4.1 Unfair Trade Practices
Key Takeaways
- Tennessee's Unfair Trade Practices and Unfair Claims Settlement Act of 2009 (Tenn. Code Title 56, Chapter 8) defines and prohibits unfair insurance practices statewide.
- Rebating any inducement not stated in the policy is prohibited; the 2015 Department bulletin lets producers give gifts regardless of purchase only because they are not tied to the sale.
- Twisting uses misrepresentation to induce replacement; churning is a pattern of replacements within an agent's own book to harvest new commissions.
- Unfair discrimination means charging different rates to insureds of the same class and essentially the same hazard; risk-based factors like age and health are permitted.
- Penalties run up to $1,000 per violation per day, or $25,000 per violation per day for knowing violations, plus cease-and-desist orders and license action.
The Statutory Framework
Tennessee regulates conduct through the Unfair Trade Practices and Unfair Claims Settlement Act of 2009, codified at Tennessee Code Title 56, Chapter 8. The defined unfair methods of competition appear at Tenn. Code 56-8-104. The exam tests whether you can match a fact pattern to the correct named practice, so memorize the labels, not just the idea.
The Named Prohibited Practices
| Practice | What it is | Quick trap |
|---|---|---|
| Misrepresentation | False statement about policy terms, dividends, or insurer finances | Even an honest-sounding illustration that overstates non-guaranteed values qualifies |
| False advertising | Untrue, deceptive, or misleading ads about the policy or company | "Free insurance" offers are presumptively deceptive |
| Defamation | False statement that injures another insurer's reputation | Includes oral statements to a single client |
| Boycott, coercion, intimidation | Forcing a transaction by restraint of trade | Tying a mortgage approval to buying the lender's insurance |
| False financial statements | Filing or publishing false financial entries | Aimed at insurers and officers |
Misrepresentation in Detail
Producers and insurers may not make false or misleading statements about: policy benefits, conditions, or terms; dividends to be received; the financial condition of any insurer; or the true nature of an insurance contract. Calling a whole life policy an "investment plan" or a retirement savings account is a textbook misrepresentation because it hides the insurance character of the contract.
Rebating
Rebating is offering any premium reduction, special favor, dividend, or valuable consideration not stated in the policy to induce a sale. Sharing commission with an unlicensed person is also rebating.
- Returning part of the premium to the buyer
- Paying a finder's fee to an unlicensed referrer
- Promising a gift contingent on purchasing
A February 2015 Tennessee Department of Commerce and Insurance Rebating Bulletin clarified that giving a gift to a prospect regardless of whether they buy is not rebating, precisely because it is not an inducement tied to the policy. Dividends declared under a participating policy and policy-specified premium financing are permitted.
Twisting vs. Churning
These two are the most-confused pair on the exam.
- Twisting — using a misrepresentation or incomplete comparison to convince a policyholder to lapse or replace existing coverage (often with a different insurer). The defining element is the false or misleading statement.
- Churning — a producer repeatedly replacing a client's policies within the same agency or insurer to generate fresh first-year commissions, regardless of client benefit. The defining element is the self-serving pattern of replacement.
Worked example: Agent Dawson tells a client her current term policy "is worthless and pays nothing" to sell a new one. That false statement to induce replacement is twisting. If Dawson instead simply rolls the same client through three new policies in two years to bank commissions, that is churning.
Coercion, Boycott, and Intimidation
These three travel together in the statute. Coercion is forcing someone into an insurance transaction; boycott is refusing to deal as a group to restrain trade; intimidation is using threats to compel a purchase. The classic Tennessee fact pattern is a lender or car dealer who conditions financing on buying their insurance product. Federal and state law both bar tying credit to a specific insurer, so this surfaces on the exam as both coercion and an antitrust-style violation. Recognize the pressure element: the consumer is given no genuine free choice.
Defamation and False Advertising
Defamation punishes an agent who spreads a false, derogatory statement about a competing insurer's financial soundness to win a sale. False advertising covers any untrue, deceptive, or misleading statement in any medium — print, broadcast, web, or a single spoken comparison. Both are violations even if no policy is ultimately sold, because the harm is the deceptive communication itself, not the completed transaction.
Special Inducements and Free Insurance
Tennessee also prohibits offering free insurance to promote a non-insurance product (for example, "free travel insurance with every appliance purchase"). Like rebating, it distorts the price the consumer pays and gives an unfair competitive edge, so map any "free coverage" giveaway to a prohibited inducement rather than to legitimate marketing.
Unfair Discrimination
Tenn. Code 56-8-104 forbids unfair discrimination between individuals of the same class and essentially the same hazard in: the premium or rate charged; the dividends or benefits payable; or any policy term or condition. The key phrase the exam keys on is "same class, same hazard."
Permitted vs. Prohibited
| Permitted (risk-based) | Prohibited (unfair) |
|---|---|
| Charging a smoker more than a non-smoker | Charging two non-smoking 40-year-olds different rates for the same plan |
| Higher rate for a hazardous occupation | Denying coverage solely on race, religion, or national origin |
| Rating up for documented health history | Refusing a policy based only on a disability unrelated to actual risk |
| Age-banded premiums | Charging more because of a person's marital status alone |
Using valid actuarial data to set rates is sound underwriting; using a protected characteristic or treating identical risks differently is illegal.
Unfair Claims Settlement Practices
The same Act bars insurers from mishandling claims. A single act can be a violation; a general business practice triggers the harshest treatment. Prohibited acts include:
- Misrepresenting policy provisions relating to coverage
- Failing to acknowledge and act reasonably promptly on claim communications
- Refusing to pay without a reasonable investigation
- Not attempting a prompt, fair settlement once liability is clear
- Compelling insureds to litigate by offering substantially less than amounts ultimately recovered
- Delaying payment to pressure a low settlement
Penalties for Violations
The Commissioner of Commerce and Insurance may issue cease-and-desist orders and impose monetary penalties.
| Scenario | Penalty |
|---|---|
| Violation (not knowing) | Up to $1,000 per violation, per day |
| Knowing violation | Up to $25,000 per violation, per day |
| Violating a cease-and-desist order | Additional fines and license suspension/revocation |
| Consumer harm | Restitution may be ordered |
Common trap: candidates assume the first offense is always "just a warning." Tennessee can assess monetary penalties on a first, single violation, and the higher $25,000 tier attaches whenever the actor knew or reasonably should have known the act violated the law.
An agent tells a prospect her current whole life policy "has no real value and is a waste of money" to convince her to surrender it and buy a new one. Which prohibited practice is this?
Under Tennessee's Unfair Trade Practices Act, what is the maximum penalty for a violation the actor knew was unlawful?
Charging two non-smoking 45-year-olds different premiums for the identical health plan, with no difference in risk, is an example of: