YEARLY RENEWABLE TERM REINSURANCE AGREEMENT
YEARLY RENEWABLE TERM
between
XXXX XXXXXXX LIFE INSURANCE COMPANY (U.S.A.)
of Lansing, Michigan
and
SWISS RE LIFE & HEALTH AMERICA INC.
of Jefferson City, Missouri
Effective Date of Agreement: September 1, 2019
Xxxx Xxxxxxx’x Reinsurance Agreement No: SW19C13
Reinsurer Agreement No: I2123693US-19
TABLE OF CONTENTS
ARTICLE I DEFINITIONS |
1 | |||||
ARTICLE II REINSURANCE; REQUIREMENTS FOR REINSURANCE COVERAGE AND CESSIONS |
3 | |||||
1. |
Reinsurance | 3 | ||||
2. |
Automatic Reinsurance Coverage and Cessions | 3 | ||||
3. |
Facultative Reinsurance Coverage and Cessions | 3 | ||||
4. |
Data Notification | 4 | ||||
ARTICLE III STATEMENT OF ACCOUNT |
5 | |||||
1. |
Premium and Claims Accounting | 5 | ||||
2. |
Non-Payment of Premiums | 5 | ||||
3. |
Unearned Premium | 6 | ||||
ARTICLE IV CHANGES TO BUSINESS REINSURED |
7 | |||||
1. |
Policy Changes | 7 | ||||
2. |
Plan Changes | 7 | ||||
3. |
Increase in Amount and Underwriting Reclassification | 7 | ||||
4. |
Reductions | 8 | ||||
5. |
Special Changes | 8 | ||||
6. |
Lapses | 8 | ||||
7. |
Rescissions | 8 | ||||
8. |
Reinstatements | 8 | ||||
9. |
Minimum Final Cession | 9 | ||||
10. |
Retention Limit Changes | 9 | ||||
11. |
No Program of Internal Replacement | 9 | ||||
ARTICLE V RECAPTURE |
10 | |||||
1. |
Recapture Triggering Events | 10 | ||||
2. |
Financial Impairment, Failure to Pay, Reserve Credit | 10 | ||||
3. |
Increase in Retention | 11 | ||||
4. |
Successors | 12 | ||||
5. |
Recapture Charge | 12 | ||||
ARTICLE VI LIABILITY |
13 | |||||
1. |
Automatic Reinsurance | 13 | ||||
2. |
Facultative Reinsurance | 13 | ||||
3. |
Duration | 13 | ||||
4. |
Temporary Insurance Agreement | 13 | ||||
ARTICLE VII CLAIMS |
14 | |||||
1. |
Claims Decision | 14 | ||||
2. |
Initial Notice of Claim | 14 | ||||
3. |
Claim Proofs. | 14 | ||||
4. |
Ceded Claim Settlements | 14 | ||||
5. |
Claims Practices | 14 | ||||
6. |
Contested Claims | 14 |
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7. |
Ceded Benefits Payable | 15 | ||||
8. |
Misstatement of Age or Sex | 15 | ||||
9. |
Expenses | 15 | ||||
10. |
Extra Contractual Damages | 15 | ||||
ARTICLE VIII DISPUTE RESOLUTION |
17 | |||||
1. |
Arbitration | 17 | ||||
ARTICLE IX FINANCIAL IMPAIRMENT AND INSOLVENCY |
19 | |||||
1. |
Financial Impairment of Reinsurer | 19 | ||||
2. |
Insolvency | 20 | ||||
ARTICLE X TAXES & EXPENSES |
21 | |||||
1. |
DAC Tax | 21 | ||||
2. |
The Reinsurer’s Taxes and Expenses | 21 | ||||
3. |
United States Foreign Account Tax Compliance Act (FATCA) | 21 | ||||
ARTICLE XI GENERAL PROVISIONS |
22 | |||||
1. |
Administration | 22 | ||||
2. |
Amendments | 22 | ||||
3. |
Assignment | 22 | ||||
4. |
Benefit | 22 | ||||
5. |
Compliance | 22 | ||||
6. |
Conditions | 22 | ||||
7. |
Confidentiality | 22 | ||||
8. |
Construction | 25 | ||||
9. |
Counterparts | 25 | ||||
10. |
Duration of Agreement | 25 | ||||
11. |
Entire Agreement | 25 | ||||
12. |
Errors and Omissions (Oversights) | 26 | ||||
13. |
Good Faith | 26 | ||||
14. |
Inspection of Records | 26 | ||||
15. |
Licenses and Reserve Credit | 27 | ||||
16. |
Notices | 27 | ||||
17. |
OFAC | 27 | ||||
18. |
Offset | 27 | ||||
19. |
Parties to Agreement | 28 | ||||
20. |
References | 28 | ||||
21. |
Representations and Warranties | 28 | ||||
22. |
Severability | 28 | ||||
23. |
Survival | 28 | ||||
24. |
Waiver | 28 | ||||
EXHIBIT A |
30 | |||||
PLANS, RIDERS, AND BENEFITS REINSURED |
30 | |||||
EXHIBIT A-I |
31 | |||||
THE COMPANY’S UNDERWRITING FORMS, |
31 | |||||
EVIDENCE, AND ISSUE RULES |
31 | |||||
TEMPORARY INSURANCE AGREEMENT |
31 |
3
EXHIBIT B |
32 | |||||
GENERAL PROVISIONS |
32 | |||||
EXHIBIT C |
37 | |||||
INSTRUCTIONS FOR ADMINISTRATION -YRT PREMIUM RATES |
37 | |||||
EXHIBIT D |
42 | |||||
YRT REINSURANCE RATES |
42 | |||||
EXHIBIT E |
43 | |||||
RETENTION LIMITS |
43 | |||||
EXHIBIT E-I |
46 | |||||
AUTOMATIC REINSURANCE POOL CAPACITY |
46 | |||||
EXHIBIT E-II |
48 | |||||
THE REINSURER’S AUTOMATIC ACCEPTANCE LIMITS |
48 | |||||
EXHIBIT E-III |
50 | |||||
JUMBO LIMIT |
50 | |||||
EXHIBIT F |
52 | |||||
REINSURANCE REPORTS |
52 | |||||
EXHIBIT G |
55 | |||||
DAC TAX ELECTION |
55 | |||||
EXHIBIT H |
56 | |||||
UNDERWRITING REQUIREMENTS FOR AUTOMATIC REINSURANCE |
56 |
4
YEARLY RENEWABLE TERM REINSURANCE AGREEMENT
This Yearly Renewable Term Reinsurance Agreement (this “Agreement”) for reinsurance on an automatic and facultative basis is effective as of September 1, 2019 (the “Effective Date”) by and between Xxxx Xxxxxxx Life Insurance Company (U.S.A.) (the “Company”) and Swiss Re Life & Health America Inc. (the “Reinsurer”).
ARTICLE I
DEFINITIONS
Definitions. The following terms have the definitions set forth below:
“Agreement” has the meaning assigned to such term in the introductory paragraph.
“Applicable Law” means any applicable law, statute, rule, ruling, determination, ordinance, regulation, or opinion of any governmental authority, administrative body or agency or court, domestic or foreign, or any decision, judgment, order, writ, injunction or decree of any such governmental authority, administrative body or agency or court.
“Automatic Acceptance Limit” has the meaning assigned to such term in Exhibit E-II.
“Automatic Reinsurance Pool Capacity” has the meaning assigned to such term in Exhibit E-I.
“Company” has the meaning assigned to such term in the introductory paragraph.
“Confidential Information” has the meaning assigned to such term in Article XI, section 7(j).
“Covered Policies” means the life insurance policies, supplementary benefits, riders and temporary insurance agreements issued on those plans listed on Exhibit A and any other life insurance policy, supplementary benefit, rider or temporary insurance agreement that is reinsured by the Reinsurer pursuant to the terms of this Agreement.
“Disclosing Party” has the meaning assigned to such term in Article XI, section 7(j).
“Effective Date” has the meaning assigned to such term in the introductory paragraph.
“Financial Impairment” has the meaning assigned to such term in Article IX, section 1.
“Insolvency” has the meaning assigned to such term in Article IX, section 2.
“Jumbo Break” has the meaning assigned to such term in Exhibit E-III.
“Jumbo Limit” has the meaning assigned to such term in Exhibit E-III.
“NAIC” means the National Association of Insurance Commissioners.
“Net Amount at Risk” has the meaning assigned to such term in Exhibit B.
“Non-Notifying Party” has the meaning assigned to such term in Article VIII, section 1.
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ARTICLE I (Cont’d)
“Notifying Party” has the meaning assigned to such term in Article VIII, section 1.
“OFAC” has the meaning assigned to such term in Article XI, section 16.
“OFAC Laws” has the meaning assigned to such term in Article XI, section 16.
“Personal Information” has the meaning assigned to such term in Article XI, section 7.
“Privacy Laws” has the meaning assigned to such term in Article XI, section 7(j).
“Proprietary Information” has the meaning assigned to such term in Article XI, section 7.
“Recapture Triggering Event” has the meaning assigned to such term in Article V, section 1.
“Receiving Party” has the meaning assigned to such term in Article XI, section 7(j).
“Reinsurer” has the meaning assigned to such term in the introductory paragraph.
“Representative” means a party’s directors, officers, employees, affiliates, entities, agents, external lawyers, external consultants or external auditors.
“Reserve Credit” means full statutory financial statement credit for the reinsurance ceded to the Reinsurer under this Agreement, in all statutory financial statements required to be filed with any governmental body charged with supervision of insurance companies in all United States jurisdictions in which the Company is licensed, authorized or accredited to transact business, and all consolidated financial statements required to be filed by the Company or its affiliates with any governmental body charged with supervision of insurance companies in Canada and its provinces.
“Retention Limits” has the meaning assigned to such term in Exhibit E.
“Third Party” means any of a party’s third-party administrators, subcontractors, advisors, or vendors, and in the case of the Reinsurer, its retrocessionaires.
2
ARTICLE II
REINSURANCE; REQUIREMENTS FOR REINSURANCE COVERAGE AND CESSIONS
1. Reinsurance.
On or after the Effective Date, the Company shall cede to the Reinsurer a portion of the risk (as set forth in Exhibit B) for the Covered Policies, subject to the terms and conditions described in this Agreement. This Agreement is applicable only to reinsurance of Covered Policies directly written by the Company, except as set forth in Article IV (Changes to Business Reinsured). Any other life insurance policies acquired by the Company through merger of another life insurance company, reinsurance (whether by assumption or other reinsurance) or otherwise are not included as Covered Policies under the terms of this Agreement.
2. Automatic Reinsurance Coverage and Cessions.
The Reinsurer shall automatically accept its share of the risks under the Covered Policies as described in the exhibits of this Agreement, provided that all of the following conditions are met at the time the Covered Policy is issued:
(a) | The Company retains its quota share in accordance with the limits set forth in Exhibit B or otherwise holds its full retention on a life under previously issued in-force policies; |
(b) | The Company follows the Underwriting Requirements for Automatic Reinsurance set forth in Exhibit H; |
(c) | The Jumbo Limit is not exceeded; |
(d) | The ultimate amount to be reinsured with respect to an insured life under this Agreement in addition to the amount already reinsured by the Company to the Reinsurer with respect to such insured life, does not exceed the Reinsurer’s Automatic Acceptance Limits; and |
(e) | The application is on a relevant insured life that has not been submitted on a facultative basis by the Company to the Reinsurer or any other reinsurer within the last three (3) years, unless the reason for such prior submission(s) on a facultative basis no longer applies. |
For the purposes of this Article, “ultimate amount” will mean to the best of the Company’s knowledge, the projected maximum face amount at the time of underwriting, based on scheduled contractual increases, that is anticipated based on reasonable assumptions made about the policy.
The Company shall report to the Reinsurer all automatic cessions in the periodic reports described in Exhibit F.
The Company shall send copies of the application, underwriting papers and other pertinent papers for an automatic cession on any insured life upon request from the Reinsurer.
3. Facultative Reinsurance Coverage and Cessions.
If the Company receives an application that does not meet the criteria for Automatic Reinsurance Coverage, the Company may submit the application to the Reinsurer for facultative consideration. At the Company’s option, any risk may be submitted to the Reinsurer for facultative consideration.
The Company may apply for facultative reinsurance by sending to the Reinsurer copies of all pertinent papers, including the original application and any medical and non-medical evidence, and all other information that the Company may have relating to the insurability of the risk.
After consideration of the facultative application and related information, the Reinsurer shall promptly inform the Company of its underwriting decision. If the Reinsurer makes an offer of reinsurance, the
3
ARTICLE II (Cont’d)
Company must accept the Reinsurer’s offer during the lifetime of the insured and within the lesser of: (i) the time period specified in the Reinsurer’s offer; or (ii) one hundred and twenty (120) days after the Company’s receipt of such offer. The Company shall accept the Reinsurer’s offer by: (i) written notification; or (ii) reporting such risk on the periodic reports it provides to the Reinsurer as described in Exhibit F.
If any application to the Reinsurer is not to be placed with the Reinsurer, the Company shall advise the Reinsurer of such event so that the Reinsurer can complete its records related thereto.
4. Data Notification.
The Company shall provide the Reinsurer with the reports set forth in Exhibit F. The Company, upon reasonable request, shall provide the Reinsurer with any other information related to the Covered Policies and the reinsurance hereunder and which the Reinsurer reasonably requires in order to complete its financial statements.
4
ARTICLE III
STATEMENT OF ACCOUNT
1. Premium and Claims Accounting.
The Company shall pay premiums to the Reinsurer for Covered Policies in accordance with the terms set out in Exhibits B, C and D and the payment of such premiums is, subject to Article III, section 2, a condition precedent to coverage under this Agreement.
For each accounting period, the Company shall send to the Reinsurer Billing Statements as set out in Exhibit F, showing all first year and renewal premiums that become due during that accounting period, including any adjustments made necessary by changes or corrections to reinsurance previously reported.
For all claims paid by the Company within the accounting period, the Company shall submit to the Reinsurer a Statement of Reinsured Claims Collected, as set forth in Exhibit F. This statement is an itemized listing of benefits including the ceded death benefit, plus the Reinsurer’s proportionate share of the interest and expenses paid by the Company, that have been netted off the Reinsurer’s monthly Billing Statement(s).
