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Iowa State Regulations & NAIC Insurance Law

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Licensing

To apply for an Iowa resident producer’s license, you must:

  • Be at least 18 years old
  • Be an Iowa resident before you submit your application

Pre-licensing course and exam: Not required

Iowa does not have specific pre-licensing requirements.

Fingerprints/background check

As part of the application process, you must submit fingerprints to the Iowa Insurance Division. Plan to get fingerprinted after you pass the state exam and at least one day before you apply for the license.

Controlled business

Controlled business is insurance written solely in the interest of the producer or the producer’s family members. Producers are prohibited from obtaining an Iowa insurance license for the purpose of writing controlled business.

You may sell a policy to yourself or to family members, but you can’t obtain a license for that sole purpose.

Non-resident license

To obtain a nonresident license, a licensed producer must meet the following requirements:

  • The individual must have an Iowa resident producer license in good standing.
  • The individual must complete the appropriate application and submit the required fees to the insurance department/division in each state where they want to be licensed.
  • The individual’s home state must offer equal reciprocity for the state where the individual is applying for a non-resident license. Currently, Iowa has reciprocation agreements with all other states.

Temporary license

A temporary producer license is valid only if the temporary producer is sponsored and appointed by an insurance company.

A temporary producer license:

  • Is issued once per line of authority (once in a lifetime per line)
  • Is valid for a maximum of 6 months from the date the license is issued

Inactive status

An Iowa resident producer who is ordered to active military duty may place their license on inactive status until discharge.

While the license is inactive, the producer:

  • May continue to receive residual (“trailing”) commissions
  • May not solicit or transact any new business

Renewal maintenance

Iowa insurance licenses are initially issued for 2 years. A producer must renew the license every 2 years, by the last day of the licensee’s birth month.

If you don’t renew before the expiration date:

  • There is a 30-day grace period.
  • Renewing during the grace period results in a $50 late fee.
  • If the license is not renewed during the grace period, the license expires and all company appointments are canceled.

A producer may have a license reissued within 12 months of expiration without having to test again.

When former producers have been without a license for more than 12 months, they must take the pre-licensing course, retest, and get fingerprinted before applying for a new license.

Continuing education

All states, including Iowa, have continuing education (CE) requirements that must be met to renew any major lines (life, health, property, liability) insurance license.

Individuals licensed in Iowa must complete 24 hours of CE before renewing their license.

Notice of change of name or address

Any change of name or address (residential or business) must be reported by the licensee to the Iowa Insurance Division within 30 days of relocation. Failure to do so may result in monetary fines and/or suspension of a license.

Company regulations

An insurance company must be authorized by the Insurance Division to conduct business in Iowa. To receive authorization, the insurance company must present:

  • Rate tables
  • Articles of incorporation (including the nature and purpose of the company’s business intentions)
  • Corporate bylaws
  • Appropriate fees

Place of business

Every resident insurance producer authorized to conduct business in Iowa must maintain a place of business (with public access) within the state.

Capital and surplus requirement

A company authorized to conduct insurance business in Iowa must maintain minimum corporate standards. The certificate of authority allows the insurer to conduct business in the state only if it maintains the minimum capital or permanent surplus required.

Duties of the Commissioner of Insurance

The Iowa Commissioner of Insurance is a state executive position in the Iowa state government.

The Insurance Commissioner oversees companies and individuals involved in the sale of insurance in Iowa and has general control over all aspects of their business, from the forms they use to the rates they charge.

The Commissioner is responsible for establishing and enforcing regulations in the Iowa insurance market in a manner that protects consumers and encourages economic development.

Those duties include:

  • Investigate all claims and complaints of legal violations relating to insurance.
  • If the Commissioner finds that laws have been violated, their findings and supporting documents will be forwarded to the state attorney general to pursue prosecution.
  • Monitor transactions of all companies including domestic, foreign, and alien insurance companies.
  • Audit the books and records of all Domestic insurers at least every 3 years.
  • Audit the books and records of any resident producer as frequently as necessary.
  • Collect all fees associated with producers and insurers.
  • Determine and administer fines associated with violations for insurers and producers.
  • Issue reports pertaining to the suspension and revocation of licenses of producers and certificates of authority for insurers.
  • Approve documentation used by insurance companies such as forms and rates.

The Insurance Division also has statutory authority over many activities related to the sale of securities and other regulated products in the state.

Sidenote
Know this...

The Commissioner does not have the authority to arrest, issue injunctions, or sentence jail time. The Commissioner can start the process, but it takes a law officer to arrest and a judge or court of law to issue injunctions or sentence jail time.

