Sunday, April 5, 2015

Anti-money laundering training for life insurance agents

Life Insurance and Annuity Products


To understand why anti-money laundering regulations encompass insurance companies, it is imperative to understand how insurance companies and their products can be used for money laundering.

The most significant money laundering and terrorist financing risks in the insurance industry are found in life insurance and annuity products. These products allow individuals to deposit large amounts of money into the financial system, available for later redemption, with the origin of the funds hidden. Permanent life insurance policies are especially attractive for this purpose: the cash value account is available for surrender, and partial withdrawals or loans are available within a relatively short time after policy issue.



On December 6, 2002, the first known case of money laundering in the insurance industry was reported on the front page of the New York Times. The article “New Hiding Place for Drug Profits: Insurance Policies” reported how Columbian cocaine traffickers used life insurance policies to launder $80 million dollars in drug profits. Over 250 investment-type insurance policies were purchased through brokers and funded with checks and wire transfers submitted by brokers or other third-party entities.



Term Life Insurance


Term life insurance also poses a risk of money laundering because it possesses elements of stored value and transferability that make it attractive to money launderers. For example, a narcotics trafficker based in a foreign country could purchase a term policy from a US insurer with a large, up-front premium composed of illicit funds, using an elderly or ill front person as the insured, and collect the proceeds when the insured dies.

It should be noted that many interested parties have framed the other side of this argument. It has been argued that the issuance of a large term policy on an elderly or ill individual is subject to close scrutiny during underwriting and that, even if such a policy were issued, the criminal would be forced to wait for the insured to die to collect the proceeds.

Nonetheless, it is possible for term insurance to be used to launder money. In fact, US customs officials in Austin, Texas, obtained the forfeiture of illicit drug money that was paid to purchase three term life insurance policies. The purchase had been made with a number of structured monetary instruments, followed shortly by an attempt to redeem the policies. (In the Matter of Seizure of the Cash Value and Advance Premium Deposit Funds, Case No. 2002-5506-000007 [W.D. Tex. 2002])

Insurers Brought into the Fold


Bringing insurance companies and insurance policies into the fold of federal anti-money laundering regulations may appear to be overkill. After all, insurers have long had in place sophisticated, extensive programs to detect and combat fraud. Notably, these measures come into play during the field and policy underwriting phases. However, the risks associated with fraud are not the same as those associated with money laundering.

As the anti-money laundering rules make clear, an insurer's antifraud policy is concerned that premium payment checks clear, not that they are made with structured instruments or derive from suspicious sources.

Similarly, a person who buys a life insurance policy with a single lump-sum premium and shortly thereafter surrenders it for its cash value may not, in so doing, commit any type of fraud or cause harm to the insurance company. However, this same person might have followed this procedure solely for the purpose of laundering illicit funds. An associated fee or penalty is not an issue for money launderers; their objective is simply to transform illegal funds into seemingly legal tender.


Layering and Integration Stages


According to experts, including the International Association of Insurance Supervisors (IAIS), the insurance industry is most vulnerable to money laundering during the layering and integration stages of the laundering cycle. Layering involves the launderer’s using multiple and complex financial transactions to hide illicit funds and obscure the audit trail. Integration occurs when the washed funds are put back into the legitimate economic and financial system and integrated with legitimate earnings in the economy.

It is at these points in the money laundering process that indicators of illegal doings are less obvious and the trail that links the money to the launderer and his activity fades. An insurance company's anti-money laundering program should take these facts into consideration and incorporate different or enhanced due diligence procedures to account for these phases.

Let’s take a closer look at the money laundering process now.

Definition of Money Laundering


Money laundering is the process of making dirty money—that is, money derived from illicit drug, terrorist, or other criminal activities—appear legitimate. The term money laundering conveys a perfect visual picture of what actually takes place. Illegal or dirty money is put through a cycle of transactions designed to hide the source of the funds and make them appear clean or legitimate. Laundered funds can then be used without restriction.

Money laundering is a process that criminals use to make the proceeds from their crimes (dirty money) appear legitimate or clean.

Rough Estimates

Due to the underground nature of money laundering activities, only rough estimates have been put forward to give some reality to the scale of the problem. For example, in 1996, the International Monetary Fund estimated the aggregate size of money laundering in the world to be somewhere between 2% and 5% of the world’s gross domestic product (GDP).
Using 1996 statistics, these percentages indicate that money laundering affected between $590 billion and $1.5 trillion.
Using 2008 World Bank data, these percentages indicate that money laundering affect between $1.2 trillion and $3 trillion.
These are, however, estimates. The Financial Action Task Force (FATF) has concluded that it is impossible to provide a reasonable estimate of the amount of money laundered and declines to do so.

Stages of Money Laundering

The money laundering process involves three stages.
  1. Placement
    The first stage, placement, involves putting the dirty money into financial institutions or the retail economy, thus separating the money from the crime. Placement is the most dangerous step in the money laundering process for the money launderer because it involves the actual, physical movement of illegal money and the step most closely associated with the crime. It is at this stage that launderers are at the greatest risk because the illegal funds are most susceptible to detection.
    During the placement stage, smurfing may occur. Smurfing is the money laundering technique whereby the money launderer divides large cash deposits or transactions into smaller amounts to avoid reporting requirements.
  2. Layering
    The second stage, layering, involves putting the money through a series of complex financial transactions to hide the trail leading to the crime. Layering occurs with the purchase of traveler's checks, bank drafts, money orders, letters of credit, securities, and bonds with other monetary instruments, transferring funds between accounts, and using wire transfers.
  3. Integration
    The third and final stage, integration, involves putting the money back into the financial system disguised as legitimate business earnings (securities, businesses, or real estate) and mixing it with other assets so that it cannot be distinguished from them. The dirty money is now clean.

AML Requirements

After passage of the USA PATRIOT Act, the US Treasury Department, along with the Financial Crimes Enforcement Network (FinCEN), the Department of Homeland Security, and the Department of Justice, began drafting regulations that would serve to implement the many revisions to the Bank Secrecy Act.
These regulations are designed to make financial transactions more transparent and provide the government with more information about financial activity in new sectors. They are also intended to fortify the financial industry and its many segments as the first line of defense against money laundering, terrorist financing, and other financial crimes.
Broadly, as they apply to all financial institutions, the anti-money laundering regulations require:
  • the establishment of an anti-money laundering program;
  • the creation of customer identification and verification programs;
  • enhanced recordkeeping and reporting; and
  • enhanced suspicious activity reporting.

Now, let’s look at the specifics of these regulations as they apply to insurance companies.

