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MA-Life-Insurance-Producer-Exam : General-Provisions : 5 : : Anti-Money Laundering

AML requirements for insurance

Anti-Money Laundering

Money laundering is concealing the illegal source of money by moving it through legitimate financial systems. Insurance products can be used for money laundering, requiring industry vigilance.

Three stages:

1. Placement:
- Introduce illegal money into financial system
- Cash-based transactions
- Buy insurance with cash

2. Layering:
- Complex transactions to hide origin
- Multiple transfers
- Policy loans, surrenders
- Beneficiary changes

3. Integration:
- Money appears legitimate
- Returned to criminal
- "Clean" funds

Characteristics exploited:

High-value transactions:
- Large premium payments
- Lump sum acceptable
- Cash value accumulation

Liquidity features:
- Policy loans
- Surrenders for cash
- Quick access to funds

Anonymity potential:
- Beneficial ownership
- Trusts as owners
- Offshore policies

Investment-like products:
- Variable products
- Accumulation focus
- Returns generated

Suspicious indicators:

Customer behavior:
- Reluctant to provide information
- Vague about source of funds
- Unusual lack of concern about costs
- Requests unusual beneficiary arrangements
- Frequent policy changes
- Overfunds policy

Transaction patterns:
- Large cash payments
- Structured payments (just under $10K)
- Immediate surrender or loan
- Premium from unknown third party
- Cancels shortly after purchase
- Multiple policies with different companies

Business purpose unclear:
- Coverage doesn't match needs
- Over-insurance
- No insurable interest explanation
- Investment focus, not protection

Know Your Customer (KYC):

Must verify:
- Customer identity
- Source of funds
- Purpose of insurance
- Beneficial ownership
- Business/financial profile

Documentation:
- Government-issued ID
- Social Security number
- Proof of address
- Source of wealth
- Financial statements (large cases)

Enhanced due diligence:
- High-risk customers
- Large transactions
- Foreign nationals
- Politically exposed persons (PEPs)

Must report:

SAR (Suspicious Activity Report):
- File with FinCEN
- Within 30 days of detection
- Suspicious transactions
- Known or suspected violations

Currency Transaction Report (CTR):
- Cash transactions over $10,000
- Single transaction or related
- File with FinCEN
- Within 15 days

Do not tip off:
- Cannot tell customer about SAR
- No disclosure
- Criminal penalties for tipping

Insurance companies must:

Anti-Money Laundering (AML) Program:
- Written policies
- Designated compliance officer
- Employee training
- Independent audit
- Risk assessment

Customer Identification Program (CIP):
- Verify identity
- Maintain records
- Check against government lists
- OFAC screening

Front-line defense:

Must:
- Know AML policies
- Verify customer identity
- Recognize red flags
- Report suspicious activity
- Complete training
- Maintain records

Cannot:
- Ignore red flags
- Accept suspicious transactions
- Tip off customers
- Facilitate money laundering

Office of Foreign Assets Control:

Screening required:
- Check against SDN list (Specially Designated Nationals)
- Blocked persons
- Prohibited countries
- Terrorists and drug traffickers

If match found:
- Cannot do business
- Freeze assets
- Report to OFAC
- Reject transaction

Criminal:
- Prison (up to 20 years)
- Fines (up to $500,000)
- Both individual and company

Civil:
- Fines (up to $250,000 per violation)
- Regulatory sanctions
- License revocation
- Reputational damage

  • Money laundering: Making illegal money appear legitimate
  • Three stages: Placement, layering, integration
  • Insurance vulnerability: Large transactions, liquidity, anonymity potential
  • Red flags: Cash payments, vague information, immediate surrender, structured payments
  • Customer due diligence: Verify identity, source of funds, purpose
  • SAR: Suspicious Activity Report - file within 30 days
  • CTR: Currency Transaction Report - cash over $10,000
  • Do not tip off: Cannot tell customer about SAR
  • USA PATRIOT Act: Requires AML program and CIP
  • OFAC: Screen against blocked persons list
  • Producer duties: Verify identity, recognize red flags, report suspicious activity
  • Penalties: Criminal (prison, fines) and civil (fines, sanctions)

AML requirements for insurance

Anti-Money Laundering

Money laundering is concealing the illegal source of money by moving it through legitimate financial systems. Insurance products can be used for money laundering, requiring industry vigilance.

