State Statutes Regulating Agents
Practically all the states have seen fit to enact laws which define the
meaning of the term "agent" regulate the appointment and licensing of agents,
and prohibit on their part various kinds of misconduct. The statute law
relating to these three subjects may briefly be summarized as follows:
Definition of the term "agent". It was at one time the practice
of certain companies to employ agents without written agreements and to
provide in their contracts or application forms that "as regards all matters
pertaining to the application, the person soliciting the insurance is expressly
agreed to be the agent of the insured". Such a practice manifestly afforded
abundant opportunity to the company to resist many claims by simply considering
the solicitor the agent of the insured, thus placing all responsibility
for the agent's misconduct or error upon the insured. To preclude such treatment
to policyholders the several states soon found it necessary to enact statutes
which denned the term "agent" with particular reference to the insurance
business. Such statutes are held by the courts to control the situation,
and thus overcome the evils formerly connected with stipulations in the
policy or application which declared the solicitor to be the agent of the
insured as regards all matters relating to the application for a policy.
A few states even provide by statute that notice to the agent as to the
health, habits, or occupation of the insured shall he deemed notice to the
company. In the great majority of states a solicitor of life insurance is
expressly declared by statute to be the agent of the insurance company and
not of the insured. The law of Pennsylvania, which will serve as an example,
provides that "an agent is a person, firm or corporation authorized in writing
by a company to solicit or countersign or issue policies of insurance on
its behalf". A considerable number of the states have formulated the law
to the effect that any person soliciting insurance, or performing any act
in relation thereto shall be deemed the agent of the company, anything in
the policy to the contrary notwithstanding.
Attention should be called to the distinction, although of much less importance
in life insurance than in fire and other forms of property insurance, which
the laws of many states make between insurance agents and brokers. As distinguished
from an agent a broker is usually defined " to be a person, not an officer
or agent of the company interested, who, for compensation, acts or aids
in any manner in obtaining insurance for a person other than himself." There
has always been much disagreement between the court decisions in the different
states as to the legal position which the insurance broker bears to the
insured. In some of the states the courts declare him to be the agent of
the party paying him for his services, but this rule necessarily involves
uncertainty unless the courts fix the ownership of the fund from which the
broker is compensated. Other state courts have declared the broker to be
the agent of the insurer as regards the payment of the premium and the delivery
of the policy, but to be the agent of the insured in all other matters relating
to the insurance. For the greater protection of the insured various states
have also seen fit to pass laws which make the broker the agent of the company
for certain purposes and the agent of the insured for others. In the great
majority of states, however, an insurance broker is regarded as the agent
of the insured in all matters. Where the broker is thus declared not to
be an agent of the company, it is important for the insured to bear in mind
that the broker is his agent, and that consequently the act or knowledge
of the broker is his act or knowledge. This is especially true as regards
the payment of the premium to a broker who may neglect to remit the same
within the proper time, although the courts have shown a disposition to
protect the insured in this matter where it appears that an arrangement
existed whereby the broker made periodical settlement with the company for
premiums collected.
Regulation of the appointment and licensing of agents. Most of
the states have not only made solicitors of life insurance specifically
the agents of the company, but also carefully regulate their appointment
and licensing. While numerous differences of detail present themselves in
the statutes of the several states, the law of Pennsylvania is probably
as nearly typical as that of any other state and will be used for illustrative
purposes. Thus, according to the law of this state, all companies to which
certificates of authority are issued must certify to the insurance commissioner
from time to time the names of all agents appointed by them to solicit risks
in the state, and such agents may be either individuals, co-partnerships,
or corporations. Before transacting any business each agent must obtain
from the commissioner a certificate showing that the company has complied
with all the laws of the state and that the agent has been duly appointed
its agent. In case the agency is a co-partnership or corporation, every
member, officer and director is required to have an individual license.
Certificates to agents are issued only upon written application, approved
and countersigned by the company, which must be made upon a form prescribed
by the commissioner, and which must furnish the information he desires.
The commissioner is empowered by the law "to refuse to issue a certificate
to any agent, or to renew the same; or he may suspend or revoke any certificate
when it shall appear to his satisfaction that the applicant for a certificate,
or the agent holding a certificate, has, by misconduct or by misappropriation
of collected premiums, or by misrepresentation, or incomplete or misleading
comparison of. policies, oral, written or otherwise, for the purpose of
inducing or tending to induce a policy-holder in any company to lapse, forfeit
or surrender his insurance therein, and to take out a policy of insurance
in another company insuring against similar risks, or otherwise, proved
to be unfit to hold such certificate." It may be added that the law provides
not only for heavy fines in case the aforementioned regulations axe violated,
but further declares that the agent " shall be personally liable on all
contracts of insurance unlawfully made by or through him for or in behalf
of any company not authorized to do business in the state."
Prohibition of various kinds of misconduct. In addition to the
foregoing regulations most of the states have seen fit to regulate specifically
the conduct of agents in at least five other important matters. Briefly
stated the laws referred to in this connection are directed against and
designed to punish the following acts on the part of an agent:
- Rebating any portion of the premium payable on a policy or of the commission
thereon, or giving any other valuable consideration, either directly or
indirectly, as an inducement to insurance. In numerous states the statutes
also prohibit agents from personally or otherwise offering or selling
any stocks, bonds or other securities of any insurance company as an inducement
to insurance or in connection therewith.
- Fraudulent conversion or wrongful use of premiums collected.
- Making any misrepresentation or false statement for the purpose of securing
a policy from a company upon the life of any person.
- Representing or advertising himself as the agent of an unauthorized
or fictitious company.
- Issuing, circulating or using any written or oral statement or circular
misrepresenting the terms of any policy issued or to be issued by his
company, or making any estimate, with intent to deceive, of the future
dividends payable under a policy. Incomplete comparisons with a view to
selling a policy, or to inducing a policyholder in any company to lapse
or surrender his insurance and to take out a policy in another company,
are also frequently prohibited by statute.
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