Included Companies


Only those companies in the insurance industry that pose a significant risk of money laundering and terrorist financing must comply with the anti-money laundering regulations. In this context, the definition of an insurance company is:

any person engaged in the United States as a business in (1) the issuing, underwriting, or reinsuring of a life insurance policy; (2) the issuing, granting, purchasing, or disposing of any annuity contract; or (3) the issuing, underwriting, or reinsuring of any insurance product with investment features similar to those of a life insurance policy or an annuity contract, or which can be used to store value and transfer that value to another person. FinCEN Per 31 C.F.R. §103.137


Excluded Agents


At this time, the definition of insurance company does not include insurance agents or brokers; consequently, agents and brokers are not, individually or independently, required to create an anti-money laundering program. For the moment, the regulatory agencies responsible for drafting the anti-money laundering rules believe that the insurance company is in the best position to design an effective program based on the nature of its business and the risk assessment it must perform. However, because this risk assessment will be based in part on the company's distribution system, agents and brokers will likely be involved with their company's anti-money laundering program because the company must incorporate policies, procedures, and internal controls that address how its products and their payment are exchanged in the market.

Minimum Requirements

Insurers that meet the definition for inclusion in the anti-money laundering requirements must develop and implement a company-wide anti-money laundering program. The purpose of the program is to prevent the company, its products, and its agents from being used for money laundering or terrorist financing purposes. To this end, the company must identify the risks it faces based on its products, customers, distribution system, and geographic location.

Design AML Program to Company Profiles and Risks

Given the vast differences between the products, distribution methods, and customer bases of insurance companies, regulators recognize that there is no one-size-fits-all anti-money laundering program for insurance companies. Consequently, the regulations provide insurers with a great deal of flexibility so they can design their programs to meet their specific profiles and risks.
Federal law requires insurance companies to establish anti-money laundering programs to prevent money laundering through their products. Life Insurance companies are responsible for developing and implementing their own anti-money laundering programs that comply with applicable law and regulations. They must train all key employees and all insurance agents on the anti-money laundering program in effect.
Each insurance company must develop its own anti-money laundering program because the program must be tailored to fit each company’s specific business, practices, and products. The insurance company does, however, have the flexibility to train its agent and brokers directly or to verify that its agents and brokers received the required training from another insurance company or from a competent third party with respect to the covered products it offers.

Covered Products

AML programs must focus on those covered insurance products possessing features that make them susceptible to being used for money laundering or for financing terrorists. These are known as covered products and include the following:
  • A permanent life insurance policy, other than a group life insurance policy
  • Any annuity contract, other than a group annuity contract
  • Any other insurance product with features of cash value or investment

Covered products are those insurance products that are likely to present a higher degree of risk for money laundering.

The following are not included in the definition of covered products:

  • Term life (including credit life) insurance
  • Group life insurance
  • Group annuities
  • Charitable annuities (i.e., products offered by charitable organizations)
  • Reinsurance, retrocession contracts, and treaties
  • Contracts of indemnity
  • Structured settlements, including workers’ compensation payments
  • Insurance products offered by
    • property/casualty insurers,
    • title insurers, and
    • health insurers

These insurance products are not included because they pose a lower risk for money laundering. Although term life insurance is not identified as a covered product, It should be noted that insurance companies in 2007–2008 filed a total of 37 suspicious activity reports (discussed below) involving noncovered products that were not third-party or other life settlement products. Twenty-two of these (59%) are related to term life policies.

AML Program Minimum Requirements

The following are the minimum requirements to which every insurance company must adhere and include in their anti-money laundering program.
  1. The program must be in writing and made available to the US Treasury Department upon request.
  2. The program must be approved by senior management.
  3. The program must contain policies, procedures, and internal controls that are based on the insurer's assessment of the money laundering and terrorist financing risks associated with its specific products, clients, distribution channels, and location.
  4. The program must ensure that the company facilitates and obtains all the information necessary to make its anti-money laundering efforts successful. This includes collecting and maintaining relevant customer identification information. (The specific means to obtain such information is not mandated, but it is likely that a company's agents and brokers will be required to be actively involved with this stage of the program.)
  5. The company must designate a compliance officer who will be responsible for the administration, implementation, and upkeep of the program.
The last three items are the core components of the AML program requirement.

Risk Assessment


According to the regulations, the company's risk assessment (which is to set the foundation for its anti-money laundering program) must include all relevant information. While this appears quite broad, the following questions can be used as guideposts.

  • Does the insurer allow customers to use cash or cash equivalents to purchase its products?
  • Can the insurer’s products be purchased to use cash or cash equivalents to purchase its products?
  • Can the insurer’s products be purchased with a single premium or lump-sum amount?
  • Does the design of the insurance company’s products permit loans against the products’ cash values?
  • Does the company transact business with or in a jurisdiction whoe government has been identified as a sponsor of international terrorism, has been designated noncooperative with international anti-money laundering principle, or warrants “special measures” per the secretary of the Treasury due to money laundering concerns?

Policies, Procedures, and Internal Controls


On the basis of a risk assessment, the insurer must then construct its specific anti-money laundering program, which would include designing and implementing policies, procedures, and internal controls that ensure compliance with applicable BSA/USA PATRIOT Act requirements.

One of the requirements applicable to insurers is the obligation to make a currency transaction report on IRS Form 8300. A currency transaction report is generally required when an insurer receives more than $10,000 in cash in one transaction or in two or more related transactions. Any transactions conducted between a payer or its agent and the recipient during a 24-hour period are called related transactions. Transactions are related even if they occur over a period of more than 24 hours if the recipient knows, or has reason to know, that each transaction is one of a series of connected transactions.

Form 8300 captures:

  • the identity of the individual from whom the cash was received;
  • the person on whose behalf the transaction was conducted;
  • a description of the transaction and the method of payment; and
  • the name of the business that received the cash.



For the purpose of the anti-money laundering regulations and Form 8300 reporting, the term cash can refer to currency, a cashier's check, a money order, a bank draft, or a traveler's check.



Form 8300 may be filed voluntarily for any suspicious transaction for use by FinCEN and the Internal Revenue Service (IRS), even if the amount of money involved is less than $10,000. In this context, a suspicious transaction is any activity in which it appears that a person is attempting to prevent the filing of Form 8300 or cause a false or incomplete filing, or any transaction in which there is an indication of possible illegal activity.

Customer Identification and Verification


Insurers must conform to the customer identification and verification requirement. The mandate that financial institutions establish a customer identification program (CIP) was set forth in Section 326 of the USA PATRIOT Act; the rules that implement that requirement have been finalized and are now part and parcel of the Bank Secrecy Act's anti-money laundering compliance program. Each financial institution must develop a CIP that is tailored to its profile and its specific money laundering risks, but each program must contain the following elements.

