Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer under this Agreement, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered as new business by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written approval, if: a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the change.
Appears in 1 contract
Sources: Reinsurance Agreement (Symetra Separate Account Sl)
Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does Company's underwriting guidelines do not consider the change to result in the policy being treaty as new businessrequire that full evidence of insurability be obtained, the reinsurance will remain in effect with the Reinsurer under this AgreementReinsurer, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in Whenever a portion of the policy to be considered as new business by Reinsured Policy is changed and the Company's underwriting guidelines require that full evidence of insurability be obtained, then such portion of and the suicide and contestability periods are based on the reissued policy date, the policy will not be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting Agreement. Notwithstanding the issue age and duration foregoing, however, additional coverage issued pursuant to policyholder contractual rights for underwritten increases in coverage, where full evidence of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business insurability is obtained under the Company's reinsurance agreements open to new businessunderwriting guidelines and the suicide and the contestability periods are based on the issue date for the underwritten increase in coverage, will be reinsured under this Agreement with allowances as specified in Exhibit C-1. The issue age for the underwritten increase in coverage shall be the insured's age as of the reissued policy date. Policy changes to Reinsured Policies will be subject to the Reinsurer' s 's prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; oror I453238US-13 (04-01-2013) (QT06269US13)
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the change.
Appears in 1 contract
Sources: Reinsurance Agreement (American Family Variable Account I)
Policy Changes. Policy changes" refers to A. The Ceding Company shall notify the variety Reinsurer of actions all policy terminations and changes that may affect the reinsurance. Unearned reinsurance premiums on such terminations or changes shall be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount refunded.
B. If any portion of the policy or Ceding Company’s insurance risk is terminated, the addition of reinsurance shall be reduced by a covered riderproportionate amount. If there is are other reinsurers, each one shall share in the reduction according to its proportion of the total reinsurance.
C. If a material change policy reinsured under this Agreement lapses to extended term or paid-up insurance, the Reinsurer shall share in an adjustment in the amount of reinsurance on the policy in the same proportion as the reinsurance amount had to the insurance amount immediately prior to the policy lapsing.
D. Reinsurance shall be terminated on any policy where the net amount at risk reinsured is less than $1, rounded to the nearest dollar.
E. Reinsurance shall be reinstated automatically if the original insurance is reinstated according to the policy provisions and rules of the Ceding Company. The Ceding Company shall pay all back reinsurance on a Reinsured Policy, the Company will inform premiums to the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except same manner as provided in this Article, whenever a Reinsured Policy is changed and it received insurance premiums under the reinstated policy.
G. Unearned reinsurance premiums on terminations or changes shall be refunded to the Ceding Company. The premium payable to the Reinsurer or premium refunds due to the Ceding Company does not consider shall be based on the change to result in exact number of days of effective insurance coverage upon termination or other change.
H. If the policy being treaty continues inforce without payment of premium during any days of grace pending its surrender, whether such continuance be as new businessa result of a policy provision or a practice of the Ceding Company, the reinsurance will remain in effect with also continue without payment of premium and will terminate on the Reinsurer same date as the Ceding Company’s risk terminates.
I. New issues after the treaty Effective Date to cases issued prior to the effective date are reinsured under this Agreement, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered as new business by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit Underwriting Guidelines in effect at the time of new issue.
J. If the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, insurance reinsured under this Agreement increases and the amount already increase is subject to new underwriting, the increase shall be handled in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for manner as a non-contractual increase new policy and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, provisions of Article I – Automatic and Facultative Reinsurance shall apply to the policy was reinsured on a facultative basis and increase in reinsurance. If the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability increase is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded subject to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes Reinsurer shall accept automatically the increase in reinsurance, not to exceed the automatic binding limit specified in Schedule B – Reinsurance Limits, using a change to the risk classification point in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the changerate basis.
