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Bills and Amendments: General Index     Bill History: General Index



Senate Study Bill 1220

Bill Text

PAG LIN
  1  1    Section 1.  NEW SECTION.  514H.1  PURPOSE.
  1  2    The purpose of this chapter is to establish standards for
  1  3 the collection, use, and disclosure of information gathered in
  1  4 connection with insurance transactions by insurance carriers,
  1  5 producers, or insurance support organizations; to maintain a
  1  6 balance between the need for information by those conducting
  1  7 the business of insurance and the public's need for fairness
  1  8 in insurance information practices, including the need to
  1  9 minimize intrusiveness; to establish a regulatory mechanism to
  1 10 enable an individual to ascertain what information is being or
  1 11 has been collected about the individual in connection with
  1 12 insurance transactions and to have access to such information
  1 13 for the purpose of verifying or disputing its accuracy; to
  1 14 limit the disclosure of information collected in connection
  1 15 with insurance transactions; and to enable insurance
  1 16 applicants and policyholders to obtain the reason for any
  1 17 adverse underwriting decision.
  1 18    Sec. 2.  NEW SECTION.  514H.2  SCOPE.
  1 19    1.  This chapter applies to an insurance carrier, producer,
  1 20 or insurance support organization as follows:
  1 21    a.  A life, health, and disability insurance carrier that
  1 22 collects, receives, or maintains information in connection
  1 23 with an insurance transaction which pertains to a natural
  1 24 person who is a resident of this state, or that engages in an
  1 25 insurance transaction with an applicant, individual, or a
  1 26 policyholder who is a resident of this state.
  1 27    b.  A property or casualty insurance carrier that collects,
  1 28 receives, or maintains information in connection with an
  1 29 insurance transaction involving a policy, contract, or
  1 30 certificate of insurance delivered, issued for delivery, or
  1 31 renewed in this state, or that engages in an insurance
  1 32 transaction involving a policy, contract, or certificate of
  1 33 insurance delivered, issued for delivery, or renewed in this
  1 34 state.
  1 35    2.  The rights granted under this chapter shall extend to
  2  1 the following:
  2  2    a.  In the case of life, health, or disability insurance,
  2  3 the following persons who are residents of this state:
  2  4    (1)  An individual who is the subject of information
  2  5 collected, received, or maintained in connection with
  2  6 insurance transactions.
  2  7    (2)  An applicant, individual, or policyholder who engages
  2  8 in or seeks to engage in insurance transactions.
  2  9    b.  In the case of property or casualty insurance the
  2 10 following persons:
  2 11    (1)  An individual who is the subject of information
  2 12 collected, received, or maintained in connection with
  2 13 insurance transactions involving policies, contracts, or
  2 14 certificates of insurance delivered, issued for delivery, or
  2 15 renewed in this state.
  2 16    (2)  An applicant, individual, or policyholder who engages
  2 17 in or seeks to engage in insurance transactions involving
  2 18 policies, contracts, or certificates of insurance delivered,
  2 19 issued for delivery, or renewed in this state.
  2 20    3.  For purposes of this section, a person shall be
  2 21 considered a resident of this state if the person's last known
  2 22 mailing address, as shown in the records of the insurance
  2 23 carrier, producer, or insurance support organization, is
  2 24 located in this state.
  2 25    4.  Notwithstanding subsections 1 and 2, this chapter does
  2 26 not apply to information collected from the public records of
  2 27 a governmental authority and maintained by an insurance
  2 28 carrier or the carrier's representatives for the purpose of
  2 29 insuring the title to real property located in this state.
  2 30    Sec. 3.  NEW SECTION.  514H.3  DEFINITIONS.
  2 31    As used in this chapter, unless the context otherwise
  2 32 requires:
  2 33    1.  "Adverse underwriting decision" means:
  2 34    a.  With respect to insurance transactions involving
  2 35 insurance coverage which is individually underwritten, any of
  3  1 the following:
  3  2    (1)  A declination of insurance coverage.
  3  3    (2)  A termination of insurance coverage.
  3  4    (3)  In the case of a property or casualty insurance
  3  5 coverage, either of the following:
  3  6    (a)  Placement by an insurance carrier or producer of a
  3  7 risk with a residual market mechanism, an unauthorized
  3  8 insurance carrier, or an insurance carrier which specializes
  3  9 in substandard risks.
  3 10    (b)  The charging of a higher rate on the basis of
  3 11 information which differs from that which the applicant or
  3 12 policyholder furnished.
  3 13    (4)  In the case of life, health, or disability insurance
  3 14 coverage, an offer to insure at higher than standard rates.
  3 15    b.  Notwithstanding paragraph "a", the following actions
  3 16 shall not be considered adverse underwriting decisions, but
  3 17 the insurance carrier or producer, if the producer has
  3 18 underwriting authority, responsible for their occurrence shall
  3 19 provide the applicant or policyholder with the specific reason
  3 20 or reasons for their occurrence:
  3 21    (1)  The termination of an individual policy form on a
  3 22 class or statewide basis.
  3 23    (2)  A declination of coverage solely because such coverage
  3 24 is not available on a class or statewide basis.
  3 25    (3)  The rescission of a policy or contract.
  3 26    2.  "Affiliate" or "affiliated" means a person who
  3 27 directly, or indirectly through one or more intermediaries,
  3 28 controls, is controlled by, or is under common control with
  3 29 another person.
  3 30    3.  "Applicant" means a person, other than a person seeking
  3 31 group insurance that is not individually underwritten, who
  3 32 seeks to contract for insurance coverage.
  3 33    4.  "Commissioner" means the commissioner of insurance.
  3 34    5.  "Consumer report" means a written, oral, or other
  3 35 communication of information bearing on a natural person's
  4  1 credit worthiness, credit standing, credit capacity,
  4  2 character, general reputation, personal characteristics, or
  4  3 mode of living which is used or expected to be used in
  4  4 connection with an insurance transaction.
