Section 2123. Misrepresentations, misleading statements and incomplete comparisons  


Latest version.
  • (a) (1) No agent or representative of any insurer or health  maintenance organization authorized to transact life, accident or health
      insurance or health maintenance organization business in this state  and
      no   insurance  broker,  and  no  other  person,  firm,  association  or
      corporation, shall issue or circulate or cause or permit to be issued or
      circulated,  any  illustration,  circular,   statement   or   memorandum
      misrepresenting  the  terms,  benefits  or  advantages  of any policy or
      contract of life, accident or health insurance, any annuity contract  or
      any  health  maintenance  organization contract, delivered or issued for
      delivery or to be delivered or issued for delivery, in  this  state,  or
      shall  make  any  misleading  estimate  as  to the dividends or share of
      surplus or additional amounts to be  received  in  the  future  on  such
      policy  or  contract, or shall make any false or misleading statement as
      to the dividends or share of surplus or  additional  amounts  previously
      paid  by  any such insurer or health maintenance organization on similar
      policies or contracts, or shall make any misleading  representation,  or
      any misrepresentation, as to the financial condition of any such insurer
      or  health  maintenance  organization, or as to the legal reserve system
      upon which such insurer or health maintenance organization operates.
        (2) No such person, firm, association or corporation shall make to any
      person or persons any incomplete comparison  of  any  such  policies  or
      contracts  of any insurer, insurers, or health maintenance organization,
      for the purpose of inducing,  or  tending  to  induce,  such  person  or
      persons  to  lapse,  forfeit or surrender any insurance policy or health
      maintenance organization contract.
        (3)  Any  replacement  of  individual  life  insurance   policies   or
      individual  annuity  contracts of an insurer by an agent, representative
      of the same or different insurer or broker shall  conform  to  standards
      promulgated by regulation by the superintendent. Such regulation shall:
        (A)  specify  what  constitutes  the  replacement  of a life insurance
      policy or annuity contract and the proper  disclosure  and  notification
      procedures to replace a policy or contract;
        (B)  require  notification  of the proposed replacement to the insurer
      whose policies or contracts are intended to be replaced;
        (C) require the timely exchange of illustrative and  cost  information
      required  by section three thousand two hundred nine of this chapter and
      necessary for completion of a comparison of the  proposed  and  replaced
      coverage; and
        (D)   provide  for  a  sixty-day  period  following  issuance  of  the
      replacement policies or contracts during which the  policy  or  contract
      owner  may  return  the policies or contracts and reinstate the replaced
      policies or contracts.
        (b) Any comparison of the policies or contracts of any  such  insurer,
      insurers  or  health  maintenance  organization shall be deemed to be an
      incomplete comparison if it does not conform to all the requirements for
      comparisons established by regulation.
        (c) In the determination, judicial or otherwise, of the incompleteness
      or misleading character of any such comparison, it shall not be presumed
      that the insured knew or knows  of  any  of  the  provisions,  terms  or
      benefits  contained  in  any  insurance  policy  or  health  maintenance
      organization contract.
        (d) Any agent or representative of an insurer  or  health  maintenance
      organization,   any   insurance  broker  and  any  other  person,  firm,
      association or corporation who, or  which,  shall  violate  any  of  the
      provisions  of this section and shall knowingly receive any compensation
      or commission for the sale of any insurance policy,  health  maintenance
      organization  or annuity contract induced by a violation of this section
    
      shall also be liable for a civil penalty in the amount received by  such
      violator  as  compensation  or commission, which penalty may be sued for
      and recovered for his own use and  benefit  by  any  person  induced  to
      purchase an insurance policy, health maintenance organization or annuity
      contract  by  such  violation.  In addition, such agent, representative,
      broker, person, firm, association or corporation violating this  section
      shall be liable for a civil penalty in the amount of any compensation or
      commission  lost by any agent, representative or broker as a result of a
      violation of this section or the making  of  such  false  or  misleading
      statement,  which  penalty may be sued for and recovered for his own use
      and benefit by such agent, representative or broker.
        * (e) Except with respect to a credit unemployment  insurance  policy,
      group  credit life insurance policy, a group credit health, group credit
      accident or group credit health and accident policy,  or  similar  group
      credit  insurance  covering  the  person of the insured, state chartered
      banking institutions, federally chartered banking institutions  and  any
      person  soliciting  the purchase of or selling insurance on the premises
      thereof, must disclose or  cause  to  be  disclosed  in  writing,  where
      practicable,  in  clear  and  concise  language,  to their customers and
      prospective customers who are solicited  therefor,  that  any  insurance
      offered or sold:
        (1) is not a deposit;
        (2) is not insured by the federal deposit insurance corporation or the
      national credit union share insurance fund, as applicable; and
        (3)  is  not  guaranteed by the state chartered banking institution or
      the federally chartered banking institution.
        * NB Repealed September 10, 2011
        * (f) For the purposes of this section,  the  terms  "state  chartered
      banking  institutions"  and  "federally  chartered banking institutions"
      shall have the same meanings as set forth in subdivision one of  section
      twelve-a of the banking law.
        * NB Repealed September 10, 2011