SUBCHAPTER III
MARKETING PRACTICES
628.31 Sale of insurance through vending machines.
628.32 Disclosure required.
628.34 Unfair marketing practices.
628.345 Prohibited practices during license revocation or surrender.
628.347 Suitability of annuity sales to consumers.
628.348 Sale of long-term care insurance.
628.35 Prohibition of exclusive contracts.
628.36 Limitations on corporations supplying health care services.
628.37 Preservation of professional relationships in professional services.
628.38 Disclosure requirements.
628.39 Extension of credit on premiums.
628.40 Effect of agent's appointment on insurer.
628.46 Timely payment of claims.
628.48 Risk retention groups.
628.49 Regulation of managing general agents, reinsurance brokers and managers and controlling producers.
SUBCHAPTER IV
COMPENSATION OF INTERMEDIARIES
628.51 Controlled business.
628.61 Sharing commissions.
628.78 Benefit plans for agents.
628.81 Filing of commission rates paid to agents and brokers.
Ch. 628 Cross-reference
Cross-reference: See definitions in s.
600.03.
GENERAL PROVISIONS
628.01
628.01
Purposes. The purposes of this chapter are:
628.01(1)
(1) To encourage improvement in the professional competence of insurance intermediaries;
628.01(2)
(2) To provide maximum freedom of marketing methods for insurance, consistent with the interests of the public in this state;
628.01(3)
(3) To preserve and encourage competition at the consumer level;
628.01(4)
(4) To limit the adverse effects of imperfect competition on the cost of insurance; and
628.01(5)
(5) To regulate insurance marketing practices in conformity with the general purposes of
chs. 600 to
655.
628.02
628.02
Definitions. In
chs. 600 to
655, unless the context otherwise requires:
628.02(1)
(1) Insurance marketing intermediaries. 628.02(1)(a)(a)
Activities constituting intermediary. Except as provided under
par. (b), a person is an "intermediary" if the person does or assists another in doing any of the following:
628.02(1)(a)1.
1. Solicits, negotiates or places insurance or annuities on behalf of an insurer or a person seeking insurance or annuities; or
628.02(1)(a)2.
2. Advises other persons about insurance needs and coverages.
628.02(1)(b)
(b)
Exceptions. The following persons are not intermediaries:
628.02(1)(b)1.
1. A regular salaried officer, employee or other representative of an insurer or licensed intermediary, other than a risk retention group or risk purchasing group, who devotes substantially all working time to activities other than those in
par. (a), and who receives no compensation that is directly dependent upon the amount of insurance business obtained;
628.02(1)(b)2.
2. A regular salaried officer or employee of a person seeking to procure insurance, other than for members of a risk purchasing group, who receives no compensation that is directly dependent upon the amount of insurance coverage procured, with respect to such insurance;
628.02(1)(b)3.
3. A person who gives incidental advice in the normal course of a business or professional activity other than insurance consulting if neither the person nor the person's employer receives compensation directly or indirectly on account of any insurance transaction that results from that advice;
628.02(1)(b)4.
4. A person who without special compensation performs incidental services for another at the other's request without providing advice or technical or professional services of a kind normally provided by an intermediary;
628.02(1)(b)5.
5. A holder of a group insurance policy, or any other person involved in mass marketing, with respect to administrative activities in connection with such a policy, if he or she receives no compensation therefor beyond actual expenses, estimated on a reasonable basis;
628.02(1)(b)6.
6. A person who provides information, advice or service for the principal purpose of reducing loss or the risk of loss;
628.02(1)(b)7.
7. A person who gives advice or assistance without compensation, direct or indirect;
628.02(1)(b)8.
8. A representative of a common carrier who sells only over-the-counter, short-term travel accident ticket policies and baggage insurance.
628.02(3)
(3) Insurance broker. An intermediary is an insurance broker if the intermediary acts in the procuring of insurance on behalf of an applicant for insurance or an insured, and does not act on behalf of the insurer except by collecting premiums or performing other ministerial acts.
628.02(4)
(4) Insurance agent. An intermediary is an insurance agent if the intermediary acts as an intermediary other than as a broker.
628.02(4g)
(4g) Managing general agent. An intermediary is a managing general agent if the intermediary does all of the following:
628.02(4g)(a)
(a) Manages all or a portion of the insurance business of an insurer.
628.02(4g)(b)
(b) Adjusts claims, negotiates reinsurance for the insurer or is affiliated or associated with a person who adjusts claims or negotiates reinsurance for the insurer.
628.02(4m)
(4m) Reinsurance broker. A person is a reinsurance broker if the person solicits, negotiates or places reinsurance cessions or retrocessions on behalf of a ceding insurer.
628.02(4p)
(4p) Reinsurance manager. A person is a reinsurance manager if the person has authority to bind, or manages, all or a portion of the assumed reinsurance business of an insurer.
628.02(5)
(5) Surplus lines agent or broker. A surplus lines agent or broker is one licensed to place insurance with unauthorized insurers, under
s. 628.04 (2).
LICENSING OF INTERMEDIARIES
628.03
628.03
Requirement of license. 628.03(1)
(1)
General. No natural person may perform, offer to perform or advertise any service as an intermediary in this state, unless the natural person obtains a license under
s. 628.04 or
628.09, and no person may utilize the services of another as an intermediary if the person knows or should know that the other does not have a license as required by law.
628.03(1m)
(1m) Risk purchasing groups. No natural person may solicit, negotiate or obtain insurance on behalf of a risk purchasing group which does business in this state unless the natural person obtains a license under
s. 628.04 or
628.09. A risk purchasing group may not allow a natural person to solicit, negotiate or obtain insurance on its behalf if the risk purchasing group knows that the natural person is not licensed as required by this subsection.
