The Matter of Independent Insurance Agents and Brokers of New York v. New York State Department of Financial Services

CourtNew York Court of Appeals
DecidedOctober 20, 2022
Docket73
StatusPublished

This text of The Matter of Independent Insurance Agents and Brokers of New York v. New York State Department of Financial Services (The Matter of Independent Insurance Agents and Brokers of New York v. New York State Department of Financial Services) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Matter of Independent Insurance Agents and Brokers of New York v. New York State Department of Financial Services, (N.Y. 2022).

Opinion

State of New York OPINION Court of Appeals This opinion is uncorrected and subject to revision before publication in the New York Reports.

No. 73 In the Matter of Independent Insurance Agents and Brokers of New York, Inc., et al., Respondents, et al., Petitioners, v. New York State Department of Financial Services et al., Appellants.

Sarah L. Rosenbluth, for appellants. Howard S. Kronberg, for respondents.

SINGAS, J.:

Petitioners challenge the validity of the recently amended Insurance Regulation 187

(11 NYCRR part 224), which provides protections to consumers engaging in life insurance

and annuity transactions. Because the Department of Financial Services (DFS)

-1- -2- No. 73

appropriately exercised its authority to create a carefully considered and clear regulation,

we find no basis to invalidate the regulation.

I.

Insurance Regulation 187 was first promulgated as an emergency regulation in

2010, and as a final regulation in 2013. The regulation was intended to ensure that “the

insurance needs and financial objectives of consumers” were addressed when entering into

annuity contracts, and to update New York’s regulations to mirror national model rules

(see former Department of Financial Services Regulations [11 NYCRR] § 224.0). The

regulation originally required that insurance producers—i.e., agents and brokers—and

insurers have “reasonable grounds for believing that [a] recommendation is suitable for the

consumer on the basis of the facts disclosed by the consumer as to the consumer’s

investments and other insurance policies or contracts and as to the consumer’s financial

situation and needs, including the consumer’s suitability information” (id. § 224.4 [a]). It

also required a recommender to have a reasonable basis to believe that the consumer was

informed of the features of the contract, that the consumer would benefit from the contract,

and that the contract was suitable to the consumer, taking into account the consumer’s

“suitability information” (id. § 224.4 [a] [1]-[4]). In the original version,

“recommendation” was defined as “advice provided by an insurance producer, or an insurer

where no insurance producer is involved, to a consumer that results in a purchase or

replacement of an annuity contract in accordance with that advice” (id. § 224.3 [c]).

“Suitability information” was defined to include several considerations including age,

income, financial needs and objectives, and risk tolerance (see id. § 224.3 [e]).

-2- -3- No. 73

In 2018, following two rounds of public comment and a revised proposal and

regulatory impact statement, DFS amended the regulation. The amendment addressed

concerns that the purchase of annuities and life insurance had become increasingly

complex with more products available to purchase. DFS reasoned that consumers, finding

themselves more reliant on professional advice in order to understand the options available

and to make purchasing decisions, had become more susceptible to producers and insurers

recommending transactions that prioritized their own compensation over the consumer’s

best interest (see Revised Regulatory Impact Statement for the First Amendment to 11

NYCRR 224 [Insurance Regulation 187] 2-4 [2018] [Revised Impact Statement]). The

amendment accordingly extended the scope of the regulation to cover both annuity and life

insurance contracts, and created a new standard applicable when producers and insurers

make “recommendations” to consumers. The amended regulation, which applies to both

“sales transactions” and “in-force transactions” (see 11 NYCRR 224.3 [i]-[k]), requires

that producers, or insurers when no producer is involved, act in the “best interest of the

consumer” when making a “recommendation” (id. §§ 224.4, 224.5). A similar

requirement, derived from the National Association of Insurance Commissioners’ Model

Regulation 275, applies in dozens of other states1 (see National Association of Insurance

1 See e.g. Ala Admin Code rule 482-1-127; Ariz Rev Stat § 20-1243 et seq.; 054.01.20 Ark Code R § 9; Conn Agencies Regs § 38a-432a-1 et seq.; 18 Del Admin Code § 1214-1.0 et seq.; Idaho Code § 41-1940 et seq.; Iowa Admin Code rule 191-15.72 et seq.; 806 Ky Admin Regs 12:120; 02-031-917 Me Code R § 1 et seq.; Md Code Regs § 31.09.12.01 et seq.; Mich Comp Laws § 500.4151 et seq.; 19 Miss Code R § 2-18.01 et seq.; Mont Code Ann § 33-20-801 et seq.; Neb Rev Stat § 44-8101 et seq.; NM Code R § 13.9.20.1 et seq.; ND Cent Code § 26.1-34.2-01 et seq.; Ohio Admin Code 3901-6-13; 40 Pa Stat and Cons

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Commissioners, NAIC Model Laws, Regulations, Guidelines and Other Resources,

Suitability in Annuity Transactions Model Regulation [spring 2022], available at

https://content.naic.org/sites/default/files/inline-files/MDL-275.pdf [last accessed Oct. 18,

2022]).

The amended regulation explains in detail what a producer or insurer must do to

discharge this duty when making a recommendation with respect to sales transactions. The

producer or insurer must, among other things: make “reasonable efforts” to obtain the

consumer’s “suitability information”; base any recommendation “on an evaluation of the

relevant suitability information” that “reflects the care, skill, prudence, and diligence that

a prudent person acting in a like capacity and familiar with such matters would use under

the circumstances then prevailing”; “[o]nly [consider] the interests of the consumer . . . in

making the recommendation” and not be influenced by compensation or other incentives;

recommend only “suitable” transactions; and have a “reasonable basis” to believe that the

consumer has been reasonably informed of the features of the policy, the potential

consequences of the transactions, both favorable and unfavorable, and that the consumer

Stat § 627-1 et seq.; 230-20 RI Code R § 25-1.1 et seq.; Tex Ins Code Ann art 1115.001 et seq.; 14 Va Admin Code § 5-45-10 et seq.; Wis Stat § 628.347; see also e.g. 3 Colo Code Regs § 702-4-1-11-1 et seq., as amended by 19 Colo Reg 1333-1351 (Oct. 2022) (eff Nov. 1, 2022); Haw Rev Stat 431:10D-621 et seq., amended by 2022 Haw Sess Laws act 58 (eff Jan. 1, 2023); Minn Stat § 72A.203, et seq., as amended by 2022 Minn Laws, ch 84 (eff Jan. 1, 2023); 11 NC Admin Code 12.0462 (eff Jan. 1, 2023); SC Code Ann Regs § 69-29 (eff Nov. 27, 2022); SD Codified Laws § 58-33A-13 et seq., as amended by 2022 SD Sess Laws, ch 186 (eff Jan. 1, 2023). -4- -5- No. 73

would benefit from certain features of the policy and the particular policy as a whole (11

NYCRR 224.4 [b]).2

The original regulation did not define the term “suitable.” DFS noted that, in

implementing the original version of the regulation, the lack of a definition for the term

“suitable” had been a “significant shortcoming,” given that DFS had “encountered

uncertainty and disagreement in the industry about what it means to be suitable” (Revised

Impact Statement at 5). DFS therefore incorporated a new definition of the term into the

amended regulation: “in furtherance of a consumer’s needs and objectives under the

circumstances then prevailing, based upon the suitability information provided by the

consumer and all products, services, and transactions available to the producer” (11

NYCRR 224.3 [h]).

The amendment took effect in August 2019 for annuities and in February 2020 for

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