Model Descriptions

Illustrations for Life Insurance Policies

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-582) This model provides rules for life insurance policy illustrations that will help protect consumers and foster consumer education. The regulation provides illustration formats, prescribes standards to be followed when illustrations are used, and specifies the disclosures that are required in connection with illustrations. IV-582-1

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Immunity for Reporting Insurance Fraud

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-680) This model helps state insurance regulators investigate and discover fraudulent insurance acts more effectively, halt fraudulent acts, and assist and receive assistance from state, local and federal law enforcement and regulatory agencies in enforcing laws prohibiting fraudulent insurance acts. V-680-1

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Impairment, Criminal Penalty for Failure to Report

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-510) This model outlines the criminal sanctions and penalties associated with failing to report financial impairment of an insurer to the proper authorities. III-510-1

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Improper Termination Practices Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-915) This model helps protect policyholders from improper terminations of insurance coverage and sets forth standards for the regulation and disposition of terminations of policies or certificates of insurance. VI-915-1

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Indemnity Contracts Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-356) This Act regulates certain classes of indemnity contracts empowering corporations to make such contracts and fixing certain fees, and includes penalty provisions. III-356-1

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Independent Adjuster Licensing Guideline

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
VI-1224-1

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Independently Procured Insurance Premium Tax Allocation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-872) This model implements provisions of the NAIC Non-admitted Insurance Model Act (MDL-870) by requiring surplus lines licensees to allocate premiums where a placement of surplus lines insurance covers properties, risks or exposures located or to be performed in various states (multi-state risks); facilitate payment of surplus lines tax or independently procured insurance tax in this state pursuant to the Non-admitted Insurance Model Act; and provide a mechanism by which a surplus lines licensee or insured shall allocate premiums and pay premium taxes to each state where placement of surplus lines insurance covers properties, risks or exposures located or to be performed in each state. VI-872-1

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Individual and Small Employer Health Insurance Availability Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-35) The purpose of this model is to enhance the availability of health insurance coverage to small employers and individuals regardless of their health status or claims experience and to improve the overall fairness and efficiency of the small group and individual health insurance markets. I-35-1

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Individual Health Insurance Portability Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-37) The purpose of this model is to promote the availability of health insurance coverage to recently insured individuals regardless of their health status or claims experience and to improve the overall fairness and efficiency of the individual health insurance market. I-37-1

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Inland Marine Definition

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-701) This model defines the kinds of risks and coverage that may be classified under state insurance laws as marine, inland marine or transportation insurance. V-701-1

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Insider Trading

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
An Act Concerning Insider Trading of Domestic Stock Insurance Company Equity Securities (MDL-460) This Act includes provisions concerning the unfair use of information, sales of equity security, exceptions, definitions and forfeiture. Its corresponding model regulation is MDL-480. III-460-1
Insider Trading Reporting Forms and Instructions (MDL-480) This model contains definitions and other detailed guidelines to evaluate compliance with the provisions set forth in the NAIC Act Concerning Insider Trading of Domestic Stock Insurance Company Equity Securities (MDL-460). III-480-1
Proxies, Consents and Authorizations of Domestic Stock Insurers III-490-1
Regulations Adopted Pursuant to an Act Concerning Insider Trading of Domestic Stock Insurance Company Equity Securities III-480-1
Stockholders Information Supplement (SIS) III-500-1

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Insolvency

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Administrative Supervision Model Act III-558-1
Criminal Sanctions for Failure to Report Impairment Model Bill III-510-1
Notice of Protection provided by [State] Life and Health Insurance Guaranty Association

(GDL-1525) This guideline is designed to help states proceed with revisions to Section 19: Prohibited Advertisement of Insurance Guaranty Association Act in Insurance Sales; Notice to Policy Owners in the Life and Health Insurance Guaranty Association Model Act – Model # 520. This guideline updates the general notice on guaranty association coverage required to be provided under Section 19 of the Model Act.