Suspend, revoke or non-renew

The Commissioner has the authority to suspend, revoke, or refuse to renew a license for:

  • Providing false information on the application for an insurance license.
  • Omitting any relevant information on an application that would have disqualified the individual from being eligible to receive a license.
  • Being found guilty of a violation or the noncompliance of insurance regulations and laws…
  • Committing fraud while attempting to obtain an insurance license.
  • Commingling policy owners’, insurers’, and beneficiaries’ money with the producer’s own money.
  • Providing false information in reference to the terms and conditions of an insurance contract.
  • Having been found guilty of a felony (or misdemeanor involving activities related to the individual’s moral character.)
  • Having been convicted of violations in reference to unfair trade practices or fraud.
  • Having engaged in activities of a fraudulent nature which allowed the person to involve themselves in dishonest, coercive, untrustworthy, and financially irresponsible practices.
  • Having had a prior insurance license revoked or suspended in a state other than Iowa.
  • Using another person’s identity and forging their name on an insurance application.
  • Being found guilty of using unethical practices or cheating on an examination for an insurance license.

Cease and desist

If the Commissioner believes that a producer has (or is about to) violate any insurance regulation in Iowa, the Commissioner may issue a cease and desist order.

A cease and desist order does not suspend or revoke the recipient’s registration. Instead, it requires the recipient to stop or limit the activity addressed in the order.

Hearing

A recipient of a cease and desist order must comply immediately, but actions taken by the Commissioner are not “final and binding.” Any Iowa resident producer subject to disciplinary action has the right to request a hearing to discuss the merits of the situation.

The Commissioner also has the authority to investigate any producer doing business in Iowa to determine whether a hearing is required. If sufficient evidence is found, the Commissioner will issue a notice with the date and time of the hearing. This notice will be sent to interested parties at least 20 days before the hearing.

If a hearing results in a finding of a known violation of Iowa insurance law, the Commissioner may, in addition to issuing a cease and desist order, impose a civil penalty of up to$15,000 per violation.

Unfair claims settlement practices

  • The intentional obstruction and delay of claims payment or the delay of a claims investigation is a violation of regulation.
  • Neglecting to provide a prompt response and written explanation of insurance policy terms, conditions, and laws related to the contract are examples of unfair claims settlement practices.
  • Failure to provide claims without launching a thorough investigation is a violation of regulation.
  • Making settlement claims based on information contained on an application that has been altered without the insured’s consent is a violation of regulation.
  • Denying a claim without conducting a thorough investigation.
  • Attempting to settle a claim for less than fair market value.

Policy forms

Iowa is a “file and use” state. A file and use filing is a submission that must be filed with the Insurance Division, but the insurer may begin using it as soon as it is filed. The insurer does not have to wait for approval from the Insurance Division before using it.

A file and use filing does not mean the company can submit anything it wants. The submission still must comply with the law, regulations, and bulletins.

If the wording on a health insurance policy (or other form) conflicts with Iowa state law, the policy will be amended to minimum conformity with state statutes.

Record maintenance

Complete and accurate records must be kept at the producer’s place of business for a minimum of 3 years.

The records must show:

  • Every contract placed
  • The named insured
  • Changes or amendments
  • Premiums received with each transaction

Records may be inspected at any time by the Insurance Division or any representative appointed on its behalf.

Fraudulent producer representation

An insurance producer who represents to the public that they are licensed to conduct insurance business in Iowa, but has not passed the appropriate licensing examination, is in violation of regulation.

Any means of public communication is included, such as advertisements, letterheads, circulars, business cards, and other methods of representation.

A producer found guilty of conducting business in Iowa in any line of insurance for which they are not properly licensed may have any other insurance license suspended or revoked.

Misrepresentation

  • Misrepresentation involving the creation or distribution of policies, quotes, and illustrations designed to provide inaccurate information about the terms and conditions of a policy is prohibited.
  • Providing inaccurate or incomplete information or comparisons regarding the benefits of a policy is an example of misrepresentation.
  • Providing inaccurate or incomplete information with the sole purpose of inducing lapse, exchange, conversion, forfeiture, or surrender is a violation as well (twisting).

False advertising

Communication involving the publication of newspapers, magazines, radio, or television that is intended to deliver false information in reference to insurance is a violation of NAIC regulation.

Defamation

  • The intentional and malicious circulation of written or oral information intended for the direct or indirect dissemination of derogatory statements is prohibited.
  • Publishing and circulating inaccurate information regarding the financial condition of an insurer, person, or competitor in the insurance industry is a violation of NAIC regulation.

Boycott, coercion and intimidation

Participation in any boycott or activity involving coercion and intimidation for the sole purpose of retaining business, or that results in a monopoly of insurance business, is prohibited.

False financial statements

Any licensed producer who makes false statements containing inaccurate material facts, or makes false statements on an application for insurance, is in violation of NAIC regulation.

Illegal inducements

In Iowa, it is prohibited to induce the purchase of insurance by offering anything with a monetary value in excess of $10. It is also prohibited to accept anything with a monetary value in excess of $10 from a client.

Any producer participating in this activity is subject to suspension of their license and a monetary fine.

Unfair discrimination

Discriminating on the basis of class, race, marital status, or sexual preference is a violation of regulation. Any unfair discriminatory practices intended to directly or indirectly favor an applicant or insured are prohibited.