Appears in 1 contract
Sources: Automatic and Facultative Yrt Agreement (Massachusetts Mutual Variable Life Separate Account I)
Policy Changes. “Policy changes" ” refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, exchanges, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does Company’s underwriting guidelines do not consider the change to result in the policy being treaty as new businessrequire that full evidence of insurability be obtained, the reinsurance terms of this Agreement will remain apply to the changed Reinsured Policy using point in effect with the Reinsurer under this Agreementscale rates, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration for premium payment will be measured from the effective date of the original Reinsured Policy. If the policy change only results in Whenever a portion of the policy to be considered as new business by Reinsured Policy is changed and the Company, then such portion ’s underwriting guidelines require that full evidence of insurability be obtained and the policy suicide and contestability periods will be considered new business for reinsurance purposes and based on the reissued policy date, unless otherwise required by applicable law, the terms of this Agreement will be ceded apply to the Reinsurer as such under the Agreement subject to all new business provisions whether changed Reinsured Policy if the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of Such Reinsured Policy changes taking place after the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as is cancelled for new business by will not be reinsured without the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new businessReinsurer’s prior written consent. Policy changes to Reinsured Policies will be subject to the Reinsurer' s ’s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis, unless the policy change is only a reduction in death benefit amount; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the change.
Appears in 1 contract
Sources: Reinsurance Agreement (Thrivent Variable Life Account I)
Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount of the policy or the addition of a covered rider. (Continued)
I. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer under this Agreement, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered as new business by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative an automatic basis; or
d) , reinsurance shall be reinstated automatically if the original insurance is reinstated according to the policy provisions and rules of the Ceding Company. The request Ceding Company shall pay all back reinsurance premiums to the Reinsurer in the same manner as it received insurance premiums under the reinstated policy. Whenever an application is made by the Policy holder for a contractual increase, reinstatement in accordance with the terms of the policy and the policy was originally reinsured on a facultative basis facultatively, copies of such application for reinstatement, any personal declaration or medical examination and any other underwriting document shall be forwarded by the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded Ceding Company to the Reinsurer together with an application for reinstatement of the reinsurance. Such application shall be sent to the Reinsurer when reinstatement occurs ninety (90) days or more after the policy has lapsed. However, the Reinsurer reserves the right to request papers on an automatic basis any reinstatement. If the policy form allows the reinstatement, the Reinsurer follows the Ceding Company and that following reinstates the consideration reinsurance. The Reinsurer shall notify the Ceding Company promptly of its acceptance or declination of the application for reinstatements.
J. If the insurance reinsured under this Agreement increases and the increase is subject to new underwriting, the increase shall be handled in the same manner as a new policy and the provisions of Article I – Automatic and Facultative Reinsurance shall apply to the increase in reinsurance. If the increase is not subject to new underwriting evidence, the Company makes Reinsurer shall accept automatically the increase in reinsurance, not to exceed the automatic binding limit specified in Schedule B – Reinsurance Limits, using a change to the point in scale rate basis.
K. Any contractual increase in risk classification for policies reinsured on an automatic basis, shall be treated in accordance with its underwriting guidelinesArticle III – Basis of Reinsurance, not to exceed the same change limits specified in Schedule B – Reinsurance Limits. For policies reinsured on a facultative basis, reinsurance will be made limited to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to ultimate amount shown in the Reinsurer's approval’s facultative offer. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance Reinsurance premiums for contractual increases will be on a point-in-scale basis at from the revised risk classification and effective with the date original issue age of the changepolicy.
L. Any non-contractual increase in amount shall be treated as if it were a new policy and the Reinsurer shall not be obligated to accept any such increase unless it qualifies as automatic reinsurance under the limits set out in this Agreement. The Reinsurer’s approval is required if the original policy was reinsured on a facultative basis or if the new amount will cause the reinsured amount on the life to exceed either the Automatic Binding Limits or the Jumbo Limits specified in Schedule B – Reinsurance Limits.
M. If, following the consideration of new underwriting evidence, the Ceding Company makes a reduction in the mortality rating of the policy and the policy was initially ceded to the Reinsurer on an automatic basis, the same reduction shall be made in the reinsurance coverage.