  • Customer identity verification procedures. The customer must provide identifying information and the company must verify the accuracy of the information provided.
  • Verification recordkeeping. The information provided by the customer must be recorded and maintained for five years after the account is closed.
  • Government list comparison. The company must determine whether the customer's name appears on any list of known or suspected terrorist organizations issued by the federal government (the Office of Foreign Assets [OFAC] list) within a reasonable time after the customer's account is opened or a product is purchased.
  • Notification to customers. The company must provide customers with adequate notice that it is requesting information to verify their identities.

The policy or contract owner has control over the flow of funds into and out of the insurance contract and therefore has the ability to use the insurance product to launder money. AML standards for insurers treat the policy or contract owner as the customer for purposes of verifying identity. The information to be collected for identification purposes depends on whether the insurance product is at a low or high risk for money laundering.

Even in the lowest risk situations, insurers must gather and verify basic information about the new owners so that the AML program may be effectively implemented. Fairly extensive owner verification procedures might be appropriate for insurance products that are at a high risk for money laundering, such as a high-face-value permanent life insurance policy or annuity.

Role of Agents

As highlighted in the regulations, insurance companies typically conduct their operations through agents and third-party service providers and specific elements of the compliance program will best be performed by these people. Insurance companies can delegate the implementation and operation of the customer identification/verification aspect of their anti-money laundering programs, but they may have to modify their current agent and broker agreements to do so. However, this would not negate the insurer's responsibility for enhanced recordkeeping and compliance with BSA regulatory requirements. The company must continue to monitor the operation and effectiveness of its program.
Insurers are required to collect client information from agents and brokers to support their AML programs and to detect and report suspicious transactions. Agents and brokers are critical to this process.
Agents and brokers should collect and retain information needed to assess the risk involved with particular transactions. This would involve information on the source of investment assets, on the nature of the client, and on the reason why the particular insurance product is being purchased.
Agents and brokers must also identify clients in high-risk businesses or high-risk locations.
Agents must not conduct business knowingly with any person or business whose transactions are intended to further, finance, or support terrorist activities.
An agent who knows of any facts that indicate suspicious activity must contact the AML compliance officer and must report any violations of policy. An agent must comply with all anti-money laundering laws and regulations.
An agent must assist the compliance officer in the gathering of information necessary for reporting requirements. The compliance officer will know on a case-by-case basis what information is needed.
An agent may not let an individual know that the suspicious activity has been reported.

Compliance Officer

Another required component of an insurer's anti-money laundering program is a designated compliance officer who is responsible for its administration. The compliance officer may be a single individual or a committee. Whoever performs the function should be competent and knowledgeable about BSA requirements and money laundering issues and risks. In addition, the compliance officer must be empowered to develop and enforce appropriate policies and procedures and ensure that company personnel are appropriately trained and educated. A full-time person is required if the level of risk or the volume of transactions so warrants.

Education and Training

An insurance company's anti-money laundering program must include training for all appropriate persons. In addition to orienting employees to the company's anti-money laundering program, the training should provide an understanding of money laundering risks in general so that red flags can be recognized and associated with both existing and potential customers.
The regulations do not prescribe the nature or scope of a training program other than it must prepare those with anti-money laundering responsibilities and obligations to perform their duties effectively. The training should be ongoing and include periodic updates.
All agents who sell covered products must receive training on money laundering and terrorist financing.
Agents and brokers are crucial in preventing and detecting suspicious activity and therefore must undergo training on anti-money laundering and their responsibilities.
Each life insurance company will design its own program so that the characteristics of its particular business may be taken into account. This will include the role that agents and brokers play in conducting business for that company.
Agents and brokers should receive risk-based guidance from each insurer that they represent and specific guidance on the business practices and product mix of that particular insurer.

Program Testing and Assessment

An insurance company's anti-money laundering program must provide for independent testing on an ongoing basis to ensure that it complies with the regulations and continues to function as it was designed. According to the regulations, independent testing does not require an outside consultant or examiner; it can be performed by an employee of the insurer (provided the tester is not the compliance officer or someone else involved with the program's administration). An individual or individuals who do not work directly with the compliance officer on the AML program should assess whether the program complies with applicable requirements and functions as intended.
The frequency of testing depends on the insurance company's assessment of the money laundering and terrorist financing risks it faces. Obviously, the greater the risk, the more frequent the program testing should be.

Exempt Organizations

If an insurance company is registered with the Securities and Exchange Commission (SEC) (e.g., an insurer that sells variable annuities), it will be deemed to have satisfied the insurance anti-money laundering program requirement to the extent it complies with the anti-money laundering rules applicable to SEC-registered companies and SEC-registered products. To the extent that the insurer issues a product or conducts activity that is not covered by an SEC (or self-regulatory organization) anti-money laundering program rule, then that product or that activity would be subject to the insurance company’s anti-money laundering requirements.

Suspicious Transactions

Another element of anti-money laundering regulations with which insurance companies must comply is reporting suspicious transactions to the US Treasury Department via FinCEN. These are known as suspicious activity reports (SARs). This reporting requirement was added to the Bank Secrecy Act in October 2002 as an additional measure in creating a strong regulatory force against money laundering activities.
Specifically, the requirement authorizes a financial institution to report any suspicious transaction that is relevant to a possible violation of law or regulation. When such reports are made, the financial institution may not notify the individual involved with the transaction that these activities were reported, nor can the government or its agents make such a disclosure. Additionally, the requirement absolves an institution from any liability it might otherwise face for the disclosure.

Purposes of Suspicious Transaction Reporting

As noted in the anti-money laundering regulations, one of the reasons that suspicious activity reporting was extended beyond banks to all relevant financial institutions is the intense scrutiny to which banks have been subject. This scrutiny has made it far more difficult for money launderers to use banks for their illicit purposes. However, as measures to counter money laundering are put into place, money launderers revise their methods and turn to nonbank financial institutions. Money laundering requires the involvement of a financial institution either to conceal the illegal funds or to recycle those funds back into the economy. If banks pose too great a risk for the money launderers, they must turn to other financial institutions, such as insurance companies.
Another reason that suspicious activity reporting is required of financial institutions is that their officers and employees are more likely than law enforcement officials to know or sense when financial transactions are not as they should be. Those closest to the business are more readily able to evaluate when specific activities or transactions lack a legitimate connection to or use of the company's products, services, or offerings.
Suspicious activity reporting is not confined to financial institutions in the United States. The international community also recognizes such reporting as essential to effective anti-money laundering efforts. The FATF is an intergovernmental organization established in 1989 to develop policies to combat money laundering and terrorist financing. FATF currently represents 33 countries and territories and two regional organizations around the world. One of the FATF recommendations in the international fight against money laundering is as follows: “. . . if financial institutions suspect that funds stem from a criminal activity, they should be required to report promptly their suspicions to the competent authorities.” FATF Recommendation 13.
The language in this recommendation was originally more permissive. FATF revised its position in 1996 to require institutions to report suspicious activity indicating the importance it places on this issue. Then and now, the definition of financial institution for FATF includes insurance companies.