  4  5    6.  "Consumer reporting agency" means a person who does all
  4  6 of the following:
  4  7    a.  Regularly engages, in whole or in part, in the practice
  4  8 of assembling or preparing consumer reports for a monetary
  4  9 fee.
  4 10    b.  Obtains information primarily from sources other than
  4 11 insurance carriers.
  4 12    c.  Furnishes consumer reports to other persons.
  4 13    7.  "Control," including the terms "controlled by" or
  4 14 "under common control with," means the possession, direct or
  4 15 indirect, of the power to direct or cause the direction of the
  4 16 management and policies of a person, whether through the
  4 17 ownership of voting securities, by contract other than a
  4 18 commercial contract for goods or nonmanagement services, or
  4 19 otherwise, unless the power is the result of an official
  4 20 position with or corporate office held by the person.
  4 21    8.  "Declination of insurance coverage" means a denial, in
  4 22 whole or in part, by an insurance carrier or producer, if the
  4 23 producer has the authority, of requested insurance coverage.
  4 24    9.  "Individual" means a natural person who is one of the
  4 25 following:
  4 26    a.  In the case of property or casualty insurance, is a
  4 27 past, present, or proposed named insured or certificate
  4 28 holder.
  4 29    b.  In the case of life, health, or disability insurance,
  4 30 is a past, present, or proposed principal insured or
  4 31 certificate holder.
  4 32    c.  Is a past, present, or proposed policyowner.
  4 33    d.  Is a past or present applicant.
  4 34    e.  Is a past or present claimant.
  4 35    f.  Derived, derives, or is proposed to derive insurance
  5  1 coverage under an insurance policy or certificate subject to
  5  2 this chapter.
  5  3    10.  "Institutional source" means a person or governmental
  5  4 entity that provides information about an individual to an
  5  5 insurance carrier, producer, or insurance support
  5  6 organization, other than to any of the following:
  5  7    a.  A producer.
  5  8    b.  The individual who is the subject of the information.
  5  9    c.  An individual acting in a personal capacity rather than
  5 10 in a business or professional capacity.
  5 11    11.  "Insurance carrier" means insurer as defined in
  5 12 section 507.1.  "Insurance carrier" does not include an
  5 13 insurance support organization.
  5 14    12.  a.  "Insurance support organization" means a person
  5 15 who regularly engages, in whole or in part, in the practice of
  5 16 assembling or collecting information about individuals for the
  5 17 primary purpose of providing the information to an insurance
  5 18 carrier or producer for insurance transactions, including
  5 19 either of the following:
  5 20    (1)  The furnishing of consumer reports or investigative
  5 21 consumer reports to an insurance carrier or producer for use
  5 22 in connection with an insurance transaction.
  5 23    (2)  The collection of personal information from an
  5 24 insurance carrier, producer, or other person who regularly
  5 25 engages, in whole or in part, in the practice of assembling or
  5 26 collecting information about individuals for the primary
  5 27 purpose of providing the information to an insurance carrier
  5 28 or producer for insurance transactions, for the purpose of
  5 29 detecting or preventing fraud, material misrepresentation, or
  5 30 material nondisclosure in connection with insurance
  5 31 underwriting or insurance claim activity.
  5 32    b.  Insurance support organization does not mean a
  5 33 producer, government institution, insurance carrier, medical
  5 34 care institution, or medical professional.
  5 35    13.  "Insurance transaction" means any transaction
  6  1 involving insurance primarily for personal, family, or
  6  2 household needs, rather than business or professional needs,
  6  3 which involves any of the following:
  6  4    a.  The determination of an individual's eligibility for an
  6  5 insurance coverage, benefit, or payment.
  6  6    b.  The servicing of an insurance application, policy,
  6  7 contract, or certificate.
  6  8    14.  "Investigative consumer report" means a consumer
  6  9 report or portion of such report in which information about an
  6 10 individual's character, general reputation, personal
  6 11 characteristics, or mode of living is obtained through
  6 12 personal interviews with the person's neighbors, friends,
  6 13 associates, acquaintances, or others who may have knowledge
  6 14 concerning such items of information.
  6 15    15.  "Medical care institution" means a facility or
  6 16 institution that is licensed to provide health care services
  6 17 to an individual, including but not limited to a health
  6 18 maintenance organization, home-health agency, hospital,
  6 19 medical clinic, public health agency, rehabilitation agency,
  6 20 and skilled nursing facility.
  6 21    16.  "Medical professional" means a person licensed under
  6 22 Title IV, subtitle 3.
  6 23    17.  "Medical record information" means personal
  6 24 information that satisfies both of the following:
  6 25    a.  Relates to an individual's physical or mental
  6 26 condition, medical history, or medical treatment.
  6 27    b.  Is obtained from a medical professional or medical care
  6 28 institution, from the individual, or from the individual's
  6 29 spouse, parent, or legal guardian.
  6 30    18.  "Person" means person as defined in section 4.1.
  6 31    19.  "Personal information" means individually identifiable
  6 32 information gathered in connection with an insurance
  6 33 transaction from which judgments can be made about an
  6 34 individual's character, habits, avocations, finances,
  6 35 occupation, general reputation, credit, health, or any other
  7  1 personal characteristics.  "Personal information" includes an
  7  2 individual's name and address and medical record information,
  7  3 but does not include privileged information, except as
  7  4 provided in subsection 22.
  7  5    20.  "Policyholder" means a person who is any of the
  7  6 following:
  7  7    a.  In the case of individual property or casualty
  7  8 insurance, a present named insured.
  7  9    b.  In the case of individual life, health, or disability
  7 10 insurance, a present policyowner.
  7 11    c.  In the case of group insurance which is individually
  7 12 underwritten, a present group certificate holder.
  7 13    21.  "Pretext interview" means an interview where a person,
  7 14 in an attempt to obtain information about an individual,
  7 15 engages in any of the following:
  7 16    a.  Pretends to be someone the person is not.
  7 17    b.  Pretends to represent another person whom the person is
  7 18 not in fact representing.