Appears in 1 contract
Sources: Automatic Yrt Agreement (Massachusetts Mutual Variable Life Separate Account I)
Policy Changes. RATE INCREASES If any change is made in a Policy changes" refers by the Company that affects reinsurance hereunder, the Administrator shall immediately deliver written notice thereof to the variety Reinsurer. Except for Policy changes required by state or federal law or regulation any proposed change shall not be effective until approved in writing by the Reinsurer. From and after the Effective Date, each of actions that may the Administrator and the Company, shall, or shall cause its duly appointed actuary or representative to, timely file with all applicable regulatory authorities a request for rate increases with respect to the Policies reinsured under this agreement. Such rate increase filings shall be made (i) within fifteen (15) days after the date on which such rate increase filings are requested in writing by the Reinsurer to a policy after issue. These actions includethe Administrator, but are not limited to, replacements, changes in plans, a change and (ii) in the face amount amounts requested by the Reinsurer up to amounts permitted by applicable law based upon all relevant factors, including without limitation, loss experience for the Policies. The costs of calculating the policy rate increase amount, if calculated by an outside actuary or the addition other qualified outside representative of a covered rider. If there is a material change to the reinsurance on a Reinsured Policyhe Administrator, the Company will inform shall be borne by the Reinsurer in proportion to its share of liability hereunder. The Administrator, on behalf of the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in Company, agrees to deliver to the Reinsurer within forty-five (45) days after the end of each calendar quarter a written report showing:
1. The loss experience on the Policies reinsured under this Article, whenever a Reinsured Policy is changed Agreement for the preceding quarter; and
2. The dates on which increase filings were actually made for Policies reinsured under this Agreement for the preceding quarter if any; and
3. The amounts of the rate increases which were filed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer amounts which were approved for Policies reinsured under this Agreement; and
4. Whether approval of the rate increase filings have been obtained, whether and
5. Any other information reasonably requested by the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable Reinsurer relating to the reissued policy will be Policies reinsured under this Agreement. It is acknowledged and agreed that the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration making of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered timely rate increase filings as new business requested by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting is a material inducement to the issue age Reinsurer agreeing to enter into this Agreement and duration that absent the assurance that such filings will be made and the Reinsurer's reliance on such assurance, the Reinsurer would not have entered into this Agreement. Accordingly, the parties hereto agree that the failure or refusal by the Administrator or the Company to comply strictly with the material requirements of the original policy. If the policy change results in the entire policy to be considered as new business this Article XXIII shall constitute a material breach of this Agreement by the Company, then such changed policy will be ceded as new business and the Reinsurer may, in its discretion, suspend performance of its obligations under this Agreement (without incurring an any liability, including without limitation, interest or other penalties on amounts due from the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject Reinsurer hereunder) by delivering to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, Company and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence Administrator written notice of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approvalintent to suspend performance of its obligations under this Agreement (the "Suspension Notice"). If following the consideration of new underwriting evidenceAdministrator or the Company has not cured, or diligently pursued the cure of, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with material breach this Article XXIII within ten (10) business days after the date of the changeSuspension Notice, then the Reinsurer may, in its discretion, immediately terminate this Agreement, in which case the Reinsurer shall have no further liability or obligations whatsoever under this Agreement from and after the date of such termination. Upon a cure of the material breach by the Administrator or the Company, the Reinsurer shall perform its obligations with respect to such material breach relating back to the date of such suspension of the Reinsurer's obligations with no interruption of reinsurance coverage.
Appears in 1 contract
Policy Changes. Policy changes" refers All policies reinsured under this Agreement shall be issued in accordance with the Ceding Company’s normal standards and guidelines related to conversions, exchanges and replacements which are in effect on the variety effective date of actions that may be made this Agreement (“CER Guidelines”) and have been provided to a policy after issueReinsurer. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount The Ceding Company shall notify Reinsurer within of the policy or the addition effective date of a covered rider. If there is a any proposed material change to the reinsurance on CER Guidelines. If Reinsurer agrees to the proposed material change in writing, then such change shall become a Reinsured Policypart of the CER Guidelines. In the event that Reinsurer does not respond within , Reinsurer shall be deemed to have accepted such change. If Reinsurer rejects such proposed change in writing, such proposed change shall not become a part of the CER Guidelines and shall not be applied to policies reinsured under this Agreement. The Ceding Company’s CER Guidelines are incorporated herein by reference and shall form an integral part of this Agreement. Unless mutually agreed otherwise, policies that are not reinsured with Reinsurer and that exchange or convert to a plan covered under this Agreement will not be reinsured after the CER event hereunder.