If the statement balance so calculated is due to the Reinsurer, the Company shall forward payment in settlement together with the statements. If the balance is due to the Company, the Reinsurer shall forward payment in settlement within thirty (30) days of receipt of the applicable statement.
For balances remaining unpaid longer than thirty (30) days after the delivery to the Reinsurer of the applicable statement, the Company reserves the right to charge interest on the outstanding balance. The outstanding balance will incur interest calculated from that date using the “3-month” U.S. Treasury Bill rate reported for the last working date of the calendar month preceding the applicable statement in the Wall Street Journal or, if the Wall Street Journal is no longer published, a comparable publication.
If the Company returns premiums to the policyholder of a Covered Policy for any reason other than surrenders provided under the contractual terms of the Covered Policy, the Reinsurer shall return its proportional share of the premiums (less allowances) it has received from the Company in respect of any Covered Policy for which premiums have been returned.
The Company reserves the right to net any balances hereunder that remain unpaid for more than thirty (30) days after delivery of each applicable statement from the next Billing Statement.
2. Non-Payment of Premiums.
The Reinsurer may terminate its liability for any reinsurance on a Covered Policy for which the reinsurance premiums have not been paid within sixty (60) days after the Due Date set forth in Exhibit F, by giving thirty (30) days written notice of such action to the Company. The Reinsurer’s right to terminate under this paragraph shall cease if the Company pays the unpaid reinsurance premiums within such thirty (30) day notice period. In the event of a dispute regarding YRT rates, the Reinsurer will continue to accept YRT premiums based on the then current rate and not seek contractual termination of the YRT coverage under the terms of this Article until the dispute has been resolved in accordance with the dispute resolution provisions of this Agreement.
The Reinsurer reserves the right to charge interest on any balances remaining unpaid thirty (30) days after the Due Date and/or when premiums for newly issued Covered Policies remain unpaid after one hundred and twenty (120) days from the issue date of the Covered Policy. Interest incurred will be calculated using the “3-month” U.S. Treasury Bill rate reported for the last working date of the calendar month in the Wall Street Journal or, if the Wall Street Journal is no longer published, a comparable publication.
5
ARTICLE III (Cont’d)
The Reinsurer’s right to terminate reinsurance for non-payment of premium shall not prejudice its right to collect premiums for the period the reinsurance was in force.
During the period premiums are outstanding, the Reinsurer may offset the amount of any premiums in arrears against amounts owed to the Company hereunder.
The Company shall not force the Reinsurer to exercise its termination remedy under the provisions of this section solely to either (i) avoid the recapture requirements hereunder or (ii) to transfer to another reinsurer the Covered Policies.
3. Unearned Premium.
The Company shall take credit, without interest, for any unearned premiums, (net of commissions or allowances), arising due to reductions, terminations, lapses, cancellations or death claims, in its account.
6
ARTICLE IV
CHANGES TO BUSINESS REINSURED
1. | Policy Changes. |
Changes to Covered Policies shall be made in accordance with the provisions of this Article. If any change affects the plan, the amount of reinsurance premiums, allowances or commissions, if applicable, under the cession, the Company shall inform the Reinsurer in the subsequent Reinsurance Listing In Force Report as set forth in Exhibit F.
2. | Plan Changes. |
(a) | Automatic Cessions: |
Whenever the plan of insurance on any Covered Policy is being changed, including internal replacements, and the Company is not obtaining evidence in accordance with the Company’s new business underwriting rules, or as agreed otherwise by the Company and the Reinsurer, the reinsurance shall remain in effect with the Reinsurer on the following basis:
(i) | the reinsurance rates and the durations shall be based on those applicable to the original cession; and |
(ii) | the reinsurance amount at risk shall be determined according to the terms of this Agreement but in no event shall be more than the original cession at the time of the change in plan; and |
(iii) | the suicide and contestability period of the policy will be measured from the issue date of the original cession. |
Whenever the plan of insurance on a Covered Policy is being changed, including internal replacements, and underwriting in accordance with the Company’s new business underwriting rules is required, the policy will be considered new business and will be reinsured under the current pool open to new business, using first year rates based on attained age. The suicide and contestability period of such a policy will be measured from the current issue date, except in jurisdictions that require otherwise.
Internal replacements, as described above, may occur between the Company and any of its affiliate companies and to plans not listed in Exhibit A.
(b) | Facultative Cessions. Any changes shall be subject to the Reinsurer’s approval only if the Company is obtaining evidence in accordance with the Company’s new business underwriting rules. |
These practices regarding plan changes will apply unless mutually agreed otherwise by the Company and the Reinsurer.
3. | Increase in Amount and Underwriting Reclassification |
(a) | Automatic Cessions. Any underwriting reclassification, (including any change in mortality rating), or non-contractual increase in amount at risk for any cession shall be subject to the Company’s new business underwriting rules or as agreed otherwise by the Company and the Reinsurer. The amount of the increase shall be subject to the terms of this Agreement. |
If the ultimate amount of the policy will increase above the Jumbo Limit, or if the amount to be reinsured exceeds the Reinsurer’s Automatic Acceptance Limits, the increase shall be subject to the Reinsurer’s approval, which shall not be unreasonably withheld, conditioned or delayed.
7
ARTICLE IV (Cont’d)
(b) | Facultative Cessions. Any re-underwriting or non-contractual increase, including any change in mortality rating, shall be subject to the Reinsurer’s approval, which shall not be unreasonably withheld, conditioned or delayed. |
4. | Reductions. |
If the amount of insurance of a Covered Policy is reduced, then the reinsurance net amount at risk shall be reduced proportionately. The reduction shall be effective on the same date as the reduction under the Covered Policy.
If the reinsurance for a Covered Policy has been placed with more than one reinsurer, the reduction shall be applied to all reinsurers in proportion to the amounts originally reinsured with each reinsurer.
If the insured has multiple policies, some which are reinsured, and a fully retained policy lapses or reduces, the Company will not make any changes to the Covered Policies.
5. | Special Changes. |
If any other change of a type not covered above, which may materially affect the terms of the cession in question, is requested, the Reinsurer’s approval (which shall not be unreasonably withheld, conditioned or delayed) shall be obtained before such a change becomes effective.
6. | Lapses. |
When a Covered Policy is terminated due to a lapse, the cession in question shall be cancelled effective as of the date of such lapse. If the Company allows extended or reduced paid-up insurance following a lapse, the reinsurance will be appropriately amended. If the Company allows the Covered Policy to remain in force under its automatic premium loan provisions, the reinsurance shall continue unchanged and in force as long as such provisions remain in effect, except as provided for otherwise in this Agreement.
If the Covered Policy continues in force without payment during any days of grace pending its termination, whether such continuance is as a result of a policy contractual provision or a practice of the Company, the reinsurance shall also continue without payment of premium and shall terminate on the same date as the Company’s risk terminates.
7. | Rescissions. |
When an in-force Covered Policy is rescinded by the Company, the cession in question shall be voided from inception and the Reinsurer shall return the premiums it has received from the Company in respect of such policy. Should the Company be subsequently required to reinstate a Covered Policy that it rescinded, it is understood that the Reinsurer shall participate in the reinsurance of the reinstated Covered Policy under the terms and conditions described in this Agreement, and provided that there is no non-contractual increase to the Reinsurer’s share.
8. | Reinstatements. |
If a Covered Policy reinsured on an automatic basis is reinstated in accordance with the terms of the Covered Policy or normal rules and practices of the Company, the Reinsurer shall reinstate the reinsurance automatically.
If the Company collects premiums in arrears from the policyholder of a reinstated Covered Policy, the Company shall pay the Reinsurer all corresponding reinsurance premiums in arrears in connection with the reinstatement.
The Reinsurer’s approval is required only for the reinstatement of a facultative policy when the Company’s regular reinstatement rules indicate that more evidence than a Statement of Good Health or Health Questionnaire is required.
8
ARTICLE IV (Cont’d)
9. | Minimum Final Cession. |
Reinsurance under this Agreement shall be cancelled whenever the net amount at risk becomes less than the Minimum Final Cession amount set out in Exhibit B.
10. | Retention Limit Changes. |
The Company’s Retention Limits are outlined in Exhibit E and the retention for the purposes of this Agreement is described in Exhibit B.5. The Company may change its Retention Limits on new business being issued at any time by giving prior written notice to the Reinsurer of the new Retention Limits and the effective date of the new Retention Limits schedule. Upon a change in the Retention Limits, the reinsurance under this Agreement shall be maintained in force without reduction except as otherwise specifically provided in this Agreement.
11. | No Program of Internal Replacement. |
The Company shall not, and shall cause its affiliates not to, directly or indirectly or through a third party, solicit policyholders of the Covered Policies in connection with any Program of Internal Replacement without the agreement of the Reinsurer; provided, however, any such solicitation required by applicable law or at the direction of any governmental authority shall not be prohibited by this section 13. For purposes of this section 13, the term “Program of Internal Replacement” shall mean any program sponsored by the Company or any of its affiliates that is offered to a class of policyholders and through which a policy is exchanged for, or otherwise canceled and replaced with, a policy that is not a Covered Policy hereunder; provided, however, the actions and recommendations of the agents and brokers of the Company and its affiliates, regardless of the effects thereof on the Covered Policies, shall not constitute a Program of Internal Replacement.
9
ARTICLE V
RECAPTURE
1. | Recapture Triggering Events. |
Upon the occurrence of a Recapture Triggering Event, the Company shall have the right, but not the obligation, to recapture all or a portion of the reinsurance ceded under this Agreement. Except as otherwise provided in this Article V, the Company shall recapture the elected portion of reinsurance ceded under this Agreement by providing the Reinsurer with written notice of its intent to effect recapture, and recapture of the relevant portion of reinsurance on the Covered Policies shall be effective on the date as set out in Article V, sections 2 through 4 below and subject to the following rules:
(i) | The amount of reinsurance eligible for recapture is based on the reinsured net amount at risk as of the date of recapture. |
(ii) | The Reinsurer shall not be liable, after the effective date of recapture, for any cessions or portions of such cessions eligible for recapture, which the Company has overlooked. The Reinsurer shall be liable only for a credit of the premiums received after the recapture date, less any commissions or allowances and without interest. |
(iii) | The Reinsurer shall be liable for its share of any claim incurred up to and including the date of recapture and the Company will reimburse the Reinsurer for any payments made for claims or other payments incurred after the date of recapture. |
A “Recapture Triggering Event” means any of the following occurrences:
(a) | the Financial Impairment of the Reinsurer; |
(b) | the Reinsurer’s failure to pay any material amount due to the Company under this Agreement and, in each case (i) such amount is not subject to a good faith dispute and (ii) such breach has not been cured within ninety (90) calendar days after written notice thereof from the Company; |
(c) | any event that would cause the Company to not be permitted to receive Reserve Credit on any of its statutory financial statements and that such event has not been remedied prior to the last calendar day of the calendar quarter in which such event occurs; |
(d) | any increase in the Company’s retention on the Covered Policies, as set forth in Exhibit B.5. |
2. | Financial Impairment, Failure to Pay, Reserve Credit. |
If the Recapture Triggering Event is any of those described in Article V, sections 1(a) through (c) above, and subject to the Reinsurer’s right to cure or remedy such Recapture Triggering Event, if any, set forth in this Agreement, the Company may, at its option, and, except as set forth in this paragraph 2, with no recapture fee, recapture all or a portion of the reinsurance in force that was ceded to the Reinsurer under this Agreement, by providing the Reinsurer, its rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor with written notice of its intent to recapture the reinsurance in force, regardless of the duration the reinsurance has been in force or the amount retained by the Company on the policies reinsured. The effective date of a recapture would be, at the Company’s sole discretion and as set forth in the notice of its intent to recapture, either (i) in the event of a Financial Impairment, the date on which the Financial Impairment was established, or (ii) the tenth (10th) day following the date of the notice by the Company to the Reinsurer of its intent to recapture. If the Company elects to recapture as a result of the Reinsurer’s Financial Impairment, then it shall recapture eligible business in accordance with the following rules:
10
ARTICLE V (Cont’d)
(a) | If the Recapture Triggering Event is the Financial Impairment of the Reinsurer, the Company must recapture all other U.S. life reinsurance agreements between the Company and the Reinsurer that have a provision substantially similar to this Article V, section 2(a). |
(b) | Recapture based on Financial Impairment of the Reinsurer as provided herein shall be optional with the Company, but if any reinsurance is recaptured based on such Recapture Triggering Event, the Company may either: |
(i) | Recapture all eligible reinsurance in full as of the recapture effective date; or |
(ii) | Recapture the eligible reinsurance in installments over a reasonable period of time, as determined by the Company, with the first installment being recaptured as of the recapture effective date. |
If the Recapture Triggering Event is as described in Article V, section 1(c), and if the Company is not permitted to receive Reserve Credit on any of its statutory financial statements as a result of the Reinsurer’s loss of its licensing or accreditation status, then there will be no recapture fee. If the inability of the Company to receive Reserve Credit is for any other reason, the Company and the Reinsurer shall calculate a recapture charge as set out in Article V, Section 6 below.
3. | Increase in Retention. |
If the Recapture Triggering Event is an increase in the Company’s retention on the Covered Policies as provided in Article V, section 1(d) above, the Company shall give the Reinsurer no less than ninety (90) calendar days written notice prior to the effective date of the recapture. The Company may apply the new retention to existing reinsurance and reduce the reinsurance in force, in accordance with the following rules:
(a) | The portion of the business recaptured has satisfied the minimum in-force period requirements outlined in Exhibit B.18. |
(b) | Recapture may be made if the Company retained its quota share in accordance with Exhibit B.5 for the plan, age and mortality rating at the time the Covered Policy was issued. Any class of fully reinsured business or any classes of risks for which the Company established special retention limits less than those set forth in this Agreement at the time the Covered Policy was issued are not eligible for reduction. |
(c) | Such reductions shall be made on the next policy anniversary of each cession affected from the effective date of recapture set forth in the recapture notice from the Company to the Reinsurer or, reductions may be made according to a “one-time” effective date of recapture if agreed to by the Reinsurer. |
(d) | Recapture will be in the form of an increase in the Company’s retained quota share and a decrease in the quota share percentage ceded to the pool. This decrease will apply to all such in force business reinsured under this Agreement provided the requirements set forth in paragraphs 4. (a) and (b) above are satisfied. |
(e) | Recapture as provided herein shall be optional with the Company, but if any reinsurance is recaptured, all reinsurance eligible for recapture under the provisions of this Article V, section 4 must be recaptured. If there is reinsurance with other reinsurers on risks eligible for recapture, the necessary reduction is to be applied pro rata to the total outstanding reinsurance with all reinsurers. |
11
ARTICLE V (Cont’d)
(f) | In applying its new retention to existing reinsurance, the rating at the time of issue and the age at the policy date of the existing reinsurance will be used to determine the amount of the Company’s new retention. |
(g) | Should the Company choose to exercise its right to recapture through increasing its retention in accordance with the terms above, the Company and the Reinsurer shall calculate a recapture charge as set out in Article V, section 6 below. |
4. | Successors. |
For the avoidance of doubt, if the Company transfers Covered Policies to a successor company then the successor company has the option to recapture the reinsurance in accordance with the recapture criteria outlined in this section. If the Recapture Triggering Event is an increase in the Company’s retention on the Covered Policies as provided in Article V, section 1(d) above, the right to recapture will apply only if the successor company has or adopts a higher retention limit than that Company’s retention set forth in this Agreement.