Denying insurance coverage based on blindness or partial blindness is considered discrimination and is a violation of NAIC regulation.

Errors & omissions

Errors & omissions (E&O) insurance is a type of professional liability insurance that protects insurance agents if they are sued for negligent performance of their duties.

E&O covers honest mistakes that result in (financial) damage to customers/prospects. It does not cover violations of insurance regulation.

Rebating

Iowa licensed producers are prohibited from directly or indirectly giving any refund, discount, favor, or credit to reduce premiums to induce the purchase of insurance.

Producers in Iowa are also prohibited from receiving any payment for the sale, solicitation, or negotiation of insurance outside of commissions and/or salary.

Sidenote
Know this...

To “solicit” or “negotiate” insurance implies that the person is licensed.

Sharing commission

Splitting or sharing commissions with a licensed producer is allowed. Both parties must be licensed in the line of business in which the proposed commission is to be split.

Twisting

Providing false information or expressing derogatory ideas about the financial conditions of a competitor company with the intent to lapse or surrender an existing policy is a violation of the law.

Any written or oral statements used to induce the lapse, termination, exchange, or surrender of an insurance contract based on inaccurate information are prohibited.

Unfair marketing practices

The Insurance Division is responsible for establishing minimum standards for full and fair disclosure of policy content. The Division also requires standardization and simplification of the terms used to describe insurance coverage.

Advertising may not involve the following:

  • Any implication that policies are approved or that the financial condition of a company is endorsed by any government agency or by any independent group, individual, organization, or society.
  • Any statements regarding advertising that are false or untrue in reference to the time frame in which claims are paid.

Gramm-Leach Bliley Act (GLBA)

This law repealed the Glass-Steagall Act of 1933, allowing consolidation of commercial banks, investment institutions, and insurance companies.

GLBA established a framework of responsibilities for federal and state regulators for these financial industries. It permits financial services companies to merge and engage in a variety of new business activities, including insurance, while attempting to address the regulatory issues raised by such combinations.

McCarran-Ferguson Act

Federal law signed in 1945 in which Congress declared that the insurance industry would be regulated at the state level. Grants insurers a limited exemption from federal antitrust legislation.

National Association of Insurance Commissioners (NAIC)

The U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia, and five U.S. territories.

Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally.

NAIC members, together with the central resources of the NAIC, form the national system of state-based insurance regulation in the U.S.

Fair Credit Reporting Act of 1971

If an applicant is denied insurance, employment, or credit due to information collected, this regulation grants access to the information and the reasons for the denial.

After receiving notice that an adverse underwriting decision has been made (which must be communicated within 3 days), an individual has 90 business days to request a copy of the report.

Privacy Act of 1974

This regulation established a system for the collection, use, and dissemination of information gathered during the underwriting process.

When an applicant for insurance signs the application (notice regarding insurance information practices), they give the insurer the right to check driving records, MIB, and consumer investigative reports.

A signed application authorizes the insurer to collect information for 30 months. If the insurer has not done so by then, a new authorization must be obtained.

Telemarketing

The DO NOT CALL registry is a list of telephone numbers, and it is intended to prevent calls from telemarketers.

Unsolicited sales calls must be made in accordance with the following provisions:

  • No call may be placed outside of the hours of 8 am to 9 pm local time where the call is received.
  • The sales nature of the call must be disclosed and the nature of the product/service being offered must be disclosed.
  • The caller must identify themselves and the broker/dealer they represent.
  • If a prize is being offered, the prize cannot be contingent on purchase.

CAN-Spam

When an unsolicited e-mail is sent, the sender must:

  • Use the word advertisement or the letters ADV on the subject line.
  • Notate the physical location from where the email originated.
  • Give the recipient the opportunity to opt out of ever receiving another email from the sender.

Insurance guaranty association

The Iowa Insurance Guaranty Association is made up of authorized insurers and is controlled by a board. Joining the association is part of the authorization process that admits insurance companies to conduct business in Iowa.

This is not unique to Iowa. Insurers must be authorized in every state where they transact business.

Once authorized, any insurer doing business in Iowa must contribute to the Iowa Insurance Guarantee Fund, which is intended to indemnify policy owners of insurance companies that have become insolvent (up to $100,000 cash and $300,000 total benefits).

Auto insurance state minimum

The “state minimum” auto insurance is the minimum amount of car insurance you must carry in your state to legally drive a vehicle in Iowa. It ensures that you can pay for others’ injuries and damages if you cause a car accident.

Driving without adequate coverage can result in financial repercussions such as fines, license suspensions, vehicle impoundment, and even jail time.

Auto insurance is typically structured as a split limit policy with coverage minimums represented by numbers and slashes. The first number is BI coverage per person, the second is BI coverage per incident (if multiple people are injured), and the third is PD per incident.

In Iowa, the state minimum is 20/40/15. This covers up to $20,000 of bodily injury protection for each person involved in an accident, up to $40,000 of bodily injuries per incident, and up to $15,000 of property damage per incident.