Three stages:

1. Placement:
- Introduce illegal money into financial system
- Cash-based transactions
- Buy insurance with cash

2. Layering:
- Complex transactions to hide origin
- Multiple transfers
- Policy loans, surrenders
- Beneficiary changes

3. Integration:
- Money appears legitimate
- Returned to criminal
- "Clean" funds

Characteristics exploited:

High-value transactions:
- Large premium payments
- Lump sum acceptable
- Cash value accumulation

Liquidity features:
- Policy loans
- Surrenders for cash
- Quick access to funds

Anonymity potential:
- Beneficial ownership
- Trusts as owners
- Offshore policies

Investment-like products:
- Variable products
- Accumulation focus
- Returns generated

Suspicious indicators:

Customer behavior:
- Reluctant to provide information
- Vague about source of funds
- Unusual lack of concern about costs
- Requests unusual beneficiary arrangements
- Frequent policy changes
- Overfunds policy

Transaction patterns:
- Large cash payments
- Structured payments (just under $10K)
- Immediate surrender or loan
- Premium from unknown third party
- Cancels shortly after purchase
- Multiple policies with different companies

Business purpose unclear:
- Coverage doesn't match needs
- Over-insurance
- No insurable interest explanation
- Investment focus, not protection

Know Your Customer (KYC):

Must verify:
- Customer identity
- Source of funds
- Purpose of insurance
- Beneficial ownership
- Business/financial profile

Documentation:
- Government-issued ID
- Social Security number
- Proof of address
- Source of wealth
- Financial statements (large cases)

Enhanced due diligence:
- High-risk customers
- Large transactions
- Foreign nationals
- Politically exposed persons (PEPs)

Must report:

SAR (Suspicious Activity Report):
- File with FinCEN
- Within 30 days of detection
- Suspicious transactions
- Known or suspected violations

Currency Transaction Report (CTR):
- Cash transactions over $10,000
- Single transaction or related
- File with FinCEN
- Within 15 days

Do not tip off:
- Cannot tell customer about SAR
- No disclosure
- Criminal penalties for tipping

Insurance companies must:

Anti-Money Laundering (AML) Program:
- Written policies
- Designated compliance officer
- Employee training
- Independent audit
- Risk assessment

Customer Identification Program (CIP):
- Verify identity
- Maintain records
- Check against government lists
- OFAC screening

Front-line defense:

Must:
- Know AML policies
- Verify customer identity
- Recognize red flags
- Report suspicious activity
- Complete training
- Maintain records

Cannot:
- Ignore red flags
- Accept suspicious transactions
- Tip off customers
- Facilitate money laundering

Office of Foreign Assets Control:

Screening required:
- Check against SDN list (Specially Designated Nationals)
- Blocked persons
- Prohibited countries
- Terrorists and drug traffickers

If match found:
- Cannot do business
- Freeze assets
- Report to OFAC
- Reject transaction

Criminal:
- Prison (up to 20 years)
- Fines (up to $500,000)
- Both individual and company

Civil:
- Fines (up to $250,000 per violation)
- Regulatory sanctions
- License revocation
- Reputational damage

  • Money laundering: Making illegal money appear legitimate
  • Three stages: Placement, layering, integration
  • Insurance vulnerability: Large transactions, liquidity, anonymity potential
  • Red flags: Cash payments, vague information, immediate surrender, structured payments
  • Customer due diligence: Verify identity, source of funds, purpose
  • SAR: Suspicious Activity Report - file within 30 days
  • CTR: Currency Transaction Report - cash over $10,000
  • Do not tip off: Cannot tell customer about SAR
  • USA PATRIOT Act: Requires AML program and CIP
  • OFAC: Screen against blocked persons list
  • Producer duties: Verify identity, recognize red flags, report suspicious activity
  • Penalties: Criminal (prison, fines) and civil (fines, sanctions)
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