VI-1525-1
Life and Health Insurance Guaranty Association Model Act III-520-1
Insurer Receivership Model Act III-555-1
Guideline for Stay on Termination of Netting Agreements and Qualified Financial Contracts (GDL-1556) – This guideline provides states with language for a stay provision similar to the Federal Deposit Insurance Act with respect to an insurer in insolvency. The stay provision would give the receiver 24 hours to transfer qualified financial contracts by the receiver to another entity before contract termination. VI-1556-1

Guideline for Implementation of State Orderly Liquidation Authority

VI-1700-1
Model Regulation for Defining Companies in Hazardous Financial Conditions. III-385-1
Risk Management and Own Risk and Solvency Assessment Model Act (MDL-505) III-505-1
Property and Liability Insurance Guaranty Association Model Act III-540-1

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Insurable Interest of Charities in Life Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-601) The model contains guidance for states in a question-and-answer format, explaining the main features of gifts of life insurance to charities. IV-601-1
   

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Insurance Adjusters Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-228) This model governs the qualifications and procedures for the licensing of public adjusters. It specifies the duties of and restrictions on public adjusters, which include limiting their licensure to assisting insureds in first-party claims. II-228-1

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Insurance Regulatory Information System (IRIS)

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-395) This Act sets forth the requirements for participating in the NAIC Insurance Regulatory Information System (IRIS). It requires annual statement filing for each domestic, foreign and alien insurer that is authorized to transact insurance in the respective jurisdiction. III-395-1

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Insurer Receivership Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-555) This Act helps protect the interests of insureds, claimants, creditors and the public generally through early detection of a potentially hazardous financial condition of an insurer and enhanced efficiency in liquidation to conserve the assets of the insurer. III-555-1

Guideline for Implementation of State Orderly Liquidation Authority

  VI-1700-1

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Interest-Indexed Annuity Contracts Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-235) This regulation establishes the initial filing requirements for interest-indexed annuity contracts. It also contains additional filing requirements, valuation requirements, and a Statement of Actuarial Opinion for Interest-Indexed Annuity Contracts. This regulation applies only to individual annuity contracts. This regulation currently addresses only the indexing of interest credits. II-235-1

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Interest Rate: Policy Loan Interest Rate Bill

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-590) This Act sets guidelines for life insurers to include a provision for periodic adjustment of policy loan interest rates. IV-590-1

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Interstate Insurance Product Regulation Compact

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-692) This model establishes a compact for the purpose of approving forms for life, annuity, disability income and long-term care insurance. The compact also has authority to review and approve rates for disability income and long-term care, as well as advertising for long-term care insurance. IV-692-1

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Investments of Insurers

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Investments in Medium Grade and Lower Grade Obligations Model Regulation III-340-1
Investments of Insurers Model Act (Defined Limits Version) (MDL-280) This model helps protects the interests of insureds by promoting insurer solvency and financial strength. It is, however, not considered by the NAIC to exhaust regulatory methods to address the regulation of investments of insurers.  III-280-1
Investments of Insurers Model Act (Defined Standards Version) (MDL-283) This model helps protect and further the interests of insureds, creditors and the general public by providing prudent standards for the development and administration of insurer investment programs. III-283-1
Derivative Instruments Model Regulation III-282-1

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“Junk Bond” Investments by Insurers

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-340) This regulation helps protect the insurance-buying public by establishing limitations on the concentration of medium-grade and lower-grade obligations in which a domestic insurer can invest. III-340-1

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Liability Insurance: see "Property and Liability Insurance" heading

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
   

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Life Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Accelerated Benefits Model Regulation IV-620-1

