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PRINTER'S NO. 2862
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
1766
Session of
2015
INTRODUCED BY PICKETT AND DeLUCA, FEBRUARY 17, 2016
REFERRED TO COMMITTEE ON INSURANCE, FEBRUARY 17, 2016
AN ACT
Amending Title 40 (Insurance) of the Pennsylvania Consolidated
Statutes, providing for standard valuation; and making
related repeals regarding Act 284 of 1921 and Act 285 of
1921.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Title 40 of the Pennsylvania Consolidated
Statutes is amended by adding a part to read:
PART IV
STANDARD VALUATION
Chapter
71. Reserve Liabilities
CHAPTER 71
RESERVE LIABILITIES
Subchapter
A. General Provisions
B. Valuation of Reserves for Contracts and Policies
C. Confidentiality
D. Exemptions
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E. Miscellaneous Provisions
SUBCHAPTER A
GENERAL PROVISIONS
Sec.
7101. Scope.
7102. Definitions.
7103. Special applicability provisions.
7104. Notice regarding operative date of valuation manual.
7105. Regulations.
§ 7101. Scope.
This chapter relates to standards for the valuation of
reserve liabilities for life insurance, accident and health
insurance and deposit-type contracts depending on their date of
issuance.
§ 7102. Definitions.
The following words and phrases when used in this chapter
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Accident and health insurance." A contract that
incorporates morbidity risk and provides protection against
economic loss resulting from accident, sickness or medical
conditions and as may be specified in the valuation manual.
"Appointed actuary." A qualified actuary who is appointed in
accordance with the valuation manual to prepare the actuarial
opinion required by section 7114 (relating to actuarial opinion
of reserves on or after operative date of valuation manual).
"Commissioner." The Insurance Commissioner of the
Commonwealth.
"Company." An entity, including a fraternal benefit society,
that:
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(1) has written, issued or reinsured life insurance
contracts, accident and health insurance contracts or
deposit-type contracts in this Commonwealth and has at least
one policy in force or on claim; or
(2) is required to hold a certificate of authority to
write life insurance contracts, accident and health insurance
contracts or deposit-type contracts in this Commonwealth.
"Department." The Insurance Department of the Commonwealth.
"Deposit-type contract." A contract that does not
incorporate mortality or morbidity risks and as may be specified
in the valuation manual.
"Experience data." Documents, materials, data and other
information submitted by a company under section 7127 (relating
to experience reporting for policies in force on or after
operative date of valuation manual).
"Experience materials." Documents, materials, data and other
information, including all working papers and copies of all
these items created or produced in connection with experience
data, which include any potentially company-identifying or
personally identifiable information provided to or obtained by
the commissioner.
"Fraternal benefit society." As provided for under Article
XXIV of The Insurance Company Law of 1921.
"Group-wide supervisor." The chief insurance regulatory
official who is:
(1) Authorized to engage in conducting and coordinating
group-wide supervision activities.
(2) From the jurisdiction determined or acknowledged by
the department under section 1406.2(c) of The Insurance
Company Law of 1921 to have sufficient, significant contacts
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with the international insurance group.
"IAIS." The International Association of Insurance
Supervisors or its successor organization.
"Life insurance." A contract that incorporates mortality
risk, including an annuity or pure endowment contract, and as
may be specified in the valuation manual.
"NAIC." The National Association of Insurance Commissioners,
its subsidiaries or affiliates or its successor organization.
"Operative date of the valuation manual." The January 1 of
the first calendar year following the first July 1 when all of
the following have occurred:
(1) The valuation manual has been adopted by NAIC by an
affirmative vote of at least 42 members or 75% of the members
voting, whichever is greater.
(2) The Standard Valuation Law, as amended by NAIC in
2009, or legislation including substantially similar terms
and provisions, has been enacted by both of the following:
(i) States representing more than 75% of the direct
premiums written as reported for life, accident and
health annual statements, health annual statements or
fraternal annual statements submitted in 2008.
(ii) At least 42 of the 55 NAIC member
jurisdictions, including the 50 states, American Samoa,
the United States Virgin Islands, the District of
Columbia, Guam and Puerto Rico.
"Policyholder behavior." An action taken by a policyholder,
certificate holder, contract holder or any other person having
the right to elect options as to a policy or contract subject to
this chapter. The options shall:
(1) Include lapse, withdrawal, transfer, deposit,
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premium payment, loan, annuitization or benefit elections
prescribed by the policy or contract.
(2) Exclude events of mortality or morbidity that result
in benefits prescribed in their essential aspects by the
terms of the policy or contract.
"Principle-based valuation." A reserve valuation that:
(1) Uses one or more methods or one or more assumptions
determined by the insurer.
(2) Is required to comply with section 7126 (relating to
requirements of principle-based valuation) as specified in
the valuation manual.
"Qualified actuary." An individual who:
(1) Is qualified to sign the applicable statement of
actuarial opinion in accordance with the American Academy of
Actuaries qualification standards for actuaries signing these
statements of actuarial opinion.
(2) Meets the requirements specified in the valuation
manual.
"Reserve liabilities," "reserves" or "net value." An amount
recorded in financial statements to reflect potential
obligations.
"Tail risk." A risk that occurs where:
(1) the frequency of low probability events is higher
than expected under a normal probability distribution; or
(2) there are observed events of very significant size
or magnitude.
"The Insurance Company Law of 1921." The act of May 17, 1921
(P.L.682, No.284), known as The Insurance Company Law of 1921.
"Valuation manual." The manual of valuation instructions
adopted by NAIC or as subsequently amended and adopted by NAIC.
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Unless a change in the valuation manual specifies a later
effective date, a change to the valuation manual is effective on
January 1 following the date when the change to the valuation
manual has been adopted by NAIC by an affirmative vote
representing both of the following:
(1) At least 75% of the members of NAIC voting, but not
less than a majority of the total membership.
(2) Members of NAIC representing jurisdictions totaling
more than 75% of the direct premiums written as reported in
the most recently available life, accident and health annual
statements, health annual statements or fraternal annual
statements.
§ 7103. Special applicability provisions.
The standards for the valuation of reserve liabilities for
life insurance, accident and health insurance and deposit-type
contracts shall be subject to the following applicability
provisions:
(1) The following shall apply to policies or contracts
subject to this chapter that were issued on or after May 17,
1921, and prior to the operative date of the valuation
manual:
(i) Section 7115 (relating to computation of minimum
standard).
(ii) Section 7116 (relating to computation of
minimum standard for annuities).
(iii) Section 7117 (relating to computation of
minimum standard by calendar year of issue).
(iv) Section 7118 (relating to reserve valuation
method for life insurance and endowment benefits).
(v) Section 7119 (relating to reserve valuation
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method for annuity and pure endowment benefits).
(vi) Section 7120 (relating to minimum reserves).
(vii) Section 7121 (relating to optional reserve
calculation).
(viii) Section 7122 (relating to reserve calculation
for valuation net premium exceeding gross premium
charged).
(ix) Section 7123 (relating to reserve calculation
for indeterminate premium plans).
(2) Except as otherwise provided in this chapter,
section 7124 (relating to minimum standard for accident and
health insurance contracts) shall apply to policies issued
before, on or after the operative date of the valuation
manual.
(3) The following shall not apply to policies or
contracts subject to this chapter that were issued on or
after May 17, 1921, and prior to the operative date of the
valuation manual:
(i) Section 7125 (relating to v aluation manual for
policies issued on or after operative date of valuation
manual).
(ii) Section 7126 (relating to requirements of
principle-based valuation).
(4) Sections 7125 and 7126 shall apply to policies
issued on or after the operative date of the valuation
manual.
§ 7104. Notice regarding operative date of valuation manual.
Upon the occurrence of the last occurring event under the
definition of "operative date of the valuation manual" in
section 7102 (relating to definitions), the commissioner shall
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issue a notice regarding the operative date of the valuation
manual to be published in the Pennsylvania Bulletin and on the
department's publicly accessible Internet website.
§ 7105. Regulations.
The department may promulgate regulations, as necessary, to
implement, administer and enforce this chapter.
SUBCHAPTER B
VALUATION OF RESERVES FOR CONTRACTS AND POLICIES
Sec.
7111. Reserve valuation for policies and contracts issued prior
to operative date of valuation manual.
7112. Reserve valuation for policies and contracts issued on or
after operative date of valuation manual.
7113. Actuarial opinion of reserves prior to operative date of
valuation manual.
7114. Actuarial opinion of reserves on or after operative date
of valuation manual.
7115. Computation of minimum standard.
7116. Computation of minimum standard for annuities.
7117. Computation of minimum standard by calendar year of
issue.
7118. Reserve valuation method for life insurance and endowment
benefits.
7119. Reserve valuation method for annuity and pure endowment
benefits.
7120. Minimum reserves.
7121. Optional reserve calculation.
7122. Reserve calculation for valuation net premium exceeding
gross premium charged.
7123. Reserve calculation for indeterminate premium plans.
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7124. Minimum standard for accident and health insurance
contracts.