5. | Recapture Charge. |
Should the Company choose to exercise its right to recapture based on (i) the Recapture Triggering Event described in Article V, section 1(c) above where the inability of the Company to receive Reserve Credit is for any reason other than the Reinsurer’s loss of its licensing or accreditation status, or (ii) the Recapture Triggering Event described in Article V, section 1(d) above, the Company and the Reinsurer shall calculate a recapture charge which shall be determined as the present value, to be not less than zero, of all cash flows (premiums and any other amounts to be paid to the Reinsurer by the Company less claims and allowances and any other amounts to be paid by the Reinsurer to the Company) representing present and future obligations under the Agreement. The calculation will, as accurately as possible, approximate the economic results of the Agreement, using current best estimate assumptions appropriate at the time of recapture for valuing the business to be recaptured, considering at least the following elements:
i) | historic experience of the underlying business; |
ii) | discount rates consistent with then-current market conditions; |
iii) | then-current assumptions of mortality and future mortality improvement utilized by the reinsurance market in the U.S.; and |
iv) | reasonable then-current assumptions with respect to lapse and other decrements. |
The Company and the Reinsurer will exchange the results of these calculations and attempt in good faith to come to agreement on the recapture charge amount within sixty (60) days of exchanging the calculations. If the parties are unable to resolve the differences in their calculations during such period of time, and if the Company wishes to proceed to recapture under this section, the Company may proceed to have the evaluations reviewed by a nationally recognized independent actuarial firm or the actuarial group of a nationally recognized accounting firm agreed upon and appointed by the parties. This review by the independent actuarial firm shall assess which one of the two parties’ results is the more reasonable calculation in light of the evidence provided by both parties in support of their calculations. Within thirty (30) days after the commencement of this review process, the independent actuarial firm shall pick one and only one of the calculations from the two parties and this result shall be the final and binding on both parties. No appeal or other action shall be taken in connection therewith, including, without limitation, by reference to other arbitral provisions of this Agreement. The parties will share in the cost of the actuarial firm’s fees and expenses. If the recapture charge is greater than zero, the Company will pay the Reinsurer within thirty (30) days of agreement by the parties or selection by the actuarial firm of the recapture charge amount.
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ARTICLE VI
LIABILITY
1. | Automatic Reinsurance. |
The Reinsurer’s liability for any Covered Policy ceded on an automatic basis shall begin simultaneously with the Company’s contractual liability for such Covered Policy.
2. | Facultative Reinsurance. |
If a policy becomes a Covered Policy by submitting for coverage on a facultative basis to the Reinsurer and the Reinsurer making an offer that is accepted by the Company in accordance with the terms of this Agreement, then the Reinsurer’s liability shall begin simultaneously with the Company’s contractual liability for such Covered Policy.
However, if the Reinsurer has submitted an unconditional offer on a facultative case to the Company and a claim arises after the Company has made the decision to accept the Reinsurer’s unconditional offer in accordance with its terms and prior to its expiration, but prior to the Company notifying the Reinsurer of acceptance, the Reinsurer shall be liable for its share of such claim, if it is shown to the reasonable satisfaction of the Reinsurer that the policy would have been reinsured with the Reinsurer.
The Reinsurer shall have no liability for a risk submitted to the Reinsurer on a facultative basis if (i) the Reinsurer duly notifies the Company of its decision to decline such risk, (ii) the Company declines the Reinsurer’s offer or (iii) the Reinsurer’s offer is not accepted prior to its expiration or within the lifetime of the risk.
3. | Duration. |
Except as set forth in the following sentence, the liability of the Reinsurer for all Covered Policies shall cease at the same time as the liability of the Company ceases and shall not exceed the Company’s contractual liability under the terms of the Covered Policies. With respect to Covered Policies under which the Company is required to pay or accelerate the reinsured amounts to the beneficiary prior to the death of the insured and the Company does not recover such reinsured amounts at the time such payments are made, the Reinsurer shall remain liable for such amounts until a claim is made at the time of the death of the insured even if the liability of the Company previously ceased.
4. | Temporary Insurance Agreement. |
Regardless of any provision of this Agreement to the contrary, where the Company provides insurance coverage under a temporary insurance agreement or prior to the issuance and delivery of a policy to the applicant during the insured’s or proposed insured’s lifetime, the extent of the Reinsurer’s liability on a per life basis is as stated in the Temporary Insurance Agreement provision set out in Exhibit A-I. The Company shall follow its normal procedures for such coverage.
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ARTICLE VII
CLAIMS
1. | Claims Decision. |
The Reinsurer agrees that in regard to all claims on Covered Policies: |
(a) | The final decision with respect to payment of claims is at the sole discretion of the Company. |
(b) | The Company may seek the Reinsurer’s opinion with respect to payment of a claim, but the Reinsurer is not responsible to the Company for a claim decision. |
(c) | The Company’s determination of its contractual liability for claims, as described in this Article, is binding on the Reinsurer. |
2. | Initial Notice of Claim. |
For all claims on Covered Policies, the Company shall send an Initial Notice of Death report to the Reinsurer, which shall be included with the Company’s monthly claims and Billing Statement, as set forth in Exhibit F.
The Initial Notice of Death report shall include: the insured’s name, date of birth, the death benefit amount, the retained amount, ceded death benefit, policy number, plan code, treaty code, date of death and policy date.
In addition, with respect to joint life last survivor Covered Policies, the Company shall inform the Reinsurer of the first death under the Covered Policy promptly following notification to the Company of such first death by providing the Reinsurer with the policy number, name, date of death, and cause of death of the insured.
3. | Claim Proofs. |
The Company shall report all non-contested claims on Covered Policies on a “bulk” basis (where no proofs will be provided to the Reinsurer, except upon specific request by the Reinsurer). For all contested claims on Covered Policies, the Company shall provide claim proof in accordance with section 5 of this Article VII.
4. | Ceded Claim Settlements. |
Payment of death claims by the Reinsurer shall be in one lump sum regardless of the mode of settlement under any Covered Policy. The Reinsurer shall reimburse the Company for any claims payable under this Agreement as described in Article III.
5. | Claims Practices. |
The Company acknowledges that it obtains a death certificate or other reliable proof of death for death claims.
6. | Contested Claims. |
The Company shall notify the Reinsurer of its intention to contest, compromise, rescind or litigate a claim involving a Covered Policy. The Company shall then submit to the Reinsurer for review, copies of the insured’s death certificate or other reliable proof of death, claimant’s statement (if applicable) and, upon the Reinsurer’s request, any other pertinent papers connected with the claim.
In the event that the Reinsurer does not wish to participate in the contest, compromise, rescission or litigation of the claim, it shall notify the Company within ten (10) Business Days after receipt of the pertinent papers as indicated in the immediately preceding paragraph. The Reinsurer shall then discharge all of its liability by paying the Company its full share of the reinsured liability to the Company and will not share in any subsequent reduction in liability or subsequent expenses liability incurred by the Company.
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ARTICLE VII (Cont’d)
If the Reinsurer agrees with the decision to participate in the contest, compromise, rescission or litigation of the claim, the Reinsurer will share in any subsequent reduction in the Company’s liability. The Reinsurer will share in such reduction in the proportion that the Reinsurer’s net liability bears to the sum of the net liability before reduction of the Company and all reinsurers, including the Reinsurer, on the insured’s date of death.
7. | Ceded Benefits Payable. |
The reinsurance benefit will be limited to the Reinsurer’s share of the Company’s contractual liability for the claim which satisfy the terms of this Agreement plus the Reinsurer’s proportionate share of interest that the Company pays on death proceeds until the Company’s date of settlement. For the purposes of this provision, contractual liability shall mean the benefits payable by the Company under the terms and conditions of the Covered Policy.
The total reinsurance benefit recovered by the Company from all reinsurers on a Covered Policy must not exceed the Company’s total contractual liability on the Covered Policy, less the Company’s retention on the Covered Policy.
8. | Misstatement of Age or Sex. |
If the amount of insurance provided by the Covered Policies is increased or reduced because of a misstatement of age or sex of a life insured, the net liability of the Reinsurer shall be proportionally adjusted, as though such revised liability had been in effect on the date the reinsurance for such Covered Policy commenced under Article VI, Liability. Any difference in premium as a result of such change will be settled without interest.
9. | Expenses. |
The Reinsurer shall pay its share of the expenses that are connected to the Company’s investigation of any claim incurred on Covered Policies. Subject to section 9 of this Article VII, claims investigation expenses do not include expenses incurred by the Company as a result of a dispute or contest arising out of conflicting claims of entitlement to policy proceeds or benefits. The Reinsurer will not be required to reimburse the Company for routine claim and administration expenses.
Expenses which are excluded from this provision are salaries for officers or employees, or other routine office expense of the Company; also excluded are expenses incurred in connection with a dispute or contest arising out of conflicting claims of entitlement to policy proceeds or benefits that the Company admits are payable.
In the event that the Reinsurer agrees to participate in the Company’s decision to contest, compromise, rescind or litigate a claim on a Covered Policy, the Reinsurer agrees to reimburse the Company for any reasonable legal, investigative and like expenses that the Company may incur in seeking to contest, compromise, rescind or litigate the claim. Such reimbursement shall be in the proportion that the Reinsurer’s net liability for such Covered Policy bears to the sum of the net liability of the Company and all reinsurers for such Covered Policy, as of the date of death, in the event of a contest, compromise, rescission or litigation of a claim. The Reinsurer shall also pay its share of the claim itself, if applicable.
10. | Extra Contractual Damages. |
The Reinsurer will not participate in Punitive or Exemplary Damages, Compensatory Damages, Bad Faith Damages, Statutory Penalties, and Aggravated Damages (collectively “Extra Contractual Damages”) that are awarded or assessed against the Company as a result of an act, omission, or course of conduct committed solely by the Company, its agents or in connection with the policies reinsured under this Agreement.
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ARTICLE VII (Cont’d)
The Reinsurer shall, however, reimburse the Company for its proportionate share of Extra Contractual Damages awarded against the Company in connection with the policies reinsured under this Agreement if the Reinsurer (i) was an active party and directed in writing; (ii) consented to in writing and in advance; or (iii) ratified in writing, the specific act, omission or course of conduct of the Company which results in the assessment of Extra Contractual Damages.
For the purposes of this provision, the following definitions shall apply:
(a) | “Punitive or Exemplary Damages” are those damages awarded as a penalty, the amount of which is not governed, nor fixed by statute; |
(b) | “Compensatory Damages” are those damages awarded to compensate for the actual damages sustained, and are not awarded as a penalty, nor fixed in amount by statute; |
(c) | “Bad Faith Damages” are those damages that may be compensated by Punitive or Exemplary Damages and are awarded as a result of bad faith dealings; |
(d) | “Statutory Penalties” are those amounts, which are awarded as a penalty, but fixed in amount by statute; and |
(e) | “Aggravated Damages” are court ordered amounts that compensate claimants for intangible injuries such as mental distress, humiliation or aggravating circumstances. |
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ARTICLE VIII
DISPUTE RESOLUTION
1. | Arbitration. |
The Company and the Reinsurer shall attempt in good faith to negotiate a mutually-acceptable solution to any controversy, dispute or claim arising out of or relating to this Agreement, or the breach thereof. Where the Company and the Reinsurer fail to reach a mutually acceptable solution within thirty (30) days, then either the Company or the Reinsurer may request that the controversy, dispute or claim be settled by binding arbitration. The parties shall instruct the arbitrators to interpret this Agreement as an honorable engagement and the arbitrators will not be obligated to follow strict rules of law or evidence. The parties shall instruct the arbitrators to regard this Agreement from the standpoint of practical business and are empowered to determine as to the interpretation of the treaty obligation. The parties intend that the arbitrators will make their decision with a view to affecting the intent of the Agreement. The customs and practices of the life insurance and reinsurance industry may be considered by the arbitrators to resolve any ambiguities in the Agreement but only insofar as such customs and practices are consistent with the terms of this Agreement.
To initiate arbitration, either the Company or the Reinsurer (the “Notifying Party”) may notify the other (the “Non-Notifying Party”) in writing of its desire to arbitrate, stating the nature of its dispute and remedy sought. The Non-Notifying Party shall respond to the notification in writing within fifteen (15) days.
Within sixty (60) days of the date on which the Notifying Party gives notice to the Non-Notifying Party of its desire to arbitrate, the Company and the Reinsurer shall each appoint one arbitrator. If either party refuses or neglects to appoint an arbitrator within the sixty (60) day period, the party that has appointed its arbitrator may appoint the second arbitrator. The parties shall cause these two arbitrators to select a third arbitrator within two (2) weeks of the date on which the last of the two such arbitrators was appointed.
If the two arbitrators do not agree on the choice of the third arbitrator, then the Company and the Reinsurer shall each name four candidates to serve as arbitrator. Beginning with the Non-Notifying Party, each party shall eliminate one candidate from the eight listed until one candidate remains. If this candidate declines to serve as the arbitrator, the candidate last eliminated will be approached to serve. This process shall be repeated until a candidate has agreed to serve as the third arbitrator.