Licensing

  • Must be 18+ and Iowa resident before applying
  • No pre-licensing course/exam required
  • Fingerprinting required after passing state exam, before applying
  • Controlled business (insurance for self/family only) prohibited as sole purpose for license

Non-resident and Temporary Licenses

  • Non-resident: Iowa license in good standing, reciprocity, application/fees required
  • Temporary license: sponsored by insurer, valid once per line, max 6 months

Inactive Status

  • Active military duty: license can be inactive until discharge
    • May receive residual commissions, but cannot solicit/transact new business

Renewal and Maintenance

  • License valid 2 years, renew by birth month’s end
  • 30-day grace period with $50 late fee; after, license expires
  • Reissue within 12 months without retesting; after 12 months, must retake course, exam, and fingerprint

Continuing Education

  • 24 hours CE required every 2 years for renewal

Change of Name or Address

  • Must report changes within 30 days to Insurance Division
  • Failure may result in fines/suspension

Company Regulations

  • Insurers must be authorized by Insurance Division
    • Submit rate tables, articles of incorporation, bylaws, fees
  • Must maintain minimum capital/surplus

Place of Business

  • Resident producers must maintain a public-access office in Iowa

Duties of the Commissioner of Insurance

  • Oversees insurance business, enforces regulations, protects consumers
  • Investigates violations, forwards findings to attorney general
  • Audits domestic insurers every 3 years; producers as needed
  • Collects fees, administers fines, issues reports on suspensions/revocations
  • Approves forms/rates, monitors all insurers (domestic, foreign, alien)
    • No authority to arrest, issue injunctions, or sentence jail time

License Suspension, Revocation, Non-renewal

  • Grounds: false/omitted info, fraud, commingling funds, felony/moral turpitude, prior revocation, unethical practices, cheating, misrepresentation

Cease and Desist Orders & Hearings

  • Commissioner may issue cease and desist for violations
  • Recipients may request a hearing; 20-day advance notice
  • Civil penalty up to $15,000 per violation if found guilty

Unfair Claims Settlement Practices

  • Delaying/obstructing claims, failing to investigate/respond, altering applications, settling below market value are violations

Policy Forms

  • Iowa is “file and use”: forms filed, can be used immediately
  • Must comply with law; conflicting forms amended to state minimums

Record Maintenance

  • Keep complete records at business for at least 3 years
    • Contracts, insured names, amendments, premiums
  • Subject to inspection by Insurance Division

Fraudulent Producer Representation

  • Prohibited to claim licensure without passing exam
  • Unlicensed activity may result in suspension/revocation of all licenses

Misrepresentation

  • False/incomplete info in policies, quotes, illustrations, or to induce lapse/exchange (twisting) is prohibited

False Advertising

  • Publishing false info about insurance via media is a violation

Defamation

  • Malicious/false statements about insurers/competitors prohibited

Boycott, Coercion, Intimidation

  • Prohibited to retain business or create monopoly

False Financial Statements

  • Making false statements or material misrepresentations is a violation

Illegal Inducements

  • Offering/accepting inducements >$10 to purchase insurance is prohibited

Unfair Discrimination

  • Discrimination by class, race, marital status, sexual preference, blindness is prohibited

Errors & Omissions (E&O) Insurance

  • Protects agents from negligence lawsuits
  • Does not cover regulatory violations

Rebating

  • Prohibited to give/receive premium reductions or payments outside commissions/salary to induce purchase

Sharing Commission

  • Allowed only if both parties are licensed in the line of business

Twisting

  • False statements to induce lapse, surrender, or exchange of policies is illegal

Unfair Marketing Practices

  • Must provide full, fair disclosure and standardized terms
  • No implication of government/third-party endorsement or false claim timing

Gramm-Leach Bliley Act (GLBA)

  • Repealed Glass-Steagall; allows banks, insurers, investment firms to merge
  • Sets regulatory framework for financial services

McCarran-Ferguson Act

  • Insurance regulated at state level; limited federal antitrust exemption

National Association of Insurance Commissioners (NAIC)

  • Sets standards/best practices for state insurance regulation

Fair Credit Reporting Act of 1971

  • Denied applicants must be notified within 3 days; 90 days to request report

Privacy Act of 1974

  • Regulates collection/use of underwriting info
  • Signed application authorizes info collection for 30 months

Telemarketing

  • DO NOT CALL registry: restricts calls to 8am-9pm, requires disclosure of caller/product, prohibits purchase-contingent prizes

CAN-Spam

  • Unsolicited emails: must label as advertisement (ADV), show physical location, provide opt-out

Insurance Guaranty Association

  • All authorized insurers must join and contribute
  • Protects policyholders of insolvent insurers (up to $100,000 cash, $300,000 total benefits)

Auto Insurance State Minimum

  • Iowa minimum: 20/40/15 split limit
    • $20,000 BI per person, $40,000 BI per accident, $15,000 PD per accident
  • Driving without minimum coverage leads to fines, suspension, impoundment, possible jail

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Iowa State Regulations & NAIC Insurance Law

Licensing

To apply for an Iowa resident producer’s license, you must:

  • Be at least 18 years old
  • Be an Iowa resident before you submit your application

Pre-licensing course and exam: Not required

Iowa does not have specific pre-licensing requirements.