7125. Valuation manual for policies issued on or after the
operative date of valuation manual.
7126. Requirements of principle-based valuation.
7127. Experience reporting for policies in force on or after
operative date of valuation manual.
§ 7111. Reserve valuation for policies and contracts issued
prior to operative date of valuation manual.
(a) Applicability.--This section shall apply to each policy
or contract issued prior to the operative date of the valuation
manual.
(b) Annual valuation.--The commissioner shall annually
value, or cause to be valued, the reserve liabilities for all
outstanding life insurance policies and annuity and pure
endowment contracts of each company doing business in this
Commonwealth. The commissioner may certify the amount of
reserves.
(c) Calculation.--In calculating reserves, the commissioner
may use group methods and approximate averages for fractions of
a year or otherwise.
(d) Other jurisdictions.--In lieu of the valuation of the
reserves required of a foreign or alien company, the
commissioner may accept a valuation made, or caused to be made,
by the insurance supervisory official of any state or other
jurisdiction when the valuation complies with the minimum
standard provided in this chapter.
(e) Minimum standard.--The minimum standard for the
valuation of policies and contracts issued prior to the
operative date of section 410A of The Insurance Company Law of
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1921 shall be as follows:
(1) The net value of all outstanding policies of life
insurance, issued by the company prior to January 1, 1890,
shall be computed upon the basis of the American experience
table of mortality, with interest at not less than 4.5% and
not more than 6% per year.
(2) The net value of all outstanding policies, issued
between January 1, 1890, and January 1, 1903, shall be
computed on the combined experience or actuaries' table of
mortality, with interest at 4% per year.
(3) The net value of all outstanding policies of life
insurance, issued on and after January 1, 1903, shall be
computed on the American experience table of mortality, with
interest at 3.5% per year, but a company may value its group
term insurance policies, under which premium rates are not
guaranteed for a period in excess of five years, according to
the American men ultimate table of mortality, with interest
at 3.5% per year.
(4) The net value of all policies of life insurance,
issued on and after January 1, 1921, where the premiums are
payable monthly or more frequently, shall be computed
according to the American experience table of mortality, with
interest at 3.5% per year, but a company may voluntarily
value its industrial policies according to the standard
industrial mortality table, with interest at 3.5% per year.
(5) The net value of a policy at any time shall be taken
to be the single net premium which will, at that time, affect
the insurance, less the value at that time of the future net
premiums called for by the table of mortality and rate of
interest designated.
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(6) Except as otherwise provided in sections 7116(a)
(relating to computation of minimum standard for annuities)
and 7117(a) (relating to computation of minimum standard by
calendar year of issue) for group annuity and pure endowment
contracts, the legal minimum standard for valuation of
annuities issued after January 1, 1912, shall be computed
according to McClintock's table of mortality among
annuitants, with interest at 3.5% per year, but the following
shall apply:
(i) For annuities and pure endowments purchased
under group annuity and pure endowment contracts, the
legal minimum standard may, at the option of the company,
be computed according to the 1971 Group Annuity Mortality
Table or any modification of this table approved by the
commissioner, with interest at 5% per year.
(ii) Annuities deferred 10 or more years, and
written in connection with life or term insurance, shall
be valued upon the same mortality table from which the
consideration or premiums were computed, with interest at
not more than 3.5% per year.
(7) At any time and under any of its policies of life
insurance, a company may elect to reserve on the following,
with its obligations under these policies to be valued
accordingly:
(i) the American experience table of mortality with
a lower rate of interest, but at a rate not less than 2%
per year; or
(ii) the American men ultimate table of mortality,
with any modification and extension below 20 years of age
as may be approved by the commissioner, with interest at
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a rate not less than 2% nor more than 3.5% per year.
(8) On or after the operative date of section 410A of
The Insurance Company Law of 1921, reserves for any policies
or contracts may be calculated, at the option of the company,
according to any standard which produces greater aggregate
reserves for all these policies or contracts than the
standard in use by the company immediately prior to the
exercise of the option.
(9) With the approval of the commissioner, a company
that adopts a standard under paragraph (8) may adopt a lower
standard of valuation for any policies or contracts if that
lower standard is not lower than:
(i) the minimum reserves provided under this
section;
(ii) the standard specified in the policies or
contracts; or
(iii) the standard used by the company for the
determination of the nonforfeiture values of the policies
or contracts.
§ 7112. Reserve valuation for policies and contracts issued on
or after operative date of valuation manual.
(a) Applicability.--This section shall apply to each policy
or contract issued on or after the operative date of the
valuation manual.
(b) Annual valuation.--The commissioner shall annually
value, or cause to be valued, the reserve liabilities for all
outstanding life insurance contracts, annuity and pure endowment
contracts, accident and health contracts and deposit-type
contracts of each company doing business in this Commonwealth.
The commissioner may certify the amount of reserves.
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(c) Other jurisdictions.--In lieu of the valuation of the
reserves required of a foreign or alien company, the
commissioner may accept a valuation made, or caused to be made,
by the insurance supervisory official of any State or other
jurisdiction when the valuation complies with the minimum
standard provided in this chapter.
(d) Applicable standards.--The following provisions shall
govern a policy or contract under this section:
(1) Section 7124(a), (b), (d) and (e) (relating to
minimum standard for accident and health insurance
contracts).
(2) Section 7125 (relating to valuation manual for
policies issued on or after operative date of valuation
manual).
(3) Section 7126 (relating to requirements of principle-
based valuation).
§ 7113. Actuarial opinion of reserves prior to operative date
of valuation manual.
(a) Applicability.--This section shall apply to an actuarial
opinion prepared prior to the operative date of the valuation
manual.
(b) Regulations regarding actuarial opinion.--Through
regulations, the commissioner:
(1) Shall define the specifics of the actuarial opinion
under this section and add any other items deemed to be
necessary to fulfill the purpose of this section.
(2) May provide for a transition period for establishing
any higher reserves that the qualified actuary may deem
necessary in order to render the opinion required by this
section.
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(c) Annual submission and purpose.--Each company doing
business in this Commonwealth shall annually submit the opinion
of a qualified actuary as to whether the reserves and related
actuarial items held in support of the company's policies and
contracts specified by the commissioner by regulation:
(1) are computed appropriately;
(2) are based on assumptions that satisfy contractual
provisions;
(3) are consistent with prior reported amounts; and
(4) comply with the applicable laws of this
Commonwealth.
(d) Opinion regarding company obligations.--The following
shall apply regarding the opinion of the qualified actuary and
the company's obligations:
(1) Except as exempted by regulation, each company shall
include in the actuarial opinion required under this section
an opinion by the same qualified actuary as to whether the
reserves and related actuarial items held in support of the
company's policies and contracts specified by the
commissioner by regulation, when considered in light of the
assets held by the company with respect to the reserves and
related actuarial items, including, but not limited to, the
investment earnings on the assets and the considerations
anticipated to be received and retained under the policies
and contracts, make adequate provision for the company's
obligations under the policies and contracts, including, but
not limited to, the benefits under and expenses associated
with the policies and contracts.
(2) A memorandum, in form and substance acceptable to
the commissioner as specified by regulation, shall be
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prepared to support each actuarial opinion.
(3) If a company fails to provide a supporting
memorandum at the request of the commissioner within a period
specified by regulation or if the commissioner determines
that the supporting memorandum provided by the company fails
to meet the standards prescribed by regulation or is
otherwise unacceptable to the commissioner, the commissioner
may engage a qualified actuary at the expense of the company
to review the opinion and the basis for the opinion and
prepare the supporting memorandum required by the
commissioner.
(e) Requirements.--Each actuarial opinion under this section
shall be governed by the following:
(1) The opinion shall be submitted with the annual
statement reflecting the valuation of the reserve liabilities
for each year ending on or after December 31, 1993.
(2) The opinion shall apply to all business in force,
including individual and group accident and health insurance
plans, in form and substance acceptable to the commissioner
as specified by regulation.
(3) The opinion shall be based on standards adopted from
time to time by the Actuarial Standards Board, or its
successor, and on any additional standards as specified by
regulation.
(4) In the case of an opinion required to be submitted
by a foreign or alien company, the commissioner may accept
the opinion filed by that company with the insurance
supervisory official of another state if the commissioner
determines that the opinion reasonably meets the requirements
applicable to a company domiciled in this Commonwealth.
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(5) Except in cases of fraud or willful misconduct, a
qualified actuary shall not be liable for damages to any
person, other than the insurance company or fraternal benefit
society and the commissioner, for any act, error, omission,
decision or conduct with respect to the actuarial opinion.
(6) Disciplinary action by the commissioner against the
company, fraternal benefit society or the qualified actuary
shall be prescribed by regulation.
(7) The confidentiality provisions under Subchapter C
(relating to confidentiality) shall apply.
(f) Definitions.--As used in this section, the following
words and phrases shall have the meanings given to them in this
subsection unless the context clearly indicates otherwise:
"Qualified actuary." A member in good standing of the
American Academy of Actuaries who meets the requirements under
31 Pa. Code Ch. 84b (relating to actuarial opinion and
memorandum).
