§ 1472. Unclaimed life insurance benefits
(a) As used in this section:
(1) “Contract” means an annuity contract. The term “contract” shall not include an annuity
used to fund an employment-based retirement plan or program where:
(A) the insurer does not perform the record-keeping services; or
(B) the insurer is not committed by terms of the annuity contract to pay death benefits
to the beneficiaries of specific plan participants.
(2) “Death Master File” means the U.S. Social Security Administration’s Death Master File
or any other database or service that is at least as comprehensive as the U.S. Social
Security Administration’s Death Master File for determining that an individual reportedly
has died.
(3) “Death Master File match” means a search of the Death Master File that results in
a match of the Social Security number or the name and date of birth of an insured,
annuity owner, or retained asset account holder.
(4) “Knowledge of death” means:
(A) receipt of an original or valid copy of a certified death certificate; or
(B) a Death Master File match validated by the insurer in accordance with subdivision
(b)(1)(A) of this section.
(5) “Policy” means any policy or certificate of life insurance that provides a death benefit.
The term “Policy” shall not include:
(A) any policy or certificate of life insurance that provides a death benefit under an
employee benefit plan:
(i) subject to The Employee Retirement Income Security Act of 1974, Pub.L. No. 93-406,
as may be amended; or
(ii) under any Federal employee benefit program;
(B) any policy or certificate of life insurance that is used to fund a preneed funeral
contract or prearrangement;
(C) any policy or certificate of credit life or accidental death insurance; or
(D) any policy issued to a group master policyholder for which the insurer does not provide
record-keeping services.
(6) “Record-keeping services” means those circumstances under which the insurer has agreed
with a group policy or contract customer to be responsible for obtaining, maintaining,
and administering in its own or its agents’ systems information about each individual
insured under an insured’s group insurance contract, or a line of coverage under the
contract, at least the following information:
(A) Social Security number or name and date of birth;
(B) beneficiary designation information;
(C) coverage eligibility;
(D) benefit amount; and
(E) premium payment status.
(7) “Retained Asset Account” means any mechanism whereby the settlement of proceeds payable
under a Policy or Contract is accomplished by the insurer or an entity acting on behalf
of the insurer depositing the proceeds into an account with check or draft writing
privileges, where those proceeds are retained by the insurer or its agent, pursuant
to a supplementary contract not involving annuity benefits other than death benefits.
(b) An insurer shall perform a comparison of its insureds’ in-force Policies, Contracts,
and Retained Asset Accounts against a Death Master File, on at least a semiannual
basis, by using the full Death Master File once and thereafter using the Death Master
File update files for future comparisons to identify potential matches of its insureds.
For those potential matches identified as a result of a Death Master File Match, the
insurer shall:
(1) within 90 days of a Death Master File Match:
(A) complete a good faith effort, which shall be documented by the insurer, to confirm
the death of the insured or retained asset account holder against other available
records and information;
(B) determine whether benefits are due in accordance with the applicable policy or contract;
and if benefits are due in accordance with the applicable policy or contract:
(i) use good faith efforts, which shall be documented by the insurer, to locate the beneficiary
or beneficiaries; and
(ii) provide the appropriate claims forms or instructions to the beneficiary or beneficiaries
to make a claim including the need to provide an official death certificate, if applicable
under the policy or contract.
(2) With respect to group life insurance, insurers are required to confirm the possible
death of an insured when the insurers maintain at least the following information
of those covered under a policy or certificate:
(A) Social Security number or name and date of birth;
(B) beneficiary designation information;
(C) coverage eligibility;
(D) benefit amount; and
(E) premium payment status.
(3) Every insurer shall implement procedures to account for:
(A) common nicknames, initials used in lieu of a first or middle name, use of a middle
name, compound first and middle names, and interchanged first and middle names;
(B) compound last names, maiden or married names, and hyphens, blank spaces, or apostrophes
in last names;
(C) transposition of the “month” and “date” portions of the date of birth; and
(D) incomplete Social Security number.
(4) To the extent permitted by law, the insurer may disclose minimum necessary personal
information about the insured or beneficiary to a person who the insurer reasonably
believes may be able to assist the insurer locate the beneficiary or a person otherwise
entitled to payment of the claims proceeds.
(c) An insurer or its service provider shall not charge any beneficiary or other authorized
representative for any fees or costs associated with a Death Master File Search or
verification of a Death Master File Match conducted pursuant to this section.
(d) The benefits from a Policy, Contract, or a Retained Asset Account, plus any applicable
accrued contractual interest, shall first be payable to the designated beneficiaries
or owners and, in the event said beneficiaries or owners cannot be found, shall be
reportable to the Administrator as unclaimed property pursuant to this chapter. Interest
payable under 8 V.S.A. § 3665 shall not be payable as unclaimed property under this chapter.
(e) An insurer shall notify the Administrator upon the expiration of the statutory time
period for the property to be presumed abandoned that:
(1) a Policy or Contract beneficiary or Retained Asset Account holder has not submitted
a claim with the insurer; and
(2) the insurer has complied with subsection (a) of this section and has been unable,
after good faith efforts documented by the insurer, to contact the Retained Asset
Account holder, beneficiary, or beneficiaries.
(f) Upon such notice, an insurer shall immediately submit the unclaimed Policy or Contract
benefits or unclaimed Retained Asset Accounts, plus any applicable accrued interest,
to the Administrator.
(g) Failure to meet any requirement of this section with such frequency as to constitute
a general business practice is a violation of 8 V.S.A. § 4724(9). Nothing in this section shall be construed to create or imply a private cause of
action for a violation of this section. (Added 2019, No. 93 (Adj. Sess.), § 2, eff. Jan. 1, 2021; amended 2023, No. 6, § 370, eff. July 1, 2023.)