All three arbitrators must be present or former officers of life insurance companies or life reinsurance companies or professionals, each with a minimum ten (10) years’ experience in or serving the life insurance or life reinsurance industry, excluding however, anyone affiliated with either the Company or the Reinsurer, such as, officers or professional advisors of the Company or the Reinsurer, their affiliates or subsidiaries or past employees, officers, directors or professional advisors of the Company or the Reinsurer or their respective affiliates. The location of the arbitration will be Boston, Massachusetts. The written decision of a majority of the arbitrators shall be final and binding on both parties and their respective successors and assigns. If an arbitrator, subsequent to his or her appointment, is unwilling or unable to act, a new arbitrator shall be appointed to replace him or her by the procedure set forth above. All cost of the arbitration and expenses and fees of the arbitrators shall be borne equally by the parties, unless otherwise ordered by the arbitrators.
The parties shall instruct the arbitrators to render a decision within six (6) months of the appointment of the third arbitrator, unless both parties agree otherwise.
The arbitrators will not have the authority to award punitive or exemplary damages.
Except as provided for herein, the arbitration shall be conducted pursuant to the rules and procedures of the American Arbitration Association.
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ARTICLE VIII (Cont’d)
Judgment upon the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.
It is specifically the intent of both parties that these arbitration provisions shall replace and be in lieu of any statutory arbitration provision, if the law so permits.
If more than one reinsurer is involved in arbitration where there are common questions of law or fact and a possibility of conflicting awards or inconsistent results, all such reinsurers may consolidate and act as one party for purposes of arbitration and communications shall be made by the Company to each of the reinsurers constituting the one party; provided, however, that nothing therein shall impair the rights of such reinsurers to assert several, rather than joint defenses or claims, nor be construed as changing the liability of the reinsurers under the terms of this Agreement from several to joint.
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ARTICLE IX
FINANCIAL IMPAIRMENT AND INSOLVENCY
1. | Financial Impairment of Reinsurer. |
For the purpose of this Agreement, the “Financial Impairment” of the Reinsurer shall be deemed to have occurred when:
(a) | It is declared insolvent or impaired by the regulatory authority in the jurisdiction of the Reinsurer, or |
(b) | Its Total Adjusted Capital drops below 2.0 times its Authorized Control Level Risk Based Capital (where Total Adjusted Capital and Authorized Control Level Risk Based Capital have the definition given by the NAIC) if it is a U.S. domiciled reinsurer; or |
(c) | It had not satisfied the minimum capital and surplus requirement of its jurisdiction of domicile if it is not a U.S. domiciled reinsurer. |
In the event of the Financial Impairment of the Reinsurer, the Company may, at its option, immediately cancel this Agreement for new business by promptly providing the Reinsurer, its rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor with written notice of the cancellation. Any requirement for a notification period prior to the cancellation of the Agreement would not apply under such circumstances. For avoidance of doubt, the Company’s right to terminate for new business set forth in this paragraph is in no way affected by any right of the Reinsurer to remedy the Financial Impairment as set forth below.
If the Financial Impairment of the Reinsurer is based on item (b) above, the Reinsurer has a period of ninety (90) days from the date the Financial Impairment was established to remedy the Financial Impairment (the “Remedy Period”) by restoring its Total Adjusted Capital to at least 2.0 times its Authorized Control Level Risk Based Capital for a continuous period of thirty (30) days or more and notifying the Company that it is no longer Financially Impaired. During such Remedy Period, if the Reinsurer implements and maintains one or more of the following, then the Company’s right to recapture due to Financial Impairment, as specified in Article V, shall cease with respect to such instance of Financial Impairment:
(a) | restoring its Total Adjusted Capital to at least 2.0 times its Authorized Control Level Risk Based Capital; or |
(b) | establishment of security for the Company equal to the greater of the Reserve Credit amounts claimed by the Company or its affiliates under this Agreement on their respective statutory financial statements until such time that the Reinsurer’s Total Adjusted Capital is restored to at least 2.0 times its Authorized Control Level Risk Based Capital for a continuous period of thirty (30) days or more; or |
(c) | transfer of the reinsurance provided under this Agreement to another reinsurer by assignment of this Agreement or otherwise, provided (a) that the assuming reinsurer has an A.M. Best rating of (A) or better at the time of the transfer; (b) that the assuming reinsurer accepts transfer by assignment of this Agreement (and all amendments) without any material modification to the substantive terms of the Agreement; and (c) written consent from the Company is obtained; or taking of one or more alternative actions as agreed to in writing by the Company. |
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ARTICLE IX Cont’d
2. | Insolvency. |
For the purpose of this Agreement, the “Insolvency” of the Company or the Reinsurer shall be deemed to have occurred when it:
(a) | applies for or consents to the appointment of a rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor of its properties or assets; or |
(b) | is adjudicated as bankrupt or insolvent; or |
(c) | files a petition in bankruptcy, seeks reorganization or an arrangement with creditors or commences any proceeding under any bankruptcy, dissolution, liquidation, insolvency, moratorium, reorganization or similar law or statute of any jurisdiction, or consents to, or acquiesces in any of the foregoing; or |
(d) | becomes the subject of an order to rehabilitate or an order to liquidate as defined by the insurance code of the jurisdiction of the domicile of the Company, or the Reinsurer, as the case may be. |
The Reinsurer shall be liable only for the amounts reinsured with the Reinsurer and shall not be or become liable for any amounts or reserves to be held by the Company on policies reinsured under this Agreement with the Company.
In the event of the Insolvency of the Company, the reinsurance obligations under this Agreement shall be payable by the Reinsurer directly to the Company, its rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor, without diminution because of the Insolvency of the Company, immediately upon demand, with reasonable provision for verification on the basis of the claims allowed against the insolvent Company by any court of competent jurisdiction or by any rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor having authority to allow such claims.
It is understood, however, that in the event of such Insolvency, the rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor of the Company shall give written notice of the pendency of a claim against the Company on the policy reinsured within a reasonable time after such claim is filed in the insolvency proceedings, and that during the pendency of such claim the Reinsurer may investigate such claim and interpose, at its own expense, in the proceedings where such claim is to be adjudicated, any defense or defenses which it may deem available to the Company or its rehabilitator, conservator, supervisor, receiver, liquidator or statutory successor.
It is further understood that the expense thus incurred by the Reinsurer shall be chargeable, subject to court approval, against the Company as part of the expense of conservation or liquidation to the extent of a proportionate share of the benefit, which may accrue to the Company solely as a result of the defense undertaken by the Reinsurer. Where two or more reinsurers are involved in the same claim and a majority in interest elects to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of the reinsurance agreement as though the Company had incurred such expense.
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ARTICLE X
TAXES & EXPENSES
1. | DAC Tax. |
The Company and the Reinsurer agree to make the election provided in Treas. Reg. section 1.848-2(g) (8) (the “DAC Tax Election”), whereby:
(a) | the party with net positive consideration for this Agreement for each taxable year will capitalize specified policy acquisition expenses with respect to this Agreement without regard to the general deductions limitation of section 848(c)(1) of the Internal Revenue Code of 1986, as amended; and |
(b) | both parties agree to exchange information pertaining to the amount of net consideration under this Agreement each year to ensure consistency. |
The term “net consideration” will refer to net consideration as defined in Treas. Reg. section 1.848-2(f).
The method and timing of the exchange of this information is set out in Exhibit G.
This DAC Tax Election shall be effective for all years for which this Agreement remains in effect.
The Company and the Reinsurer represent and warrant that they are subject to U.S. taxation under either the provisions of subchapter L of Chapter 1 or the provisions of subpart F of subchapter N of Chapter 1 of the Internal Revenue Code of 1986, as amended.
2. | The Reinsurer’s Taxes and Expenses. |
Apart from any taxes, refunds, and expenses specifically referred to elsewhere in this Agreement, the Reinsurer shall pay no allowances, taxes, or proportion of any expense to the Company in respect of any cession.
3. | United States Foreign Account Tax Compliance Act (FATCA). |
For purposes of determining a party’s status under FATCA, each party agrees to make available to the other party its documentation, including without limitation, IRS Forms W-8BEN-E, IRS Forms W-9, self-certifications or other relevant documents. This information shall be provided by the parties as soon as reasonably possible following execution of this Agreement, and promptly upon either party learning that any such information previously provided has become obsolete or incorrect.
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ARTICLE XI
GENERAL PROVISIONS
1. | Administration. |
The Company and the Reinsurer understand that the Company shall administer the Covered Policies and shall perform all Company accounting for such policies. The Company may delegate any of its administrative functions related to the Covered Policies to an affiliate of the Company or any non-affiliate third party provider. The standards of service in such event will be no less than in all material respects those of the Company then in place at the time of such delegation.
2. | Amendments. |
This Agreement may be amended only by written agreement of the parties. Any change or modification to this Agreement will be null and void unless made by amendment to this Agreement and signed by duly authorized Representatives of both parties.
3. | Assignment. |
Subject to Article XI section 1, neither party may assign any of its rights nor delegate its obligations under this Agreement, nor may either sell or assumption reinsure the Covered Policies without the prior written consent of the other party, such consent not to be unreasonably withheld, conditioned or delayed. Consent shall not be withheld if the proposed assignment, sale or assumption reinsurance does not have a material adverse effect on the risks transferred or the expected economic results to the party requested to consent. This provision shall not prohibit the Reinsurer from retroceding the risks under the Covered Policies on an indemnity basis, and it shall not prohibit the Company from reinsuring all or a portion of the amount it has retained on a life under this Agreement to its affiliate(s), as long as the Company and its affiliate(s) retain the same underlying amounts, without the consent of or notification to the other party.
4. | Benefit. |
This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and permitted assigns, except as otherwise provided.
5. | Compliance. |
This Agreement applies only to the issuance of insurance by the Company or, as allowed in Article IV (Changes to Business Reinsured), its affiliate companies, in a jurisdiction in which the issuing company is properly licensed.
The Company and the Reinsurer represent that, to the best of their knowledge, they are in compliance with all Applicable Laws applicable to the Covered Policies. In the event that a party is found by a governmental authority to be in non-compliance with any such law or regulation, this Agreement will remain in effect and such non-compliant party shall seek to remedy the non-compliance and shall indemnify the other party to the extent of any direct loss suffered as a result of the non-compliance.
6. | Conditions. |
The reinsurance hereunder is subject in all respects to the same express contractual risks, terms, conditions, interpretations, limitations and cancellations as provided under the Covered Policies, except as otherwise expressly provided in this Agreement. For any non-contractual waivers, modifications or alterations, the Company will obtain the Reinsurer’s agreement as a condition to reinsurance of Covered Policies.
7. | Confidentiality. |
(a) | Each Receiving Party agrees to keep Confidential Information confidential and except as provided in this Agreement not use or disclose any Confidential Information without the Disclosing Party’s prior written consent. |
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ARTICLE XI (Cont’d)
(b) | The Receiving Party shall only use Confidential Information in connection with or relating to the Receiving Party’s performance of its obligations under this Agreement. A Receiving Party may disclose Confidential Information to its Representatives and its Third Parties to the extent necessary to perform the Receiving Party’s obligations under this Agreement, provided (a) the Receiving Party shall inform its Representatives of the confidential nature of Confidential Information and their obligations to ensure that such Confidential Information is used and maintained in confidence in accordance with this Agreement; and (b) a Third Party must first be bound by a written confidentiality agreement that contains terms substantially similar to this Agreement. The Receiving Party shall be responsible for any breach of the obligations regarding Confidential Information by its Representatives or its Third Parties. The Receiving Party agrees to indemnify and hold harmless the Disclosing Party from any and all losses and expenses, including without limitation, attorneys’ fees, it sustains as a result of the unauthorized and/or unlawful disclosure of Confidential Information by the Receiving Party, its Representatives and/or its Third Parties. |
(c) | The Receiving Party shall maintain Confidential Information in accordance with all applicable law, including Privacy Laws, and shall take prudent security measures to assure the safeguarding and safekeeping of Confidential Information consistent with the level of security provided by the Receiving Party to its own confidential, proprietary and sensitive information. The Receiving Party’s security measures shall include appropriate organizational, physical and electronic security measures to protect Confidential Information against (i) unauthorized or unlawful disclosure, use and collection, and (ii) accidental loss, destruction or damage. |
(d) | The Company agrees to obtain such consents as may be required under Privacy Laws for the Reinsurer to collect, use, disclose and retain Personal Information in connection with or relating to the Reinsurer’s performance of its obligations under this Agreement. The parties will cooperate with one another in the handling of any requests to access, amend or correct any Personal Information or any complaints regarding the handling of Personal Information and will provide such assistance to the other as may be reasonably required in connection with the resolution of such complaints and requests. |
(e) | If any breach of the obligations regarding Confidential Information is discovered by the Receiving Party, whether such breach is by the Receiving Party, its Representatives or its Third Parties, the Receiving Party shall notify the Disclosing Party as soon as reasonably possible in writing and include details of the breach and the Confidential Information affected. |
(f) | If a Receiving Party is requested, compelled or required to disclose any Confidential Information under the authority of any governmental or regulatory body or a court of competent jurisdiction, the Receiving Party shall provide the Disclosing Party with prompt prior written notice of its obligation to disclose so that the Disclosing Party may seek a protective order or other appropriate remedy and/or waive compliance with the terms of this Agreement, which waiver shall not be unreasonably withheld. In the event that such protective order or other remedy is not obtained, or that the Disclosing Party waives compliance with the provisions hereof, the Receiving Party agrees to furnish only that portion of the Disclosing Party’s Confidential Information which it is legally required to disclose and to exercise reasonable efforts to obtain assurances that the Confidential Information will be treated in confidence. |
(g) | The Company and the Reinsurer acknowledge that unless the Company specifies otherwise, the Reinsurer can aggregate de-identified data pertaining to the policies reinsured under this Agreement with similar data from other companies and reinsurers for the purpose of study and analysis and to make such aggregated information publicly available, so long as (i) the Company or (ii) any individual cannot reasonably be identified in, or associated with such aggregated information. |
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ARTICLE XI (Cont’d)
(h) | Upon the termination of all liabilities related to this Agreement, the Receiving Party will, at its own cost and at the direction of the Disclosing Party, either promptly destroy or return intact any and all Confidential Information in the Receiving Party’s possession or control and shall promptly instruct its Representatives’ and its Third Parties’ to do the same. At the Disclosing Party’s request, the Receiving Party will deliver an officer’s certificate certifying that it has fully complied with the Disclosing Company’s direction. Notwithstanding the foregoing, the Receiving Party will not be obligated to destroy any electronic copies of Confidential Information stored for back-up or archival purposes maintained in the ordinary course of business by the Receiving Party provided that the Receiving Party shall not restore any such back-up or archived copies for the purpose of accessing or using Confidential Information. The Receiving Party may retain one copy of Confidential Information to the extent required by law or in accordance with the Receiving Party’s records retention policy. The confidentiality and privacy obligations of the Receiving Party under this article will continue to apply to any Confidential Information not returned or destroyed for so long as it is retained by the Receiving Party, its Representatives or its Third Parties. |
(i) | The Receiving Party acknowledges and agrees that a breach of this article may result in immediate and irreparable harm to the Disclosing Party and that damages may not be an adequate remedy for such a breach. Without prejudice to any other rights or remedies which the Disclosing Party may have, the Disclosing Party shall be entitled to the remedies of injunction, specific performance and other equitable relief for any threatened or actual breach. |
(j) | For purposes of this of this provision, the following definitions shall apply: |
“Confidential Information” means Proprietary Information and Personal information furnished by a Disclosing Party to a Receiving Party under this Agreement.