§ 7114. Actuarial opinion of reserves on or after operative
date of valuation manual.
(a) Applicability.--This section shall apply to an actuarial
opinion prepared on or after the operative date of the valuation
manual.
(b) Compliance with valuation manual.--The actuarial opinion
under this section must comply with the requirements set forth
in the valuation manual.
(c) Annual submission and purpose.--Each company with
outstanding life insurance contracts, accident and health
insurance contracts or deposit-type contracts in this
Commonwealth shall annually submit the opinion of the appointed
actuary as to whether the reserves and related actuarial items
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held in support of the company's policies and contracts:
(1) are computed appropriately;
(2) are based on assumptions that satisfy contractual
provisions;
(3) are consistent with prior reported amounts; and
(4) comply with the applicable laws of this
Commonwealth.
(d) Opinion regarding company obligations.--The following
shall apply regarding the opinion of the appointed actuary and
the company's obligations:
(1) Except as exempted in the valuation manual, each
company with outstanding life insurance contracts, accident
and health insurance contracts or deposit-type contracts in
this Commonwealth shall include in the actuarial opinion
required under this section an opinion by the same appointed
actuary as to whether the reserves and related actuarial
items held in support of the company's policies and contracts
specified in the valuation manual, when considered in light
of the assets held by the company with respect to the
reserves and related actuarial items, including, but not
limited to, the investment earnings on the assets and the
considerations anticipated to be received and retained under
the policies and contracts, make adequate provision for the
company's obligations under the policies and contracts,
including, but not limited to, the benefits under and
expenses associated with the policies and contracts.
(2) A memorandum, in form and substance as specified in
the valuation manual and as acceptable to the commissioner,
shall be prepared to support each actuarial opinion.
(3) If a company fails to provide a supporting
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memorandum at the request of the commissioner within a period
specified in the valuation manual or if the commissioner
determines that the supporting memorandum provided by the
company fails to meet the standards prescribed by the
valuation manual or is otherwise unacceptable to the
commissioner, the commissioner may engage a qualified actuary
at the expense of the company to review the opinion and the
basis for the opinion and prepare the supporting memorandum
required by the commissioner.
(e) Requirements.--Each actuarial opinion under this section
shall be governed by the following:
(1) The opinion shall be in form and substance as
specified in the valuation manual and acceptable to the
commissioner.
(2) The opinion shall be submitted with the annual
statement reflecting the valuation of the reserve liabilities
for each year ending on or after the operative date of the
valuation manual.
(3) The opinion shall apply to all policies and
contracts subject to subsection (d), plus other actuarial
liabilities as may be specified in the valuation manual.
(4) The opinion shall be based on standards adopted from
time to time by the Actuarial Standards Board, or its
successor, and on any additional standards as prescribed in
the valuation manual.
(5) In the case of an opinion required to be submitted
by a foreign or alien company, the commissioner may accept
the opinion filed by that company with the insurance
supervisory official of another state if the commissioner
determines that the opinion reasonably meets the requirements
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applicable to a company domiciled in this Commonwealth.
(6) Except in cases of fraud or willful misconduct, an
appointed actuary shall not be liable for damages to any
person, other than the company and the commissioner, for any
act, error, omission, decision or conduct with respect to the
actuarial opinion.
(7) Disciplinary action by the commissioner against the
company or the appointed actuary shall be prescribed by
regulation.
(8) The confidentiality provisions under Subchapter C
(relating to confidentiality) shall apply.
§ 7115. Computation of minimum standard.
(a) Applicability.--This section shall govern the minimum
standard for the valuation of a company's policies and contracts
except as provided in the following sections:
(1) Section 7116 (relating to computation of minimum
standard for annuities).
(2) Section 7117 (relating to computation of minimum
standard by calendar year of issue).
(3) Section 7124 (relating to minimum standard for
accident and health insurance contracts).
(b) Policies and contracts issued prior to May 17, 1921.--
The minimum standard for the valuation of policies and contracts
issued prior to May 17, 1921, shall be as provided by the laws
in effect immediately prior to May 17, 1921.
(c) Policies and contracts issued on or after May 17,
1921.--The minimum standard for the valuation of policies and
contracts issued on or after May 17, 1921, shall be, together
with the tables referenced under subsection (d), the
commissioners reserve valuation methods established under
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sections 7118 (relating to reserve valuation method for life
insurance and endowment benefits), 7119 (relating to reserve
valuation method for annuity and pure endowment benefits), 7122
(relating to reserve calculation for valuation net premium
exceeding gross premium charged) and 7124:
(1) Three and one-half percent interest.
(2) Four percent interest for life insurance policies
and contracts, other than annuity and pure endowment
contracts, issued on or after June 23, 1976, and prior to
January 1, 1979.
(3) Four and one-half percent interest for policies
issued on or after January 1, 1979.
(d) Applicable tables.--Together with the requirements under
subsection (c), the tables and other provisions of this section
shall govern:
(1) For ordinary policies of life insurance issued on
the standard basis, excluding disability and accidental death
benefits in these policies, the following tables shall apply:
(i) The Commissioners 1941 Standard Ordinary
Mortality Table for policies issued prior to the
operative date of section 410A(d)(2) of The Insurance
Company Law of 1921.
(ii) The Commissioners 1958 Standard Ordinary
Mortality Table for policies issued on or after the
operative date of section 410A(d)(2) of The Insurance
Company Law of 1921 and prior to the operative date of
section 410A(e) of The Insurance Company Law of 1921. For
policies issued on female risks, all modified net
premiums and present values referred to in this
subparagraph may be calculated according to any age not
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more than six years younger than the actual age of the
insured.
(iii) For policies issued on or after the operative
date of section 410A(e) of The Insurance Company Law of
1921, the calculation shall be in accordance with the
following tables as specified by regulation:
(A) The Commissioners 1980 Standard Ordinary
Mortality Table.
(B) At the election of the company for any one
or more specified plans of life insurance, the
Commissioners 1980 Standard Ordinary Mortality Table
with Ten-Year Select Mortality Factors.
(C) Any ordinary mortality table that is adopted
after 1980 by NAIC and approved by regulation for use
in determining the minimum standard of valuation for
the policies.
(2) For industrial life insurance policies issued on the
standard basis, excluding disability and accidental death
benefits in these policies, the following tables shall apply:
(i) The 1941 Standard Industrial Mortality Table for
policies issued prior to the operative date of section
410A(d)(3) of The Insurance Company Law of 1921.
(ii) For policies issued on or after the operative
date of section 410A(d)(3) of The Insurance Company Law
of 1921, the Commissioners 1961 Standard Industrial
Mortality Table or any industrial mortality table that is
adopted after 1980 by NAIC and approved by regulation for
use in determining the minimum standard of valuation for
the policies.
(3) For individual annuity and pure endowment contracts,
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excluding disability and accidental death benefits in these
policies, any of the following shall apply:
(i) The 1937 Standard Annuity Mortality Table.
(ii) At the option of the company, the Annuity
Mortality Table for 1949, Ultimate.
(iii) Any modification of either of the tables under
subparagraphs (i) and (ii) as approved by the
commissioner.
(4) For group annuity and pure endowment contracts,
excluding disability and accidental death benefits in the
contracts, any of the following shall apply:
(i) The Group Annuity Mortality Table for 1951 or
any modification of the table approved by the
commissioner, with interest at 3.5%.
(ii) At the option of the company, the 1971 Group
Annuity Mortality Table or any modification of the table
approved by the commissioner, in which event 5% interest
shall be used in determining the minimum standard for the
valuation of the contracts.
(iii) At the option of the company, any of the
tables or modifications of tables specified for
individual annuity and pure endowment contracts.
(5) For total and permanent disability benefits in or
supplementary to ordinary policies or contracts, the
following shall apply:
(i) For policies or contracts issued on or after
January 1, 1966:
(A) the tables of Period 2 disablement rates and
the 1930 to 1950 termination rates of the 1952
Disability Study of the Society of Actuaries, with
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due regard to the type of benefit; or
(B) any tables of disablement rates and
termination rates that are adopted after 1980 by NAIC
and approved by regulation for use in determining the
minimum standard of valuation for the policies or
contracts.
(ii) For policies or contracts issued on or after
January 1, 1961, and prior to January 1, 1966:
(A) any of the tables under subparagraph (i); or
(B) at the option of the company, the Class (3)
Disability Table (1926).
(iii) For policies issued prior to January 1, 1961,
the Class (3) Disability Table (1926).
A table under this paragraph shall, for active lives, be
combined with a mortality table permitted for calculating the
reserves for life insurance policies.
(6) For accidental death benefits in or supplementary to
policies, the following shall apply:
(i) For policies issued on or after January 1, 1966:
(A) the 1959 Accidental Death Benefits Table; or
(B) any accidental death benefits table that is
adopted after 1980 by NAIC and approved by regulation
for use in determining the minimum standard of
valuation for the policies.
(ii) For policies issued on or after January 1,
1961, and prior to January 1, 1966:
(A) any of the tables under subparagraph (i); or
(B) at the option of the company, the Inter-
Company Double Indemnity Mortality Table.