Advertising of Life Insurance

IV-570-1

Assumption Reinsurance Model Act

IV-803-1
Bulletin on Illustrated Interest Projections IV-572-1
Buyer’s Guide for Life Insurance IV-580-1
Capital Requirements for Life Insurers III-312-1
Charitable Interest in Life Insurance IV-601-1
Corporate Owned Life Insurance Guidelines IV-602-1
Credit Life Insurance:  see “Credit Insurance” heading
Definitions—Group Life Insurance Definition and Group Standard Provisions IV-565-1
Determining Reserve Liabilities for Credit Life Insurance Model Regulation VI-818-1
Disclosure for Small Face Amount Life Insurance Policies Model Act IV-605-1
Disclosure Model Regulation IV-580-1
Fraternal Life Insurance V-675-1
Gifts of Life Insurance to Charitable Institutions IV-601-1
Guaranty Association for Life Insurers: see “Guaranty Association” heading
Home Service Disclosure Model Act VI-920-1
Illustrations of Life Insurance Model Regulation IV-582-1
Insurable Interest of Charities in Life Insurance................................................ IV-601-1
Military Sales Practices Model Regulation (MDL-568) The purpose of this regulation is to set forth standards to protect active duty service members of the United States Armed Forces from dishonest and predatory insurance sales practices by declaring certain identified practices to be false, misleading, deceptive or unfair. This regulation shall apply only to the solicitation or sale of any life insurance or annuity product by an insurer or insurance producer to an active duty service member of the United States Armed Forces. IV-568-1
Model Regulation on the Use of Senior-Specific Certifications and Professional Designations in the Sale of Life Insurance and Annuities. (MDL-278) The purpose of this regulation is to set forth standards to protect consumers from misleading and fraudulent marketing practices with respect to the use of senior-specific certifications and professional designations in the solicitation, sale or purchase of, or advice made in connection with, a life insurance or annuity product. II-278-1
Mortality Tables:  see “Mortality Tables” heading
Multiple Policy Model Regulation IV-615-1
Non-forfeiture Values and Reserves Valuation:  see “Non-forfeiture Values and Reserves Valuation” heading
Policy Loan Interest Rate Model Bill IV-590-1
Readability—Life and Health Insurance Policy Simplification IV-575-1
Life Insurance and Annuities Replacement Model Regulation IV-613-1
Risk-Based Capital (RBC) Model Act III-312-1
Simplification of Life and Health Insurance Policy Language IV-575-1
Small Face Amount Life Insurance IV-605-1
Solicitation—Life Insurance Disclosure Model Regulation IV-580-1
Standard Non-forfeiture and Standard Valuation Laws:  see “Non-forfeiture Values and Reserves Valuation” heading
Unauthorized Transaction of Insurance Criminal Model Act VI-890-1
Unfair Discrimination Against Subjects of Abuse in Life Insurance Model Act VI-896-1
Universal Life Insurance Model Regulation (MDL-585) This regulation supplements existing regulations on life insurance policies in order to accommodate the development and issuance of universal life insurance plans. IV-585-1
Valuation of Life Insurance Policies Model Regulation VI-830-1
Variable Contract Law II-260-1
Variable Life Insurance Model Regulation II-270-1
Viatical Settlements Model Act IV-697-1
Viatical Settlements Model Regulation V-698-1

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Limited Health Service Organization Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-68) This model provides the means to regulate limited health service plans and to avoid unnecessary duplication of regulation for other entities that currently are authorized to provide limited health services on a prepayment or other basis or to indemnify for such services. I-68-1
Accelerated Benefits Model Regulation IV-620-1

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Loan Interest Rates

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-590) This Act sets guidelines for life insurers to include a provision for periodic adjustment of policy loan interest rates. IV-590-1

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Long-Term Care Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Long-Term Care Insurance Model Act IV-640-1
Long-Term Care Insurance Model Regulation IV-641-1

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Long-Term Care Insurance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-640) This model establishes standards for long-term care insurance and facilitates flexibility and innovation in the development of long-term care insurance coverage. Its corresponding regulation is MDL-641. IV-640-1

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Long-Term Care Insurance Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-641) This regulation implements the NAIC Long-Term Care Insurance Model Act (MDL-640). It sets standards for rates, nonforfeiture values and suitability. Requirements for advertising and marketing are also detailed. Several forms are included. IV-641-1

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Managed Care Plan Network Adequacy Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-74) This model establishes standards for the creation and maintenance of networks by health carriers to ensure the adequacy, accessibility and quality of health care services offered under a managed care plan. It establishes requirements for written agreements between health carriers offering managed care plans and participating providers regarding the standards, terms and provisions under which the participating provider will provide services to covered persons. I-74-1

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Managing General Agents Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-225) This model governs the qualifications and procedures for a resident or non-resident producer acquiring the status as a managing general agent. Its provisions cover licensure, required contract provisions, duties of insurers, examination authority, penalties and liabilities. II-225-1

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Marine Insurance:  Nationwide Inland Marine Definition

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-701) This model defines the kinds of risks and coverages that may be classified under state insurance laws as marine, inland marine or transportation insurance. V-701-1

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Market Analysis Model

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-693) This Act establishes a framework for market conduct actions, including processes and systems for identifying, assessing and prioritizing market conduct problems; actions by a commissioner to substantiate market conduct problems and a means to remedy significant market conduct problems; and procedures to communicate and coordinate market conduct actions among jurisdictions to foster the most efficient, effective use of resources. IV-693-1