“Disclosing Party” means the party that furnishes or discloses Confidential Information pursuant to, or in connection with, this Agreement.
“Personal Information” means information relating to an identifiable individual (natural person), and has the meaning ascribed to it by applicable law, including, without limitation Privacy Laws. Personal Information includes, but is not limited to, medical, financial and other protected information about an identifiable individual.
“Privacy Laws” means, with respect to a party, all federal, provincial, state, municipal or other applicable statutes, laws, regulations or guidance notes of any governmental or regulatory authority with territorial jurisdiction over the party or its property, the transaction, activity, event or other matter related to the party’s performance under this Agreement and governing the party’s handling of Personal Information, including without limitation, the Personal Information Protection and Electronic Documents Act, as amended, or substantially similar provincial legislation where applicable.
“Proprietary Information” means information relating to the products, business or activities of the Disclosing Party that is not public knowledge. Proprietary Information includes, but is not limited to, all information (whether or not specifically labeled or identified as confidential, and whether oral, written or in any electronic medium) relating to a Disclosing Party’s knowledge, data, financial information, business plans and trade secrets, analyses, compilations, forecasts, reports, studies, underwriting manuals and guidelines, applications, contract forms, quote terms, actuarial data and assumptions, valuations, financial condition and the specific terms and conditions of this Agreement (whether or not such information is protected from infringement by patent, trademark, copyright or other similar registration). Proprietary Information does not include information that:
24
ARTICLE XI (Cont’d)
(i) | was in the Receiving Party’s possession without restriction prior to disclosure under the terms of this Agreement; |
(ii) | is now, or hereafter becomes, through no fault of the Receiving Party, available or generally known to the public; |
(iii) | is rightfully obtained by the Receiving Party without restriction from another party who is under no obligation to keep such information confidential; |
(iv) | is independently developed by the Receiving Party without use of or reference to any information that would otherwise be Proprietary Information. |
“Receiving Party” means the party that receives Confidential Information pursuant to, or in connection with, this Agreement.
“Representatives” means a party’s directors, officers, employees, affiliated entities, agents, external lawyers, external consultants or external auditors.
“Third Parties” means a party’s third-party administrators, subcontractors, advisors, or vendors, and in the case of the Reinsurer, its retrocessionaires.
(k) | This article will survive the termination of the Agreement. |
8. | Construction. |
This Agreement shall be construed and administered in accordance with the laws of the State of Michigan and the rights and obligations of this Agreement shall, at all times, be regulated under the laws of the State of Michigan, without giving effect to any choice or conflict of law provision or rule (whether of the State of Michigan or any other jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of Michigan.
9. | Counterparts. |
This Agreement may be executed simultaneously in any number of counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same instrument. The Company and the Reinsurer agree that transmission of copies of original signatures via electronic means, either by facsimile or as a “scanned” document attached to electronic mail, shall constitute valid execution of this Agreement.
10. | Duration of Agreement. |
This Agreement is effective as of the date the last required signature is affixed, with coverage beginning on the Effective Date, and is unlimited as to its duration. It may be terminated for new reinsurance by either party giving at least ninety (90) days’ notice to that effect to the other party. During the period of such ninety (90) days the Reinsurer shall continue to accept new reinsurance under the terms of this Agreement. This notification period would be waived in the event the Reinsurer is financially impaired or insolvent as set out in Article IX. Further, the Reinsurer remains liable for all cessions existing at the date of the expiration set forth in the notice until their natural expiration, unless the parties mutually decide otherwise or as specified otherwise in this Agreement.
11. | Entire Agreement. |
This Agreement represents the entire agreement between the Company and the Reinsurer with respect to the Covered Policies and supersedes all prior representations, warranties, negotiations, discussions, writings, agreements, understandings, term sheets and letters of intent between them with respect thereto. There are no understandings between the parties with respect to the Covered Policies other than as expressed in this Agreement.
25
ARTICLE XI (Cont’d)
12. | Errors and Omissions (Oversights) |
If either party fails to comply with any of the terms of this Agreement and it is shown that the failure was unintentional or the result of a misunderstanding or an administrative oversight on the part of either party, this Agreement will remain in effect. Upon discovery, both parties will promptly do all things reasonably necessary to restore them to the positions they would have occupied had the failure to comply not occurred. If it is not possible to restore each party to the position it would have occupied but for the error, the parties will endeavor in good faith to promptly resolve the situation in a manner that is fair and reasonable, and most closely approximates the intent of the parties as evidenced by this Agreement.
Further, if the Company has repeatedly failed to (i) cede reinsurance as provided under this Agreement or (ii) comply with reporting requirements with respect to policies reinsured hereunder, the Reinsurer may require the Company to conduct a reasonable review of its records for similar errors and take reasonable actions necessary to correct errors and avoid similar errors.
13. | Good Faith. |
The Company and the Reinsurer agree that all matters with respect to this Agreement require the utmost good faith of both parties.
14. | Inspection of Records |
The Reinsurer, or its duly authorized representative, will have the right to inspect original papers, records and documents relating to underwriting, claims processing and administration of the business reinsured under this Agreement. Such access will be provided during regular business hours at the office of the Company.
The Reinsurer’s inspection, audit or photocopying of records will not apply:
a) | To records related to the reinsurance bidding process for this Agreement; or |
b) | To privileged information; or |
b) | During the pendency of any related arbitration; or |
d) | To financial and other records related to the Agreement except to the extent such records relate to (i) the underwriting of the policies reinsured under this Agreement, (ii) claims on the policies reinsured under this Agreement, or (iii) the administration of this Agreement between the Company and the Reinsurer. |
The Company, or its duly authorized, will have the right to inspect all documents relating to underwriting, claims processing and administration of the business reinsured under this Agreement.
Such access will be provided during regular business hours at the office of the Reinsurer. The Company’s inspection, audit or photocopying of records will not apply:
a) | To records related to facultative cessions for which no offer was made by the Reinsurer or accepted by the Company; |
b) | To privileged information; |
c) | During the pendency of any related arbitration; |
d) | To records related to the reinsurance bidding process for this Agreement; |
e) | To financial and other records related to the Agreement’s performance; |
26
ARTICLE XI (Cont’d)
f) | To records related to any retrocession, securitization, or structured, asset-backed or asset-based financing by the Reinsurer; or |
g) | To analysis related to the Company’s business procedures and practices. |
15. | Licenses and Reserve Credit. |
At all times during the term of this Agreement, the Reinsurer shall hold and maintain all licenses and authorizations required under Applicable Law and otherwise take all action that may be necessary to perform its obligations hereunder. Further, the parties intend that the Company and its affiliates be able to receive Reserve Credit for the reinsurance ceded under this Agreement based upon the licensing and accreditation status of the Reinsurer on the effective date of this Agreement. The Reinsurer agrees to use commercially reasonable best efforts to ensure that its licensing and accreditation status continues during the term of the Agreement and agrees to provide the Company with prompt written notice of any anticipated change in or loss of such licensing or accreditation.
For the avoidance of doubt, if the Company or its affiliates would be unable to receive Reserve Credit for reinsurance ceded hereunder, the Reinsurer shall use commercially reasonable best efforts to ensure that the Company may continue to take Reserve Credit for reinsurance ceded under this Agreement, including with respect to unpaid claims, incurred but not reported claims and all other amounts and obligations owed by the Reinsurer under this Agreement.
16. | Notices. |
All notices, letters, payments or other communications to the respective parties shall be in writing and faxed, couriered, mailed or sent by electronic mail, addressed as follows:
If to the Company: |
If to the Reinsurer: | |
Xxxx Xxxxxxx Life Insurance Company (U.S.A.) |
Swiss Re Life & Health America Inc. | |
000 Xxxxxxxxx Xxxxxx |
000 Xxxx Xxxxxx | |
Boston, MA 02116 |
Armonk, NY 10504 | |
Attn: General Counsel |
Attn: General Counsel |
17. | OFAC. |
Each party represents that it is, and shall use best efforts to continue to be, in compliance with all laws, regulations, judicial and administrative orders applicable to the Covered Policies, as they pertain to the sanctions laws administered by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”), as such laws may be amended from time to time (collectively “OFAC Laws”). Neither the Company nor the Reinsurer shall be required to take any action under this Agreement that would result in it being in violation of OFAC Laws, including, but not limited to, making any payments in violation of OFAC Laws. Should either party discover or otherwise become aware that a reinsurance transaction has been entered into or a payment has been made in violation of the law, the party who first becomes aware of the violation of OFAC Laws shall notify the other party and the parties shall cooperate in order to take all necessary corrective actions.
18. | Offset. |
The Company and the Reinsurer will have the right to offset undisputed balances whether on account of premiums, allowances (if applicable), claims, or any other amount(s) due from one party to the other, under this Agreement or any agreement between the parties. The right of offset will not be affected or diminished because of the Insolvency of either party.
27
ARTICLE XI (Cont’d)
19. | Parties to Agreement. |
This is an Agreement solely between the Company and the Reinsurer. The acceptance of reinsurance hereunder shall not create any right or legal relation between the Reinsurer and the insured, beneficiary, or any other party to any policy of the Company, which may be reinsured hereunder.
20. | References. |
All references to “days” shall be deemed to mean calendar days. All references to “Business Days” shall be deemed to mean to days on which banks are generally open to conduct business in the State of New York.
21. | Representations and Warranties. |
As of the Effective Date of the Agreement, each party represents and warrants to the other party that:
(a) | It is solvent on a statutory basis in all states in which it does business or is licensed, and |
(b) | Its Total Adjusted Capital is at least equal to 2.0 times its Authorized Control Level Risk Based Capital if it is a U.S. domiciled party; or |
(c) | It had satisfied the minimum capital and surplus requirement of its jurisdiction of domicile if it is not a U.S. domiciled party. |
Each party agrees to promptly notify the other if it subsequently becomes insolvent or financially impaired, as described in Article IX (Financial Impairment and Insolvency), and in the manner described in Exhibit F.
Each party acknowledges that the other party has entered into this Agreement in reliance upon their representations and warranties. The Company affirms that it has and will continue to disclose all matters material to this Agreement and each cession. Examples of such matters are material changes in underwriting or issue practices or philosophy, underwriting management personnel, or the Company’s ownership or control.
22. | Severability. |
In the event that any of the provisions of this Agreement contained shall be invalid or unenforceable, such declaration or adjudication shall in no manner affect or impair the validity or the enforceability of the other and remaining provisions of this Agreement and such other and remaining provisions shall remain in full force and effect as though such invalid or unenforceable provisions or clauses had not been included or made a part of this Agreement.
23. | Survival. |
The following provisions will survive the termination of this Agreement: Article I, section 1 (Definitions), Article VIII (Dispute Resolution), Article XI, section 2 (Amendments), Article XI, section 3 (Assignment), Article XI, section 4 (Benefit), Article XI, section 7 (Confidentiality), Article XI, section 8 (Construction), Article XI, section 11 (Entire Agreement), Article XI, section 12 (Errors and Omissions (Oversights)), Article XI, section 13 (Good Faith), Article XI, section 16 (Notices), Article XI, section 19 (Parties to Agreement), Article XI, section 20 (References), Article XI, section 22 (Severability), Article XI, section 24 (Waiver).
24. | Waiver. |
Neither the Company nor the Reinsurer will be deemed to have waived the exercise of any rights that it holds under this Agreement unless such waiver is made in writing. No waiver made with respect to any instance involving the exercise of any such rights will be deemed to be a waiver with respect to any other instance involving the exercise of the right or with respect to any other such right. Failure by either party to exercise any of its rights, powers or remedies hereunder or its delay to do so shall not constitute a waiver of those rights, powers or remedies. The single or partial exercise of a right, power or remedy shall not prevent its subsequent exercise or the exercise of any other right, power or remedy.
28
Signed for and on behalf of the Company:
Xxxx Xxxxxxx Life Insurance Company (U.S.A.) | ||||||||
of Lansing, Michigan |
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On: |
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On: |
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By: |
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By: |
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Title: |
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Title: |
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Signed for and on behalf of the Reinsurer:
Swiss Re Life & Health America Inc. | ||||||||
Jefferson City, Missouri |
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On: |
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On: |
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By: |
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By: |
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Title: |
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Title: |
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29
EXHIBIT A
PLANS, RIDERS, AND BENEFITS REINSURED
The Coverage Date(s) outlined in the table below are the dates when coverage under the Agreement, begins for policies issued on the respective plans.
Riders and supplementary benefits shall be reinsured in accordance with the underlying policy, unless stated otherwise.