Fingerprints/background check

As part of the application process, you must submit fingerprints to the Iowa Insurance Division. Plan to get fingerprinted after you pass the state exam and at least one day before you apply for the license.

Controlled business

Controlled business is insurance written solely in the interest of the producer or the producer’s family members. Producers are prohibited from obtaining an Iowa insurance license for the purpose of writing controlled business.

You may sell a policy to yourself or to family members, but you can’t obtain a license for that sole purpose.

Non-resident license

To obtain a nonresident license, a licensed producer must meet the following requirements:

  • The individual must have an Iowa resident producer license in good standing.
  • The individual must complete the appropriate application and submit the required fees to the insurance department/division in each state where they want to be licensed.
  • The individual’s home state must offer equal reciprocity for the state where the individual is applying for a non-resident license. Currently, Iowa has reciprocation agreements with all other states.

Temporary license

A temporary producer license is valid only if the temporary producer is sponsored and appointed by an insurance company.

A temporary producer license:

  • Is issued once per line of authority (once in a lifetime per line)
  • Is valid for a maximum of 6 months from the date the license is issued

Inactive status

An Iowa resident producer who is ordered to active military duty may place their license on inactive status until discharge.

While the license is inactive, the producer:

  • May continue to receive residual (“trailing”) commissions
  • May not solicit or transact any new business

Renewal maintenance

Iowa insurance licenses are initially issued for 2 years. A producer must renew the license every 2 years, by the last day of the licensee’s birth month.

If you don’t renew before the expiration date:

  • There is a 30-day grace period.
  • Renewing during the grace period results in a $50 late fee.
  • If the license is not renewed during the grace period, the license expires and all company appointments are canceled.

A producer may have a license reissued within 12 months of expiration without having to test again.

When former producers have been without a license for more than 12 months, they must take the pre-licensing course, retest, and get fingerprinted before applying for a new license.

Continuing education

All states, including Iowa, have continuing education (CE) requirements that must be met to renew any major lines (life, health, property, liability) insurance license.

Individuals licensed in Iowa must complete 24 hours of CE before renewing their license.

Notice of change of name or address

Any change of name or address (residential or business) must be reported by the licensee to the Iowa Insurance Division within 30 days of relocation. Failure to do so may result in monetary fines and/or suspension of a license.

Company regulations

An insurance company must be authorized by the Insurance Division to conduct business in Iowa. To receive authorization, the insurance company must present:

  • Rate tables
  • Articles of incorporation (including the nature and purpose of the company’s business intentions)
  • Corporate bylaws
  • Appropriate fees

Place of business

Every resident insurance producer authorized to conduct business in Iowa must maintain a place of business (with public access) within the state.

Capital and surplus requirement

A company authorized to conduct insurance business in Iowa must maintain minimum corporate standards. The certificate of authority allows the insurer to conduct business in the state only if it maintains the minimum capital or permanent surplus required.

Duties of the Commissioner of Insurance

The Iowa Commissioner of Insurance is a state executive position in the Iowa state government.

The Insurance Commissioner oversees companies and individuals involved in the sale of insurance in Iowa and has general control over all aspects of their business, from the forms they use to the rates they charge.

The Commissioner is responsible for establishing and enforcing regulations in the Iowa insurance market in a manner that protects consumers and encourages economic development.

Those duties include:

  • Investigate all claims and complaints of legal violations relating to insurance.
  • If the Commissioner finds that laws have been violated, their findings and supporting documents will be forwarded to the state attorney general to pursue prosecution.
  • Monitor transactions of all companies including domestic, foreign, and alien insurance companies.
  • Audit the books and records of all Domestic insurers at least every 3 years.
  • Audit the books and records of any resident producer as frequently as necessary.
  • Collect all fees associated with producers and insurers.
  • Determine and administer fines associated with violations for insurers and producers.
  • Issue reports pertaining to the suspension and revocation of licenses of producers and certificates of authority for insurers.
  • Approve documentation used by insurance companies such as forms and rates.

The Insurance Division also has statutory authority over many activities related to the sale of securities and other regulated products in the state.

Sidenote
Know this...

The Commissioner does not have the authority to arrest, issue injunctions, or sentence jail time. The Commissioner can start the process, but it takes a law officer to arrest and a judge or court of law to issue injunctions or sentence jail time.