(iii) For policies issued prior to January 1, 1961,
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the Inter-Company Double Indemnity Mortality Table.
A table under this paragraph shall be combined with a
mortality table permitted for calculating the reserves for
life insurance policies.
(7) For group life insurance, life insurance issued on
the substandard basis and other special benefits, those
tables approved by the commissioner shall apply.
§ 7116. Computation of minimum standard for annuities.
(a) Computation generally.--Except as provided in section
7117 (relating to computation of minimum standard by calendar
year of issue), the minimum standard of valuation for individual
annuity and pure endowment contracts issued on or after the
operative date of section 301(c)(1)(B) of the act of May 17,
1921 (P.L.789, No.285), known as The Insurance Department Act of
1921, and for annuities and pure endowments purchased on or
after that operative date under group annuity and pure endowment
contracts shall be the commissioner's reserve valuation methods
established under sections 7118 (relating to reserve valuation
method for life insurance and endowment benefits) and 7119
(relating to reserve valuation method for annuity and pure
endowment benefits) and the following:
(1) For individual annuity and pure endowment contracts
issued prior to January 1, 1979, excluding disability and
accidental death benefits in the contracts, the 1971
Individual Annuity Mortality Table or any modification of the
table approved by the commissioner, and 6% interest for
single premium immediate annuity contracts and 4% interest
for all other individual annuity and pure endowment
contracts.
(2) For individual single premium immediate annuity
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contracts issued on or after January 1, 1979, excluding
disability and accidental death benefits in the contracts,
the 1971 Individual Annuity Mortality Table or any individual
annuity mortality table that is adopted after 1980 by NAIC
and approved by regulation for use in determining the minimum
standard of valuation for the contracts, or any modification
of the tables approved by the commissioner, and 7.5% interest
or a higher rate of interest as may be approved by the
commissioner.
(3) For individual annuity and pure endowment contracts
issued on or after January 1, 1979, other than single premium
immediate annuity contracts and excluding disability and
accidental death benefits in the contracts, the 1971
Individual Annuity Mortality Table or any individual annuity
mortality table that is adopted after 1980 by NAIC and
approved by regulation for use in determining the minimum
standard of valuation for the contracts, or any modification
of the tables approved by the commissioner, and 5.5% interest
for single premium deferred annuity and pure endowment
contracts and 4.5% interest for all other individual annuity
and pure endowment contracts or a higher rate of interest as
may be approved by the commissioner.
(4) For annuities and pure endowments purchased prior to
January 1, 1979, under group annuity and pure endowment
contracts and excluding disability and accidental death
benefits purchased under the contracts, the 1971 Group
Annuity Mortality Table or any modification of the table
approved by the commissioner, and 6% interest.
(5) For annuities and pure endowments purchased on or
after January 1, 1979, under group annuity and pure endowment
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contracts and excluding disability and accidental death
benefits purchased under the contracts, the 1971 Group
Annuity Mortality Table or any group annuity mortality table
that is adopted after 1980 by NAIC and approved by regulation
for use in determining the minimum standard of valuation for
annuities and pure endowments, or any modification of the
tables approved by the commissioner, and 7.5% interest or a
higher rate of interest as may be approved by the
commissioner.
(b) Operative date.--After June 23, 1976, a company may file
with the commissioner a written notice of its election to comply
with the provisions of this section after a specified date
before January 1, 1979, which shall be the operative date of
this section for that company. A company may elect a different
operative date for individual annuity and pure endowment
contracts from that elected for group annuity and pure endowment
contracts. If a company makes no election, the operative date of
this section for that company shall be January 1, 1979.
§ 7117. Computation of minimum standard by calendar year of
issue.
(a) Applicability.--The interest rates used in determining
the minimum standard for the valuation of the following shall be
the calendar year statutory valuation interest rates as defined
in this section:
(1) Life insurance policies issued in a particular
calendar year on or after the operative date of section
410A(e) of The Insurance Company Law of 1921.
(2) Individual annuity and pure endowment contracts
issued in a particular calendar year on or after January 1,
1981.
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(3) Annuities and pure endowments purchased in a
particular calendar year on or after January 1, 1981, under
group annuity and pure endowment contracts.
(4) The net increase, if any, in a particular calendar
year after January 1, 1981, in amounts held under guaranteed
interest contracts.
(b) Calendar year statutory valuation interest rates.--The
following shall apply:
(1) Subject to paragraph (2), the calendar year
statutory valuation interest rates, I, shall be determined as
follows and the results rounded to the nearest 0.25%:
(i) For life insurance:
I = .03 + W(R
1
- .03) + W/2(R
2
- .09).
Where R
1
is the lesser of R and .09, R
2
is the greater of
R and .09, R is the reference interest rate defined in
this section and W is the weighting factor defined in
this section.
(ii) For single premium immediate annuities and for
annuity benefits involving life contingencies arising
from other annuities with cash settlement options and
from guaranteed interest contracts with cash settlement
options:
I = .03 + W(R
1
- .03)
Where R
1
is the lesser of R and .09, R
2
is the greater of
R and .09, R is the reference interest rate defined in
this section and W is the weighting factor defined in
this section.
(iii) For other annuities with cash settlement
options and guaranteed interest contracts with cash
settlement options, valued on an issue year basis, except
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as stated in subparagraph (ii):
(A) The formula for life insurance stated in
subparagraph (i) shall apply to annuities and
guaranteed interest contracts with guarantee
durations in excess of 10 years.
(B) The formula for single premium immediate
annuities stated in subparagraph (ii) shall apply to
annuities and guaranteed interest contracts with
guarantee duration of 10 years or less.
(iv) For other annuities with no cash settlement
options and for guaranteed interest contracts with no
cash settlement options, the formula for single premium
immediate annuities stated in subparagraph (ii) shall
apply.
(v) For other annuities with cash settlement options
and guaranteed interest contracts with cash settlement
options, valued on a change in fund basis, the formula
for single premium immediate annuities stated in
subparagraph (ii) shall apply.
(2) The following shall apply:
(i) If the calendar year statutory valuation
interest rate for a life insurance policy issued in any
calendar year determined without reference to this
subparagraph differs from the corresponding actual rate
for similar policies issued in the immediately preceding
calendar year by less than 0.5%, the calendar year
statutory valuation interest rate for the life insurance
policies shall be equal to the corresponding actual rate
for the immediately preceding calendar year.
(ii) For purposes of applying subparagraph (i), the
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calendar year statutory valuation interest rate for life
insurance policies issued in a calendar year shall be
determined for 1980, using the reference interest rate
defined in 1979, and shall be determined for each
subsequent calendar year regardless of the operative date
of section 410A(e) of The Insurance Company Law of 1921.
(c) Weighting factors.--The weighting factors referred to in
subsection (b) shall be as follows:
(1) For life insurance, the guarantee duration shall be
the maximum number of years the life insurance can remain in
force on a basis guaranteed in the policy or under options to
convert to plans of life insurance with premium rates or
nonforfeiture values, or both, which are guaranteed in the
original policy. Weighting factors for life insurance shall
be as provided in the following table:
Guarantee Duration
(Years)
Weighting
Factors
10 or less .50
More than 10, but not more than 20 .45
More than 20 .35
(2) Weighting factors for single premium immediate
annuities and for annuity benefits involving life
contingencies arising from other annuities with cash
settlement options and guaranteed interest contracts with
cash settlement options shall be .80.
(3) Weighting factors for other annuities and for
guaranteed interest contracts, except as stated in paragraph
(2), shall be as specified in subparagraphs (i), (ii) and
(iii), according to the rules and definitions in
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subparagraphs (iv), (v) and (vi):
(i) For annuities and guaranteed interest contracts
valued on an issue year basis, the following table shall
apply:
Guarantee Duration
Weighting Factor
for Plan Type
(Years) A B C
5 or less .80 .60 .50
More than 5, but not more than 10: .75 .60 .50
More than 10, but not more than 20: .65 .50 .45
More than 20: .45 .35 .35
(ii) For annuities and guaranteed interest contracts
valued on a change in fund basis, the factors shown in
subparagraph (i) shall be increased by .15 for plan type
A, .25 for plan type B and .05 for plan type C.
(iii) For annuities and guaranteed interest
contracts valued on an issue year basis, other than those
with no cash settlement options, that do not guarantee
interest on considerations received more than one year
after issue or purchase and for annuities and guaranteed
interest contracts valued on a change in fund basis that
do not guarantee interest rates on considerations
received more than 12 months beyond the valuation date,
the factors shown in subparagraph (i) or derived in
subparagraph (ii) shall be increased by .05 for plan
types A, B and C.
(iv) For other annuities with cash settlement
options and guaranteed interest contracts with cash
settlement options, the guarantee duration is the number
of years for which the contract guarantees interest rates
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in excess of the calendar year statutory valuation
interest rate for life insurance policies with guarantee
duration in excess of 20 years. For other annuities with
no cash settlement options and for guaranteed interest
contracts with no cash settlement options, the guarantee
duration is the number of years from the date of issue or
date of purchase to the date annuity benefits are
scheduled to commence.