628.03(2)
(2) Exemptions. The commissioner may by rule exempt certain classes of natural persons from the requirement of obtaining a license:
628.03(2)(a)
(a) If the functions they perform do not require special competence or trustworthiness or the regulatory surveillance made possible by licensing; or
628.03(2)(b)
(b) If other existing safeguards make regulation unnecessary.
628.03(3)
(3) Validity of contract. No insurance contract is invalid as a result of a violation of this section.
628.03 Cross-reference
Cross Reference: See also chs.
Ins 45 and
47 and ss.
Ins 6.50 and
6.58, Wis. adm. code.
628.04
628.04
Issuance of license. 628.04(1)(1)
Conditions and qualifications. Except as provided in
s. 628.095 or
628.097, the commissioner shall issue a license to act as an agent to any applicant who:
628.04(1)(b)
(b) Shows to the satisfaction of the commissioner:
628.04(1)(b)1.
1. That if a natural person, the applicant has the intent in good faith to do business as an intermediary or, if a corporation, partnership or limited liability company, has that intent and has included that purpose in the articles of incorporation, certificate of limited partnership or general partnership agreement or limited liability company operating agreement;
628.04(1)(b)2.
2. That if a natural person, the applicant is competent and trustworthy, or that if a partnership, limited liability company or corporation, all partners, members, directors or principal officers or persons in fact having comparable powers are competent and trustworthy, and that it will transact business in such a way that all acts that may only be performed by a licensed intermediary are performed exclusively by natural persons who are licensed under this section; and
628.04(1)(b)3.
3. That the applicant intends to comply with
s. 628.51 with reference to compensation for effecting insurance upon the applicant's own property or other risk; and
628.04(1)(c)
(c) If a nonresident, executes in a form acceptable to the commissioner an agreement to be subject to the jurisdiction of the commissioner and the courts of this state on any matter related to the applicant's insurance activities in this state, on the basis of service of process under
ss. 601.72 and
601.73.
628.04(1c)
(1c) Fingerprints. The commissioner may by rule require an applicant under
sub. (1) who is a resident and a natural person to provide fingerprints as an additional condition for the granting of a license to act as an agent. The commissioner may use the fingerprints, if required, to conduct a state criminal history background investigation of the applicant and a national criminal history background investigation of the applicant with the federal bureau of investigation.
628.04(1m)
(1m) Agent may act as broker. A licensed agent may act as an agent or as a broker.
628.04(2)
(2) Surplus lines agents or brokers. Except as provided in
s. 628.095 or
628.097, the commissioner may issue a license as an agent or broker authorized to place business under
s. 618.41 if the applicant shows to the satisfaction of the commissioner that in addition to the qualifications necessary to obtain a general license under
sub. (1), the applicant has the competence to deal with the problems of surplus lines insurance. The commissioner may by rule require an agent or broker authorized to place business under
s. 618.41 to supply a bond not larger than $100,000, conditioned upon proper performance of obligations as a surplus lines agent or broker.
628.04(3)
(3) Classification and examination. The commissioner may by rule prescribe classifications of intermediaries in addition to agent and surplus lines agent or broker, by kind of authority, or kind of insurance, or in other ways, and may prescribe different standards of competence, including examinations and educational prerequisites, for each class. The commissioner may by rule set prelicensing and annual continuing education standards, but may not require a licensed intermediary to complete a course of study requiring more than 30 hours, per license, of approved continuing education, including continuing education programs approved by the commissioner and presented by the insurers, in any 2-year period. The commissioner may approve courses or programs that an applicant for an intermediary's license may attend to fulfill a prelicensing education requirement, or that a licensed intermediary may attend to fulfill a continuing education requirement, and may approve organizations that may offer approved courses or programs. The commissioner may, by rule, exempt any class of intermediaries from the continuing education requirements. So far as practicable, the commissioner shall issue a single license to each individual intermediary for a single fee.
628.04(4)
(4) Intermediaries representing nonprofit service plans. Intermediaries dealing with or representing nonprofit service plans must be licensed under
ss. 628.03 and
628.04, and are subject to all provisions of this chapter.
628.04(5)
(5) Managing general agents and reinsurance brokers and managers. The commissioner may, by rule, require every managing general agent that is not a natural person, every reinsurance broker and every reinsurance manager to obtain a license in order to do business in this state or with an insurer doing business in this state. The commissioner may, by rule, prescribe classifications for reinsurance brokers and managers, exemptions from the license requirement for managing general agents that are not natural persons, reinsurance brokers and reinsurance managers and grounds for suspension or revocation of a license. The commissioner shall consider the applicable model acts adopted by the National Association of Insurance Commissioners before promulgating rules under this section.
628.04 Cross-reference
Cross Reference: See also chs.
Ins 26,
28,
42,
45, and
47, and s.
Ins 6.59, Wis. adm. code.
628.05
628.05
Licensing of town mutual agents. 628.05(1)
(1)
General exemption. Except as otherwise provided in
sub. (2), or by rule promulgated by the commissioner, persons engaged in soliciting insurance exclusively for town mutuals are not subject to the requirements of
s. 628.03 (1).
628.05(2)
(2) Agents soliciting insurance requiring reinsurance. No person may solicit any application for a contract providing coverage of the kind specified in
s. 612.31 (3) unless the person first obtains a license to do so under this chapter. The license need be only for those coverages the town mutual is authorized to write and any examination of applicants shall be appropriately limited.