Suspend, revoke or non-renew

The Commissioner has the authority to suspend, revoke, or refuse to renew a license for:

  • Providing false information on the application for an insurance license.
  • Omitting any relevant information on an application that would have disqualified the individual from being eligible to receive a license.
  • Being found guilty of a violation or the noncompliance of insurance regulations and laws…
  • Committing fraud while attempting to obtain an insurance license.
  • Commingling policy owners’, insurers’, and beneficiaries’ money with the producer’s own money.
  • Providing false information in reference to the terms and conditions of an insurance contract.
  • Having been found guilty of a felony (or misdemeanor involving activities related to the individual’s moral character.)
  • Having been convicted of violations in reference to unfair trade practices or fraud.
  • Having engaged in activities of a fraudulent nature which allowed the person to involve themselves in dishonest, coercive, untrustworthy, and financially irresponsible practices.
  • Having had a prior insurance license revoked or suspended in a state other than Iowa.
  • Using another person’s identity and forging their name on an insurance application.
  • Being found guilty of using unethical practices or cheating on an examination for an insurance license.

Cease and desist

If the Commissioner believes that a producer has (or is about to) violate any insurance regulation in Iowa, the Commissioner may issue a cease and desist order.

A cease and desist order does not suspend or revoke the recipient’s registration. Instead, it requires the recipient to stop or limit the activity addressed in the order.

Hearing

A recipient of a cease and desist order must comply immediately, but actions taken by the Commissioner are not “final and binding.” Any Iowa resident producer subject to disciplinary action has the right to request a hearing to discuss the merits of the situation.

The Commissioner also has the authority to investigate any producer doing business in Iowa to determine whether a hearing is required. If sufficient evidence is found, the Commissioner will issue a notice with the date and time of the hearing. This notice will be sent to interested parties at least 20 days before the hearing.

If a hearing results in a finding of a known violation of Iowa insurance law, the Commissioner may, in addition to issuing a cease and desist order, impose a civil penalty of up to$15,000 per violation.

Unfair claims settlement practices

  • The intentional obstruction and delay of claims payment or the delay of a claims investigation is a violation of regulation.
  • Neglecting to provide a prompt response and written explanation of insurance policy terms, conditions, and laws related to the contract are examples of unfair claims settlement practices.
  • Failure to provide claims without launching a thorough investigation is a violation of regulation.
  • Making settlement claims based on information contained on an application that has been altered without the insured’s consent is a violation of regulation.
  • Denying a claim without conducting a thorough investigation.
  • Attempting to settle a claim for less than fair market value.

Policy forms

Iowa is a “file and use” state. A file and use filing is a submission that must be filed with the Insurance Division, but the insurer may begin using it as soon as it is filed. The insurer does not have to wait for approval from the Insurance Division before using it.

A file and use filing does not mean the company can submit anything it wants. The submission still must comply with the law, regulations, and bulletins.

If the wording on a health insurance policy (or other form) conflicts with Iowa state law, the policy will be amended to minimum conformity with state statutes.

Record maintenance

Complete and accurate records must be kept at the producer’s place of business for a minimum of 3 years.

The records must show:

  • Every contract placed
  • The named insured
  • Changes or amendments
  • Premiums received with each transaction

Records may be inspected at any time by the Insurance Division or any representative appointed on its behalf.

Fraudulent producer representation

An insurance producer who represents to the public that they are licensed to conduct insurance business in Iowa, but has not passed the appropriate licensing examination, is in violation of regulation.

Any means of public communication is included, such as advertisements, letterheads, circulars, business cards, and other methods of representation.

A producer found guilty of conducting business in Iowa in any line of insurance for which they are not properly licensed may have any other insurance license suspended or revoked.

Misrepresentation

  • Misrepresentation involving the creation or distribution of policies, quotes, and illustrations designed to provide inaccurate information about the terms and conditions of a policy is prohibited.
  • Providing inaccurate or incomplete information or comparisons regarding the benefits of a policy is an example of misrepresentation.
  • Providing inaccurate or incomplete information with the sole purpose of inducing lapse, exchange, conversion, forfeiture, or surrender is a violation as well (twisting).

False advertising

Communication involving the publication of newspapers, magazines, radio, or television that is intended to deliver false information in reference to insurance is a violation of NAIC regulation.

Defamation

  • The intentional and malicious circulation of written or oral information intended for the direct or indirect dissemination of derogatory statements is prohibited.
  • Publishing and circulating inaccurate information regarding the financial condition of an insurer, person, or competitor in the insurance industry is a violation of NAIC regulation.

Boycott, coercion and intimidation

Participation in any boycott or activity involving coercion and intimidation for the sole purpose of retaining business, or that results in a monopoly of insurance business, is prohibited.

False financial statements

Any licensed producer who makes false statements containing inaccurate material facts, or makes false statements on an application for insurance, is in violation of NAIC regulation.

Illegal inducements

In Iowa, it is prohibited to induce the purchase of insurance by offering anything with a monetary value in excess of $10. It is also prohibited to accept anything with a monetary value in excess of $10 from a client.

Any producer participating in this activity is subject to suspension of their license and a monetary fine.

Unfair discrimination

Discriminating on the basis of class, race, marital status, or sexual preference is a violation of regulation. Any unfair discriminatory practices intended to directly or indirectly favor an applicant or insured are prohibited.