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Market Conduct Record Retention and Production Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
VI-910-1

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Market Conduct: see “Unfair Trade Practices” heading

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL

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Market Conduct Surveillance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-693) This Act establishes a framework for market conduct actions, including processes and systems for identifying, assessing and prioritizing market conduct problems; actions by a commissioner to substantiate market conduct problems and a means to remedy significant market conduct problems; and procedures to communicate and coordinate market conduct actions among jurisdictions to foster the most efficient, effective use of resources. IV-693-1

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Mass Marketing Property and Liability Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-710) This model prescribes rules to prevent abuses in connection with the sale of property-liability insurance pursuant to mass marketing plans, while preserving for consumers the potential benefits of this form of marketing. V-710-1

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Material Transactions Disclosure Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-285) This model establishes requirements for disclosing material transactions. It provides guidelines pertaining to the content of the report containing material transactions, the process for acquisition and disposition of assets, transaction exceptions to the reporting requirement and confidentiality. III-285-1

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Medical/Lifestyle Questions and Underwriting Guidelines

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-60) This model assists insurers with formulating and designing medical/lifestyle questions in applications for and underwriting standards affecting health and/or life insurance coverage. I-60-1

Guideline for Implementation of Medical Professional Liability Close Claim Reporting

  VI-1077-1

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Medical Professional Liability Closed Claim Reporting Model Law

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-77) This Act is intended to ensure the availability of closed claim data necessary for thorough analysis and understanding of issues associated with medical professional liability claims, in order to support the establishment and maintenance of sound public policy. I-77-1

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Medicare Supplement Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Advertisements of Medicare Supplement Insurance IV-660-1
Minimum Standards Model Act IV-650-1
Minimum Standards Model Regulation IV-651-1

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Mental Impairment—Discrimination

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-887) This model identifies specific acts or practices in life and health insurance that are prohibited by the NAIC Unfair Trade Practices Act (MDL-880). The main purpose of this model is to make clear that life and health insurers cannot classify individuals without a rational basis for each decision. VI-887-1

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Mergers and Acquisitions

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-440) This Act includes requirements pertaining to holding companies. (Also refer to MDL-450.) It pertains to subsidiaries of insurers, acquisition of control of or merger with domestic insurers, acquisitions involving insurers not otherwise covered, registration of insurers, and standards and management of an insurer within a holding company system. III-440-1

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MGA:  Managing General Agents Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-225) This model governs the qualifications and procedures for a resident or non-resident producer acquiring the status as a managing general agent. Its provisions cover licensure, required contract provisions, duties of insurers, examination authority, penalties and liabilities. II-225-1

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Military Sales Practices Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-568) The purpose of this regulation is to set forth standards to protect active duty service members of the United States Armed Forces from dishonest and predatory insurance sales practices by declaring certain identified practices to be false, misleading, deceptive or unfair. This regulation shall apply only to the solicitation or sale of any life insurance or annuity product by an insurer or insurance producer to an active duty service member of the United States Armed Forces. IV-568-1

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Model Audit Rule

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Annual Financial Reporting Model Regulation

(MDL-205) – also listed under Accounting, Audited Financial Reports and CPA Audited Annual Statements

II-205-1

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Model Regulation on the Use of Senior-Specific Certifications and Professional Designations in the Sale of Life Insurance and Annuities

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-278) The purpose of this regulation is to set forth standards to protect consumers from misleading and fraudulent marketing practices with respect to the use of senior-specific certifications and professional designations in the solicitation, sale or purchase of, or advice made in connection with, a life insurance or annuity product. II-278-1

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Model Regulation Permitting the Recognition of Preferred Mortality Tables for Use in Determining Minimum Reserve Lia

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-815) This model recognizes, permits and prescribes the use of mortality tables that reflect the differences in mortality between preferred and standard lives in determining minimum reserve liabilities. VI-815-1