Acronym | U/W Class | Plan Name | Plan Launch Date(s) |
Reinsurance Coverage Date |
Plan Close Date | |||||
SVL07 | 5 | Survivorship Variable Universal Life 2007 | July 16, 2007 | September 1, 2019 | ||||||
PVL12 | 6 | Protection Variable Universal Life 2012 | April 30, 2012 | September 1, 2019 | ||||||
ULG13 | 6 | UL-G 2013 | January 1, 2013 | September 1, 2019 | ||||||
SUG13 | 6 | Survivorship UL-G 2013 | January 1, 2013 | September 1, 2019 | ||||||
PSU13 | 6 | Protection Survivorship UL 2013 | May 20, 2013 | September 1, 2019 | ||||||
SIU13 | 6 | Protection Survivorship Indexed UL 2013 | July 22, 2013 | September 1, 2019 | ||||||
AVL14 | 6 | Accumulation Variable UL 2014 | April 28, 2014 | September 1, 2019 | ||||||
PIL15 | 6 | Protection Indexed UL 15 | July 13, 2015 | September 1, 2019 | ||||||
PUL16 | 6 | Protection UL 2016 | March 7, 2016 | September 1, 2019 | ||||||
SIU16 | 6 | Protection Survivorship Indexed UL 2016 | October 3, 2016 | September 1, 2019 | ||||||
AIUL17 | 6 | Accumulation Indexed UL 2017 | February 27, 2017 | September 1, 2019 | ||||||
PVL17 | 6 | Protection Variable Universal Life 2017 | June 19, 2017 | September 1, 2019 | ||||||
PUL18 | 6 | Protection UL 2018 | February 26, 2018 | September 1, 2019 | ||||||
AIUL18 | 6 | Accumulation Indexed UL 2018 | May 14, 2018 | September 1, 2019 | ||||||
PIL18 | 6 | Protection Indexed UL 18 | November 11, 2018 | September 1, 2019 | ||||||
PUL19 | 6 | Protection UL 2019 | September 16, 2019 | September 16, 2019 | ||||||
PSU19 | 6 | Protection Survivorship UL 2019 | September 16, 2019 | September 16, 2019 | ||||||
SIU19 | 6 | Protection Survivorship Indexed UL 2019 | September 16, 2019 | September 16, 2019 |
30
EXHIBIT A-I
THE COMPANY’S UNDERWRITING FORMS,
EVIDENCE, AND ISSUE RULES
The following information and items are to be provided to the Reinsurer upon request:
1. | Application for Life Insurance Package and Medical Exam Form |
2. | Temporary Insurance Agreement |
3. | Reinstatement Rules |
4. | Routine Underwriting Requirements |
5. | Super Preferred / Preferred / Standard Plus Criteria. |
TEMPORARY INSURANCE AGREEMENT
The Reinsurer’s liability shall not exceed the Reinsurer’s proportionate share of the amount stated in the Company’s Temporary Insurance Agreement (TIA). However, it is understood that the Reinsurer agrees to accept its proportionate share of the Company’s portion under the TIA, if the Company has no available retention.
The Company’s maximum TIA liability is $1,000,000 for single life policies and $5,000,000 for survivorship policies.
Locked in Insurability:
Once a TIA is completed and provided all the conditions are met, changes in insurability that post-date the TIA, while it is in effect, will be ignored for the lesser of the face amount or $1,000,000 for single life policies and $5,000,000 for survivorship policies. The Reinsurer will assume a proportionate share of the amount under a policy issued pursuant to this feature.
31
EXHIBIT B
GENERAL PROVISIONS
1. | BACKDATING: Under limited circumstances and upon the request of the policyowner, the Company may backdate a Covered Policy by assigning a policy date earlier than the date the application is signed. However, in no event will a Covered Policy be backdated earlier than the earliest date allowed by state law, which is generally three (3) months to one year prior to the date of application for the policy. Premiums will be paid for the period the policy date is backdated. |
2. | RESIDENCY REQUIREMENTS FOR DOMESTIC LIMITS: The individual insured under a Covered Policy must be a U.S. resident at the time of application. An insured that resides for more than six (6) months per year in the United States, Puerto Rico, Guam and the U.S. Virgin Islands will be considered a U.S. resident. Residents of Canada are also covered. |
3. | RESIDENCY REQUIREMENTS FOR FOREIGN RESIDENTS LIMITS: U.S. citizens residing outside the U.S. for more than six (6) months per year or citizens and residents of foreign countries excluding Puerto Rico, Guam, the U.S. Virgin Islands and Canada, shall be covered under this Agreement provided that: |
i. | The residence is in the Company’s A, B, or C Country List, outlined below; and |
ii. | The policies are solicited and issued in the U.S. only |
The Company shall identify foreign business on its monthly Billing Reports to the Reinsurer.
The Company will obtain consensus from the Reinsurer prior to making any changes to its country list and will provide the Reinsurer with the updated listing.
Any resident in a country listed on the U.S. State Department warning list advising against all travel at the time of underwriting (xxx.xxxxxx.xxxxx.xxx/xxxxxx/xxxxxxxx_xxxxxxx.xxxx) should be handled as follows:
i. | Level 2 classification will be Individual Consideration taking into account the individual, the location and stated purpose of coverage. |
ii. | Level 3 & 4 classifications will not be accepted for coverage. |
A List Countries:
Andorra, Anguilla, Australia, Austria, Belgium, Bermuda, British Virgin Islands, Brunei, Canary Islands, Cayman Islands, China, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Latvia, Liechtenstein, Lithuania, Luxembourg, Macau, Malta, Martinique, Monaco, Netherlands, New Zealand, Norway, Poland, Portugal, Qatar, San Marino, Saudi Arabia, Singapore, Slovakia, Slovenia, South Korea, Spain, Sweden, Switzerland, Taiwan, Turks and Caicos, United Arab Emirates, United Kingdom
B List Countries:
Antigua & Barbuda, Argentina, Armenia, Aruba, Bahamas, Barbados, Belarus, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, Chile, Costa Rica, Croatia, Curacao, Dominica, Dominican Republic, Ecuador, French Polynesia, Grenada, Guadeloupe, Indonesia, Jamaica, Kazakhstan, Kuwait, Macedonia, Malaysia, Maldives, Mauritius, Mexico, Montenegro, Namibia, Netherland Antilles, New Caledonia, Northern Mariana Islands, Oman, Palau, Panama, Romania, Russia, Saint Kitts and Nevis, Saint Lucia, Saint Xxxxxxx and the Grenadines, Serbia, Seychelles, Sint Maarten, South Africa, Suriname, Thailand, Trinidad and Tobago, Uruguay
32
EXHIBIT B
Page 2
C List Countries:
Albania, Belize, Bhutan, Bolivia, Cambodia, Cape Verde, Colombia, Cook Island, Egypt, El Salvador, Fiji, French Guiana, Gabon, Ghana, Guatemala, India, Jordan, Kenya, Micronesia, Moldova, Mongolia, Montserrat, Morocco, Myanmar, Paraguay, Peru, Philippines, Samoa, Sri Lanka, Tonga, Turkey, Vietnam, Zambia
Note: Policies for residents of countries other than those listed above may be submitted to the Reinsurer on a facultative basis.
4. | CURRENCY: All cessions under this Agreement shall be affected in United States Dollars. Reinsurance premiums and liabilities shall be expressed and payable in that currency. |
5. | REINSURANCE COVERAGE: |
The Company will retain [*] first dollar quota share of each policy up to the Retention Limits specified in Exhibit E. It is understood that if the Company or the Company’s affiliates has retention on existing insurance, the Company may retain less than [*] of a policy reinsured under this Agreement, in order to avoid exceeding the Company’s Retention Limits.
For policies on lives that qualify for Automatic Reinsurance Coverage, [*] first-dollar quota share of the policy’s net amount at risk, up to the Reinsurer’s Automatic Acceptance Limits specified in Exhibit E-I will be reinsured with the Reinsurer. It is understood that once the Company is fully retained, according to its Retention Limits specified in Exhibit E, a maximum of [*] of the policy’s net amount at risk up to the Reinsurer’s Automatic Acceptance Limits specified in Exhibit E-I will be reinsured with the Reinsurer.
6. | REINSURANCE BASIS AND PREMIUM CALCULATION: Coverage under this Agreement is on a YRT basis on the reinsured net amount at risk. The premiums are calculated by multiplying the net amount at risk by the appropriate premiums rates described in Exhibits C and D. |
7. | RATE CRITERIA: The rates (and instructions) set out in Exhibits C and D shall be used for automatic and facultative reinsurance of any policy covered by this Agreement. |
8. | PREMIUM MODE: Reinsurance premiums will be paid monthly in advance. The monthly YRT rate will equal the annual YRT rate outlined in Exhibits C and D divided by twelve (12). |
9. | AGE BASIS: Nearest at policy date. |
10. | ISSUE AGES: Issue ages are based on age nearest at policy date and vary by plan as follows: |
a. | Super Preferred Non-Smoker: 20-80 |
b. | Standard Non-Smoker: 0- 90 |
c. | All Other Classes: 20 – 90 |
Note: Issue Ages 86-90 for Automatic business are currently limited to survivorship policies where the younger life does not exceed age 85 and is insurable as per the automatic limits.
11. | PREMIUM TAX: There shall be no separate reimbursement of Premium Tax. |
12. | POLICY FEE: There shall be no policy fee paid to the Reinsurer. |
33
EXHIBIT B
Page 3
13. | RATE GUARANTEE: |
The premium rates set out in this Agreement are guaranteed for the twelve-month period following the policy date of any Covered Policy.
After such twelve-month period, the Reinsurer may increase its reinsurance premiums following an increase in the Company’s charges to its policyholders due to adverse mortality experience and/or adverse lapse experience on any Covered Policies. The Company will provide written notice to the Reinsurer of such an increase no less than ninety (90) days prior to the date that such increase is put into effect. The amount of the Reinsurer’s increase in its reinsurance premiums will be proportionate to the amount of the increase in the Company’s charges to policyholders, provided that the premium rates are guaranteed not to exceed the greater of the guaranteed premiums or guaranteed cost of insurance rates applicable to the Covered Policies and the statutory net valuation premiums applicable to the Covered Policies, calculated using the appropriate mortality table and interest assumption.
14. | MINIMUM FINAL CESSION: Zero |
15. | RATES APPLICABLE TO INCREASES: First year reinsurance premium rates shall apply to the amount of any contractual or non-contractual increase that is granted provided that the Company’s new business underwriting rules are applied to such increases. |
For increases that results in a change in band, the reinsurance premium rates will be based on the rates of the new band, if applicable.
16. | RATES APPLICABLE TO DECREASES: For a decrease that results in a change in band, the reinsurance premium rates will be based on the rates of the original band, if applicable. |
17. | RECAPTURE IN FORCE PERIOD: [*]. |
18. | NET AMOUNTS AT RISK: |
The “Net Amount at Risk” is defined as the Death Benefit (as defined in the Covered Policy) payable less the Policy Value (as defined in the Covered Policy), if any.
19. | POST ISSUE INCREASES: |
Post-issue increases that are subject to new underwriting evidence will be treated as new business and reinsured as such under this Agreement. Both the existing reinsured amount and the increase would continue to be reinsured under the original reinsurance treaty (even if closed to new business).
If the increase is not subject to new underwriting evidence, the Reinsurer will automatically accept this increase if:
(a) | The increase is scheduled and known at issue; or |
(b) | The maximum increase has been capped at issue; and |
(c) | The total amount of reinsurance, including the reinsurance required on the increase, doesn’t exceed the Reinsurer’s Automatic Acceptance Limit. |
34
EXHIBIT B
Page 4
In such cases, the Automatic Acceptance and Jumbo Limits, as well as the routine and financial underwriting, will be based on the ultimate death benefit amount and the reinsurance rates applied to the increase will be point-in-scale based on the original risk class and issue age of the policy, reflecting the current duration.
Should the increase be attributable to maintain the eligibility of a policy as life insurance under the Internal Revenue Code rules then in effect, the preceding underwriting requirements will not apply. Reinsurance rates applied to the increase will be point-in-scale based on the original risk class and issue age of the policy, reflecting the current duration.
20. | MATURITY EXTENSION FEATURE: |
For Single Life products: Reinsurance premiums will stop after attained age [*]. The Reinsurer will continue to provide reinsurance coverage for attained ages [*] as long as the policy remains in force.
For Survivorship products: Reinsurance premiums will continue through attained age [*] of the younger insured. The Reinsurer will continue to provide reinsurance coverage for attained ages [*] of the younger insured as long as the policy remains in force.
21. | ACCELERATED DEATH BENEFIT PROGRAM: The Reinsurer shall not be required to participate in any payments of the Company’s Accelerated Death Benefit. Upon the death of the insured, the Reinsurer will pay its proportionate share of the reinsured net amount at risk, including any amounts previously accelerated calculated at the date of death. |
22. | WAIVER OF PREMIUM AND LONG-TERM CARE: Rider benefits are not reinsured however, they can be elected on policies ceded under the Agreement. |
23. | FOREIGN TRAVEL UNDERWRITING: The Reinsurer acknowledges that the Company is required to conform to state law requirements governing consideration of past and/or future lawful travel in its underwriting policies and procedures, and the Reinsurer will not decline business ceded to the automatic reinsurance pool under this Agreement that has been underwritten in conformity with these requirements. |
24. | RETURN OF PREMIUM (ROP): This rider provides an additional death benefit equal to a return of premiums paid into the policy. The Reinsurer will participate in this rider to the extent that it affects the ceded Net Amount at Risk (NAR) of the policy. Policies with ROP will be assessed the same reinsurance premium rate as policies without ROP. |
25. | SUPPLEMENTAL FACE AMOUNT (SFA)/ ADDITIONAL FACE AMOUNT (AFA): This rider provides an additional death benefit that is either level or increasing over time. Scheduled increases are underwritten at issue and unscheduled increases are underwritten at the time they are applied for. The Reinsurer will participate in this rider to the extent that it affects the ceded Net Amount at Risk (NAR) of the policy. Policies with SFA/ AFA will be assessed the same reinsurance premium rate as policies without SFA/ AFA. |
26. | CASH VALUE ENHANCEMENT/ ENHANCED SURRENDER VALUE (CVE/ ESV): These riders provide for higher cash surrender values during the initial period of the product. The Reinsurer will participate in these riders to the extent that they affect the ceded Net Amount at Risk (NAR) of the policy. Policies with CVE/ESV will be assessed the same reinsurance premium rate as policies without CVE/ESV. |
35
EXHIBIT B
Page 5
27. | POLICY SPLIT OPTION RIDER: This rider is available on Survivorship plans and provides the ability to split the policy into two single life plans. There are no reinsurance premiums for the rider. If the rider is exercised, the Reinsurer will participate in the resulting single life policies. Reinsurance premiums for the new policies will be single life premiums and will be assessed at point-in-scale, based on the gender, risk class, and age of each insured under the new plans. |
28. | NO LAPSE GUARANTEE RIDERS AND BENEFITS (NLG): These riders/benefits provide an extended no-lapse guarantee period of the underlying policy. The Reinsurer will participate in this rider to the extent that it affects the ceded Net Amount at Risk (NAR) of the policy, but the Reinsurer will not reinsure the underlying guarantee. |
29. | CHANGE OF LIFE INSURED: This rider provides the ability to change the life insured under the policy without surrender/re-issue. The new insured must be fully underwritten. If the rider is exercised, the Reinsurer will continue to participate in the policy with reinsurance premiums based on the gender, risk class, and age of the new insured. There are no reinsurance premiums for the rider/benefit. |
30. | HEALTHY ENGAGEMENT RIDER (HER): This rider provides the opportunity to earn policy value credits based on the status level of the life insured. The achievement of a status level is dependent upon the life insured meeting certain status qualification requirements each year that are designed to promote healthy living. The Reinsurer will participate in this rider through modification of the reinsurance premium rates as outlined in Exhibit C. |
Any proposed material changes to the Company’s Healthy Engagement feature shall be submitted to the Reinsurer for written approval prior to implementation. If the Reinsurer does not respond within thirty days, the Reinsurer shall be deemed to have accepted such modification.