  7 19    c.  Misrepresents the true purpose of the interview.
  7 20    d.  Refuses to identify the person's self upon request.
  7 21    22.  a.  "Privileged information" means individually
  7 22 identifiable information that satisfies both of the following:
  7 23    (1)  Relates to a claim for insurance benefits or a civil
  7 24 or criminal proceeding involving an individual.
  7 25    (2)  Is collected in connection with or in reasonable
  7 26 anticipation of a claim for insurance benefits or a civil or
  7 27 criminal proceeding involving an individual.
  7 28    b.  Information otherwise meeting the requirements of
  7 29 paragraph "a" shall nevertheless be considered personal
  7 30 information if it is disclosed in violation of section
  7 31 514H.14.
  7 32    23.  "Producer" means producer as defined in section
  7 33 510A.2.
  7 34    24.  "Residual market mechanism" means a residual market
  7 35 mechanism as defined in section 515F.2.
  8  1    25.  "Termination of insurance coverage" or "termination of
  8  2 an insurance policy" means either a cancellation or nonrenewal
  8  3 of an insurance policy, in whole or in part, for any reason
  8  4 other than the failure to pay a premium as required by the
  8  5 insurance policy.
  8  6    26.  "Unauthorized insurance carrier" means a person who is
  8  7 transacting or attempting to transact the business of
  8  8 insurance in this state, but who is not licensed by the
  8  9 commissioner to transact the business of insurance in this
  8 10 state.
  8 11    Sec. 4.  NEW SECTION.  514H.4  PRETEXT INTERVIEWS.
  8 12    An insurance carrier, producer, or insurance support
  8 13 organization shall not use or authorize the use of pretext
  8 14 interviews to obtain information in connection with an
  8 15 insurance transaction.  However, a pretext interview may be
  8 16 undertaken to obtain information from a person or institution
  8 17 that does not have a generally or statutorily recognized
  8 18 privileged relationship with the person about whom the
  8 19 information relates for the purpose of investigating a claim
  8 20 where, based upon specific information available for review by
  8 21 the commissioner, there is a reasonable basis for suspecting
  8 22 criminal activity, fraud, material misrepresentation, or
  8 23 material nondisclosure in connection with the claim.
  8 24    Sec. 5.  NEW SECTION.  514H.5  NOTICE OF INSURANCE
  8 25 INFORMATION PRACTICES.
  8 26    1.  An insurance carrier shall provide a notice of
  8 27 information practices to an applicant or policyholder in
  8 28 connection with an insurance transaction as follows:
  8 29    a.  In the case of an application for insurance, a notice
  8 30 shall be provided no later than the following:
  8 31    (1)  At the time of the delivery of the insurance policy or
  8 32 certificate when personal information is collected only from
  8 33 the applicant or from public records.
  8 34    (2)  At the time the collection of personal information is
  8 35 initiated when personal information is collected from a source
  9  1 other than the applicant or public records.
  9  2    b.  In the case of a policy renewal, a notice shall be
  9  3 provided no later than the policy renewal date, except that
  9  4 notice is not required in connection with a policy renewal if
  9  5 either of the following apply:
  9  6    (1)  Personal information is collected only from the
  9  7 policyholder or from public records.
  9  8    (2)  A notice meeting the requirements of this section has
  9  9 been given within the previous twenty-four months.
  9 10    c.  In the case of a policy reinstatement or change in
  9 11 insurance benefits, a notice shall be provided no later than
  9 12 the time a request for a policy reinstatement or change in
  9 13 insurance benefits is received by the insurance carrier,
  9 14 except that notice is not required if personal information is
  9 15 collected only from the policyholder or from public records.
  9 16    2.  Except as provided in subsection 3, the notice required
  9 17 under subsection 1 shall be in writing and shall state all of
  9 18 the following:
  9 19    a.  Whether personal information may be collected from
  9 20 persons other than the individual or individuals proposed for
  9 21 coverage.
  9 22    b.  The types of personal information that may be collected
  9 23 and the types of sources and investigative techniques that may
  9 24 be used to collect such information.
  9 25    c.  The types of disclosures identified in section 514H.14,
  9 26 subsections 2, 3, 4, 5, 6, 9, 11, 12, and 14, and the
  9 27 circumstances under which such disclosures may be made without
  9 28 prior authorization.  However, only those circumstances need
  9 29 be described which occur with such frequency as to indicate a
  9 30 general business practice.
  9 31    d.  A description of the rights established under sections
  9 32 514H.9 and 514H.10 and the manner in which such rights may be
  9 33 exercised.
  9 34    e.  That information obtained from a report prepared by an
  9 35 insurance support organization may be retained by the
 10  1 insurance support organization and disclosed to other persons.
 10  2    3.  Notwithstanding subsection 2, an insurance carrier may
 10  3 provide an abbreviated notice informing the applicant or
 10  4 policyholder of all of the following:
 10  5    a.  Personal information may be collected from persons
 10  6 other than the individual or individuals proposed for
 10  7 coverage.
 10  8    b.  That the information in paragraph "a" as well as other
 10  9 personal information or privileged information subsequently
 10 10 collected by the insurance carrier may in certain
 10 11 circumstances be disclosed to third parties without
 10 12 authorization.
 10 13    c.  A right of access and correction exists with respect to
 10 14 all personal information collected.
 10 15    d.  The information required under the notice requirements
 10 16 of subsection 2 will be furnished to the applicant or
 10 17 policyholder upon request.
 10 18    4.  The obligations imposed by this section upon an
 10 19 insurance carrier may be satisfied by another insurance
 10 20 carrier authorized to act on its behalf.
 10 21    Sec. 6.  NEW SECTION.  514H.6  MARKETING AND RESEARCH
 10 22 SURVEYS.
 10 23    An insurance carrier shall clearly specify those questions
 10 24 designed to obtain personal information from an individual in
 10 25 connection with an insurance transaction which is solely for
 10 26 marketing or research purposes.