A. The Ceding Company will inform shall notify the Reinsurer in of all policy terminations and changes that affect the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy reinsurance. Unearned reinsurance premiums on such terminations or changes shall be refunded.
B. If any portion of the Ceding Company’s insurance risk is changed and the Company does not consider the change to result in the policy being treaty as new businessterminated, the reinsurance will remain shall be reduced by a proportionate amount. If there are other reinsurers, each one shall share in effect with the Reinsurer under this Agreement, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable reduction according to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration its proportion of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. total reinsurance.
C. If the a policy change only results in a portion of the policy to be considered as new business by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting lapses to extended term or paid-up insurance, the issue age and duration Reinsurer shall share in an adjustment in the amount of the original policy. If reinsurance on the policy change results in the entire policy to be considered same proportion as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject amount had to the Reinsurer' s insurance amount immediately prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and to the policy was lapsing.
D. Reinsurance shall be terminated on any policy where the net amount at risk reinsured on a facultative basis; or
d) The request is for a contractual increaseless than $ , the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded rounded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coveragenearest dollar. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the change.[page break]
Appears in 1 contract
Sources: Automatic and Facultative Yrt Agreement (Massachusetts Mutual Variable Life Separate Account I)
Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue1. These actions include, but are not limited to, replacements, The Ceding Company will include any changes in plans, a change the List of Amendments described in Exhibit VII.
2. If the face amount or death benefit is increased according to procedures in the policy, the Net Amount at Risk Reinsured and the Proportion of the Policy Reinsured will be recalculated. Such increases are subject to the submission of satisfactory evidence of insurability and will therefore be treated as new issues, subject to the provisions of Article I and the limitations shown in Exhibit II. Reinsurance premiums for such increased amounts will be calculated as for other new issues.
3. If any portion of the total insurance retained by the Ceding Company on any life is reduced or terminated, the amount of reinsurance carried by the Ceding Company on that life will be reduced by a like amount. The reinsurance on the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer under this Agreement, whether the change is made before policies reduced or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy terminated will be the Basic Premiums specified first to be reduced. If further reduction in Exhibit C-1 and Exhibit C-2 reflecting reinsurance is required, the issue age and duration of cessions to be reduced or terminated will be determined by the original policyorder in which they were reinsured. The suicide first to be reinsured would be the first to be reduced or terminated, and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policyso on. If the policy change only results in a portion of reinsurance is shared by two or more reinsurers, the policy to be considered as new business by the Company, then such portion of the policy reduction will be considered new business for reinsurance purposes prorated among all the reinsurers.
4. If a policy reinsured automatically lapses and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified reinstated in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue accordance with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Ceding Company's standard rules and procedures, reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to for the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at risk effective at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount lapse will be reinstated automatically at the date of reinstatement of the policy, including any contractual increases, and . The Ceding Company will notify [ ] of the amount already in force in all companies reinstatement on the same life exceeds the In Force Limits stated in Exhibit E; or
c) its periodic statement of account. The request is for Ceding Company will send [ ] copies of its reinstatement papers only upon request. [ ] will not need to approve reinstatement of a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured under this Agreement on a facultative basis and when:
a) the increased Ceding Company has kept its full retention on the policy; and
b) the reinsured amount exceeds falls within the amount included Automatic Acceptance Limits shown in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policyExhibit A. Otherwise, the Policy was initially ceded Ceding Company will need [ ]'s prior review and approval for reinstatement of any facultative reinsurance. The Ceding Company will send [ ] prompt written notice of its intention to reinstate the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance policy along with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that copies of the Reinsurer, then the Company will have the right to terminate the reinsurancereinstatement papers required by its standard rules and procedures. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the The reinsurance will be on a point-in-scale basis reinstated at the revised risk classification same time as the policy, subject to [ ]'s written approval of the reinstatement. The Ceding Company will notify [ ] of all reinstatements on its periodic statement of account, and effective with will pay all reinsurance payments due from the date of reinstatement to the date of the change.current statement of account, including a proportionate share of interest collected. Thereafter, reinsurance payments will be in accordance with Article V.