31. | CRITICAL ILLNESS RIDER: This rider will pay a benefit amount independent of the underlying life insurance coverage upon pre-defined morbidity triggering events. This Rider is not reinsured however, it can be elected on policies ceded under the Agreement. |
36
EXHIBIT C
INSTRUCTIONS FOR ADMINISTRATION -YRT PREMIUM RATES
All Covered Policies shall be reinsured on a Super Preferred Non-Smoker / Preferred Non-Smoker / Standard Plus Non-Smoker / Standard Non-Smoker / Substandard Non-Smoker / Preferred Smoker / Standard Smoker / Substandard Smoker basis. The Company shall indicate to the Reinsurer the underwriting classification of all Covered Policies reinsured hereunder. The YRT premiums will be applied to the reinsured net amount at risk and paid by the Company to the Reinsurer.
1. | SINGLE LIFE RATES: |
In all cases, the 1st year reinsurance premium rate is [*].
For all Covered Policies, the YRT premium rates will be calculated using the 2008 Valuation Basic, ANB, Select and Ultimate, Male/ Female, Non-smoker/ Smoker Mortality Table (VBT), outlined in Exhibit D, multiplied by the following pricing percentages, less Healthy Engagement discounts, if applicable:
Rate as a function of the 2008 VBT S&U ANB | ||||||||||||||||
UL, IUL | ||||||||||||||||
Gender | Underwriting Class | Issue Ages <50 | Issue Ages 50-70 | Issue Ages 71+ | ||||||||||||
Duration 2-20 |
Duration 21+ |
Duration 2-20 |
Duration 21+ |
Duration 2-10 |
Duration 11-20 |
Duration 21+ | ||||||||||
Female |
Super Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Std Plus Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Male |
Super Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Std Plus Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] |
37
EXHIBIT C
Page 2
Rate as a function of the 2008 VBT S&U ANB | ||||||||||||||||
VUL | ||||||||||||||||
Issue Ages <50 | Issue Ages 50-70 | Issue Ages 71+ | ||||||||||||||
Gender | Underwriting Class | Duration 2-20 |
Duration 21+ |
Duration 2-20 |
Duration 21+ |
Duration 2-10 |
Duration 11-20 |
Duration 21+ | ||||||||
Female |
Super Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Std Plus Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Male |
Super Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Std Plus Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker |
[*] | [*] | [*] | [*] | [*] | [*] | [*] |
2. | SUBSTANDARD POLICIES |
A. | Multiple Extras –Interest Sensitive Products: |
For substandard risks issued at table ratings for the Company’s interest sensitive products reinsured hereunder, the 2008 VBT Mortality Table outlined in Exhibit D, apply. The appropriate percentage outlined under sections 1 and 3 of the Exhibit are used to determine YRTrateunrated, and then the rates are increased by [*] for each table of substandard mortality to adjust for multiple table extras using the following formula:
YRTraterated = 1000 x {min [1-(1-YRTrateunrated/1000) multiple rating, 1]}
the multiple rating is expressed as a decimal, i.e., if it is a 250% rating, then 2.5 is used.
38
EXHIBIT C
Page 3
Percentage Rating |
Table Rating |
Percentage Rating |
Table Rating | |||
100% | 00 | 325% | 09 | |||
125% | 01 | 350% | 10 | |||
150% | 02 | 375% | 11 | |||
175% | 03 | 400% | 12 | |||
200% | 04 | 425% | 13 | |||
225% | 05 | 450% | 14 | |||
250% | 06 | 475% | 15 | |||
275% | 07 | 500% | 16 | |||
300% | 08 |
Notes:
• | Discounts (if applicable) are applied after Lotterization. |
• | On survivorship policies where one life is uninsurable, the uninsurable risk will be assigned a rating up-to and including 5000% based on estimated life expectancy. |
B. | Flat Extras: |
On all cessions, the Reinsurer’s proportionate share of any extra premiums payable on account of additional mortality risk shall be payable to the Reinsurer.
C. | Allowances on Flat Extras: |
Temporary Flat Extras (Less Than or Equal to 5 Years):
[*] of the flat extras per $1,000 are added to the appropriate single life YRT premium or if applicable, to the appropriate single life substandard YRT premium (i.e., net of the [*] reinsurance allowance for temporary flat extras).
Permanent Flat Extras (Or Temporary Flat Extras Greater Than 5 Years):
In year 1, [*] of the flat extras per $1,000 are added to the appropriate single life YRT premium or if applicable, to the appropriate single life substandard YRT premium (i.e., net of a [*] reinsurance allowance for year 1).
In years 2+, [*] of the flat extras per $1,000 are added to the appropriate single life YRT premium or if applicable, to the appropriate single life substandard YRT premium. (i.e. net of a [*] allowance for years 2+).
For survivorship policies, the flat extras, whether temporary or permanent, are applied before the Frasierization process.
39
EXHIBIT C
Page 3
3. | SURVIVORSHIP LIFE RATES |
(a) | The single life reinsurance premium rates should be calculated as described in sections 1 and 2 but using the applicable survivorship life pricing percentages shown in the tables below. |
(b) | For policies with the Healthy Engagement Rider, apply the HER Discount, as described in section 4 below, to one or both of the single life reinsurance premium rates developed in (a) above. (Note: The HER discount is calculated and applied independently from the flat extras). |
(c) | The two single life reinsurance premium rates (less discounts, if applicable) are then “blended” using the Frasierization calculation. |
(d) | Take the larger of [*] or the reinsurance premium rate developed in (a) and (c) above. |
(e) | In all cases, the 1st year reinsurance premium is set to zero after Frasierization. |
Rate as a function of the 2008 VBT S&U ANB | ||||||||||||||||
Survivorship - Six Class | ||||||||||||||||
Gender | Underwriting Class | Issue Ages <50 | Issue Ages 50-70 | Issue Ages 71+ | ||||||||||||
Duration 2-20 |
Duration 21+ |
Duration 2-20 |
Duration 21+ |
Duration 2-10 |
Duration 11-20 |
Duration 21+ | ||||||||||
Female/ Male |
Super Preferred Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Std Plus Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
|
||||||||||||||||
Rate as a function of the 2008 VBT S&U ANB | ||||||||||||||||
Survivorship – SVUL 2007 | ||||||||||||||||
Gender | Underwriting Class | Issue Ages <50 | Issue Ages 50-70 | Issue Ages 71+ | ||||||||||||
Duration 2-20 |
Duration 21+ |
Duration 2-20 |
Duration 21+ |
Duration 2-10 |
Duration 11-20 |
Duration 21+ | ||||||||||
Female/ Male |
Super Preferred Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | ||||||||
Preferred Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Non-smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Preferred Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Standard Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] | |||||||||
Substandard Smoker | [*] | [*] | [*] | [*] | [*] | [*] | [*] |
40
EXHIBIT C
Page 4
4. | RATE TABLES – ADJUSTMENT FOR POLICIES WITH HEALTHY ENGAGEMENT |
The following discounts would apply to all policies which include the Healthy Engagement Rider (HER).
The reduction to the YRT premium equals: YRT premium (calculated as described in this applicable Exhibit C, section 1 (and section 2, if applicable)) *Healthy Engagement discount.
Healthy Engagement Discounts | ||||||||||
Issue Ages | Durations | Discounts | ||||||||
0-70 | 1-20 | [*] | ||||||||
0-70 | 21+ | [*] | ||||||||
71+ | All | [*] |
41
EXHIBIT D
YRT REINSURANCE RATES
42
EXHIBIT E
RETENTION LIMITS
RETENTION LIMITS :
ISSUE AGE |
Super Pref./ Pref./ Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9 - Tbl. 16 (325%-500%) | ||||
0 – 70 | [*] | [*] | [*] | [*] | ||||
71 – 75 | [*] | [*] | [*] | [*] | ||||
76 – 80 | [*] | [*] | [*] | [*] | ||||
81 – 85 | [*] | [*] | [*] | [*] | ||||
86 – 90 | [*] | [*] | [*] | [*] |
If a policy is issued on an aviation risk with an aviation exclusion rider, the above retention limits apply.
THE COMPANY’S RETENTION LIMITS FOR AVIATION RISKS WITHOUT AN AVIATION EXCLUSION RIDER:
ISSUE AGE | Super Pref. / Pref. / Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9 - Tbl. 16 (325%-500%) | ||||
0 – 70 | [*] | [*] | [*] | [*] | ||||
71 – 75 | [*] | [*] | [*] | [*] | ||||
76 – 80 | [*] | [*] | [*] | [*] | ||||
81 – 85 | [*] | [*] | [*] | [*] | ||||
86 – 90 | [*] | [*] | [*] | [*] |
SURVIVORSHIP RETENTION LIMITS:
ISSUE AGE | Super Pref. / Pref. / Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9 - Tbl. 16 (325%-500%) | ||||
0 – 70 | [*] | [*] | [*] | [*] | ||||
71 – 75 | [*] | [*] | [*] | [*] | ||||
76 – 80 | [*] | [*] | [*] | [*] | ||||
81 – 85 | [*] | [*] | [*] | [*] | ||||
86 – 90 | [*] | [*] | [*] | [*] |
Limits above apply if both lives must fall within the same age and rating cells otherwise refer to the Survivorship Graded Retention Grid below.
43
EXHIBIT E
Page 2
SURVIVORSHIP RETENTION LIMITS (Grid numbers is $M)
[*]
44
EXHIBIT E
Page 3
FOREIGN BUSINESS RETENTION LIMITS:
Country Category | Underwriting Classes |
Issue Ages 20 - 70 |
Issue Ages 71 - 75 | |||
Category A and B | Super Pref. – 200% | [*] | [*] | |||
Category C | Super Pref. – 200% | [*] | [*] |
Retention for Singapore may be restricted to [*] due to sharing with affiliates.
Retention for Hong Kong and Macau (grouped together) is [*]
Retention for Japan is [*]
Retention for China is [*] ages 20 – 70; is [*] ages 71 – 75
Retention for Indonesia is [*]
Retention for Thailand is [*]
Retention for Angola, Madagascar, Nigeria, Tanzania and Uganda is [*] ages 20-70.
The list of Category A, B and C Countries can be found under Exhibit B.3 (Residency Requirements for Foreign Residents Limits).
RETENTION LIMITS FOR ATHLETES:
ISSUE AGE |
Super Pref. / Pref. / Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9 - Tbl. 16 (325%-500%) | ||||
0 – 80 | [*] | [*] | [*] | [*] |
Notes applicable to Retention Limits:
· | For purposes of calculating the Company’s retention for purposes of Article II and Exhibit B, amounts held by the Company’s affiliate(s) on a life shall count towards the Company’s Retention Limit. |
· | If the Company’s retention is reduced for discretionary reasons, the Automatic Reinsurance Pool Capacity will be reduced proportionately. |
· | The Single Life and Survivorship Retention for residents of Canada are capped at [*] for the Company. The Automatic Reinsurance Pool Capacity will be reduced proportionately for any Canadian resident. |
· | For Professional Athletes, players or coaches on a National Hockey League (NHL), National Football League (NFL), National Basketball Association (NBA) or Major League Baseball (MLB) team, the Retention Limit for Single Life and Survivorship is [*]. There is a team cap of [*] per Team. |
· | Athletes that are not part of the NHL, NFL, NBA, or MLB are eligible for full retention. |
· | Entertainers are eligible for full retention. |
· | For Survivorship products, if one life is uninsurable or exceeds the maximum mortality rating for the insured’s age, then the dollar retention is the single life retention that is available for the other healthy life. |
· | Aviation for survivorship products is reduced by 50% of the retention show in the grid above; maximum Issue Age 80, rating 200%. |
45
EXHIBIT E-I
AUTOMATIC REINSURANCE POOL CAPACITY
The following chart outlines the automatic pool capacity only. The Company’s retention is not included in these amounts. The following limits for the Automatic Reinsurance Pool Capacity apply to policies within the Jumbo Limit. If the Automatic Reinsurance Pool Capacity is exceeded, the Company can submit the whole risk to reinsurers on a Facultative basis, retain any amounts in excess of the Automatic Reinsurance Pool Capacity, or reinsure any such excess amounts under other automatic reinsurance agreements between the Company and its reinsurers.
Single Life / Survivorship Products:
For Regular Business:
ISSUE AGE |
Super Pref./ Pref./ Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9 - Tbl. 16 (325% - 500%) | ||||
0 – 70 | [*] | [*] | [*] | [*] | ||||
71 – 75 | [*] | [*] | [*] | [*] | ||||
76 – 80 | [*] | [*] | [*] | [*] | ||||
81 – 85 | [*] | [*] | [*] | [*] | ||||
86 – 90 | [*] | [*] | [*] | [*] |
If a policy is issued on an aviation risk with an aviation exclusion rider, the above Automatic Reinsurance Pool Capacity limits apply.