 10 27    Sec. 7.  NEW SECTION.  514H.7  CONTENT OF DISCLOSURE
 10 28 AUTHORIZATION FORMS.
 10 29    An insurance carrier, producer, or insurance support
 10 30 organization shall not utilize a form or statement as its
 10 31 disclosure authorization form which authorizes the disclosure
 10 32 of personal information or privileged information about an
 10 33 individual to the insurance carrier, producer, or insurance
 10 34 support organization in connection with insurance
 10 35 transactions, unless the form or statement satisfies all of
 11  1 the following:
 11  2    1.  The form or statement is written in plain language.
 11  3    2.  The form or statement is dated.
 11  4    3.  The form or statement specifies the types of persons
 11  5 authorized to disclose information about the individual.
 11  6    4.  The form or statement specifies the nature of the
 11  7 information authorized to be disclosed.
 11  8    5.  The form or statement names the insurance carrier and
 11  9 identifies by generic reference representatives of the
 11 10 insurance carrier to whom the individual is authorizing
 11 11 information to be disclosed.
 11 12    6.  The form or statement specifies the purposes for which
 11 13 the information is collected.
 11 14    7.  The form or statement specifies the length of time such
 11 15 authorization shall remain valid, which shall be no longer
 11 16 than the following:
 11 17    a.  For purposes of an authorization signed for the
 11 18 collecting of information for an application for an insurance
 11 19 policy, a policy reinstatement, or a request for change in
 11 20 policy benefits:
 11 21    (1)  Thirty months from the date the authorization is
 11 22 signed, if the application or request involves life, health,
 11 23 or disability insurance.
 11 24    (2)  One year from the date the authorization is signed, if
 11 25 the application or request involves property or casualty
 11 26 insurance.
 11 27    b.  For purposes of an authorization signed for the
 11 28 collecting of information for a claim for benefits under an
 11 29 insurance policy:
 11 30    (1)  The term of coverage of the policy, if the claim is
 11 31 for a health insurance benefit.
 11 32    (2)  The duration of the claim, if the claim is not for a
 11 33 health insurance benefit.
 11 34    8.  The form or statement advises the individual or a
 11 35 person authorized to act on behalf of the individual that the
 12  1 individual or the individual's authorized representative is
 12  2 entitled to receive a copy of the authorization form.
 12  3    Sec. 8.  NEW SECTION.  514H.8  INVESTIGATIVE CONSUMER
 12  4 REPORTS.
 12  5    1.  An insurance carrier or insurance support organization
 12  6 shall not prepare or request an investigative consumer report
 12  7 about an individual in connection with an insurance
 12  8 transaction involving an application for insurance, a policy
 12  9 renewal, a policy reinstatement, or a change in insurance
 12 10 benefits unless the insurance carrier informs the individual
 12 11 of both of the following:
 12 12    a.  That the individual may request to be interviewed in
 12 13 connection with the preparation of the investigative consumer
 12 14 report.
 12 15    b.  That upon a request pursuant to section 514H.9, the
 12 16 individual is entitled to receive a copy of the investigative
 12 17 consumer report.
 12 18    2.  If an investigative consumer report is to be prepared
 12 19 by an insurance carrier, the insurance carrier shall institute
 12 20 reasonable procedures to conduct a personal interview
 12 21 requested by an individual.
 12 22    3.  If an investigative consumer report is to be prepared
 12 23 by an insurance support organization, the insurance carrier
 12 24 desiring such report shall inform the insurance support
 12 25 organization whether a personal interview has been requested
 12 26 by the individual.  The insurance support organization shall
 12 27 institute reasonable procedures to conduct such interviews, if
 12 28 the individual has so requested.
 12 29    Sec. 9.  NEW SECTION.  514H.9  ACCESS TO RECORDED PERSONAL
 12 30 INFORMATION.
 12 31    1.  If an individual, after proper identification, submits
 12 32 a written request to an insurance carrier, producer, or
 12 33 insurance support organization for access to recorded personal
 12 34 information about the individual which is reasonably described
 12 35 by the individual and may reasonably be located and retrieved
 13  1 by the insurance carrier, producer, or insurance support
 13  2 organization, the insurance carrier, producer, or insurance
 13  3 support organization, within sixty business days from the date
 13  4 such request is received, shall do all of the following:
 13  5    a.  Inform the individual of the nature and substance of
 13  6 such recorded personal information in writing, by telephone,
 13  7 or by other oral communication, whichever option is selected
 13  8 by the insurance carrier, producer, or insurance support
 13  9 organization.
 13 10    b.  Permit the individual to see and copy, in person, such
 13 11 recorded personal information pertaining to the individual or
 13 12 to obtain a copy of such recorded personal information by
 13 13 mail, at the option of the individual, unless such recorded
 13 14 personal information is in coded form, in which case an
 13 15 accurate translation in plain language shall be provided in
 13 16 writing.
 13 17    c.  Disclose to the individual the identity, if recorded,
 13 18 of those persons to whom the insurance carrier, producer, or
 13 19 insurance support organization has disclosed such personal
 13 20 information within the two-year period immediately prior to
 13 21 such request, and if the identity is not recorded, the names
 13 22 of those insurance carriers, producers, insurance support
 13 23 organizations, or other persons to whom such information is
 13 24 normally disclosed.
 13 25    d.  Provide the individual with a summary of the procedures
 13 26 by which the individual may request correction, amendment, or
 13 27 deletion of recorded personal information.
 13 28    2.  Personal information provided pursuant to subsection 1
 13 29 shall identify the source of the information if such source is
 13 30 an institutional source.