Suspicious Transaction Reporting Rules

The specifics of how insurers are to conform to the suspicious transactions reporting rules are set forth in Section 103.16(b) of the Bank Secrecy Act. They can be summarized in the following list.
  • An insurance company is obliged to report suspicious transactions that involve, separately or in the aggregate, at least $5,000 in funds or other assets.
  • An insurance company is encouraged to report any activity that appears to violate the laws, regardless of the amount of the transaction.
The four categories of transactions that require reporting are:
  • when it is known or suspected that funds associated with the transaction derived from illegal activity or that the transaction is intended to hide or disguise funds from illegal activity;
  • when the transaction is designed to evade the requirements of the Bank Secrecy Act;
  • when the transaction lacks apparent business or lawful purpose and the insurer, after reviewing all available facts, sees no reasonable explanation for it; and
  • when the transaction involves the use of the insurer to facilitate criminal activity (this is intended to ensure that transactions involving legal funds that the insurer believes are being used for an illegal purpose are indeed reported).

What Constitutes a Suspicious Activity?


Given the nature of money laundering and the clandestine practices that attend to it, there are no hard and fast rules that define exactly whether or when a suspicious activity report is required or warranted. As noted earlier, every insurer that is included in the BSA definition of financial institution must conduct its own assessment to evaluate the money laundering risks it faces on the basis of its products, customer base, and customer activity. From this assessment will come a suspicious activity monitoring and reporting program that is unique to the company and its business.

Source of Funds


In order to fulfill an agent’s obligations under the USA PATRIOT Act, an agent must know the source of the funds that a customer will use to purchase a life insurance policy or annuity.

Certain forms of payment can be used in the placement stage of money laundering. This includes cash, money orders, and cashier and traveler’s checks. An insurance company must manage the risk and may set limits on what types of payment it will accept and the amounts acceptable for different forms of payment. The goal is to lessen the chance that an insurance business will be involved in money laundering, without excluding types of payment with a legitimate business purpose.

On the Safe Side


Insurance companies generally consider the following to be methods of payment (when made payable to the insurance company) that have less chance of being used to launder money:

  • Personal checks and wire transfers
  • Cashier’s checks from a US bank from the remitter’s account when the cashier’s check remitter is the owner or annuitant
  • Third-party checks that originate from an insurance company or a financial institution and are properly endorsed to the appropriate insurer
  • 1035 exchange checks, as well as other transfer checks, received from an insurance company or financial institution
  • Credit card payments for an initial premium payment

Risky


Insurance companies generally consider the following methods of payment as being more susceptible to money laundering activities:

  • Cash
  • Checks made payable to cash
  • Money orders
  • Traveler’s checks
  • Checks or wire transfers from a foreign bank
  • Agent or agency check or wire transfer where the agent is the originator (unless the agent is the owner or annuitant)
  • Personal checks or cashier’s checks not made payable to the insurer
  • Checks drawn on the account of someone other than the owner or annuitant (an unrelated party)
  • Starter or temporary checks without the name or address of the owner or annuitant on the check (written or typed)
  • Credit card payments for premiums other than the initial premium, if allowed by state law

An unacceptable method of payment submitted by a customer should be returned immediately to the customer, and the AML compliance officer should be notified.

In that agents and brokers collect at least the first policy premium, they may be asked to notify customers of the insurer’s rules and to enforce them.

Wire Transfers


Wire transfers played a critical role in providing the hijackers with the necessary funds to carry out the September 11, 2001 terrorist attacks. Wire transfers are a speedy and effective way to move funds and can therefore be easily used for terrorist purposes. Complex wire transfer schemes can create an intentionally confusing audit trail so that the source and destination of funds intended for terrorist use cannot be determined. Only a limited number of indicators (i.e., source and destination of the funds and the names of involved individuals, where available) help identify potential terrorist wire transfers.

FATF uses the term wire or funds transfer to refer to any financial transaction carried out for a person through a financial institution by electronic means in order to make an amount of money available to a person at another financial institution. In some cases, the sender and the receiver could be the same person.

Wire transfers include transactions that occur within the national boundaries of a country or from one country to another. Given that wire transfers do not involve the actual movement of currency, they are a rapid and secure method for transferring value from one location to another.

Wire transfers, however, should be monitored so that an insurer does not accept or send funds to an OFAC-blocked party. Companies should also monitor wire transfers to ensure that intermediary financial institutions or beneficiaries of the account do not appear on OFAC’s Specially Designated Nationals (SDN) list.

Importance


To fulfill many of the requirements of the BSA, financial institutions and their employees must continuously strive to know their customers. Although not specifically required by the act, if an institution does not effectively know its customer base, it is virtually impossible to determine when suspicious activities occur, who might qualify as an exempt customer, or which transactions would be exempt.

Goals of a Policy


The primary goals of an effective know-your-customer policy are to ensure compliance with regulatory guidelines of the BSA, to properly service reputable clients, and to minimize the institution’s susceptibility to illegal activities. Various enforcement agencies have outlined broad guidelines that financial institutions should follow when establishing a policy. These include:

  • making a reasonable effort to determine the true identify of all customers requesting services of the financial institution;
  • taking particular care to identify the ownership of all accounts and of those using safe-custody facilities;
  • obtaining identification from all new customers;
  • verifying the identity of customers conducting significant business transactions;
  • monitoring activity in an account;
  • identifying the source of funds (or wealth of the client) for an account; and
  • maintaining an awareness of unusual transactions or disproportionate activity relative to the customer’s income or worth.

Identifying Information


One important aspect in preventing money laundering in the insurance industry is for agents to know their customers. No business should be conducted with individuals who refuse to provide identifying information. Many institutions find that the establishment of customer profiles assists them in meeting the objectives discussed.

FinCEN has not issued a separate regulation for insurers as it has for other types of financial institutions. Insurers, however, must collect sufficient information about their customers so that the AML Program will be effective.

