2006 Minnesota Statutes

61A.60 REQUIRED REPLACEMENT NOTICE AND FORM.
    Subdivision 1. Notice form; agent sales. The notice required where sections 61A.53 to
61A.60 refer to this subdivision is as follows:

IMPORTANT NOTICE






DEFINITION
REPLACEMENT is any transaction where, in connection
with the purchase of New Insurance or a New Annuity, you
LAPSE, SURRENDER, CONVERT to Paid-up Insurance,
Place on Extended Term, or BORROW all or part of the
policy loan values on an existing insurance policy or an
annuity. (See reverse side for DEFINITIONS.)





IF YOU
INTEND
TO
REPLACE
COVERAGE
In connection with the purchase of this insurance or
annuity, if you have REPLACED or intend to REPLACE
your present life insurance coverage or annuity(ies), you
should be certain that you understand all the relevant
factors involved.


You should BE AWARE that you may be required to
provide EVIDENCE OF INSURABILITY and




(1) If your HEALTH condition has CHANGED since the
application was taken on your present policies, you may
be required to pay ADDITIONAL PREMIUMS under the
NEW POLICY, or be DENIED coverage.


(2) Your present occupation or activities may not be
covered or could require additional premiums.




(3) The INCONTESTABLE and SUICIDE CLAUSE will
begin anew in a new policy. This could RESULT in a
CLAIM under the new policy BEING DENIED that
would otherwise have been paid.


(4) Current law MAY NOT REQUIRE your present
insurer(s) to REFUND any premiums.




(5) It is to your advantage to OBTAIN INFORMATION
regarding your existing policies or annuity contracts from
the insurer or agent from whom you purchased the
policy or annuity contract.


(If you are purchasing an annuity, clauses (1), (2), and (3)
above would not apply to the new annuity contract.)





THE INSURANCE OR ANNUITY I INTEND
TO PURCHASE FROM ......................................
INSURANCE CO. MAY REPLACE OR ALTER
EXISTING LIFE INSURANCE POLICY(IES) OR
ANNUITY CONTRACT(S).


The following policy(ies) or annuity contract(s) may be
replaced as a result of this transaction:

Insurer
Insured

as it appears on the policy
as it appears on the policy

or contract
or contract













Policy or contract number
Insured birthdate













The proposed policy or contract is:


$

type of policy- or contract-generic name
face amount



signature of applicant
date



address of applicant city
state

I certify that this form was given to and completed by



(applicant-please print or type)

prior to taking an application and that I am leaving a signed copy for the applicant.



agent's signature
date



address



city
state
Note important statement on reverse side
    Subd. 2. Notice form; direct response sales. The notice required where sections 61A.53 to
61A.60 refer to this subdivision is as follows:
IMPORTANT NOTICE
REQUIRED BY
MINNESOTA INSURANCE LAW






DEFINITION
REPLACEMENT is any transaction where, in connection
with the purchase of New Insurance or a New Annuity, you
LAPSE, SURRENDER, CONVERT to Paid-up Insurance,
Place on Extended Term, or BORROW all or part of the
policy loan values on an existing insurance policy or an
annuity. (See reverse side for DEFINITIONS.)





IF YOU
INTEND
TO
REPLACE
COVERAGE
In connection with the purchase of this insurance or
annuity, if you have REPLACED or intend to REPLACE
your present life insurance coverage or annuity(ies), you
should be certain that you understand all the relevant
factors involved.


You should BE AWARE that you may be required to
provide Evidence of insurability and




(1) If your HEALTH condition has CHANGED since the
application was taken on your present policies, you may
be required to pay ADDITIONAL PREMIUMS under the
NEW POLICY, or be DENIED coverage.


(2) Your present occupation or activities may not be
covered or could require additional premiums.




(3) The INCONTESTABLE and SUICIDE CLAUSE will
begin anew in a new policy. This could RESULT in a
CLAIM under the new policy BEING DENIED that
would otherwise have been paid.