Denying insurance coverage based on blindness or partial blindness is considered discrimination and is a violation of NAIC regulation.

Errors & omissions

Errors & omissions (E&O) insurance is a type of professional liability insurance that protects insurance agents if they are sued for negligent performance of their duties.

E&O covers honest mistakes that result in (financial) damage to customers/prospects. It does not cover violations of insurance regulation.

Rebating

Iowa licensed producers are prohibited from directly or indirectly giving any refund, discount, favor, or credit to reduce premiums to induce the purchase of insurance.

Producers in Iowa are also prohibited from receiving any payment for the sale, solicitation, or negotiation of insurance outside of commissions and/or salary.

Sidenote
Know this...

To “solicit” or “negotiate” insurance implies that the person is licensed.

Sharing commission

Splitting or sharing commissions with a licensed producer is allowed. Both parties must be licensed in the line of business in which the proposed commission is to be split.

Twisting

Providing false information or expressing derogatory ideas about the financial conditions of a competitor company with the intent to lapse or surrender an existing policy is a violation of the law.

Any written or oral statements used to induce the lapse, termination, exchange, or surrender of an insurance contract based on inaccurate information are prohibited.

Unfair marketing practices

The Insurance Division is responsible for establishing minimum standards for full and fair disclosure of policy content. The Division also requires standardization and simplification of the terms used to describe insurance coverage.

Advertising may not involve the following:

  • Any implication that policies are approved or that the financial condition of a company is endorsed by any government agency or by any independent group, individual, organization, or society.
  • Any statements regarding advertising that are false or untrue in reference to the time frame in which claims are paid.

Gramm-Leach Bliley Act (GLBA)

This law repealed the Glass-Steagall Act of 1933, allowing consolidation of commercial banks, investment institutions, and insurance companies.

GLBA established a framework of responsibilities for federal and state regulators for these financial industries. It permits financial services companies to merge and engage in a variety of new business activities, including insurance, while attempting to address the regulatory issues raised by such combinations.

McCarran-Ferguson Act

Federal law signed in 1945 in which Congress declared that the insurance industry would be regulated at the state level. Grants insurers a limited exemption from federal antitrust legislation.

National Association of Insurance Commissioners (NAIC)

The U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia, and five U.S. territories.

Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally.

NAIC members, together with the central resources of the NAIC, form the national system of state-based insurance regulation in the U.S.

Fair Credit Reporting Act of 1971

If an applicant is denied insurance, employment, or credit due to information collected, this regulation grants access to the information and the reasons for the denial.

After receiving notice that an adverse underwriting decision has been made (which must be communicated within 3 days), an individual has 90 business days to request a copy of the report.

Privacy Act of 1974

This regulation established a system for the collection, use, and dissemination of information gathered during the underwriting process.

When an applicant for insurance signs the application (notice regarding insurance information practices), they give the insurer the right to check driving records, MIB, and consumer investigative reports.

A signed application authorizes the insurer to collect information for 30 months. If the insurer has not done so by then, a new authorization must be obtained.

Telemarketing

The DO NOT CALL registry is a list of telephone numbers, and it is intended to prevent calls from telemarketers.

Unsolicited sales calls must be made in accordance with the following provisions:

  • No call may be placed outside of the hours of 8 am to 9 pm local time where the call is received.
  • The sales nature of the call must be disclosed and the nature of the product/service being offered must be disclosed.
  • The caller must identify themselves and the broker/dealer they represent.
  • If a prize is being offered, the prize cannot be contingent on purchase.

CAN-Spam

When an unsolicited e-mail is sent, the sender must:

  • Use the word advertisement or the letters ADV on the subject line.
  • Notate the physical location from where the email originated.
  • Give the recipient the opportunity to opt out of ever receiving another email from the sender.

Insurance guaranty association

The Iowa Insurance Guaranty Association is made up of authorized insurers and is controlled by a board. Joining the association is part of the authorization process that admits insurance companies to conduct business in Iowa.

This is not unique to Iowa. Insurers must be authorized in every state where they transact business.

Once authorized, any insurer doing business in Iowa must contribute to the Iowa Insurance Guarantee Fund, which is intended to indemnify policy owners of insurance companies that have become insolvent (up to $100,000 cash and $300,000 total benefits).

Auto insurance state minimum

The “state minimum” auto insurance is the minimum amount of car insurance you must carry in your state to legally drive a vehicle in Iowa. It ensures that you can pay for others’ injuries and damages if you cause a car accident.

Driving without adequate coverage can result in financial repercussions such as fines, license suspensions, vehicle impoundment, and even jail time.

Auto insurance is typically structured as a split limit policy with coverage minimums represented by numbers and slashes. The first number is BI coverage per person, the second is BI coverage per incident (if multiple people are injured), and the third is PD per incident.

In Iowa, the state minimum is 20/40/15. This covers up to $20,000 of bodily injury protection for each person involved in an accident, up to $40,000 of bodily injuries per incident, and up to $15,000 of property damage per incident.