Information Gathered by an Agent

As part of the know-your-customer policy, an agent should collect the following types of information about a potential client:
  • Full name (first, middle initial, last)
  • Home address (a P.O. box is unacceptable)
  • Mailing address, if different from the home address
  • Date and place of birth
  • Social Security number or tax identification number
  • Previous experience with owned financial products
  • Financial objective in purchasing product
  • Net worth, liquid net worth, and annual income
  • Citizenship status
An agent should verify the information that the client has provided as much as possible.

Customer Due Diligence


Criminals frequently use a financial institution to transfer funds to launder money or to finance terrorism. Financial institutions are most vulnerable to abuse for those purposes. For their own protection, financial institutions must have adequate controls in place so that they know with whom they are dealing. Adequate due diligence on new and existing customers is key to this process.

There must be rigorous customer due diligence (CDD) measures in place in financial institutions. Basic measures require appropriate identification of a customer and/or beneficial owner, verification of the identity of the customer or beneficial owner, and collection of information on the customer’s objective and nature of the business relationship.

Customer due diligence (CDD) must be applied upon creation of a business relationship or in preparation of a specific cash transaction in excess of a certain amount. CDD must also be applied whenever there is a suspicion of money laundering or terrorist financing.

For higher-risk categories, financial institutions should perform enhanced due diligence (EDD). The critical components of EDD are the reliability of the information and the information sources, the type and quality of sources used, and the proper training of individuals who know where to find information and how to interpret it.

Standards for due diligence have been set by FATF in Recommendation 5 (Customer Due Diligence and Record-Keeping) of its 40 Recommendations, which is recognized as the international standard for combating money laundering activities.

The CDD measures set out in Recommendation 5 do not require financial institutions to identify and verify a customer’s identity every time that a customer conducts a transaction. It may rely on the identification and verification steps already undertaken unless something causes doubt about the veracity of that information.

Examples of situations that might lead an institution to have such doubts might be:

  • a suspicion of money laundering in relation to that customer; or
  • a material change in the way that the customer’s account is operated that is not consistent with the customer’s business profile.

Non-documentary Verification


If an individual cannot legitimately present an unexpired government-issued identification that bears a photograph or if the agent may not be familiar with the documents presented, nondocumentary verification should be performed by matching the information provided by the customer to a certified public information database. A customer’s application will be in pending status until the nondocumentary verification procedures have been completed.

Red Flags


Red flags are actions or items that point to a suspicious activity (i.e., an activity that is outside normal business procedures). The type of activity and the client’s normal activity influence whether an activity should be considered suspicious.

Red flags associated with suspicious activity involving insurance companies and insurance products may be found in anti-money laundering program regulations and International Association of Insurance Supervisors (IAIS) committee reports.

Red flags include, but are not limited to, the following:
  • The purchase of an insurance policy that appears to be beyond a customer's means or normal pattern of business
  • Any unusual method of payment, notably cash or cash equivalents
  • The purchase of an insurance product with monetary instruments in structured amounts
  • The early termination of an insurance contract, especially at a loss
  • The early termination of an insurance contract for which the refund check is to be paid to a third party
  • An overpayment on an insurance contract for which the refund check is to be paid to a third party
  • The transfer of the benefit of an insurance contract to an apparently unrelated third party
  • A customer who shows little or no concern for the performance of the insurance product but much interest about the early termination or surrender of the product
  • A customer who is reluctant to provide identifying information or who gives minimal or fictitious information
  • Undue delay in receiving information necessary to validate or verify an applicant's identity

Red flags include, but are not limited to, the following:

  • Borrowing the maximum cash surrender value from a life insurance policy soon after its purchase
  • Any unusual financial activity on the part of an existing customer, compared with that customer’s usual activities
  • Any unusual financial transaction in the course of some usual financial activity
  • Payment of claims, benefits, or commissions to an unknown intermediary
  • Application for a policy from an individual who lives somewhere else, when a comparable policy could be obtained closer to home
  • Any transaction involving an undisclosed party
  • Purchase of a policy with a large lump sum when the purchaser typically makes small, periodic premium payments
  • Use of a third-party check to purchase an insurance contract
  • Premium payments made by a wire transfer or with foreign currency
  • Applicant for an insurance policy who appears to own similar policies with several different insurers
  • Payment of a large amount broken into small amounts, which appears to be an attempt to avoid depositing funds that may be reported to the federal government as a large transaction
  • Owners or beneficiaries on an insurance policy who are foreign nationals
  • Purchase of multiple small policies on the same individual rather than one large policy, with no valid reason
  • Repeated policy cancellations in a short period of time for significant amounts of money
  • Customer request for an insurance product that has no discernible purpose and customer is reluctant to explain the reason for the investment
  • Substitution during the life of the insurance contract of the beneficiary with a person with no apparent connection to the policyholder
  • Any proposed action that doesn’t make sense and appears to be suspicious
A red flag does not automatically require the filing of a suspicious activity report (SAR), but should be reported immediately to the AML compliance officer. Only an insurer is obliged to file SARs. The insurer’s agents and brokers are not so obliged. Insurers are required to obtain customer information from all relevant sources, which includes its agents and brokers, and must report suspicious activity based upon information from those sources.

Agent and Broker Involvement


As previously stated, the regulations specify that the responsibility to identify and report a suspicious transaction falls on the insurance company involved with the activity. Insurance agents and brokers are currently not required to do this. However, there are a couple of significant caveats.

First, an insurance company's suspicious activity monitoring program must ensure that the company is provided with customer information at the point of sale. Obviously, to comply with this regulation, companies that rely on an agency or broker field force must depend in part on these individuals for this kind of data.

In addition, to the extent that a transaction is conducted through an agent or broker, the company's monitoring program must address how information relevant to evaluating suspicious activity is to be captured. Changes to the way agents conduct fact-finding interviews, needs analyses, or revisions to a company's application form may be warranted so that customer information necessary for compliance with the regulations is captured. Agents may be required to adjust the manner in which they maintain client data (e.g., to include their personal observations and assessments of clients).

An insurer’s AML program is risk based. Therefore, agents and brokers are in the best position to collect and retain information needed to assess the risk associated with the particular business. They are also in the best position to know which customers are in high-risk businesses or high-risk geographic locations, or who are using products or services that may be more susceptible to abuse in money laundering activity.

Suspicious Activity Reports: First Two Years of Mandatory Reporting


Under what is called the suspicious activity reporting rule, beginning May 2, 2006, certain insurance companies are required to report any transaction that appears relevant to a violation of law or regulation and are required to report any transaction involving at least $5,000 or more in funds or other assets if the insurance company knows, suspects, or has reason to suspect that the transaction:

  • involves funds derived from illegal activity or is intended or conducted to hide or disguise funds or assets derived from illegal activity;
  • is designed, whether through structuring or other means, to evade the requirements of the BSA;
  • has no business or apparent lawful purpose, and the insurance company knows of no reasonable explanation for the transaction after examining the available facts; or
  • involves the use of the insurance company to facilitate criminal activity.