(4) Current law DOES NOT REQUIRE your present
insurer(s) to REFUND any premiums.




(5) It may be to your advantage to OBTAIN
INFORMATION regarding your existing policies or
annuity contracts from the insurer or agent from whom
you purchased the policy or annuity contract.


(If an annuity is being purchased, Items (1), (2) and (3)
above would not apply to the new contract.)












CAUTION
If after studying the information made available to you,
you decide to replace your existing life insurance or
annuity with our policy or annuity contract, you are urged
not to take action to terminate or alter your existing
coverage or annuity(ies) until after you have been issued
the new policy or annuity contract, examined it and
found it to be acceptable to you. If you should terminate
or otherwise materially alter your existing coverage or
annuity(ies) and fail to qualify for the life insurance for
which you have applied, you may find yourself unable to
purchase other life insurance or be able to purchase it only
at substantially higher rates.

INSURER'S MAILING DATE:
    Subd. 3. Definitions. The following definitions must appear on the back of the notice forms
provided in subdivisions 1 and 2:
DEFINITIONS
PREMIUMS: Premiums are the payments you make in exchange for an insurance policy or
annuity contract. They are unlike deposits in a savings or investment program, because if you
drop the policy or contract, you might get back less than you paid in.
CASH SURRENDER VALUE: This is the amount of money you can get in cash if you
surrender your life insurance policy or annuity. If there is a policy loan, the cash surrender value
is the difference between the cash value printed in the policy and the loan value. Not all policies
have cash surrender values.
LAPSE: A life insurance policy may lapse when you do not pay the premiums within the
grace period. If you had a cash surrender value, the insurer might change your policy to as much
extended term insurance or paid-up insurance as the cash surrender value will buy. Sometimes the
policy lets the insurer borrow from the cash surrender value to pay the premiums.
SURRENDER: You surrender a life insurance policy when you either let it lapse or tell the
company you want to drop it. Whenever a policy has a cash surrender value, you can get it in cash
if you return the policy to the company with a written request. Most insurers will also let you
exchange the cash value of the policy for paid-up or extended term insurance.
CONVERT TO PAID-UP INSURANCE: This means you use your cash surrender value to
change your insurance to a paid-up policy with the same insurer. The death benefit generally will
be lower than under the old policy, but you will not have to pay any more premiums.
PLACE ON EXTENDED TERM: This means you use your cash surrender value to change
your insurance to term insurance with the same insurer. In this case, the net death benefit will be
the same as before. However, you will only be covered for a specified period of time stated in
the policy.
BORROW POLICY LOAN VALUES: If your life insurance policy has a cash surrender
value, you can almost always borrow all or part of it from the insurer. Interest will be charged
according to the terms of the policy, and if the loan with unpaid interest ever exceeds the cash
surrender value, your policy will be surrendered. If you die, the amount of the loan and any
unpaid interest due will be subtracted from the death benefits.
EVIDENCE OF INSURABILITY: This means proof that you are an acceptable risk. You
have to meet the insurer's standards regarding age, health, occupation, etc., to be eligible for
coverage.
INCONTESTABLE CLAUSE: This says that after two years, depending on the policy or
insurer, the life insurer will not resist a claim because you made a false or incomplete statement
when you applied for the policy. For the early years, though, if there are wrong answers on
the application and the insurer finds out about them, the insurer can deny a claim as if the
policy had never existed.
SUICIDE CLAUSE: This says that if you commit suicide after being insured for less than
two years, depending on the policy and insurer, your beneficiaries will receive only a refund of
the premiums that were paid.
    Subd. 4. Printing of notices. The notices in subdivisions 1 and 2 must be reproduced in
their entirety on one side of an 8-1/2 by 11 inch sheet of plain paper. The definitions contained
in subdivision 3 must be printed on the reverse side. The insurer may print its legal name in
the space provided.
History: 1996 c 446 art 1 s 20; 1999 c 177 s 35