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Mortality Tables

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Model Regulation Permitting the Recognition of Preferred Mortality Tables for Use in Determining Minimum Reserve Liabilities VI-815-1
Model Rule Permitting Smoker/Nonsmoker Mortality Tables (MDL-812) This model permits the use of mortality tables that reflect differences in mortality between smokers and nonsmokers in determining minimum reserve liabilities and minimum cash surrender values and amounts of paid-up non-forfeiture benefits for plans of insurance with separate premium rates for smokers and nonsmokers. VI-812-1
Model Rule for Recognizing a New Annuity Mortality Table VI-821-1
Procedure for Permitting same Minimum Non-forfeiture Standards for Men and Women Insured Under 1980 CSO and 1980 CET Mortality Tables (MDL-811) This model permits individual life insurance policies to provide the same cash values and paid-up non-forfeiture benefits to men and women. VI-811-1
Recognition of the 2001 CSO Mortality Table for Use In Determining Minimum Reserve Liabilities and Non-forfeiture Benefits Model Regulation (MDL-814) This regulation prescribes the use of the 2001 Commissioners Standard Ordinary (CSO) Mortality Table in accordance with the NAIC Standard Valuation Law (MDL-820) and the NAIC Standard Non-forfeiture Law for Life Insurance (MDL-808). VI-814-1
Valuation of Life Insurance Policies Model Regulation (MDL-830) This model provides tables of select mortality factors and rules for their use; rules concerning a minimum standard for the valuation of plans with non-level premiums or benefits; and rules concerning a minimum standard for the valuation of plans with secondary guarantees. It is also referred to as Actuarial Guideline XXX. VI-830-1

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Mortgage Guaranty Insurance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-630) This Act defines terminology related to mortgage guaranty insurance and contains provisions pertaining to capital and surplus, the insurer's authority to transact business, geographic concentration, advertising, investment limitation, underwriting discrimination, mortgage guaranty insurance as monocline, policy and premium rate filings, outstanding total liabilities, rebates, commissions and charges, prohibition of compensating balances, reserves, and conflicts of interest. IV-630-1

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Multiple Employer Welfare Arrangements Reporting Requirements for Licensees Seeking to do Business

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-220) This model helps prevent the operation of illegal multiple employer welfare arrangements (MEWAs). This regulation establishes specific standards for persons and licensees who become aware of, or are asked to assist, such an operation. II-220-1

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Multiple Policies of Life Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-651) This regulation implements the NAIC Medicare Supplement Insurance Minimum Standards Model Act (MDL-650). It provides for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement policies; facilitates public understanding and comparison of such policies; eliminates provisions contained in such policies that may be misleading or confusing; and provides for full disclosures in the sale of health insurance coverages to persons eligible for Medicare. IV-651-1

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NAIC Policy Statement on Financial Regulation Standards

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL

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Nationwide Inland Marine Definition

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-701) This model defines the kinds of risks and coverages that may be classified under state insurance laws as marine, inland marine or transportation insurance. V-701-1

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NCOIL Market Conduct Surveillance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-693) This Act establishes a framework for market conduct actions, including processes and systems for identifying, assessing and prioritizing market conduct problems; actions by a commissioner to substantiate market conduct problems and a means to remedy significant market conduct problems; and procedures to communicate and coordinate market conduct actions among jurisdictions to foster the most efficient, effective use of resources. V-693-1

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Network Adequacy Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-74) This model establishes standards for the creation and maintenance of networks by health carriers to ensure the adequacy, accessibility and quality of health care services offered under a managed care plan. It establishes requirements for written agreements between health carriers offering managed care plans and participating providers regarding the standards, terms and provisions under which the participating provider will provide services to covered persons. I-74-1

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Newborn and Adopted Children Coverage Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-155) This model provides for uniformity of coverage requirements for newborn and newly adopted children and children placed for adoption under both group and individual health benefit plans. II-155-1

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Non-admitted Insurance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-870) The majority of this statute is devoted to the requirements for conducting surplus lines insurance business. Requirements for taxation of independently procured insurance are included, as well as procedures for actions by and against unauthorized insurers. VI-870-1

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Nondiscrimination in Health Insurance Coverage in the Group Market Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-107) This model incorporates the requirements set forth in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and federal regulations. It prohibits carriers providing health insurance coverage under a health benefit plan in the group market from discriminating against individual participants or beneficiaries in these plans with respect to plan eligibility and in setting premium and contribution rates based on any health factor of the participants or beneficiaries. II-107-1
   