Appears in 1 contract
Sources: Automatic Reinsurance Agreement (Travelers Fund Ul Iii for Variable Life Insurance)
Policy Changes. “Policy changes" ” refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, exchanges, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does Company's underwriting guidelines do not consider the change to result in the policy being treaty as new businessrequire that full evidence of insurability be obtained, the reinsurance terms of this Agreement will remain apply to the changed Reinsured Policy using point in effect with the Reinsurer under this Agreementscale rates, whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration for premium payment will be measured from the effective date of the original Reinsured Policy. If the policy change only results in Whenever a portion of the policy to be considered as new business by Reinsured Policy is changed and the Company, then such portion 's underwriting guidelines require that full evidence of insurability be obtained and the policy suicide and contestability periods will be considered new business for reinsurance purposes and based on the reissued policy date, unless otherwise required by applicable law, the terms of this Agreement will be ceded apply to the Reinsurer as such under the Agreement subject to all new business provisions whether changed Reinsured Policy if the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of Such Reinsured Policy changes taking place after the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as is cancelled for new business by will not be reinsured without the Company, then such changed policy will be ceded as new business under the CompanyReinsurer's reinsurance agreements open to new businessprior written consent. Policy changes to Reinsured Policies will be subject to the Reinsurer' s 's prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis, unless the policy change is only a reduction in death benefit amount; oror (QT 2▇▇▇▇▇▇▇▇)
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's ’s underwriting guidelines; or
e) If the change includes a policy with features such as, but not limited to, riders or options that are different from the original policy. If there is a request Unless otherwise agreed, first year premium rates and allowances as specified in the applicable Exhibit will apply to the amount underwritten as well as for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a pointnon-in-scale basis at the revised risk classification and effective with the date of the changecontractual increase.
Appears in 1 contract
Sources: Reinsurance Agreement (Ameritas Variable Separate Account V)
Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the The Company will inform shall notify the Reinsurer in the subsequent Terminations and Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does not consider the of any change to result one of its policies that affects any cession under this Agreement. Reductions and Cancellations If a change involves a reduction in the sum insured under the Company’s policy being treaty or policies on any one life the amount of reinsurance carried by the Reinsurer on that life shall be reduced simultaneously in proportion to the reduction under the original policy or policies, but no such change under one of the Company’s policies not reinsured hereunder shall affect any cession under this Agreement on the same life. However, the fluctuation in the amount at risk caused by the normal operation of the cash value fund will not affect the proportion of the amount at risk which is reinsured. Such reinsured proportion shall remain at the same level as new businessused at issue. Lapses When a reinsured policy lapses, at the end of the grace period in accordance with the rules of the Company, the Reinsurer shall be notified in the next Terminations and Changes Report. Reinstatements If a policy reinsured on an automatic basis is reinstated in accordance with its terms or the rules of the Company, the reinsurance will remain in effect with shall be reinstated automatically by the Reinsurer. The approval of the Reinsurer under this Agreement, whether the change is made must be obtained before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered as new business by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis may be reinstated. Notification of reinstatement shall appear on the next Terminations and the increased amount exceeds the amount included Changes Report. Special Changes The routine changes referred to above will not cause any change in the facultative offer; or
e) Evidence rates of insurability reinsurance premiums and commissions applicable to any cession, but if any special or unusual change is not requested that may affect the terms of the cession in question, the Reinsurer’s approval shall be obtained if required in before such a change becomes effective. Unearned Premium The Reinsurer shall refund to the Company's underwriting guidelines, without interest, any unearned premiums, net of commissions, arising due to such reductions or cancellations or death claims, in its monthly account. If there is The Reinsurer shall take credit for the balance of arrears of premiums due under a request for a risk classification change on a reinsured policyreinstated cession. In the event of termination, the Policy was initially ceded lapse or death claim, unearned premiums, net of commissions, will be refunded according to the Reinsurer on an automatic basis and that following the consideration formula: Number of new underwriting evidence, the Company makes a change days to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the change.next policy anniversary x premium