Insurance companies submitted 1,917 SARs in the first two years of mandatory suspicious activity reporting. Of this total, 641, or 33%, were filed in the first year of mandatory reporting (May 2, 2006–May 1, 2007) and 1,276, or 67%, were filed in the second year (May 2, 2007–April 30, 2008) nearly double that of the first year.

FinCEN anticipates an increased number of filings and qualitative improvements in those filings as the insurance industry’s compliance programs evolve.

During the second mandatory reporting year, FinCEN found that eight insurers filed 10 reports on scams involving variable annuities with maximized death benefits, and identified four other SARs filed in connection with allegations of terrorist financing.

Many of the SARs filed by insurance companies in the second year were reporting on various suspicious methods of payment.

Filing Suspicious Transaction Reports

To avoid unnecessary reporting, the regulations currently exempt filing, for AML purposes, any report of false information submitted to the insurer for the purpose of obtaining an insurance policy or supporting a claim. However, if there is a reason to believe that false information such as this is related to money laundering or terrorist financing, the insurer must report it and file an SAR-IC.
Insurance companies and their employees are prohibited from disclosing to anyone outside appropriate law enforcement circles that a suspicious activity report for insurance companies (SAR-IC) has been filed. Nor can they share any information about the report. The AML regulations, as amended by the USA PATRIOT Act, provide protection from liability for the filing of suspicious transactions and for not disclosing that they have made such a filing.
SARs generally must be filed with FinCEN no later than 30 calendar days after the date of the initial detection of facts that constitute the basis for the filing of the SAR.
An agent or broker must report to the AML compliance officer:
  • transactions of more than $10,000 that are paid in cash or in cash-like instruments, such as a money order, traveler’s check, or cashier’s check;
  • suspicious transactions of $5,000, either as an individual transaction or in the aggregate for related transactions; and
  • any red flag suspicious activity.

Civil and Criminal Penalties


Both civil and criminal penalties may be imposed against businesses and their employees who fail to comply with the law. Penalties may be assessed for the following infractions:

  • Failure to secure identifying information
  • Failure to maintain required records
  • Failure to file a report or filing a report containing any material omission or misstatement

Regulation
As a result of the terrorist attacks on September 11, 2001 (9/11), Congress enacted the “Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism” Act. This act, commonly referred to as the USA PATRIOT Act, was signed into law by President George W. Bush on October 26, 2001.
Section 352 of the USA PATRIOT Act, in part, requires financial institutions to establish an anti-money laundering (AML) program. Financial institutions must develop and implement AML programs that, at a minimum, include the following:
  • The development of internal policies, procedures, and controls;
  • The designation of an AML compliance officer;
  • An ongoing training function; and
  • An independent audit function to test the program.
Regulations specific to the insurance industry became effective on December 5, 2005, and applicable on May 2, 2006.

When FinCEN (Financial Crimes Enforcement Network) in the Department of the Treasury wrote the PATRIOT Act’s Anti-Money Laundering (AML) Program Regulations for insurance companies, it did not require agents and brokers to establish their own AML programs as part of their responsibilities under the Regulations. Instead, FinCEN relied on the adequacy of the company’s AML program to integrate its agents and brokers into the program, but left open the possibility of revisiting that decision.

FinCEN has designated the IRS to examine insurance companies’ AML programs. An IRS examiner may contact or visit you to assess your AML knowledge—whether you “know your customers,” know what “red flags” are, and know what to do if you encounter one.

FinCEN’s PATRIOT Act AML Program Regulations state that:
  • Insurance companies’ AML programs “must include procedures for obtaining all relevant customer-related information necessary for an effective program, either from its agents and brokers or from other sources.”
  • An insurance company is responsible for integrating its agents and brokers into its anti-money laundering program, for obtaining relevant customer-related information from them, and for using that information to assess the money-laundering risks presented by its business and to identify any ‘red flags’. (emphasis added)
  • "Insurance agents and brokers will play an important role in the effective operation of an insurance company's AML program. By not placing an independent regulatory obligation on agents and brokers, we do not intend to minimize their role and we intend to assess the effectiveness of the rule on an ongoing basis. If it appears that the effectiveness of the rule is being undermined by the failure of agents and brokers to cooperate with their insurance company principals, we will consider proposing appropriate amendments to the rule." (emphasis added)
Violations
Financial institutions, their employees, and producers must maintain strict compliance with AML regulations. Individuals and organizations can be held liable for violations of AML laws in the following ways:

Negligence
A failure to comply with regulatory standards that is not willful or intentional. Ignorance of the standard or improperly filling out the necessary documentation is not a defense.

Willfull Blindness
A deliberate effort to avoid or ignore information that could lead to the discovery of unlawful activity. For example, an individual is considered to be willfully blind if he or she has suspicions regarding a client’s transaction activity or has reason to question the true identity of the beneficial owner of an account, but deliberately chooses not to follow up on those suspicions, preferring instead to remain ignorant of the true circumstances. Willful blindness is punishable under the law with a severity similar to that of an intentional violation.

Intentional Non-Compliance
This includes one or more of the following:
  • Failing to complete the required AML training or having another party complete the training on one’s behalf.
  • Knowingly engaging in laundering money that comes from criminal activity or that will be used to finance terrorism.
  • Knowingly engaging in a transaction involving property representing the proceeds of criminal activity.
  • Structuring, or advising others to structure, transactions to avoid AML reporting requirements.
  • Causing, or attempting to cause, an institution to fail to file a required report or to file a required report with material omissions or misstatements of fact.
Ramifications
The penalties associated with money laundering are severe.
  • Fines may be twice the amount of the transaction up to $1 million.
  • Property involved in the transaction may also be subject to seizure and forfeiture.
  • Employees and producers of financial institutions can be fined individually and sentenced to up to 20 years of imprisonment for knowing or being willfully blind to the fact that the transaction involved illegal funds. You can protect yourself from charges of willful blindness by reporting any suspicious behavior to the carrier's compliance officer and keeping documentation of your report.
  • Reputational risk to you, your firm, and the company you represent.
While federal regulations impose penalties upon carriers and individuals for money-laundering violations, individual carriers may have their own disciplinary policies and procedures. Any producer or employee who does not comply with a carrier’s AML policies and procedures will generally be subject to disciplinary action up to and including termination of employment, and will be reported to the proper legal authorities.