Key points

Licensing

  • Must be 18+ and Iowa resident before applying
  • No pre-licensing course/exam required
  • Fingerprinting required after passing state exam, before applying
  • Controlled business (insurance for self/family only) prohibited as sole purpose for license

Non-resident and Temporary Licenses

  • Non-resident: Iowa license in good standing, reciprocity, application/fees required
  • Temporary license: sponsored by insurer, valid once per line, max 6 months

Inactive Status

  • Active military duty: license can be inactive until discharge
    • May receive residual commissions, but cannot solicit/transact new business

Renewal and Maintenance

  • License valid 2 years, renew by birth month’s end
  • 30-day grace period with $50 late fee; after, license expires
  • Reissue within 12 months without retesting; after 12 months, must retake course, exam, and fingerprint

Continuing Education

  • 24 hours CE required every 2 years for renewal

Change of Name or Address

  • Must report changes within 30 days to Insurance Division
  • Failure may result in fines/suspension

Company Regulations

  • Insurers must be authorized by Insurance Division
    • Submit rate tables, articles of incorporation, bylaws, fees
  • Must maintain minimum capital/surplus

Place of Business

  • Resident producers must maintain a public-access office in Iowa

Duties of the Commissioner of Insurance

  • Oversees insurance business, enforces regulations, protects consumers
  • Investigates violations, forwards findings to attorney general
  • Audits domestic insurers every 3 years; producers as needed
  • Collects fees, administers fines, issues reports on suspensions/revocations
  • Approves forms/rates, monitors all insurers (domestic, foreign, alien)
    • No authority to arrest, issue injunctions, or sentence jail time

License Suspension, Revocation, Non-renewal

  • Grounds: false/omitted info, fraud, commingling funds, felony/moral turpitude, prior revocation, unethical practices, cheating, misrepresentation

Cease and Desist Orders & Hearings

  • Commissioner may issue cease and desist for violations
  • Recipients may request a hearing; 20-day advance notice
  • Civil penalty up to $15,000 per violation if found guilty

Unfair Claims Settlement Practices

  • Delaying/obstructing claims, failing to investigate/respond, altering applications, settling below market value are violations

Policy Forms

  • Iowa is “file and use”: forms filed, can be used immediately
  • Must comply with law; conflicting forms amended to state minimums

Record Maintenance

  • Keep complete records at business for at least 3 years
    • Contracts, insured names, amendments, premiums
  • Subject to inspection by Insurance Division

Fraudulent Producer Representation

  • Prohibited to claim licensure without passing exam
  • Unlicensed activity may result in suspension/revocation of all licenses

Misrepresentation

  • False/incomplete info in policies, quotes, illustrations, or to induce lapse/exchange (twisting) is prohibited

False Advertising

  • Publishing false info about insurance via media is a violation

Defamation

  • Malicious/false statements about insurers/competitors prohibited

Boycott, Coercion, Intimidation

  • Prohibited to retain business or create monopoly

False Financial Statements

  • Making false statements or material misrepresentations is a violation

Illegal Inducements

  • Offering/accepting inducements >$10 to purchase insurance is prohibited

Unfair Discrimination

  • Discrimination by class, race, marital status, sexual preference, blindness is prohibited

Errors & Omissions (E&O) Insurance

  • Protects agents from negligence lawsuits
  • Does not cover regulatory violations

Rebating

  • Prohibited to give/receive premium reductions or payments outside commissions/salary to induce purchase

Sharing Commission

  • Allowed only if both parties are licensed in the line of business

Twisting

  • False statements to induce lapse, surrender, or exchange of policies is illegal

Unfair Marketing Practices

  • Must provide full, fair disclosure and standardized terms
  • No implication of government/third-party endorsement or false claim timing

Gramm-Leach Bliley Act (GLBA)

  • Repealed Glass-Steagall; allows banks, insurers, investment firms to merge
  • Sets regulatory framework for financial services

McCarran-Ferguson Act

  • Insurance regulated at state level; limited federal antitrust exemption

National Association of Insurance Commissioners (NAIC)

  • Sets standards/best practices for state insurance regulation

Fair Credit Reporting Act of 1971

  • Denied applicants must be notified within 3 days; 90 days to request report

Privacy Act of 1974

  • Regulates collection/use of underwriting info
  • Signed application authorizes info collection for 30 months

Telemarketing

  • DO NOT CALL registry: restricts calls to 8am-9pm, requires disclosure of caller/product, prohibits purchase-contingent prizes

CAN-Spam

  • Unsolicited emails: must label as advertisement (ADV), show physical location, provide opt-out

Insurance Guaranty Association

  • All authorized insurers must join and contribute
  • Protects policyholders of insolvent insurers (up to $100,000 cash, $300,000 total benefits)

Auto Insurance State Minimum

  • Iowa minimum: 20/40/15 split limit
    • $20,000 BI per person, $40,000 BI per accident, $15,000 PD per accident
  • Driving without minimum coverage leads to fines, suspension, impoundment, possible jail