Appears in 1 contract
Sources: Reinsurance Agreement (Union Security Insurance Co Variable Account C)
Policy Changes. RATE INCREASES -------------------------------------------- If any change is made in a Policy changes" refers to by the variety of actions Company that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans, a change in the face amount of the policy or the addition of a covered rider. If there is a material change to the affects reinsurance on a Reinsured Policyhereunder, the Company will inform shall immediately deliver written notice thereof to the Reinsurer. Except for Policy Changes required by state or federal law or regulation, any proposed change shall not be effective until approved in writing by the Reinsurer. From and after the Effective Date, the Company shall, or shall cause its duly appointed actuary or representative to, timely file with all applicable regulatory authorities a request for rate increases with respect to the Policies reinsured under this Agreement that are subject to rate increases. Such rate increase filings shall be made (i) within fifteen (15) days after the date on which such rate increase filings are requested in writing by the Reinsurer to the Company, and (ii) in the amounts requested by the Reinsurer up to amounts permitted by applicable law based upon all relevant factors, including without limitation, loss experience for the Policies. The costs of calculating the rate increase amount, if calculated by an outside actuary or other qualified outside representative of the Company, shall be borne by the Reinsurer in proportion to its share of liability hereunder. The Company agrees to deliver to the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in Reinsurer within forty-five (45) days after the end of each calendar quarter a written report showing:
1. The loss experience on the Policies reinsured under this ArticleAgreement for the preceding quarter; and
2. The dates on which rate increase filings were actually made for Policies reinsured under this Agreement for the preceding quarter, whenever a Reinsured Policy is changed if any; and
3. The amounts of the rate increases which were filed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer amounts which were approved for Policies reinsured under this Agreement, whether ; and
4. Whether approval of the change is made before or after any cancellation of this Agreement for new businessrate increase filings have been obtained; and
5. The reinsurance rates applicable Any other information reasonably requested by the Reinsurer relating to the reissued policy will be Policies reinsured under this Agreement. It is acknowledged and agreed that the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration making of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policy. If the policy change only results in a portion of the policy to be considered timely rate increase filings as new business requested by the Company, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting is a material inducement to the issue age Reinsurer agreeing to enter into this Agreement and duration that absent the assurance that such filings will be made and the Reinsurer's reliance on such assurance, the Reinsurer would not have entered into this Agreement. Accordingly, the parties hereto agree that the failure or refusal by the Company to comply strictly with the material requirements of this Article XXII shall constitute a material breach of this Agreement by the Company and the Reinsurer may, in its discretion, suspend performance of its obligations under this Agreement (without incurring any liability, including without limitation, interest or other penalties on amounts due from the Reinsurer hereunder) by delivering to the Company written notice of the original policyReinsurer's intent to suspend performance of its obligations under this Agreement (the "Suspension Notice"). If the policy change results Company has not cured, or diligently pursued the cure of; the material breach of this Article XXII within ten (10) business days after the date of the Suspension Notice, then the Reinsurer may, in its discretion, immediately terminate this Agreement, in which case the entire policy Reinsurer shall have no further liability or obligations whatsoever under this Agreement. On the date of such termination, the Reinsurer shall have no liability with respect to Policies issued by the Company on and after such date of termination. The Reinsurer shall continue to be considered liable for reinsurance hereunder with respect to Losses under Policies in force as new business of the date of termination. Upon a cure of the material breach by the Company, then the Reinsurer shall perform its obligations with respect to such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject material breach relating back to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount date of the policy, including any contractual increases, would be in excess such suspension of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification in accordance with its underwriting guidelines, the same change will be made to the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration obligations with no interruption of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date of the changecoverage.