Stages of Money Laundering

Money laundering is the illegal practice of placing money gained from criminal activity through a series of apparently legitimate transactions in order to hide the criminal origin of the money. The goal is to make money from criminal activity appear to be from legitimate sources. Although money laundering is a complex process, it generally follows three stages. These stages can occur simultaneously, separately, or can overlap.
Stage 1: Placement
The initial stage in which money from criminal activities is placed in financial institutions. One of the most common methods of placement is structuring – breaking up currency transactions into portions that fall below the reporting threshold for the specific purpose of avoiding reporting or recordkeeping requirements. Because most carriers do not accept cash payments, you should be on the look out for cash equivalents. Methods may include:
  • Payments of premiums for policies or segregated fund annuities
  • Large number of transactions
  • Using cash or cash equivalents rather than through banking channels
Stage 2: Layering
The process of conducting a complex series of financial transactions, with the purpose of hiding the origin of money from criminal activity and hindering any attempt to trace the funds. This stage can consist of:
  • Multiple transactions
  • Borrowing against insurance policies
  • Termination of policies
  • Early termination of annuities
Stage 3: Integration
The final stage in which an apparently legitimate transaction is used to return the now-laundered funds back to the criminal. Criminals use "laundered funds" to purchase legitimate assets, such as:
  • Money assets
  • Fixed assets
  • Businesses
Stages of Money Laundering (continued)
Most money laundering through insurers occurs at the layering and integration stages. It is less common, but it can happen, during the placement stage when illicit funds first enter the financial system. IRS examiners want to know that if a carrier prohibits payments by cash, you would know what to do if a client attempts to pay with cash.

CIP
It is important to distinguish between the client information that insurance companies are required to obtain and the Customer Identification Program (CIP) Regulations that apply to broker-dealer AML programs and their Registered Representatives who sell variable life and variable annuity products.
Below is an excerpt from FinCEN’s Frequently Asked Questions about the PATRIOT Act insurance company AML regulations.
Presently, insurance companies are not subject to a rule requiring them to implement a Customer Identification Program and obtain minimum mandatory information verifying the identity of a customer. Nevertheless, other applicable Bank Secrecy Act regulations require insurance companies to obtain and retain identifying information from customers in certain situations. For example, insurance companies must obtain all relevant and appropriate customer-related information necessary to administer an effective anti-money laundering program.












CIP
It is important to distinguish between the client information that insurance companies are required to obtain and the Customer Identification Program (CIP) Regulations that apply to broker-dealer AML programs and their Registered Representatives who sell variable life and variable annuity products.
Below is an excerpt from FinCEN’s Frequently Asked Questions about the PATRIOT Act insurance company AML regulations.
Presently, insurance companies are not subject to a rule requiring them to implement a Customer Identification Program and obtain minimum mandatory information verifying the identity of a customer. Nevertheless, other applicable Bank Secrecy Act regulations require insurance companies to obtain and retain identifying information from customers in certain situations. For example, insurance companies must obtain all relevant and appropriate customer-related information necessary to administer an effective anti-money laundering program.

CIP Regulations applicable to broker-dealers under the PATRIOT Act impose specific requirements on them to verify client information. FINRA rules replicate CIP requirements for the AML programs of its member firms. Those rules apply to all securities products, including variable annuity and variable life insurance products.

Regardless of whether a CIP is required on the product that an agent or a broker sells, he or she should know who his or her client is and the source of the client’s funds.

As many agents and brokers offer both registered and non-registered products, this course addresses both the information required by insurance companies and by the CIP of broker-dealers who distribute variable life and variable annuity products of insurance company manufacturers.

Since variable products must be sold by a broker-dealer, the broker-dealer’s CIP procedures apply to the client information Registered Representatives collect in order to “know their customers.”

CIP requirements include:

  • Obtaining client information:
    • The name of the individual or entity,
    • Date of birth for an individual,
    • A physical residential address for an individual or a business address for a business, and
    • An identification number (e.g., Social Security Number or Taxpayer Identification Number).
Verifying identity:
  • Documentary methods of verification, or
  • Non-documentary methods of verification.

CIP requirements include:
Maintaining records of all information obtained, including:
  • All client information obtained.
  • Description of the document relied on, noting the type of document and its identification number, if any, place of issue, and, if any, date of issue and date of expiration.
  • Description of methods and results of non-documentary verification.
  • Description of the resolution of each substantive discrepancy discovered when verifying the information obtained.

Verifying Identity – Documentary Method for Individuals
To verify the client’s information obtained from an individual, the broker-dealer’s CIP may require the recording of information from a current, government-issued identity document that includes a photograph of the person.
Examples of identity documents are:
  • Driver’s license
  • U.S. passport
  • State photo ID card
  • U.S. military ID card
  • Resident alien ID card (green card)
Information that must be recorded includes:
  • The type of document reviewed, and its identification number, if any
  • The place of issue
  • The date of issue, if this is on the document
  • The expiration date
Information on a document that is not consistent with the information the client provided on the application form or on the client profile is a red flag and should be reported to the company that manufactures the product being sold according to the company’s procedures.

Verifying Identity – Documentary Methods for Entities
If the client for a variable annuity or variable life insurance is an entity – such as a trust, a corporation, or a partnership – copies of the following documents, as relevant to the type of entity, may be required by the broker-dealer:
  • Trust Instrument
  • Certified Articles of Incorporation
  • Certificate of Good Standing
  • L.L.C. Operating Agreement
  • Partnership Agreement
  • Government-Issued Business License
Verifying Identity – Non-Documentary Methods
If the variable annuity or variable life insurance sales process is not conducted in person, or if the broker-dealer does not require the review of an identity document for a client when meeting in person, the broker dealer will use one or more non-documentary methods to verify the client information obtained.
Under CIP regulations, a broker-dealer’s non-documentary methods may include:
  • Contacting the client directly;
  • Comparing information provided by the client with information obtained from a consumer reporting agency, public database, or other third-party source;
  • Checking references with other financial institutions; and
  • Obtaining a financial statement.
Where the documentation does not include the SSN/TIN, multiple documents may be necessary (or required by the broker-dealer) to satisfy the requirement.

Know Your Customer

The products for which insurance companies must obtain sufficient client information to meet their regulatory requirements for identifying and reporting suspicious activity are those that have features of cash value and investment. The required information is name, address, date of birth, and a Social Security, Taxpayer Identification, or other identifying number.

Since it is the producer that has direct contact with the client, the carrier relies on the producer to collect the necessary information, to notify the carrier if there are red flags related to information the client provides, and to respond to company requests for client information.

Knowing your customer decreases the chance that you or a carrier will be used to facilitate money laundering. Knowing your customer makes it more likely to identify red flags when they occur, which may be the single most important deterrent to money laundering.