(v) Each plan type referenced in this paragraph
shall be defined as follows:
(A) "Plan type A." A plan in which at any time
the policyholder may withdraw funds only:
(I) with an adjustment to reflect changes in
interest rates or asset values since receipt of
the funds by the insurance company;
(II) without an adjustment but in
installments over five years or more;
(III) as an immediate life annuity; or
(IV) no withdrawal permitted.
(B) "Plan type B." A plan in which, before
expiration of the interest rate guarantee, the
policyholder may withdraw funds only:
(I) with an adjustment to reflect changes in
interest rates or asset values since receipt of
the funds by the insurance company;
(II) without an adjustment but in
installments over five years or more; or
(III) no withdrawal permitted.
At the end of interest rate guarantee, funds may be
withdrawn without an adjustment in a single sum or
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installments over less than five years.
(C) "Plan type C." A plan in which the
policyholder may withdraw funds before expiration of
interest rate guarantee in a single sum or
installments over less than five years either:
(I) without adjustment to reflect changes in
interest rates or asset values since receipt of
the funds by the insurance company; or
(II) subject only to a fixed surrender
charge stipulated in the contract as a percentage
of the fund.
(vi) The following shall apply:
(A) A company may elect to value guaranteed
interest contracts with cash settlement options and
annuities with cash settlement options on either an
issue year basis or on a change in fund basis.
(B) Guaranteed interest contracts with no cash
settlement options and other annuities with no cash
settlement options shall be valued on an issue year
basis.
(C) As used in this section:
(I) An issue year basis of valuation shall
refer to a valuation basis under which the
interest rate used to determine the minimum
valuation standard for the entire duration of the
annuity or guaranteed interest contract is the
calendar year valuation interest rate for the
year of issue or year of purchase of the annuity
or guaranteed interest contract.
(II) A change in fund basis of valuation
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shall refer to a valuation basis under which the
interest rate used to determine the minimum
valuation standard applicable to each change in
the fund held under the annuity or guaranteed
interest contract is the calendar year valuation
interest rate for the year of the change in the
fund.
(d) Reference interest rate.--The reference interest rate
referred to in subsection (b) shall be defined as follows:
(1) For life insurance, the lesser of the average over a
period of 36 months and the average over a period of 12
months, ending on June 30 of the calendar year preceding the
year of issue, of the monthly average of the composite yield
on seasoned corporate bonds, as published by Moody's
Investors Service, Inc.
(2) For single premium immediate annuities and for
annuity benefits involving life contingencies arising from
other annuities with cash settlement options and guaranteed
interest contracts with cash settlement options, the average
over a period of 12 months, ending on June 30 of the calendar
year of issue or year of purchase, of the monthly average of
the composite yield on seasoned corporate bonds, as published
by Moody's Investors Service, Inc.
(3) For other annuities with cash settlement options and
guaranteed interest contracts with cash settlement options,
valued on a year of issue basis, except as stated in
paragraph (2), with guarantee duration in excess of 10 years,
the lesser of the average over a period of 36 months and the
average over a period of 12 months, ending on June 30 of the
calendar year of issue or purchase, of the monthly average of
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the composite yield on seasoned corporate bonds, as published
by Moody's Investors Service, Inc.
(4) For other annuities with cash settlement options and
guaranteed interest contracts with cash settlement options,
valued on a year of issue basis, except as stated in
paragraph (2), with guarantee duration of 10 years or less,
the average over a period of 12 months, ending on June 30 of
the calendar year of issue or purchase, of the monthly
average of the composite yield on seasoned corporate bonds,
as published by Moody's Investors Service, Inc.
(5) For other annuities with no cash settlement options
and for guaranteed interest contracts with no cash settlement
options, the average over a period of 12 months, ending on
June 30 of the calendar year of issue or purchase, of the
monthly average of the composite yield on seasoned corporate
bonds, as published by Moody's Investors Service, Inc.
(6) For other annuities with cash settlement options and
guaranteed interest contracts with cash settlement options,
valued on a change in fund basis, except as stated in
paragraph (2), the average over a period of 12 months, ending
on June 30 of the calendar year of the change in the fund, of
the monthly average of the composite yield on seasoned
corporate bonds, as published by Moody's Investors Service,
Inc.
(e) Alternative method to determine reference interest
rate.--If the monthly average of the composite yield on seasoned
corporate bonds is no longer published by Moody's Investors
Service, Inc. or if NAIC determines that the monthly average of
the composite yield on seasoned corporate bonds as published by
Moody's Investors Service, Inc. is no longer appropriate for the
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determination of the reference interest rate, then an
alternative method for determination of the reference interest
rate adopted by NAIC and approved by regulation may be
substituted.
§ 7118. Reserve valuation method for life insurance and
endowment benefits.
(a) Uniform insurance amount and premiums.--Except as
otherwise provided in sections 7119 (relating to reserve
valuation method for annuity and pure endowment benefits), 7122
(relating to reserve calculation for valuation net premium
exceeding gross premium charged) and 7124 (relating to minimum
standard for accident and health insurance contracts), for the
life insurance and endowment benefits of policies providing for
a uniform amount of insurance and requiring the payment of
uniform premiums, reserves according to the commissioners
reserve valuation method shall be the excess, if any, of the
present value, at the date of valuation, of the future
guaranteed benefits provided for by those policies, over the
then present value of any future modified net premiums therefor.
The modified net premiums for a policy shall be the uniform
percentage of the respective gross premiums for the benefits so
that the present value, at the date of issue of the policy, of
all modified net premiums shall be equal to the sum of the then
present value of the benefits provided for by the policy and the
excess of paragraph (1) over paragraph (2), as follows:
(1) A net level annual premium equal to the present
value, at the date of issue, of the benefits provided for
after the first policy year, divided by the present value, at
the date of issue, of an annuity of one per year payable on
the first and each subsequent anniversary of the policy on
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which a premium falls due. However, the net level annual
premium shall not exceed the net level annual premium on the
19-year premium whole life plan for insurance of the same
amount at an age one year greater than the age at issue of
the policy.
(2) A net one-year term premium for the benefits
provided for in the first policy year.
(b) First-year excess.--For a life insurance policy issued
on or after January 1, 1985, for which the gross premium in the
first policy year exceeds that of the second year and for which
no comparable additional benefit is provided in the first year
for the excess and which provides an endowment benefit or a cash
surrender value or a combination in an amount greater than the
excess premium, reserves according to the commissioners reserve
valuation method as of any policy anniversary occurring on or
before the assumed ending date defined under this subsection as
the first policy anniversary on which the sum of any endowment
benefit and any cash surrender value then available is greater
than the excess premium shall, except as otherwise provided in
section 7122, be the greater of the reserve as of the policy
anniversary calculated as described in subsection (a) and the
reserve as of the policy anniversary calculated as described in
subsection (a), but with:
(1) The value defined in subsection (a) being reduced by
15% of the amount of this excess first year premium.
(2) All present values of benefits and premiums being
determined without reference to premiums or benefits provided
for by the policy after the assumed ending date.
(3) The policy being assumed to mature on that date as
an endowment.
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(4) The cash surrender value provided on that date being
considered as an endowment benefit.
In making the comparison under this subsection, the mortality
and interest bases stated in sections 7115 (relating to
computation of minimum standard) and 7117 (relating to
computation of minimum standard by calendar year of issue) shall
be used.
(c) Consistent method.--Reserves according to the
commissioners reserve valuation method shall be calculated by a
method consistent with the principles of this section, except
that any extra premiums charged because of impairments or
special hazards shall be disregarded in the determination of
modified net premiums, for:
(1) Life insurance policies providing for a varying
amount of insurance or requiring the payment of varying
premiums.
(2) Group annuity and pure endowment contracts purchased
under a retirement plan or plan of deferred compensation,
established or maintained by an employer, including a
partnership or sole proprietorship, or by an employee
organization, or by both, other than a plan providing
individual retirement accounts or individual retirement
annuities under section 408 of the Internal Revenue Code of
1986 (Public Law 99-514, 26 U.S.C. § 408).
(3) Disability and accidental death benefits in all
policies and contracts.
(4) All other benefits, except life insurance and
endowment benefits in life insurance policies and benefits
provided by all other annuity and pure endowment contracts.
§ 7119. Reserve valuation method for annuity and pure endowment
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benefits.
(a) Applicability.--This section shall apply to all annuity
and pure endowment contracts other than group annuity and pure
endowment contracts purchased under a retirement plan or plan of
deferred compensation, established or maintained by an employer,
including a partnership or sole proprietorship, or by an
employee organization, or by both, other than a plan providing
individual retirement accounts or individual retirement
annuities under section 408 of the Internal Revenue Code of 1986
(Public Law 99-514, 26 U.S.C. § 408).
