Pennsylvania Replacement Rules

Replacement occurs when a new life insurance policy or annuity is purchased with the intent to terminate, surrender, or reduce coverage under an existing policy. Pennsylvania has detailed regulations to protect consumers from unsuitable replacements.

Definition of Replacement

A replacement occurs when a new policy is purchased and:

• An existing policy is lapsed, forfeited, or surrendered
• Policy values are reduced or borrowed
• Coverage is converted or reduced
• Policy is reissued with reduced values
• Policy is amended to reduce benefits

Required Disclosures

Replacement Notice

The producer must provide the applicant with a Replacement Notice that includes:

Timing of Disclosure

• Must be provided BEFORE the application is completed
• Consumer must sign acknowledgment of receipt
• Copy retained in producer's files

Notice to Existing Insurer

Within 5 business days of receiving the application, the replacing insurer must notify the existing insurer:

• Name of policyholder
• Policy number being replaced
• Name of new insurer
• Type of new coverage

Existing Insurer Rights

The existing insurer may:

• Contact the policyholder within reasonable time
• Explain the value of existing coverage
• Offer options to preserve the policy
• Must respect policyholder's final decision

Prohibited Practices

Twisting

Twisting is the practice of misrepresenting the terms or benefits of an existing policy to induce a policyholder to replace it.

Examples of twisting:

• Falsely claiming existing policy is "worthless"
• Misrepresenting surrender values
• Hiding surrender charges of replacement
• Exaggerating benefits of new policy

Penalties for twisting:

• License suspension or revocation
• Fines per violation
• Civil liability to harmed consumers
• Criminal prosecution in severe cases

Churning

Churning is excessive replacement of policies to generate commissions.

Red flags for churning:

• Multiple replacements in short periods
• Same client replacing policies repeatedly
• Pattern across producer's book of business
• Surrender charges not disclosed

Records Retention

Pennsylvania requires insurers to maintain replacement records:

Producer Responsibilities

Before recommending a replacement, the producer must:

1. Compare the existing and proposed policies objectively
2. Consider whether replacement is in client's best interest
3. Disclose all relevant information including costs
4. Document the basis for the recommendation
5. Ensure client understands the consequences

Exam Tip: Remember that a new 2-year incontestability and suicide exclusion period begins with a replacement policy. This is an important disclosure item.