 13 31    3.  Medical record information provided by a medical care
 13 32 institution or a medical professional and requested under
 13 33 subsection 1, together with the identity of the medical care
 13 34 institution or medical professional which provided such
 13 35 information, shall be disclosed either directly to the
 14  1 individual or to a medical professional designated by the
 14  2 individual and licensed to provide medical care with respect
 14  3 to the condition to which the information relates, at the
 14  4 option of the insurance carrier, producer, or insurance
 14  5 support organization.  If the insurance carrier, producer, or
 14  6 insurance support organization elects to disclose the
 14  7 information to a medical professional designated by the
 14  8 individual, the insurance carrier, producer, or insurance
 14  9 support organization shall notify the individual, at the time
 14 10 of the disclosure, that the information has been provided to
 14 11 the medical professional.
 14 12    4.  Except for personal information provided under 514H.11,
 14 13 an insurance carrier, producer, or insurance support
 14 14 organization may charge a reasonable fee to cover the costs
 14 15 incurred in providing a copy of recorded personal information
 14 16 to an individual.
 14 17    5.  The obligations imposed by this section upon an
 14 18 insurance carrier or producer may be satisfied by another
 14 19 insurance carrier or producer authorized to act on its behalf.
 14 20 With respect to the copying and disclosure of recorded
 14 21 personal information pursuant to a request under subsection 1,
 14 22 an insurance carrier, producer, or insurance support
 14 23 organization may make arrangements with an insurance support
 14 24 organization or a consumer reporting agency to copy and
 14 25 disclose recorded personal information on the carrier's or
 14 26 producer's behalf.
 14 27    6.  The rights granted to an individual under this section
 14 28 shall extend to all information about the individual which is
 14 29 collected and maintained by an insurance carrier, producer, or
 14 30 insurance support organization in connection with an insurance
 14 31 transaction.  The rights granted to an individual under this
 14 32 section shall not extend to information about such individual
 14 33 that relates to and is collected in connection with or in
 14 34 reasonable anticipation of a claim or civil or criminal
 14 35 proceeding involving such individual.
 15  1    7.  For purposes of this section, "insurance support
 15  2 organization" does not include a consumer reporting agency,
 15  3 except to the extent this section imposes more stringent
 15  4 requirements on a consumer reporting agency than does other
 15  5 state or federal law.
 15  6    Sec. 10.  NEW SECTION.  514H.10  CORRECTION, AMENDMENT, OR
 15  7 DELETION OF RECORDED PERSONAL INFORMATION.
 15  8    1.  Within thirty business days from the date of receipt of
 15  9 a written request from an individual to correct, amend, or
 15 10 delete any recorded personal information about the individual
 15 11 possessed by an insurance carrier, producer, or insurance
 15 12 support organization, the insurance carrier, producer, or
 15 13 insurance support organization shall do one of the following:
 15 14    a.  Correct, amend, or delete the portion of the recorded
 15 15 personal information in dispute.
 15 16    b.  Notify the individual of a refusal to make such
 15 17 correction, amendment, or deletion; the reasons for the
 15 18 refusal; and that the individual has a right to file a
 15 19 statement as provided in subsection 3.
 15 20    2.  If the insurance carrier, producer, or insurance
 15 21 support organization corrects, amends, or deletes recorded
 15 22 personal information pursuant to subsection 1, paragraph "a",
 15 23 the insurance carrier, producer, or insurance support
 15 24 organization shall notify the individual in writing of such
 15 25 correction, amendment, or deletion, and furnish the
 15 26 correction, amendment, or fact of deletion to the following:
 15 27    a.  A person specifically designated by the individual who,
 15 28 within the preceding two years, may have received such
 15 29 recorded personal information.
 15 30    b.  An insurance support organization whose primary source
 15 31 of personal information is insurance carriers, if the
 15 32 insurance support organization has systematically received
 15 33 such recorded personal information from the insurance carrier
 15 34 within the preceding seven years.  However, the correction,
 15 35 amendment, or fact of deletion need not be furnished if the
 16  1 insurance support organization no longer maintains or uses the
 16  2 recorded personal information about the individual.
 16  3    c.  An insurance support organization that furnished the
 16  4 personal information that has been corrected, amended, or
 16  5 deleted.
 16  6    3.  An individual who disagrees with a refusal by an
 16  7 insurance carrier, producer, or insurance support organization
 16  8 to correct, amend, or delete recorded personal information,
 16  9 within the possession of the insurance carrier, producer, or
 16 10 insurance support organization, shall be permitted to file
 16 11 with the insurance carrier, producer, or insurance support
 16 12 organization any of the following:
 16 13    a.  A concise statement setting forth what the individual
 16 14 thinks is the correct, relevant, or fair information.
 16 15    b.  A concise statement of the reasons why the individual
 16 16 disagrees with the refusal of the insurance carrier, producer,
 16 17 or insurance support organization to correct, amend, or delete
 16 18 recorded personal information.
 16 19    4.  If an individual files a statement under subsection 3,
 16 20 the insurance carrier, producer, or insurance support
 16 21 organization that possesses the personal information shall do
 16 22 all of the following:
 16 23    a.  File the statement with the disputed personal
 16 24 information and provide a means by which a person reviewing
 16 25 the disputed personal information will be made aware of the
 16 26 individual's statement and have access to the statement.
 16 27    b.  In any subsequent disclosure by the insurance carrier,
 16 28 producer, or support organization of the recorded personal
 16 29 information that is the subject of disagreement, clearly
 16 30 identify the matter or matters in dispute and provide the
 16 31 individual's statement along with the recorded personal
 16 32 information being disclosed.
 16 33    c.  Furnish the statement to the persons and in the manner
 16 34 specified in subsection 2.
 16 35    5.  The rights granted to an individual under this section
 17  1 shall extend to all natural persons to the extent information
 17  2 about them is collected and maintained by an insurance
 17  3 carrier, producer, or insurance support organization in
 17  4 connection with an insurance transaction.  The rights granted
 17  5 to a natural person under this subsection shall not extend to
 17  6 information about such natural person that relates to and is
 17  7 collected in connection with or in reasonable anticipation of
 17  8 a claim or a civil or criminal proceeding involving such
 17  9 natural person.
 17 10    6.  For purposes of this section, "insurance support
 17 11 organization" does not include a consumer reporting agency
 17 12 except to the extent that this section imposes more stringent
 17 13 requirements on a consumer reporting agency than does other
 17 14 state or federal law.