(b) Calculation.--The following shall apply:
(1) Reserves according to the commissioners annuity
reserve method for benefits under annuity or pure endowment
contracts, excluding any disability and accidental death
benefits in the contracts, shall be the greatest of the
respective excesses of the present values, at the date of
valuation, of the future guaranteed benefits, including
guaranteed nonforfeiture benefits, provided for by the
contracts at the end of each respective contract year, over
the present value, at the date of valuation, of any future
valuation considerations derived from future gross
considerations, required by the terms of the contract, that
become payable prior to the end of the respective contract
year.
(2) The future guaranteed benefits shall be determined
by using the mortality table, if any, and the interest rate
or rates specified in the contracts for determining
guaranteed benefits.
(3) The valuation considerations shall be the portions
of the respective gross considerations applied under the
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terms of the contracts to determine nonforfeiture values.
§ 7120. Minimum reserves.
(a) Amount calculated.--A company's aggregate reserves for
all life insurance policies, excluding disability and accidental
death benefits, issued on or after May 17, 1921, shall not be
less than the aggregate reserves calculated by using the
mortality table or tables and rate or rates of interest used in
calculating nonforfeiture benefits for the policies and in
accordance with the methods set forth in:
(1) Section 7118 (relating to reserve valuation method
for life insurance and endowment benefits).
(2) Section 7119 (relating to reserve valuation method
for annuity and pure endowment benefits).
(3) Section 7122 (relating to reserve calculation for
valuation net premium exceeding gross premium charged).
(4) Section 7123 (relating to reserve calculation for
indeterminate premium plans).
(b) Amount necessary to render actuarial opinion.--The
aggregate reserves for all policies, contracts and benefits
shall not be less than the aggregate reserves determined by the
appointed actuary to be necessary to render the opinion required
by section 7113 (relating to actuarial opinion of reserves prior
to operative date of valuation manual) or 7114 (relating to
actuarial opinion of reserves on or after operative date of
valuation manual).
§ 7121. Optional reserve calculation.
(a) Issuance prior to May 17, 1921.--Reserves for policies
and contracts issued prior to May 17, 1921, may be calculated,
at the option of the company, according to any standards that
produce greater aggregate reserves for all these policies and
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contracts than the minimum reserves required by law.
(b) Issuance on or after May 17, 1921.--Reserves for any
category of policies, contracts or benefits established by the
commissioner, issued on or after May 17, 1921, may be
calculated, at the option of the company, according to any
standards that produce greater aggregate reserves for the
category than those calculated according to the minimum standard
provided under this chapter, but the rate or rates of interest
used for policies and contracts, other than annuity and pure
endowment contracts, shall not be greater than the corresponding
rate or rates of interest used in calculating any nonforfeiture
benefits provided in the policies or contracts.
(c) Adoption of alternative standards.--The following shall
apply:
(1) Subject to paragraph (2), a company that adopts at
any time a standard of valuation producing greater aggregate
reserves than those calculated according to the minimum
standard provided under this chapter may adopt a lower
standard of valuation with the approval of the commissioner,
but not lower than the minimum provided in this chapter.
(2) For the purposes of this section, the holding of
additional reserves previously determined by the appointed
actuary to be necessary to render the opinion required by
section 7113 (relating to actuarial opinion of reserves prior
to operative date of valuation manual) or 7114 (relating to
actuarial opinion of reserves on or after operative date of
valuation manual) shall not be deemed to be the adoption of a
higher standard of valuation.
§ 7122. Reserve calculation for valuation net premium exceeding
gross premium charged.
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(a) Calculation of minimum reserve.--The following shall
apply:
(1) If in any contract year the gross premium charged by
a company on a policy or contract is less than the valuation
net premium for the policy or contract calculated by the
method used in calculating the reserve but using the minimum
valuation standards of mortality and rate of interest, the
minimum reserve required for the policy or contract shall be
the greater of:
(i) The reserve calculated according to the
mortality table, rate of interest and method actually
used for the policy or contract.
(ii) The reserve calculated by the method actually
used for the policy or contract but using the minimum
valuation standards of mortality and rate of interest and
replacing the valuation net premium by the actual gross
premium in each contract year for which the valuation net
premium exceeds the actual gross premium.
(2) The minimum valuation standards of mortality and
rate of interest referred to in this subsection are those
standards stated in sections 7115 (relating to computation of
minimum standard) and 7117 (relating to computation of
minimum standard by calendar year of issue).
(b) How to apply this section for certain policies.--The
following shall apply:
(1) For a life insurance policy issued on or after
January 1, 1985, for which the gross premium in the first
policy year exceeds that of the second year and for which no
comparable additional benefit is provided in the first year
for the excess and which provides an endowment benefit or a
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cash surrender value or a combination in an amount greater
than the excess premium, the provisions of this section shall
be applied as if the method actually used in calculating the
reserve for the policy were the method described in section
7118 (relating to reserve valuation method for life insurance
and endowment benefits), ignoring section 7118(b).
(2) The minimum reserve at each policy anniversary of
the policy under paragraph (1) shall be the greater of the
minimum reserve calculated in accordance with section 7118,
including section 7118(b), and the minimum reserve calculated
in accordance with this section.
§ 7123. Reserve calculation for indeterminate premium plans.
(a) Applicability.--This section shall apply to either of
the following:
(1) A plan of life insurance that provides for future
premium determination, the amounts of which are to be
determined by the insurance company based on then estimates
of future experience.
(2) A plan of life insurance or annuity that is of a
nature that the minimum reserves cannot be determined by the
methods described in any of the following:
(i) Section 7118 (relating to reserve valuation
method for life insurance and endowment benefits).
(ii) Section 7119 (relating to reserve valuation
method for annuity and pure endowment benefits).
(iii) Section 7122 (relating to reserve calculation
for valuation net premium exceeding gross premium
charged).
(b) Nature and calculation of reserves.--The reserves that
are held under a plan under this section shall be:
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(1) Appropriate in relation to the benefits and the
pattern of premiums for the plan.
(2) Computed by a method that is consistent with the
principles of this chapter, as determined by regulation.
§ 7124. Minimum standard for accident and health insurance
contracts.
(a) Annual valuation of reserve liabilities.--On an annual
basis as of the December 31 of the preceding year, the
commissioner shall value, or cause to be valued, or require the
insurer to value, or cause to be valued, the reserve liabilities
of each company doing business in this Commonwealth, with
respect to all the accident and health insurance contracts of
the company.
(b) Issuances after operative date of valuation manual.--For
accident and health insurance contracts issued on or after the
operative date of the valuation manual, the standard prescribed
in the valuation manual shall be the minimum standard of
valuation required under section 7112 (relating to reserve
valuation for policies and contracts issued on or after
operative date of valuation manual).
(c) Issuances prior to operative date of valuation manual.--
For accident and health insurance contracts issued on or after
May 17, 1921, and prior to the operative date of the valuation
manual, the following shall apply:
(1) The minimum standard of valuation shall be the
standard adopted by the commissioner by regulation.
(2) The company shall maintain a claim reserve for
incurred but unpaid claims and an active life reserve that
shall:
(i) place a sound value on its liabilities under
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these contracts; and
(ii) be not less than the reserve according to
appropriate standards as prescribed by regulation.
(3) The active life reserve shall not be less in the
aggregate than the pro rata gross unearned premiums for the
contracts.
(d) Foreign or alien insurers.--For a foreign or alien
insurer, the commissioner may accept a like valuation of the
insurance supervising official of the state, province or foreign
country in which that insurer is domiciled, if that valuation is
made upon a basis and according to standards producing an
aggregate reserve not less than contained in this chapter.
(e) Applicability.--This section shall not apply to total
and permanent disability benefits supplementary to life
insurance or annuity policies or contracts.
§ 7125. Valuation manual for policies issued on or after
operative date of valuation manual.
(a) Standard in valuation manual.--Except as provided in
subsection (c) or (e), for policies issued on or after the
operative date of the valuation manual, the standard prescribed
in the valuation manual shall be the minimum standard of
valuation required under 7112 (relating to reserve valuation for
policies and contracts issued on or after operative date of
valuation manual).
(b) Specific information in valuation manual.--The valuation
manual shall specify:
(1) Minimum valuation standards for and definitions of
the policies or contracts subject to section 7112, which
shall be:
(i) The commissioners reserve valuation method for
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life insurance contracts other than annuity contracts.
(ii) The commissioners annuity reserve valuation
method for annuity contracts.
(iii) Minimum reserves for all other policies or
contracts.
(2) Which policies or contracts or types of policies or
contracts are subject to the requirements of a principle-
based valuation in section 7126(a) (relating to requirements
of principle-based valuation) and the minimum valuation
standards consistent with those requirements.
(3) For policies and contracts subject to a principle-
based valuation under section 7126:
(i) Requirements for the format of reports to the
commissioner under section 7126(b)(3), including
information necessary to determine if the valuation is
appropriate and in compliance with this chapter.
(ii) Assumptions prescribed for risks over which the
company does not have significant control or influence.
(iii) Procedures for corporate governance and
oversight of the actuarial function and a process for
appropriate waiver or modification of those procedures.
