) a premium;
(
b) a refund or an adjustment;
(
c) a commission or a deduction to which an agent, broker, special insurance broker or representative is entitled by written consent of the insurer;
(
d) interest and service charges;
(
e) taxes owing on premiums;
(
f) funds deposited in error; and
(
g) another disbursement authorized in writing by the superintendent.
48/91 s66
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Trust accounts
A person who maintains a trust account shall maintain current trust account records and prepare a monthly reconciliation of all trust accounts showing trust assets and liabilities and shall keep appropriate documents to verify trust account transactions.
48/91 s67
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Accounting records
An agent, broker, special insurance broker and representative, other than a representative who is an employee of them or an insurer, shall maintain current accounting records showing the financial affairs of their business and the other information that the superintendent may require, and shall keep appropriate documents to verify the accounting records.
48/91 s68
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Accounting records
All accounting records and financial statements maintained under the Act shall be prepared in accordance with generally accepted accounting principles.
48/91 s69
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Access to records
The superintendent or his or her representative shall have access at all reasonable times to all accounting records, financial statements and documents required to be maintained and kept by the Act.
48/91 s70
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Audited statement
An agent, broker, special insurance broker and representative, other than a representative who is an employee of them or an insurer, shall provide the superintendent with a current audited financial statement within 60 days after written request for it.
48/91 s71
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Additional statement
In addition to the requirements of
section 33 of the Act, the superintendent may require an agent, broker, special insurance broker or representative to file a statement of financial affairs in a form prescribed by the superintendent at the times that the superintendent considers necessary.
48/91 s72
PART
III
REPLACEMENT OF CONTRACTS OF
LIFE
INSURANCE
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Definition
In this Part, "replacement of a contract of life insurance" means a transaction in which a contract of life insurance is or will be purchased from an insurer and an existing contract of life insurance is or will be
(
a) rescinded, lapsed or surrendered;
(
b) changed to paid-up insurance;
(
c) continued as extended term insurance;
(
d) continued under automatic premium loan;
(
e) changed in a manner that results in a reduction of benefits;
(
f) changed so that more than 50% of the cash value is or will be released; or
(
g) subject to borrowing in excess of 50% of the cash value, either in a single loan or under a
schedule over time,
but does not include a transaction in which
(
h) a new contract of life insurance is made with an insurer with whom the applicant has an existing contract of life insurance in furtherance of a contractual privilege exercised by the policyholder;
(
i) a contract of life insurance is replaced by an annuity; or
(
j) a contract of life insurance is replaced by group insurance,
provided that the superintendent may in his or her discretion determine whether a transaction is a replacement of a contract of life insurance.
48/91 s73
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Inducement prohibited
A person shall not directly or indirectly induce or attempt to induce a policy owner to replace an existing contract of life insurance with a new contract of life insurance where the replacement may be detrimental to the interests of the policy owner.
48/91 s74
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Replacement detrimental
An agent, broker or representative who becomes aware that replacement of a contract of life insurance may be detrimental to the interests of a policy owner shall explain the consequences of replacement and make every reasonable effort to encourage the policy owner to maintain the existing contract of life insurance.
48/91 s75
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Amendment or replacement required
An agent, broker or representative who becomes aware that an existing contract of life insurance should be amended or replaced by another contract of life insurance shall request the insurer which issued the existing contract to amend or replace it in a manner that will ensure that all values, credits or privileges in the existing contract are retained or transferred to a new contract.
48/91 s76
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Statement of intention
Every application for a contract of life insurance shall include a statement signed by the applicant stating whether or not replacement of a contract of life insurance is intended.
48/91 s77
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Replacement insurance
When replacement of a contract of life insurance is intended or will result from a transaction, the selling agent, broker or representative shall
(
a) before accepting an application for a replacement contract of insurance
(
i) prepare a list of all life insurance contracts to be replaced,
(ii)
prepare, sign, review and leave with the applicant a disclosure statement in the form prescribed by the superintendent pertaining to each contract of life insurance intended to be replaced, and
(iii)
obtain on each completed disclosure statement referred to in subparagraph (ii) the signature of the applicant and the signature of the life insured if other than the applicant attesting to the receipt of the completed disclosure statement;
(
b) within 3 working days of receiving application for a replacement contract of insurance, forward a copy of the signed disclosure statement to the local office of every insurer whose contract is to be replaced;
(
c) forward with each application for a replacement contract of life insurance
(
i) a copy of the signed disclosure statement,
(ii)
a copy of all written proposals presented to the applicant by the agent, broker or representative, and
(iii)
a copy of all written directions received from the applicant; and
(
d) deliver each replacement contract of life insurance to the applicant as soon as possible after receiving it from the insurer, unless contrary written instructions have been received from the applicant.
48/91 s78
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Insurer's duties
Upon receiving an application disclosing that there will be replacement of a contract of life insurance, every insurer shall
(
a) ensure that a completed copy of the disclosure statement is filed with the application;
(
b) maintain in its principal office or place of business in Canada for at least 3 years copies of all material forwarded by the agent, broker or representative under these regulations; and
(
c) issue the new contract of life insurance as soon as possible following approval of the application.
48/91 s79
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Required information
Every insurer shall provide the information necessary to complete the disclosure statement to other insurers or their agents, brokers or representatives upon request enclosing written authorization of the client.
48/91 s80
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Withdrawal of application
(1) An applicant for replacement of a contract of life insurance may withdraw the application by written notice to the replacement insurer or an agent, broker or representative of that insurer within 20 days of receiving delivery of the disclosure statement.
(2) When an applicant withdraws an application for replacement of a contract of life insurance, the replacement insurer shall refund a premium deposit or other payment made by the applicant in respect of the proposed replacement, provided that when the application is for a single premium life insurance policy or a stated group of assets, the refund shall be adjusted to reflect the change in the capital value of the contract.
48/91 s81
PART IV
REPEAL
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Repeal
The Insurance Adjusters, Agents and Brokers Regulations, 1991, Newfoundland Regulation 48/91, are repealed.
Earl G. Tucker, Queen's Printer