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Non-forfeiture Values and Reserves Valuation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Annuities Mortality Table VI-821-1
Equity Indexed Annuities VI-806-1
Long-Term Care Insurance IV-640-1
Model Regulation Permitting the Recognition of Preferred Mortality Tables for Use in Determining Minimum Reserve Liabilities VI-815-1
Recognition of the 2001 CSO Mortality Table for Use In Determining Minimum Reserve Liabilities and Non-forfeiture Benefits Model Regulation VI-814-1
Same Non-forfeiture Standards for Men and Women Under 1980 CSO and 1980 CET Tables VI-811-1
Smoker/Nonsmoker Mortality Tables VI-812-1
Standard Non-forfeiture Law for Individual Deferred Annuities VI-805-1
Standard Non-forfeiture Law for Life Insurance (MDL-808) This model provides guidance as to non-forfeiture benefits for life insurance. It includes provisions pertaining to the computation of cash surrender value, paid-up non-forfeiture benefits computations, adjusted premium calculations, proration of values, net value or paid up additions, consistency of progression of cash surrender values and applicable exceptions. VI-808-1
Standard Valuation Model Law VI-820-1
Valuation of Life Insurance Policies Model Regulation VI-830-1

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Non-U.S. Insurers

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-665) This Act applies to a U.S. branch using a state as a state of entry to transact insurance in the United States. A trust agreement and reporting requirements are described. V-665-1

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Off-Label Drug Use Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-148) This model sets standards for payments for drugs that have been approved for indications other than those stated in the labeling approved by the FDA. II-148-1

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Personal Property Credit Insurance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-365) This Act 1) Promotes the public welfare by regulating credit personal property insurance; 2) Creates a legal framework within which credit personal property insurance may be written in this state; 3) Helps maintain the separation between creditors and insurers; 4) Minimizes the possibilities of unfair competitive practices in the sale of credit personal property insurance; and 5) Addresses the problems arising from reverse competition in credit insurance markets. III-365-1

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Policy Loan Interest Rate Bill

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-590) This Act sets guidelines for life insurers to include a provision for periodic adjustment of policy loan interest rates. IV-590-1

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Policy Statement on Financial Regulation Standards

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL

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Pooling Mechanism for Health Insurance for Uninsurables

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-85) This model establishes guidelines for a health plan for uninsurable individuals. The mechanics of the plan and its operations and functions must all be established under a plan of operation approved by the commissioner. I-85-1

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Portability: Individual Health Insurance Portability Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-37) The purpose of this model is to promote the availability of health insurance coverage to recently insured individuals regardless of their health status or claims experience and to improve the overall fairness and efficiency of the individual health insurance market. I-37-1

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Portability: Model Regulation to Implement the Individual Health Insurance Portability Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-38) This model is intended to implement the provisions of the NAIC Individual Health Insurance Portability Model Act (MDL-37). The Portability Act and this model are intended to regulate all health benefit plans sold to individuals, whether sold directly or through associations or other groupings of individuals. I-38-1

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Premium Tax of Surplus Lines and Independently Procured Insurance on Multi-State Risks

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-872) This model implements provisions of the NAIC Non-admitted Insurance Model Act (MDL-870) by requiring surplus lines licensees to allocate premiums where a placement of surplus lines insurance covers properties, risks or exposures located or to be performed in various states (multi-state risks); facilitate payment of surplus lines tax or independently procured insurance tax in this state pursuant to the Non-admitted Insurance Model Act; and provide a mechanism by which a surplus lines licensee or insured shall allocate premiums and pay premium taxes to each state where placement of surplus lines insurance covers properties, risks or exposures located or to be performed in each state. VI-872-1

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Preneed Life Insurance Minimum Standards for Determining Reserve Liabilities and Non-forfeiture Values Model Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-817) The purpose of this regulation is to establish for preneed insurance products minimum mortality standards for reserves and non-forfeiture values, and to require the use of the 1980 Commissioners Standard Ordinary (CSO) Life Valuation Mortality Table for use in determining the minimum standard of valuation of reserves and the minimum standard non-forfeiture values for preneed insurance products. VI-817-1

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Preneed Funeral Plans

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Advertising IV-570-1
Life Insurance V-580-1, VI-815-1

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Prepaid Limited Health Service Organization Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-68) This model provides the means to regulate limited health service plans and to avoid unnecessary duplication of regulation for other entities that currently are authorized to provide limited health services on a prepayment or other basis or to indemnify for such services. I-68-1