(4) For policies not subject to a principle-based
valuation under section 7126, the minimum valuation standard,
which shall:
(i) be consistent with the minimum standard of
valuation prior to the operative date of the valuation
manual; or
(ii) develop reserves that quantify the benefits,
guarantees and the funding associated with the contracts
and their risks at a level of conservatism that reflects
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conditions that include unfavorable events having a
reasonable probability of occurring.
(5) Other requirements, including those relating to
reserve methods, models for measuring risk, generation of
economic scenarios, assumptions, margins, use of company
experience, risk measurement, disclosure, certifications,
reports, actuarial opinions and memorandums, transition rules
and internal controls.
(6) The data and form of the data required under section
7127 (relating to experience reporting for policies in force
on or after operative date of valuation manual) and with whom
the data must be submitted. The valuation manual may specify
other requirements, including data analyses and reporting of
analyses.
(c) Absent or noncompliant valuation requirement.--In the
absence of a specific valuation requirement or if a specific
valuation requirement in the valuation manual is not, in the
opinion of the commissioner, in compliance with this chapter,
the company shall, with respect to those requirements, comply
with minimum valuation standards prescribed by the commissioner
by regulation.
(d) Actuarial examination and review.--The following shall
apply:
(1) The commissioner may engage a qualified actuary, at
the expense of a company, to:
(i) perform an actuarial examination of the company
and opine on the appropriateness of any reserve
assumption or method used by the company; or
(ii) review and opine on the company's compliance
with any requirement under this chapter.
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(2) The commissioner may rely on the opinion regarding
provisions contained in this chapter of a qualified actuary
engaged by the commissioner of another state, district or
territory of the United States.
(3) As used in this subsection, the term "engage" shall
include employment and contracting.
(e) Change, adjustment and disciplinary action.--The
commissioner may require a company to change any assumption or
method or adjust company reserves if, in the opinion of the
commissioner, the change or adjustment is necessary to comply
with the requirements of the valuation manual or this chapter.
The commissioner may take disciplinary action as permitted by
law.
§ 7126. Requirements of principle-based valuation.
(a) Characteristics of valuation.--For policies or contracts
specified in the valuation manual, a company shall establish
reserves using a principle-based valuation that:
(1) Quantifies benefits and guarantees and the funding
associated with contracts and their risks at a level of
conservatism that reflects conditions that include
unfavorable events having a reasonable probability of
occurring during the lifetime of the contracts. For polices
or contracts with significant tail risk, the valuation must
reflect conditions appropriately adverse to quantify the tail
risk.
(2) Incorporates assumptions, risk analysis methods and
financial models and management techniques that are
consistent with, but not necessarily identical to, those
utilized within the company's overall risk assessment
process, while recognizing potential differences in financial
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reporting structures and any prescribed assumptions or
methods.
(3) Incorporates assumptions that are:
(i) Prescribed in the valuation manual.
(ii) If not prescribed in the valuation manual,
established by utilizing either of the following:
(A) The company's available experience, to the
extent it is relevant and statistically credible.
(B) Other relevant and statistically credible
experience, to the extent that company data is not
available, relevant or statistically credible.
(4) Provides margins for uncertainty, including adverse
deviation and estimation error, so that the greater the
uncertainty, the larger the margin and resulting reserve.
(b) Company requirements.--A company using a principle-based
valuation for one or more policies or contracts subject to this
section as specified in the valuation manual shall:
(1) Establish procedures for corporate governance and
oversight of the actuarial valuation function consistent with
those described in the valuation manual.
(2) Provide to the commissioner and the board of
directors an annual certification of the effectiveness of the
internal controls with respect to the principle-based
valuation. These controls shall be designed to assure that
all material risks inherent in the liabilities and associated
assets subject to this valuation are included in the
valuation and that valuations are made in accordance with the
valuation manual. The certification shall be based on the
controls in place as of the end of the preceding calendar
year.
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(3) Develop and file with the commissioner upon request
a principle-based valuation report that complies with
standards prescribed in the valuation manual.
(c) Formulaic reserve component.--A principle-based
valuation may include a prescribed formulaic reserve component.
§ 7127. Experience reporting for policies in force on or after
operative date of valuation manual.
A company shall submit to the commissioner, or the
commissioner's designee or agent, mortality, morbidity,
policyholder behavior or expense experience and other data as
prescribed in the valuation manual.
SUBCHAPTER C
CONFIDENTIALITY
Sec.
7131. Confidential information defined.
7132. General rule for confidential information.
7133. Private civil actions.
7134. Use of confidential information by department.
7135. Agreements.
7136. No waiver of privilege or confidentiality.
7137. Limited exceptions.
§ 7131. Confidential information defined.
As used in this subchapter, the following words and phrases
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Confidential information." Any of the following:
(1) A memorandum in support of an opinion submitted
under section 7113 (relating to actuarial opinion of reserves
prior to operative date of valuation manual) or 7114
(relating to actuarial opinion of reserves on or after
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operative date of valuation manual) and any other documents,
materials and other information, including all working papers
and copies thereof, created, produced or obtained by or
disclosed to the commissioner or any other person in
connection with the memorandum.
(2) All documents, materials and other information,
including all working papers and copies thereof, created,
produced or obtained by or disclosed to the commissioner or
any other person in the course of an examination made under
section 7125(d) (relating to valuation manual for policies
issued on or after operative date of valuation manual),
except that confidential information shall not include an
examination report or other material prepared in connection
with an examination made under Article IX of the act of May
17, 1921 (P.L.789, No.285), known as The Insurance Department
Act of 1921, to the extent not held to be private and
confidential information under section 905 of The Insurance
Department Act of 1921.
(3) Reports, documents, materials and other information
developed by a company in support of or in connection with an
annual certification by the company under section 7126(b)(2)
(relating to requirements of principle-based valuation),
which evaluates the effectiveness of the company's internal
controls regarding a principle-based valuation, and any other
documents, materials and other information, including all
working papers and copies thereof, created, produced or
obtained by or disclosed to the commissioner or any other
person in connection with the reports, documents, materials
and other information.
(4) A principle-based valuation report developed under
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section 7126(b)(3) and any other documents, materials and
other information, including all working papers and copies
thereof, created, produced or obtained by or disclosed to the
commissioner or any other person in connection with the
report.
(5) Experience data, experience materials and any other
documents, materials, data and other information, including
all working papers and copies thereof, created, produced or
obtained by or disclosed to the commissioner or any other
person in connection with experience data or experience
materials.
§ 7132. General rule for confidential information.
Except as otherwise provided in this subchapter, confidential
information shall be privileged and given confidential treatment
and shall not be:
(1) Subject to discovery or admissible as evidence in a
private civil action.
(2) Subject to subpoena.
(3) Subject to the act of February 14, 2008 (P.L.6,
No.3), known as the Right-to-Know Law.
§ 7133. Private civil actions.
The commissioner, department or any person who receives
documents, materials or other information while acting under the
authority of the commissioner or department or with whom the
documents, materials or other information are shared under this
chapter may not be permitted or required to testify in any
private civil action concerning any confidential information
covered under this subchapter.
§ 7134. Use of confidential information by department.
To assist in the performance of its duties, the department
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may:
(1) Use confidential information in the furtherance of
any regulatory or legal action brought against a company as a
part of the department's official duties.
(2) Share confidential information with regulatory or
law enforcement officials of this Commonwealth or other
jurisdictions, IAIS, NAIC and its affiliates and
subsidiaries, group-wide supervisors and members of a
supervisory college under section 1406.1 of The Insurance
Company Law of 1921, if prior to receiving the confidential
information the recipient agrees, and has the legal authority
to agree, to maintain the confidential and privileged status
of the confidential information in the same manner and to the
same extent as required for the commissioner.
(3) Receive, and shall maintain as confidential, any
confidential information from the Actuarial Board for
Counseling and Discipline or its successor, from NAIC and its
affiliates and subsidiaries and from regulatory and law
enforcement officials of this Commonwealth or other
jurisdictions with the understanding that the documents,
materials or other information received are confidential by
law in those jurisdictions and shall be given the same
confidential treatment provided by this subchapter.
§ 7135. Agreements.
The department may enter into agreements governing sharing
and use of confidential information consistent with this
subchapter.
§ 7136. No waiver of privilege or confidentiality.
(a) Sharing of information by department.--The sharing of
confidential information to or by the department as authorized
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by section 7134 (relating to use of confidential information by
department) shall not constitute a waiver of any applicable
privilege or claim of confidentiality in the documents,
materials or information.
(b) Privilege established in other jurisdictions.--A
privilege established under the law of any state or jurisdiction
that is substantially similar to the privilege established under
this subchapter shall be available and enforced in any
proceeding in, and in any court of, this Commonwealth.
§ 7137. Limited exceptions.
Notwithstanding section 7132 (relating to general rule for
confidential information), confidential information as defined
in section 7131(1) and (4) (relating to confidential information
defined):
(1) May be shared with the Actuarial Board for
Counseling and Discipline if the information is required for
the purpose of professional disciplinary proceedings and the
Actuarial Board for Counseling and Discipline recipient
agrees, and has the legal authority to agree, to maintain the
confidentiality and privileged status of the documents,
materials, data and other information in the same manner and
to the same extent as required for the commissioner.
