Section 10170 Of Article 4. Payment And Proceeds From California Insurance Code >> Division 2. >> Part 2. >> Chapter 1. >> Article 4.
10170
. Life insurance may be made payable as follows:
(a) On the death of the insured.
(b) On his or her surviving a specified period.
(c) Periodically as long as he or she lives.
(d) Otherwise contingently on the continuance or determination of
life.
(e) Upon those terms and conditions and subject to those
restrictions as to revocation by the policyholder and control by
beneficiaries as shall have been agreed to in writing by the insurer
and the policyholder. If no terms and conditions have been agreed to
by the insurer and the policyholder during the insured's lifetime
then upon those terms and conditions and subject to those
restrictions as may be agreed to in writing by the insurer and the
beneficiaries. Any agreement may be rescinded or amended by the
parties to the agreement without the consent of any designated
beneficiary unless the rights of any beneficiary have been expressly
declared to be irrevocable. No agreement hereafter made shall vest in
the insurer discretion as to the conditions, time, amount, manner,
or method of payment. The relationship between the insurer and the
policyholder or beneficiaries under any agreement shall be that of
debtor and creditor, and the insurer shall not be required to
segregate funds so held but shall hold them as a part of its general
corporate assets.
(f) Notwithstanding subdivision (e), all life insurance benefits
shall be paid in the form of a lump-sum payment to the beneficiary or
by another settlement option that is clearly described in the claim
form. If the beneficiary is provided settlement options in addition
to a lump-sum payment or a settlement option selected by the
policyholder, the beneficiary shall have the option to choose how
benefits are to be paid to the beneficiary. If the beneficiary does
not choose one of the available settlement options, a retained-asset
account may be the default option only if the claim form provides a
prominent disclosure that, in the absence of a choice by the
beneficiary, payment of policy benefits shall be made through
establishment of a retained-asset account on the beneficiary's
behalf. This disclosure shall be provided in the portion of the claim
form where the beneficiary is offered the ability to select his or
her choice of payment method and shall be in easy-to-understand
language and in bold and at least 12-point font type. In all such
cases, whether by beneficiary choice or default, the insurer shall
provide to the beneficiary the disclosure provided for in Section
10509.937.
(1) If an insurer offers an option or recommends the option to a
policyholder of an individual or group life insurance policy that the
beneficiary receive life insurance proceeds in the form of a
retained-asset account or any arrangement other than a lump-sum
payment, the insurer shall provide the policyholder, at the time the
offer or recommendation is made, written information describing each
of the settlement options available under the policy and specific
details relevant to those options. If an insurer offers or recommends
to a beneficiary that the beneficiary receive life insurance
proceeds in the form of a retained-asset account or any arrangement
other than a lump-sum payment in advance of the time the claim is
made, the insurer shall provide the beneficiary written information
describing each of the settlement options available under the policy
and specific details relevant to those options. If an insurer offers
or recommends to a beneficiary that the beneficiary receive life
insurance proceeds in the form of a retained-asset account at the
time a claim is being made, the insurer shall comply with the
procedures set forth in Article 11 (commencing with Section
10509.930) of Chapter 5.
(2) For purposes of this subdivision, the following terms have the
following meanings:
(A) "Lump-sum payment" means a single payment made directly to the
beneficiary that satisfies all of the benefits owed to the
beneficiary.
(B) "Retained-asset account" means any mechanism whereby the
settlement of proceeds payable under a life insurance policy is
accomplished by the insurer, or an entity acting on behalf of the
insurer, by depositing those proceeds into an account with check or
draft writing privileges, and where those proceeds are retained by
the insurer pursuant to a supplemental contract not involving annuity
benefits.
(g) An insurer that fails to conform to the requirements provided
under this section shall be subject to Article 6.5 (commencing with
Section 790) of Chapter 1 of Part 2 of Division 1.
(h) The commissioner may, from time to time and after notice and
public hearing, adopt regulations specifying reasonable requirements
for the form of agreements entered into and written disclosures
provided pursuant to subdivisions (e) and (f), and for compliance
with Section 10172.5.