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Prescription Drug Benefit Management Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-22) This model provides standards for the establishment, maintenance and management of prescription drug formularies and other pharmaceutical benefit management procedures used by health carriers that provide prescription drug benefits. I-22-1

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Prior Approval Rating Law

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-780) This model promotes the public welfare by regulating insurance rates to the end that they shall not be excessive, inadequate or unfairly discriminatory, and to authorize and regulate limited cooperative action among insurers in ratemaking-related activities and in other matters within the scope of this model. V-780-1

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Privacy

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Health Information Privacy Model Act I-55-1
Insurance Information and Privacy Protection Model Act (MDL-670) this Act establishes standards for the collection, use and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents or insurance support organizations. V-670-1
Privacy of Consumer Financial and Health Information Regulation (MDL-672) This model aligns with the requirements set forth in Title V of the Gramm-Leach-Bliley Act related to the privacy of consumer financial and health information. V-672-1
Standards for Safeguarding Consumer Information Model Regulation (MDL-673) This model establishes standards for developing and implementing administrative, technical and physical safeguards to protect the security, confidentiality and integrity of customer information, pursuant to the Gramm-Leach-Bliley Act. V-673-1

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Private Health Care Voluntary Purchasing Alliance Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-82) This model helps improve fairness, efficiency and competition in the pricing and delivering of health care coverage for employers with no more than a specified number of employees. It also provides a mechanism for small employers to join together solely for the purpose of procuring health insurance and operates as an exception to existing false group or fictitious group laws. I-82-1

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Producer Controlled Insurer Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-325) This model sets forth guidelines for business between controlled insurers and controlling producers. It contains specific contract provisions to be contained in controlling producer/controlled insurer contracts. III-325-1

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Producer Licensing Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-218) This model governs the qualifications and procedures for the licensing of insurance producers. This model does not apply to surplus lines agents and brokers licensed pursuant to excess and surplus lines statutes, except as provided in this model. II-218-1

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Producers

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Independent Adjuster Licensing Guideline VI-1224-1
Managing General Agents Act II-225-1
Producer Licensing Model Act (MDL-218) This model governs the qualifications and procedures for the licensing of insurance producers. This model does not apply to surplus lines agents and brokers licensed pursuant to excess and surplus lines statutes, except as provided in this model. II-218-1
Public Adjusters Model Act II-228-1
Reinsurance Intermediary Model Act V-790-1
Reporting Requirements for Licensees Seeking to do Business with Certain Unauthorized Multiple Employer Welfare Arrangements (MEWAs) Model Regulation II-220-1
Title Insurance Agent Model Act (MDL-230) This model provides for the effective regulation and supervision of title insurance agents. It should be adopted concurrently with the Title Insurers Model Act (MDL-628), because the two models contain complementary provisions and both are required to provide sufficient regulation of title insurance. II-230-1

Title Agent Statistical Data Plan Implementation Guideline

(GDL-1650) The purpose of the Title Agent Statistical Data Plan (the “stat plan”) is to give information that is more useful to state regulators about the business of title insurance at the agency level.  VI-1650-1
Unauthorized Transaction of Insurance Criminal Model Act VI-890-1

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Prohibition on the Use of Discretionary Clauses Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-42) This models helps ensure that health insurance benefits and disability-income protection coverage are contractually guaranteed, and helps avoid the conflict of interest that occurs when the carrier responsible for providing benefits has discretionary authority to decide what benefits are due. I-42-1

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Property and Casualty Companies Data Reporting Regulation

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-751) This regulation sets forth the manner of reporting data by insurers to statistical agents; prescribes reports to be submitted by statistical agents; and prescribes certain conduct in connection therewith. This regulation does not apply to data reported directly by insurers to the commissioner. V-751-1

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Property and Casualty Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Anti-Arson Application Bill V-715-1
Atomic Energy Exclusion Statute V-700-1
Automobile Insurance:  see “Automobile Insurance” heading
Business Transacted with Producer Controlled Property/Casualty Insurer Act III-325-1
CGL Extended Reporting Model Act V-740-1
Credit Personal Property Insurance Model Act               III-365-1
Creditor-Placed Insurance Model Act III-375-1
Group Personal Lines Property and Casualty Insurance Model Act V-760-1
Guaranty Funds:  see “Insolvency” heading
Home Service Disclosure Model Act VI-920-1
Mass Marketing of Property and Liability Insurance Model Regulation V-710-1
Non-personal Lines Property and Casualty Insurance Policy Simplification Model Regulation (MDL-732) This model sets forth the compliance standards for simplifying non-personal lines property and casualty insurance policies. V-732-1
Personal Lines Property and Casualty Insurance Policy Simplification Model Regulation V-731-1
Property and Casualty Actuarial Opinion Model Law V-745-1
Property and Casualty Commercial Rate and Policy Form Model Act (Condensed) V-777-1
Property and Casualty Insurance Policy Simplification Model Act V-730-1
Property and Casualty Model Rating Law VI-1780-1