 17 15    Sec. 11.  NEW SECTION.  514H.11  REASONS FOR ADVERSE
 17 16 UNDERWRITING DECISIONS.
 17 17    1.  An insurance carrier or a producer with underwriting
 17 18 authority who is responsible for an adverse underwriting
 17 19 decision shall do both of the following:
 17 20    a.  Either provide the applicant, policyholder, or
 17 21 individual proposed for coverage with the specific reason or
 17 22 reasons for the adverse underwriting decision in writing, or
 17 23 advise such person that upon written request the person may
 17 24 receive the specific reason or reasons in writing.
 17 25    b.  Provide the applicant, policyholder, or individual
 17 26 proposed for coverage with a summary of the rights established
 17 27 under subsection 2, and sections 514H.9 and 514H.10.
 17 28    2.  Upon receiving a written request from an applicant,
 17 29 policyholder, or individual proposed for coverage within
 17 30 ninety business days from the date of the mailing of notice or
 17 31 other communication of an adverse underwriting decision to the
 17 32 applicant, policyholder, or individual proposed for coverage,
 17 33 the insurance carrier or producer, if the producer has
 17 34 underwriting authority, shall furnish to such person, within
 17 35 twenty-one business days of receipt of the request, the
 18  1 following:
 18  2    a.  The specific reason or reasons for the adverse
 18  3 underwriting decision, in writing, if such information was not
 18  4 initially furnished in writing pursuant to subsection 1,
 18  5 paragraph "a".
 18  6    b.  The specific items of personal information and
 18  7 privileged information that support those reasons.  However,
 18  8 the disclosure under this paragraph is subject to the
 18  9 following:
 18 10    (1)  The insurance carrier or producer, if the producer has
 18 11 underwriting authority, shall not be required to furnish
 18 12 specific items of privileged information if it has a
 18 13 reasonable suspicion, based upon specific information
 18 14 available for review by the commissioner, that the applicant,
 18 15 policyholder, or individual proposed for coverage has engaged
 18 16 in criminal activity, fraud, material misrepresentation, or
 18 17 material nondisclosure.
 18 18    (2)  Specific items of medical record information supplied
 18 19 by a medical care institution or medical professional shall
 18 20 only be disclosed either directly to the individual about whom
 18 21 the information relates or to a medical professional
 18 22 designated by the individual and licensed to provide medical
 18 23 care with respect to the condition to which the information
 18 24 relates, whichever the insurance carrier or producer prefers.
 18 25    c.  The names and addresses of the institutional sources
 18 26 that supplied the specific items of information pursuant to
 18 27 subsection 2, paragraph "b".  However, the identity of any
 18 28 medical professional or medical care institution shall only be
 18 29 disclosed either directly to the individual or to the
 18 30 designated medical professional, whichever the insurance
 18 31 carrier or producer prefers.
 18 32    3.  The obligations imposed by this section upon an
 18 33 insurance carrier or producer, if the producer has
 18 34 underwriting authority, may be satisfied by another insurance
 18 35 carrier or producer authorized to act on its behalf.
 19  1    4.  If an adverse underwriting decision results solely from
 19  2 an oral request or inquiry, the explanation of reasons and
 19  3 summary of rights required under subsection 1 may be provided
 19  4 orally.
 19  5    Sec. 12.  NEW SECTION.  514H.12  INFORMATION CONCERNING
 19  6 PREVIOUS ADVERSE UNDERWRITING DECISIONS.
 19  7    An insurance carrier, producer, or insurance support
 19  8 organization shall not seek information in connection with an
 19  9 insurance transaction concerning a previous adverse
 19 10 underwriting decision experienced by an individual, or a
 19 11 previous insurance coverage obtained by an individual through
 19 12 a residual market mechanism, unless such inquiry also requests
 19 13 the reasons for a previous adverse underwriting decision or
 19 14 the reasons why insurance coverage was previously obtained
 19 15 through a residual market mechanism.
 19 16    Sec. 13.  NEW SECTION.  514H.13  PREVIOUS ADVERSE
 19 17 UNDERWRITING DECISIONS.
 19 18    An insurance carrier or producer, if the producer has
 19 19 underwriting authority, shall not base an adverse underwriting
 19 20 decision in whole or in part on either of the following:
 19 21    1.  On the fact of a previous adverse underwriting decision
 19 22 or on the fact that an individual previously obtained
 19 23 insurance coverage through a residual market mechanism.
 19 24 However, an insurance carrier or producer may base an adverse
 19 25 underwriting decision on further information obtained from an
 19 26 insurance carrier or producer responsible for a previous
 19 27 adverse underwriting decision.
 19 28    2.  On personal information received from an insurance
 19 29 support organization whose primary source of information is
 19 30 insurance carriers.  However, an insurance carrier or producer
 19 31 may base an adverse underwriting decision on further personal
 19 32 information obtained as a result of information received from
 19 33 an insurance support organization.
 19 34    Sec. 14.  NEW SECTION.  514H.14  DISCLOSURE LIMITATIONS AND
 19 35 CONDITIONS.
 20  1    An insurance carrier, producer, or insurance support
 20  2 organization shall not disclose any personal information or
 20  3 privileged information regarding an individual collected or
 20  4 received in connection with an insurance transaction except as
 20  5 follows:
 20  6    1.  With the written authorization of the individual.
 20  7 Written authorization submitted by a person other than the
 20  8 individual must satisfy the following:
 20  9    a.  If such authorization is submitted by another insurance
 20 10 carrier, producer, or insurance support organization, the
 20 11 authorization must satisfy the requirements of section 514H.7.
 20 12    b.  If such authorization is submitted by a person other
 20 13 than an insurance carrier, producer, or insurance support
 20 14 organization, the authorization must be dated, signed by the
 20 15 individual, and must have been obtained by such person no more
 20 16 than one year prior to the date a disclosure is sought
 20 17 pursuant to this subsection.
