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

New York Court of Appeals·Decided October 20, 2022·No. 73·Published

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)

-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]).

-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

-4- No. 73 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).

-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 life insurance policies (id. § 224.9).

II.

In November 2018, petitioners Independent Insurance Agents and Brokers of New York, Inc., and Testa Brothers Ltd.3 commenced this CPLR article 78 proceeding alleging that the amended regulation is unconstitutionally vague because certain key terms,

2 The requirements for recommendations regarding in-force transactions are the same, except that the recommender is not required to collect or consider “suitability information,” and there is no corresponding requirement that the in-force transaction be “suitable” (see 11 NYCRR 224.5 [b]). 3 Petitioners Professional Insurance Agents of New York State, Inc. and Gary Slavin are not parties to this appeal.

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