Appears in 1 contract
Policy Changes. Policy changes" refers to the variety of actions that may be made to a policy after issue1. These actions include, but are not limited to, replacements, The Ceding Company will include any changes in plans, a change the List of Amendments described in Exhibit VII.
2. If the face amount or death benefit is increased according to procedures in the policy, the Reinsurance Death Benefit and the Proportion of the Policy Reinsured will be recalculated. Such increases are subject to the submission of satisfactory evidence of insurability and will therefore be treated as new issues, subject to the provisions of Article I and the limitations shown in Exhibit II. Reinsurance premiums for such increased amounts will be calculated as for other new issues.
3. If any portion of the total insurance retained by the Ceding Company on any life is reduced or terminated, the amount of reinsurance carried by the Ceding Company on that life will be reduced by a like amount. The reinsurance on the policy or the addition of a covered rider. If there is a material change to the reinsurance on a Reinsured Policy, the Company will inform the Reinsurer in the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever a Reinsured Policy is changed and the Company does not consider the change to result in the policy being treaty as new business, the reinsurance will remain in effect with the Reinsurer under this Agreement, whether the change is made before policies reduced or after any cancellation of this Agreement for new business. The reinsurance rates applicable to the reissued policy terminated will be the Basic Premiums specified first to be reduced. If further reduction in Exhibit C-1 and Exhibit C-2 reflecting reinsurance is required, the issue age and duration of cessions to be reduced or terminated will be determined by the original policyorder in which they were reinsured. The suicide first to be [LOGO OF MARC MUNICH RE GROUP] reinsured would be the first to be reduced or terminated, and contestability periods applicable to the original Reinsured Policy will apply to the reissued Reinsured Policy and the duration will be measured from the effective date of the original Reinsured Policyso on. If the policy change only results in a portion of reinsurance is shared by two or more reinsurers, the policy to be considered as new business by the Company, then such portion of the policy reduction will be considered new business for reinsurance purposes and will be ceded to prorated among all the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policyreinsurers.
4. If the a policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written approval, if:
a) The new ultimate face amount of the policy, including any contractual increases, would be in excess of the Automatic Acceptance Limit in effect at the time of the change, as set out in Exhibit E; or
b) The new ultimate face amount of the policy, including any contractual increases, and the amount already in force in all companies on the same life exceeds the In Force Limits stated in Exhibit E; or
c) The request is for a non-contractual increase and the policy was reinsured on a facultative basis; or
d) The request is for a contractual increase, the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a reinsured policy, the Policy was initially ceded to the Reinsurer on an automatic basis and that following the consideration of new underwriting evidence, the Company makes a change to the risk classification reinstated in accordance with its underwriting guidelinesterms and the Ceding Company's regular reinstatement rules, MARC will restore the same reinsurance coverage as if no change had occurred. However, MARC's approval will be made required prior to reinstatement of the reinsurance if the policy was facultatively reinsured hereunder and the Ceding Company's regular reinstatement rules require more evidence of insurability than a Statement of Good Health. Upon reinstatement of the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Ceding Company will have the right to terminate the reinsurance. However, the Company will provide the Reinsurer an opportunity to quote anew and will use best efforts to maintain the existing reinsurance. Any such change affecting pay the reinsurance will be on a point-in-scale basis premiums that would have accrued had the policy not lapsed, together with interest at the revised risk classification and effective with same rate as the date of the changeCeding Company receives under its policy.