When a company has identified red flags during its review of applications or during monitoring of ongoing transactions, it is necessary to provide client information that will help the company determine whether the red flags warrant filing a Suspicious Activity Report (SAR). Knowing your customer will make this possible.

“Know your customer” involves developing a comprehensive profile for every person or entity who is a client. The comprehensive client profile is also part of a good needs analysis and can support meeting applicable suitability requirements. In addition, LIMRA research shows that a client who receives a needs analysis is more likely to buy and remain a client; thus it benefits the business to know your customer.

Completing a client profile is relevant for all agents and brokers. The client profile is in addition to the information required by insurance companies on annuity and life insurance application forms (i.e., name, street address, date of birth, an identification number, such as SSN or TIN, for insureds/annuitants and, when different, for owners).

Client Profile
Information collected and retained on a client should include items like the following:
  • Details about the client’s business, occupation, or profession.
  • The source of the client’s wealth (i.e., how the client obtained his or her wealth).
  • The source of funds to be used as payment for a policy (e.g., salary income, investments income, or savings versus a one-time windfall such as inheritance or lottery winnings).
  • The client’s current income and the source of his or her income.
  • The client’s assets and net worth.
  • The client’s involvement in governmental entities or activities, and whether he or she was elected or appointed, or volunteered.
  • The client’s involvement in his or her community.
  • How he or she came to be a client.
The information will help in reviewing transactions and identifying red flags as they occur. It is also critical to assessing the risk associated with a particular client and identifying clients who may pose a higher risk of money laundering, such as those owning cash-intensive businesses or who are politically exposed persons (PEPs). Since a vast majority of clients are not involved in money laundering, it is important to be able to recognize red flags quickly in instances where they may appear.

Enhanced Customer Due Diligence
When client information is collected and the client profile is completed, information may be identified that makes a client a higher risk for engaging in money laundering. However, such information does not mean the client is a money launderer or the client is likely to use an annuity or a life insurance product to launder funds.
Nonetheless, it is a “best practice” to be aware of what factors make a client a higher risk and why.
  • A client in a cash-intensive business may be a conduit for money launderers who provide cash to the client to place into an insurance policy and then retrieve it during a free-look period, or during early, full, or partial surrender(s), or by taking loans against the policy.
  • A client in a cash-intensive business may present you with cash to convert to a monetary instrument to avoid paying taxes on those funds.
  • A client in an elected or appointed government position (particularly in a foreign government) is considered higher risk due to possible corruption, misappropriation of funds, or bribery. These persons are known as politically exposed persons, PEPs, or politically exposed foreign persons, PEFPs.
In order to recognize these factors, be alert for any red flags and report red flags to the relevant company according to its procedures.

Clients from certain locations in the U.S. or from certain foreign countries are considered higher risk because those places:

  • Are known to be high financial crime locations in the U.S. (HIFCAs).
  • Are known to be high intensity drug trafficking locations in the U.S. (HIDTAs).
  • Are countries cited by the U.S. Department of State, Department of the Treasury, or the Financial Action Task Force (an international AML watchdog) to have weak anti-money laundering regulations or weak enforcement of their regulations, or to be centers of financial crime or drug trafficking.

In the U.S., those areas are generally the border states and the major counties and cities within them. You can search the Web for the acronyms to see the lists of HIFCA and HIDTA locations. You also can perform a Web search on the Department of State site to see “State Sponsors of Terrorism,” the Department of the Treasury site to see FinCEN “Country Advisories” and countries and entities subject to “Special Measures,” and the Financial Action Task Force site to see a list of jurisdictions with weak, or weakly enforced, anti-money laundering regimes.

Red Flags Overview
The purpose of obtaining client information is to ensure the client is who he or she claims to be, and to know enough about the client to be able to identify red flags related to the information the client provides or the types of transactions he or she may make. Red flags are communications, oral or written, and actions that raise suspicion—they don’t feel right or sound right, they don’t make business sense, or they are inconsistent with what you know or expect.
Red flags can show themselves at any point in the relationship with a client—during pre-sale information gathering, during needs analysis and writing an application, when closing a sale and placing the business in-force, and at any time after a policy is in-force.
The following screens review red flags which may be encountered:
  • During the sales process,
  • When closing the sale and funding the policy, and
  • During the life of the policy.
Red Flags during the Sales Process
  • Client is evasive or unwilling to provide customary information or an identity document for verification.
  • Information client provides is inconsistent with what you know about him/her or that can be corroborated through other sources.
  • Client provides a post office box for address and does not have, or refuses to provide, a street address.
  • Client wants life insurance coverage, or to invest funds in an annuity, for an amount that is inconsistent with the financial information obtained.
  • Client is more interested in product liquidity than in its cost and performance.
  • Client has questions about government reporting that will be required if he purchases.
  • Client is from a distant place and wants to do business with you without a credible explanation.
  • You suspect client is acting as a “front” for an undisclosed third party.
  • Client was introduced by an agent or a referral source in an area known for a high level of financial crimes or drug trafficking.
Red Flags when Closing the Sale and Funding the Policy
  • Client presents cash for the purchase and requests that it be changed into a form the company will accept.
  • Client wants to pay by a cash equivalent method of payment when payment would normally be made by personal or business check.
  • Client wants payment to be made by a third party, without a credible explanation.
  • Client wants to make payment in a foreign currency or wants it to be wire-transferred from a foreign jurisdiction.
  • Client wants to endorse to the company a third-party check made payable to him or her.
  • Client presents several payment instruments in place of a single instrument for payment of the premium (structuring); if cash equivalents, they are higher risk payment methods.
  • Client makes a large overpayment, requesting a refund of the excess amount.
Red Flags during the Life of the Policy
  • Client surrenders the policy early or during the free-look period without a credible explanation.
  • Client wants to pay by a cash equivalent method of payment when payment would normally be made by personal or business check.
  • Client wants payment to be made by a third party, without a credible explanation.
  • Client wants to make payment in a foreign currency or wants it to be wire-transferred from a foreign jurisdiction.
  • Client wants to endorse to the company a third-party check made payable to him or her.
  • Client presents several payment instruments in place of a single instrument for payment of the premium (structuring); if cash equivalents, they are higher risk payment methods.
  • Course Summary
    Overview
    • Insurance companies are required to develop and implement anti-money laundering programs.
    • Violations may be due to negligence, willful blindness, or intentional non-compliance.
    • Potential penalties associated with money laundering include fines, imprisonment, seizure and forfeiture of the property associated with the crime, and damage to the reputation of the parties involved.
    Client makes a large overpayment, requesting a refund of the excess amount.








1 comment:


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