For Aviation Risks without an Aviation Exclusion Rider:
ISSUE AGE |
Super Pref./ Pref./ Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) | ||
0 – 70 | [*] | [*] | ||
71 – 75 | [*] | [*] | ||
76 – 80 | [*] | [*] | ||
81 – 85 | [*] | [*] | ||
86 – 90 | [*] | [*] |
For Foreign Business:
Country Category |
Super Pref. – Tbl. 4 (200%) Issue Age 20 - 70 |
Super Pref. – Tbl. 4 (200%) Issue Age 71 - 75 | ||
Category A and B | [*] | [*] | ||
Category C | [*] | [*] |
46
EXHIBIT E-I
Page 2
The following limits apply to Professional Athletes, which are team players and coaches for the NHL, NFL, NBA or MLB.
For Professional Athletes:
ISSUE AGE | Super Pref./ Pref./ Std. | Tbl. 1 – Tbl. 4 (125% - 200%) | Tbl. 5 – Tbl. 8 (225% - 300%) | Tbl. 9 - Tbl. 16 (325% - 500%) | ||||
0 – 80 | [*] | [*] | [*] | [*] |
Notes applicable to Automatic Reinsurance Pool Capacity:
· | These limits will be managed jointly between the Company and Xxxx Xxxxxxx Life Insurance Company of New York. |
· | For Professional Athletes: |
o | The Jumbo Limit for these individuals is [*] to age 80. |
o | Athletes that are not part of the NHL, NFL, NBA or MLB are eligible for full automatic capacity for regular business. |
o | If an individual risk meets all other requirements for automatic reinsurance and is a player or coach on a NHL, NFL, NBA or MLB team, prior to ceding the risk under this Agreement, the Company must confirm the Reinsurer’s available capacity for that risk. The Company shall (1) notify the Reinsurer’s Chief Underwriter, or designate, of the applicant’s name, date of birth, sport and team affiliation, total insurance in force and to be placed, and face amount required from the Reinsurer; and (2) confirm that the risk has completed an application for insurance. The Reinsurer shall endeavor to inform the Company of its available capacity for the risk within two (2) business days. After the Reinsurer has advised its available capacity, the Company may cede no more than that amount on an automatic basis. In no case shall the Company cede more to the Reinsurance Pool on an automatic basis than the amounts outlined in the above table. |
· | For survivorship products: |
· | The automatic limits are based on the life with the higher available capacity. |
· | The second life can be up to age 90 if the first life is age 85 or younger and insurable. |
· | The Ultimate Amount, including joint policies, is included on each life for the purpose of evaluating the Automatic Binding Limit. |
· | If the Aviation risk is rated Table 5 or higher, this life will be deemed uninsurable and the Automatic Reinsurance Pool Capacity will be based on the other life. |
47
EXHIBIT E-II
THE REINSURER’S AUTOMATIC ACCEPTANCE LIMITS
For purposes of this Agreement, the applicable “Automatic Acceptance Limits” are as follows:
Single Life / Survivorship Products:
For Regular Business:
ISSUE AGE | Super Pref./ Pref./ Std. | Tbl. 1 – Tbl. 4 (125% - 200%) | Tbl. 5 – Tbl. 8 (225% - 300%) | Tbl. 9 – Tbl. 16 (325% - 500%) | ||||
0 – 70 | [*] | [*] | [*] | [*] | ||||
71 – 75 | [*] | [*] | [*] | [*] | ||||
76 – 80 | [*] | [*] | [*] | [*] | ||||
81 – 85 | [*] | [*] | [*] | [*] | ||||
86 – 90 | [*] | [*] | [*] | [*] |
If a policy is issued on an aviation risk with an aviation exclusion rider, the above Automatic Acceptance limits apply.
For Aviation Risks without an Aviation Exclusion Rider:
ISSUE AGE |
Super Pref./ Pref./ Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) | ||
0 – 70 | [*] | [*] | ||
71 – 75 | [*] | [*] | ||
76 – 80 | [*] | [*] | ||
81 – 85 | [*] | [*] | ||
86 – 90 | [*] | [*] |
For Foreign Business:
Country Category |
Super Pref. – Tbl. 4 (200%) Issue Age 20 - 70 |
Super Pref. – Tbl. 4 (200%) Issue Age 71 - 75 | ||
Category A and B | [*] | [*] | ||
Category C | [*] | [*] |
The following Automatic Acceptance Limits apply to Professional Athletes, team players and coaches on a NHL, NFL, NBA or MLB Team.
For Professional Athletes:
ISSUE AGE |
Super Pref./ Pref./ Std. |
Tbl. 1 – Tbl. 4 (125% - 200%) |
Tbl. 5 – Tbl. 8 (225% - 300%) |
Tbl. 9- Tbl. 16 (325% - 500%) | ||||
0 - 80 | [*] | [*] | [*] | [*] |
48
EXHIBIT E-II
Page 2
Notes applicable to Reinsurer’s Automatic Acceptance Limit:
· | These limits will be managed jointly between the Company and Xxxx Xxxxxxx Life Insurance Company of New York. |
· | For Professional Athletes: |
o | The Jumbo Limit for these individuals is [*] to age 80. |
o | Athletes that are not part of the NHL, NFL, NBA or MLB are eligible for full automatic capacity for regular business. |
o | If an individual risk meets all other requirements for automatic reinsurance and is a player or coach on a NHL, NFL, NBA or MLB team, prior to ceding the risk under this Agreement, the Company must confirm the Reinsurer’s available capacity for that risk. The Company shall (1) notify the Reinsurer’s Chief Underwriter, or designate, of the applicant’s name, date of birth, sport and team affiliation, total insurance in force and to be placed, and face amount required from the Reinsurer; and (2) confirm that the risk has completed an application for insurance. The Reinsurer shall endeavor to inform the Company of its available capacity for the risk within two (2) business days. After the Reinsurer has advised its available capacity, the Company may cede no more than that amount on an automatic basis. In no case shall the Company cede more to the Reinsurance Pool on an automatic basis than the amounts outlined in the above table. |
· | For survivorship products: |
o | The automatic limits are based on the life with the higher available capacity. |
o | The second life can be up to age 90 if the first life is age 85 or younger and is insurable. |
o | The Ultimate Amount, including joint policies, is included on each life for the purpose of evaluating the Automatic Binding Limit. |
· | If the Aviation risk is rated Table 5 or worse, this life will be deemed uninsurable and the Automatic Reinsurance Pool Capacity will be based on the other life. |
49
EXHIBIT E-III
JUMBO LIMIT
For purposes of this Agreement, the applicable “Jumbo Limit” is as follows:
For Regular Domestic Business:
ISSUE AGE | Super Pref. – Tbl. 4 |
Tbl. 5 - Tbl. 16 (225% - 500%) | ||||
0 – 80 | [*] | [*] | ||||
81 – 85* | [*] | [*] |
*Note: On Survivorship products, the older insured may be up to issue age 90 if the better life is 85 or younger.
For Foreign Business
Country Category | ISSUE AGE | Super Pref. –Tbl. 4 | ||||
Category A and B | 20 – 75 | [*] | ||||
Category C | 20 – 70 | [*] |
Subject to this article, the total amount of insurance on an individual life, including each individual life under a Survivorship/joint life policy, shall not exceed the Jumbo Limit applicable to automatic cessions outlined in the above tables. For the purposes of this Agreement, the total amount of insurance on an individual life shall equal the sum of a. and b. below:
a. | The total amount of insurance in force and pending Formal Applications with the Company, including ultimate amounts for increasing policies with the Company scheduled at the time the policy is issued, and |
b. | The total amount of insurance known by the Company to be in force and pending Formal Applications with all other companies. |
Any amounts of insurance to be replaced, where the ownership of a policy has been assigned to the Company in writing, will not be included in the calculation of the total amount of insurance.
A “Formal Application” means any direct life insurance company’s fully completed and signed application for life insurance.
Notwithstanding the preceding, in the event that the Company issues a policy that causes the Jumbo Limit to be exceeded
i) | either unintentionally or as a result of all or a portion of the amount tendered for replacement not being cancelled or terminated for any reason, or |
ii) | as a result of a portion of any replaced policy being subsequently reinstated, or |
iii) | if a previously unknown amount of in force insurance with another company becomes known; and the Company inadvertently cedes the policy to the Reinsurer automatically under this Agreement (the “Jumbo Break”), the Reinsurer agrees to provide coverage on the policy up to its Normal Capacity not to exceed its Available Retention on that life where: |
“Normal Capacity” is defined as the share of the policy that would otherwise be ceded to the Reinsurer automatically under this Agreement in the absence of a Jumbo Break.
50
EXHIBIT E-III
Page 2
“Available Retention” is defined as the sum of A – B + C, where:
A = The Reinsurer’s maximum dollar retention limit at the time the policy was issued
B = Any amount already retained on that individual life by the Reinsurer
C = Any additional capacity acquired through the Reinsurer’s good faith effort with its retrocessionaires (if applicable) to provide additional coverage for the policy
In the event of a Jumbo Break, the Reinsurer will allocate its Available Retention on a first-come- first-served basis determined by the policy issue date. The Reinsurer’s obligations under this article will not apply to any intentional or grossly negligent violations of the Jumbo Limit by the Company.
51
EXHIBIT F
REINSURANCE REPORTS
DATA NOTIFICATION: The Company shall send to the Reinsurer reports, in substantial compliance with the Society of Actuaries Guidelines, at the times indicated below:
Report | Frequency | Due Date | ||
Billing Statement (by Treaty, totals by Reinsurer)
|
Monthly
|
10 days after month end
| ||
Reinsurance Policy Exhibit (Summary of movement during the past period)
|
Monthly / Quarterly/Annually
|
10 days after period due
| ||
Reinsurance Listing In Force Report
|
Quarterly
|
10 days after quarter end
| ||
Net Amount at Risk & Premiums
|
Quarterly
|
10 days after quarter end
| ||
Total Reserves (when required) (Summary) |
Quarterly
|
17 days after quarter end
| ||
Initial Notice of Claim
|
Monthly
|
Monthly
| ||
Statement of Claims Incurred (New Claims for the Month) |
Monthly
|
10 days after month end
| ||
Statement of Reinsured Claims Collected (Claims Netted off the Current Statement)
|
Monthly
|
10 days after month end
| ||
Increasing Risk – Ultimate Death Benefit Report |
Monthly
|
10 days after month end
| ||
52
EXHIBIT F
Page 2
REPORTING INFORMATION
INFORMATION ON RISKS REINSURED
i. | Type of Transaction | |
ii. | Effective Date of Transaction | |
iii. | Automatic/Facultative Indicator | |
iv. | Policy Number | |
v. | Full Name of Insured | |
vi. | Date of Birth | |
vii. | Sex | |
viii. | Risk Class | |
ix. | Smoking Status | |
x. | Policy Plan Code | |
xi. | Insured’s State of Residence | |
xii. | Issue Age | |
xiii. | Issue Date | |
xiv. | Duration from Original Policy Date | |
xv. | Face Amount Issued | |
xvi. | Reinsured Amount (current Net Amount at Risk) | |
xvii. | Death Benefit Option (for Flexible Premium type plans) | |
xviii. | ADB Amount (if applicable) | |
xix. | Substandard Rating | |
xx. | Flat Extra Amount Per Thousand | |
xxi. | Duration of Flat Extra | |
xxii. | Previous Policies (if applicable) | |
xxiii. | Premiums |
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EXHIBIT F
Page 3
NOTIFICATION OF ACCEPTANCE OF FACULTATIVE OFFER: The Company shall advise the Reinsurer of its acceptance of the Reinsurer’s underwriting decision pertaining to facultative business by sending written notice to the Reinsurer. The full details of the facultative new business shall be outlined on the Company’s Policy Detail Report.
THE REINSURER’S RATINGS: As requested by the Company, the Reinsurer shall supply the most recent credit rating reports on the Reinsurer issued by Standard & Poor’s and A.M. Best Company. These credit reports done by the credit agency should include sections that indicate the assigned rating for the Reinsurer, the rationale for the rating, the outlook for the Reinsurer and a business and financial profile.
RESERVES:
The Reinsurer shall establish and assume liability for all statutory reserves in proportion to its share of the liability. The Reinsurer shall hold reserves in accordance with the NAIC Valuation of Life Insurance Policies Model Regulation as adopted at the Effective Date of this Agreement.
Quarter End Reserves: The Company shall advise the Reinsurer within seventeen (17) Business Days of the end of each quarter, of the amount of reserves calculated on the reinsurance in force under this Agreement, as of the end of the preceding quarter. Any estimated figures provided should be confirmed by actual reserve figures.
Year End Reserves: By February 15th of each year, the Company’s valuation actuary shall certify the amount of reserves calculated on the reinsurance in force under this Agreement as of December 31st of the preceding year.
YRT Deficiency Reserves: If deficiency reserves are required to be held by the Company on any reinsured policy, the entire amount of any such reserve will be established and held by the Company.
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EXHIBIT G
DAC TAX ELECTION
Method of Exchanging Information
The Reinsurer and the Company agree to the DAC Tax Election and accordingly will exchange information in the following manner:
1. | The Company will submit a Schedule to the Reinsurer by May 1st, of each year, of its calculation of the net consideration (as referred to in Article XI) for the preceding calendar year. |
2. | The Reinsurer, in turn, will complete the Schedule by indicating acceptance of the Company’s calculations of the net consideration or by noting any discrepancies. The Reinsurer will return the completed Schedule to the Company by June 1st, of each year. |
3. | If there are any discrepancies between the Company’s and the Reinsurer’s calculation of the net consideration, the parties will act in good faith to resolve the discrepancies by July 1st, of each year. |
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EXHIBIT H
UNDERWRITING REQUIREMENTS FOR AUTOMATIC REINSURANCE
All amounts ceded to the Reinsurer must be underwritten in material compliance with the Company’s normal underwriting practices and criteria for the applicable policy. The maximum table rating that can be ceded on an automatic basis will be Table 16 for individual policies. For survivorship, the better life must be Table 16 or better. The costs of any exception to these requirements will be borne by the Company. For any underwriting exception, the Company will pay the Reinsurer the true underwriting class reinsurance premium.
Any proposed material changes to the Company’s super preferred, preferred and standard plus underwriting criteria, age and amount requirements or internal super preferred, preferred and standard plus guidelines shall be submitted to the Reinsurer for written approval prior to implementation. If the Reinsurer does not respond within thirty days, the Reinsurer shall be deemed to have accepted such modification.
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