Appears in 1 contract
Sources: Automatic Reinsurance Agreement (Mony America Variable Account L)
Policy Changes. Policy changes" refers to A. The Ceding Company shall notify the variety Reinsurer of actions all policy terminations and changes that may affect the reinsurance. Unearned reinsurance premiums on such terminations or changes shall be made to a policy after issuerefunded. These actions includeIf the plan, but are not limited to, replacements, changes in plans, a change in the face amount of the policy reinsurance or the addition premiums of a covered rider. If there is a material change to the reinsurance on a Reinsured Policyreinsured policy are changed, the Ceding Company will inform the Reinsurer in through the subsequent Changes and Terminations Report specified in Exhibit F. Except as provided in this Article, whenever next billing. Whenever a Reinsured Policy reinsured policy is changed and the Company does Ceding Company’s underwriting rules do not consider the change to result in the policy being treaty as new businessrequire that full evidence be obtained, the reinsurance will remain in effect with the Reinsurer under this Agreement, whether the change is made before or after any cancellation of this Agreement for new businessReinsurer. The reinsurance rates applicable to the reissued policy will be the Basic Premiums specified in Exhibit C-1 suicide, contestability and Exhibit C-2 reflecting the issue age and duration of the original policy. The suicide and contestability periods applicable to the original Reinsured Policy reinsured policy will apply to the reissued Reinsured Policy reinsured policy and the duration will be measured from the effective date of the original Reinsured Policyreinsured policy. If Whenever a reinsured policy is changed and the policy change only results in a portion of the policy to Ceding Company’s underwriting rules require that full evidence be considered as new business by the Companyobtained, then such portion of the policy will be considered new business for reinsurance purposes and will be ceded to the Reinsurer as such under the Agreement subject to all new business provisions whether the change is made before or after any cancellation of this Agreement for new business. The reinsurance rates applicable to such portion of the reinsured policy will be the Basic Premiums specified in Exhibit C-1 and Exhibit C-2 reflecting the issue age and duration based on the date of the change on the policy. For clarity, the remaining portion of the policy not affected by the change will continue with the Reinsurer under this Agreement reflecting the issue age and duration of the original policy. If the policy change results in the entire policy to be considered as new business by the Company, then such changed policy will be ceded as new business under the Company's reinsurance agreements open to new business. Policy changes to Reinsured Policies will be subject to the Reinsurer' s prior written ’s approval, if:
a) The 1. the new ultimate face amount of the policy, including any contractual increases, reinsured policy would be in excess of the Automatic Acceptance Limit Limit, in effect at the time of the change, as set out in Exhibit ESchedule B – Reinsurance Limits; or
b) The 2. the new ultimate face amount of the policy, including any contractual increases, policy and the amount already in force in all companies on the same life exceeds the In Force Limits Jumbo Limit stated in Exhibit ESchedule B – Reinsurance Limits; or
c) 3. the Reinsured policy is submitted for facultative excess of Ceding Company’s automatic binding capacity. The request is for a amount of any non-contractual increase and will be subject to the policy was reinsured on a facultative basis; or
d) The request is for a contractual increaseLimits stated in Schedule B – Reinsurance Limits. For changes not covered under this Agreement, which affect the policy was reinsured on a facultative basis and the increased amount exceeds the amount included in the facultative offer; or
e) Evidence terms of insurability is not obtained if required in the Company's underwriting guidelines. If there is a request for a risk classification change on a any reinsured policy, the Policy was initially ceded to Ceding Company must obtain the Reinsurer on an automatic basis and that following Reinsurer’s approval before such changes become effective.
B. If any portion of the consideration of new underwriting evidenceCeding Company’s insurance risk is terminated or reduced, the Company makes reinsurance shall be reduced by a change proportionate amount. The reduction shall first apply to any reinsurance on the risk classification policy being reduced, and then if applicable in accordance with its underwriting guidelinesa chronological order according to policy date; (“first in, first out”) to any reinsurance on the same change will be made to other policies on the reinsurance coverage. If such change is being made on a facultatively reinsured policy, the change is subject to the Reinsurer's approval. If following the consideration of new underwriting evidence, the Company can place the Policy at a lower mortality rating or better underwriting class than that of the Reinsurer, then the Company will have the right to terminate the reinsurancelife. However, the Ceding Company will provide not be required to assume a risk for an amount in excess of its regular retention for the Reinsurer an opportunity to quote anew age at issue and will use best efforts to maintain the existing reinsurance. Any such change affecting the reinsurance will be on a point-in-scale basis at the revised risk classification and effective with the date mortality rating of the changepolicy under which reinsurance is being terminated. If there are other reinsurers, each one shall share in the reduction according to its proportion of the total reinsurance.
Appears in 1 contract
Sources: Automatic Yrt Agreement (Massachusetts Mutual Variable Life Separate Account I)