(2) May be subject to subpoena for the purpose of
defending an action seeking damages from the actuary
submitting the related memorandum in support of an opinion
submitted under section 7113 (relating to actuarial opinion
of reserves prior to operative date of valuation manual) or
7114 (relating to actuarial opinion of reserves on or after
operative date of valuation manual) or a principle-based
valuation report developed under section 7126(b)(3) (relating
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to requirements of principle-based valuation) by reason of an
action required by this chapter or regulations promulgated
under this chapter.
(3) May be released by the commissioner with the written
consent of the company.
(4) Is no longer confidential once any portion of a
memorandum in support of an opinion submitted under section
7113 or 7114 or a principle-based valuation report developed
under section 7126(b)(3) is:
(i) cited by the company in its marketing materials;
(ii) publicly released to a governmental agency
other than a State insurance department; or
(iii) released by the company to the news media.
SUBCHAPTER D
EXEMPTIONS
Sec.
7141. Single-state company exemption.
7142. Small company exemption.
§ 7141. Single-state company exemption.
(a) Requirements.--A company may file a written request with
the commissioner to exempt specific product forms or product
lines issued by a domestic company from the requirements of
sections 7125 (relating to valuation manual for policies issued
on or after operative date of valuation manual) and 7126
(relating to requirements of principle-based valuation) if the
company:
(1) Is licensed and doing business only in this
Commonwealth.
(2) Computes reserves using assumptions and methods used
prior to the operative date of the valuation manual in
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addition to any requirements established by the commissioner
and promulgated by regulation.
(b) Written exemption.--An exemption under subsection (a)
that is granted by the commissioner shall be in writing.
(c) Revocation.--The commissioner may revoke the exemption
under subsection (a) if the conditions under subsection (a)(1)
and (2) are no longer met after 180 days' written notice to the
company regarding the conditions.
(d) Additional effects of exemption.--A company granted an
exemption under subsection (a) shall also be exempt from any
requirement under this chapter that is created by a reference to
section 7125 or 7126 for the product forms or product lines
exempted.
§ 7142. Small company exemption.
(a) Requirements.--A company seeking an exemption for any of
its ordinary life policies may file a statement of exemption for
the current calendar year with its domestic commissioner prior
to July 1 of that year if the following conditions are met:
(1) The company has less than $100,000,000 of ordinary
life premiums.
(2) Any universal life secondary guarantee policies
issued or assumed by the company with an issue date on or
after the operative date of the valuation manual meet the
definition of a nonmaterial secondary guarantee universal
life product.
(b) Certification.--The statement of exemption under
subsection (a) must certify that:
(1) The conditions under subsection (a) are met based on
premiums and other values from the prior calendar year's
financial statements.
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(2) Any universal life secondary guarantee business
issued since the operative date of the valuation manual meets
the definition of a nonmaterial secondary guarantee universal
life product.
(c) Inclusion with NAIC filing.--The statement of exemption
under subsection (a) shall also be included with the NAIC filing
for the second quarter of that year.
(d) Rejection.--If the commissioner finds that the
conditions in subsection (a) are not met, the commissioner may
reject the statement of exemption prior to September 1 and
require the company to follow the requirements of the valuation
manual minimum standard entitled VM-20 for the ordinary life
policies.
(e) Approval.--If the statement of exemption under
subsection (a) is granted, the minimum reserve requirements for
the exempt company's ordinary life policies shall be as set
forth in the valuation manual.
(f) Definitions.--As used in this section, the following
words and phrases shall have the meanings given to them in this
subsection unless the context clearly indicates otherwise:
"Nonmaterial secondary guarantee universal life product." A
universal life product where the secondary guarantee meets the
following parameters at the time of issue:
(1) The policy has only one secondary guarantee, which
is in the form of a required premium consisting of either a
specified annual or cumulative premium.
(2) The duration of the secondary guarantee for each
policy is no longer than 20 years from issue through issue
age 60, grading down by two-thirds year for each higher issue
age to age 82, and thereafter five years.
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(3) The present value of the required premium under the
secondary guarantee must be at least as great as the present
value of net premiums resulting from the appropriate
valuation basic table over the course of the maximum
secondary guarantee duration allowable under the contract in
aggregate and subject to the duration limit under paragraph
(2). The following shall apply:
(i) The present value shall use minimum allowable
valuation basic table rates, where preferred tables are
subject to existing qualification requirements, and the
maximum valuation interest rate as defined in VM-20
section 3(C)(2).
(ii) The minimum premiums shall be the annual
required premiums over the course of the maximum
secondary guarantee duration.
"Ordinary life premiums." Direct premiums plus reinsurance
assumed premiums from an unaffiliated company from the ordinary
life line of business reported in Exhibit 1-Part 1, entitled
Premiums and Annuity Considerations for Life and Accident and
Health Contracts, of the prior calendar year's life, accident
and health annual statement or the fraternal annual statement.
SUBCHAPTER E
MISCELLANEOUS PROVISIONS
Sec.
7151. Effect on The Insurance Company Law of 1921.
§ 7151. Effect on The Insurance Company Law of 1921.
(a) Fraternal benefit organizations.--The following shall
apply:
(1) Section 2451(b) of The Insurance Company Law of 1921
shall apply to the minimum reserves for certificates issued
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after February 11, 1994 and prior to the effective date of
this chapter.
(2) The minimum reserves for certificates issued on or
after the effective date of this chapter shall be governed by
this chapter.
(b) Standard nonforfeiture law for life insurance.--
Notwithstanding any provision of The Insurance Company Law of
1921:
(1) For policies issued prior to the operative date of
the valuation manual, any commissioners standard ordinary
mortality table that was adopted after 1980 by NAIC and is
approved by regulation for use in determining the minimum
nonforfeiture standard may be substituted for the
Commissioners 1980 Standard Ordinary Mortality Table with or
without Ten-Year Select Mortality Factors or for the
Commissioners 1980 Extended Term Insurance Table.
(2) For policies issued on or after the operative date
of the valuation manual, the valuation manual shall provide
the commissioners standard mortality table for use in
determining the minimum nonforfeiture standard that may be
substituted for the Commissioners 1980 Standard Ordinary
Mortality Table with or without Ten-Year Select Mortality
Factors or for the Commissioners 1980 Extended Term Insurance
Table. If the commissioner approves by regulation any
commissioners standard ordinary mortality table adopted by
NAIC for use in determining the minimum nonforfeiture
standard for policies issued on or after the operative date
of the valuation manual, that minimum nonforfeiture standard
shall supersede the minimum nonforfeiture standard provided
by the valuation manual.
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(3) For policies issued prior to the operative date of
the valuation manual, any commissioners standard industrial
mortality table that was adopted after 1980 by NAIC and that
is approved by regulation for use in determining the minimum
nonforfeiture standard may be substituted for the
Commissioners 1961 Standard Industrial Mortality Table or the
Commissioners 1961 Industrial Extended Term Insurance Table.
(4) For policies issued on or after the operative date
of the valuation manual, the valuation manual shall provide
the commissioners standard mortality table for use in
determining the minimum nonforfeiture standard that may be
substituted for the Commissioners 1961 Standard Industrial
Mortality Table or the Commissioners 1961 Industrial Extended
Term Insurance Table. If the commissioner approves by
regulation any commissioners standard industrial mortality
table adopted by the NAIC for use in determining the minimum
nonforfeiture standard for policies issued on or after the
operative date of the valuation manual, that minimum
nonforfeiture standard shall supersede the minimum
nonforfeiture standard provided by the valuation manual.
(c) Nonforfeiture interest rate.--Notwithstanding any
provision of The Insurance Company Law of 1921, the
nonforfeiture rate shall be as follows:
(1) For policies issued prior to the operative date of
the valuation manual, the nonforfeiture interest rate per
year for any policy issued in a particular calendar year
shall be equal to 125% of the calendar year statutory
valuation interest rate for the policy as defined in section
7117 (relating to computation of minimum standard by calendar
year of issue) rounded to the nearest 0.25%, but the
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nonforfeiture interest rate shall not be less than 4%.
(2) For policies issued on and after the operative date
of the valuation manual, the nonforfeiture interest rate per
year for any policy issued in a particular calendar year
shall be provided by the valuation manual.
Section 2. Repeals are as follows:
(1) The General Assembly declares that the repeals under
paragraphs (2) and (3) are necessary to effectuate the
addition of 40 Pa.C.S. Pt. IV.
(2) Sections 301, 301.1, 303 and 311.1 of the act of May
17, 1921 (P.L.789, No.285), known as The Insurance Department
Act of 1921, are repealed.
(3) Section 410A(e)(8)(F) and (G) and (9) of the act of
May 17, 1921 (P.L.682, No.284), known as The Insurance
Company Law of 1921, are repealed.
(4) All other acts and parts of acts are repealed
insofar as they are inconsistent with this act.
Section 3. This act shall take effect in 30 days.
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