 20 18    2.  To a person other than an insurance carrier, producer,
 20 19 or insurance support organization, provided such disclosure is
 20 20 reasonably necessary to accomplish either of the following:
 20 21    a.  To enable such person to perform a business,
 20 22 professional, or insurance function for the insurance carrier,
 20 23 producer, or insurance support organization and such person
 20 24 agrees not to disclose the information further without the
 20 25 individual's written authorization, unless the further
 20 26 disclosure would otherwise be permitted under this section if
 20 27 made by an insurance carrier, producer, or insurance support
 20 28 organization, or the further disclosure is reasonably
 20 29 necessary for such person to perform its function for the
 20 30 insurance carrier, producer, or insurance support
 20 31 organization.
 20 32    b.  To enable such person to provide information to the
 20 33 insurance carrier, producer, or insurance support organization
 20 34 for the purpose of determining an individual's eligibility for
 20 35 an insurance benefit or payment, or detecting or preventing
 21  1 criminal activity, fraud, material misrepresentation, or
 21  2 material nondisclosure in connection with an insurance
 21  3 transaction.
 21  4    3.  To another insurance carrier, producer, insurance
 21  5 support organization, or self-insurance carrier, provided the
 21  6 information disclosed is limited to that which is reasonably
 21  7 necessary to detect or prevent criminal activity, fraud,
 21  8 material misrepresentation, or material nondisclosure in
 21  9 connection with insurance transactions, or to permit either
 21 10 the disclosing or receiving insurance carrier, producer, or
 21 11 insurance support organization to perform its function in
 21 12 connection with an insurance transaction involving the
 21 13 individual.
 21 14    4.  To a medical care institution or medical professional
 21 15 for the purpose of verifying insurance coverage or benefits,
 21 16 informing an individual of a medical problem of which the
 21 17 individual may not be aware, or conducting an operations or
 21 18 services audit to verify the identity of individuals treated
 21 19 by the medical professional or at the medical care
 21 20 institution.  Information disclosed pursuant to this
 21 21 subsection shall only be such information as is reasonably
 21 22 necessary to accomplish the purposes under this subsection.
 21 23    5.  To an insurance regulatory agency or authority.
 21 24    6.  To a law enforcement agency or other governmental
 21 25 authority if such disclosure is necessary to protect the
 21 26 interests of the insurance carrier, producer, or insurance
 21 27 support organization in preventing or prosecuting the
 21 28 perpetration of fraud, or if the insurance carrier, producer,
 21 29 or insurance support organization reasonably believes that
 21 30 illegal activities have been conducted by the individual.
 21 31    7.  Is otherwise permitted or required by law.
 21 32    8.  In response to a facially valid administrative or
 21 33 judicial order, including a search warrant or subpoena where
 21 34 applicable.
 21 35    9.  For the purpose of conducting actuarial or research
 22  1 studies.  A disclosure under this subsection shall satisfy all
 22  2 of the following:
 22  3    a.  An individual shall not be identified in any actuarial
 22  4 or research report.
 22  5    b.  Materials allowing the individual to be identified
 22  6 shall be returned or destroyed as soon as they are no longer
 22  7 needed.
 22  8    c.  The actuarial or research organization agrees not to
 22  9 disclose the information unless the disclosure would otherwise
 22 10 be permitted by this section if made by an insurance carrier,
 22 11 producer, or insurance support organization.
 22 12    10.  To a party or representative of a party to a proposed
 22 13 or consummated sale, transfer, merger, or consolidation of all
 22 14 or part of the business of the insurance carrier, producer, or
 22 15 insurance support organization.  A disclosure under this
 22 16 subsection shall satisfy all of the following:
 22 17    a.  Prior to the consummation of the sale, transfer,
 22 18 merger, or consolidation only such information is disclosed as
 22 19 is reasonably necessary to enable the recipient to make
 22 20 business decisions about the purchase, transfer, merger, or
 22 21 consolidation.
 22 22    b.  The recipient agrees not to disclose the information
 22 23 unless the disclosure would otherwise be permitted by this
 22 24 section if made by an insurance carrier, producer, or
 22 25 insurance support organization.
 22 26    11.  To a person whose only use of such information will be
 22 27 in connection with the marketing of a product or service.  A
 22 28 disclosure made pursuant to this subsection shall satisfy all
 22 29 of the following:
 22 30    a.  Medical record information, privileged information, and
 22 31 personal information relating to an individual's character,
 22 32 personal habits, mode of living, or general reputation shall
 22 33 not be disclosed, and any classification derived from such
 22 34 information shall not be disclosed.
 22 35    b.  The individual has been given an opportunity to
 23  1 indicate that the individual does not want personal
 23  2 information disclosed for marketing purposes and has not given
 23  3 such an indication.
 23  4    c.  The person receiving such information agrees not to use
 23  5 such information except in connection with the marketing of a
 23  6 product or service.
 23  7    12.  To an affiliate whose only use of the information will
 23  8 be in connection with an audit of the insurance carrier or
 23  9 producer or the marketing of an insurance product or service.
 23 10 However, the affiliate shall agree not to disclose the
 23 11 information for any other purpose or to unaffiliated persons.
 23 12    13.  By a consumer reporting agency, only to a person other
 23 13 than an insurance carrier or producer.
 23 14    14.  To a group policyholder for the purpose of reporting
 23 15 claims experience or conducting an audit of the insurance
 23 16 carrier's or producer's operations or services.  The
 23 17 information disclosed under this subsection must be reasonably
 23 18 necessary for the group policyholder to conduct the review or
 23 19 audit.
 23 20    15.  To a professional peer review organization for the
 23 21 purpose of reviewing the service or conduct of a medical care
 23 22 institution or medical professional.
 23 23    16.  To a governmental authority for the purpose of
 23 24 determining an individual's eligibility for health benefits
 23 25 for which the governmental authority may be liable.