Property and Casualty Model Rate and Policy Form Law Guideline

VI-1781-1
Property and Casualty Model Rating Law (File and Use Version) VI-1775-1

Property and Casualty Model Rate and Policy Form Regulation Guideline

VI-1776-1
Property and Casualty Insurance Guaranty Association Model Act III-540-1
Notice of Protection provided by [State] Life and Health Insurance Guaranty Association

(GDL-1525) This guideline is designed to help states proceed with revisions to Section 19: Prohibited Advertisement of Insurance Guaranty Association Act in Insurance Sales; Notice to Policy Owners in the Life and Health Insurance Guaranty Association Model Act – Model # 520. This guideline updates the general notice on guaranty association coverage required to be provided under Section 19 of the Model Act.

VI-1525-1
Property Insurance Declination, Termination and Disclosure Model Act (MDL-720) This Act regulates cancellations and non-renewals by requiring specific reasons for that action. Permitted and prohibited reasons are set out. V-720-1
Rating Laws:  see “Rating Laws” heading
Readability of Policies
  • Non-personal Lines Property and Casualty Insurance
V-732-1
  • Personal Lines Property and Casualty Insurance
V-731-1
  • Property and Casualty Insurance Policy Simplification
V-730-1
Reinsurance:  see “Reinsurance” heading
Risk-Based Capital (RBC) Model Act III-312-1
Risk Retention Act (MDL-705) This Act regulates the formation and operation of risk retention groups and purchasing groups formed pursuant to the provisions of the federal Liability Risk Retention Act of 1986 (LRRA). V-705-1
Surplus Lines:  see “Unauthorized Insurance and Surplus Lines” heading
Title Insurers Model Act (MDL-628) This model provides for the effective regulation and supervision of title insurance and title insurers. It should be adopted concurrently with the Title Insurance Agent Model Act (MDL-230), because the two models contain complementary provisions and both are required to provide sufficient regulation of title insurance V-628-1
Unauthorized Transaction of Insurance Criminal Model Act VI-890-1

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Property Insurance—Credit

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-365) This Act 1) Promotes the public welfare by regulating credit personal property insurance; 2) Creates a legal framework within which credit personal property insurance may be written in this state; 3) Helps maintain the separation between creditors and insurers; 4) Minimizes the possibilities of unfair competitive practices in the sale of credit personal property insurance; and 5) Addresses the problems arising from reverse competition in credit insurance markets. III-365-1

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Protected Cell Company Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-290) This model provides a basis for the creation of protected cells by a domestic insurer as one means of accessing alternative sources of capital and achieving the benefits of insurance securitization. III-290-1

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Proxies: Regulation Regarding Proxies, Consents and Authorizations of Domestic Stock Insurers

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-490) This regulation provides proxy requirements, filing requirements. securities solicitations, information to be provided to securities holders, consent and authorization, communications with securities holders, proposals, false and misleading statements, and special provisions related to election contests. III-490-1

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Public Adjusters Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-228) This model governs the qualifications and procedures for the licensing of public adjusters. It specifies the duties of and restrictions on public adjusters, which include limiting their licensure to assisting insureds in first-party claims. II-228-1

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Purchasing Alliances for Health Insurance

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
Private Health Care Voluntary Purchasing Alliance Model Act I-82-1
Regional Health Care Voluntary Purchasing Alliance Model Act I-80-1
Single Health Care Voluntary Purchasing Alliance Model Act I-78-1

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Quality Assessment and Improvement Model Act

TITLE OF MODEL
DESCRIPTION
VOLUME MODEL
(MDL-71) This model establishes criteria for the quality assessment activities of all health carriers that offer managed care plans and for the quality improvement activities of health carriers issuing closed plans or combination plans that have a closed component. I-71-1

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