 23 26    17.  To a certificate holder or policyholder for the
 23 27 purpose of providing information regarding the status of an
 23 28 insurance transaction.
 23 29    18.  To a lienholder, mortgagee, assignee, lessor, or other
 23 30 person shown on the records of an insurance carrier or
 23 31 producer as having a legal or beneficial interest in a policy
 23 32 of insurance.  However, any disclosure under this subsection
 23 33 shall satisfy the following:
 23 34    a.  Medical record information is not disclosed unless the
 23 35 disclosure would otherwise be permitted by this section.
 24  1    b.  The information disclosed is limited to that which is
 24  2 reasonably necessary to permit such person to protect the
 24  3 person's interests in such policy.
 24  4    Sec. 15.  NEW SECTION.  514H.15  POWER OF COMMISSIONER.
 24  5    1.  The commissioner may examine and investigate the
 24  6 affairs of an insurance carrier or producer doing business in
 24  7 this state to determine whether the insurance carrier or
 24  8 producer has been or is engaged in any conduct in violation of
 24  9 this chapter.
 24 10    2.  The commissioner may examine and investigate the
 24 11 affairs of an insurance support organization acting on behalf
 24 12 of an insurance carrier or producer which either transacts
 24 13 business in this state or transacts business outside this
 24 14 state that has an effect on a person residing in this state in
 24 15 order to determine whether such insurance support organization
 24 16 has been or is engaged in any conduct in violation of this
 24 17 chapter.
 24 18    Sec. 16.  NEW SECTION.  514H.16  SERVICE OF PROCESS –
 24 19 INSURANCE SUPPORT ORGANIZATIONS.
 24 20    For the purposes of this chapter, an insurance support
 24 21 organization transacting business outside this state which has
 24 22 an adverse effect on a person residing in this state is deemed
 24 23 to have appointed the commissioner to accept service of
 24 24 process on the organization's behalf.  Upon accepting such
 24 25 service of process, the commissioner shall send a copy of such
 24 26 service by certified mail to the insurance support
 24 27 organization at its last known principal place of business.
 24 28 The return receipt for such mailing is sufficient proof that
 24 29 the notice was properly mailed by the commissioner.
 24 30    Sec. 17.  NEW SECTION.  514H.17  CEASE AND DESIST ORDERS.
 24 31    1.  If, after a hearing pursuant to chapter 17A, the
 24 32 commissioner finds that an insurance carrier, producer, or
 24 33 insurance support organization has engaged in conduct or
 24 34 practices in violation of this chapter, and a person was
 24 35 adversely affected, the commissioner shall reduce such
 25  1 determination to writing.  The commissioner shall issue and
 25  2 cause to be served upon such insurance carrier, producer, or
 25  3 insurance support organization a copy of the finding and an
 25  4 order requiring the insurance carrier, producer, or insurance
 25  5 support organization to cease and desist from such conduct or
 25  6 practices.
 25  7    2.  Until the expiration of the time allowed under section
 25  8 514H.20 for filing a petition for individual review or until
 25  9 such a petition is actually filed, whichever occurs first, the
 25 10 commissioner may modify or set aside any order issued under
 25 11 this section.  If a petition for individual review is not
 25 12 filed and the time allowed under section 514H.19 for filing
 25 13 such petition has expired, the commissioner, after notice and
 25 14 opportunity for hearing, may alter, modify, or set aside, in
 25 15 whole or in part, any order issued under this section.  Such
 25 16 action may be taken if conditions of fact or law warrant such
 25 17 action or if the public interest so requires.
 25 18    Sec. 18.  NEW SECTION.  514H.18  PENALTIES.
 25 19    1.  If a hearing pursuant to section 514H.16 results in the
 25 20 finding of a knowing violation of this chapter, the
 25 21 commissioner, in addition to the issuance of a cease and
 25 22 desist order under section 514H.17, may impose a civil penalty
 25 23 of not more than five hundred dollars for each violation, not
 25 24 to exceed ten thousand dollars in the aggregate for multiple
 25 25 violations.
 25 26    2.  A person who violates a cease and desist order of the
 25 27 commissioner issued under section 514H.17, after notice and
 25 28 hearing and upon order of the commissioner, may be subject to
 25 29 one or more of the following penalties, at the discretion of
 25 30 the commissioner:
 25 31    a.  A civil penalty of not more than ten thousand dollars
 25 32 for each violation.
 25 33    b.  A civil penalty of not more than fifty thousand dollars
 25 34 if the commissioner finds that a violation has occurred with
 25 35 such frequency as to constitute a general business practice.
 26  1    c.  Suspension or revocation of an insurance carrier's or
 26  2 producer's license.
 26  3    Sec. 19.  NEW SECTION.  514H.19  JUDICIAL REVIEW.
 26  4    Judicial review of the actions of the commissioner may be
 26  5 sought in accordance with the terms of the Iowa administrative
 26  6 procedure Act.
 26  7    Sec. 20.  NEW SECTION.  514H.20  IMMUNITY.
 26  8    A cause of action in the nature of defamation, invasion of
 26  9 privacy, or negligence shall not arise against a person for
 26 10 disclosing personal information or privileged information as
 26 11 permitted under this chapter.  A cause of action also shall
 26 12 not arise against a person for furnishing personal information
 26 13 or privileged information to an insurance carrier, producer,
 26 14 or insurance support organization in the manner permitted
 26 15 under this chapter.  This section does not provide immunity
 26 16 for disclosing or furnishing false information with malice or
 26 17 willful intent to injure any person.
 26 18    Sec. 21.  NEW SECTION.  514H.21  OBTAINING INFORMATION
 26 19 UNDER FALSE PRETENSES.
 26 20    A person who knowingly and willfully obtains information
 26 21 about an individual from an insurance carrier, producer, or
 26 22 insurance support organization under false pretenses is guilty
 26 23 of a serious misdemeanor and shall be subject to a fine of not
 26 24 more than ten thousand dollars, or imprisonment for not more
 26 25 than one year, or both.
 26 26    Sec. 22.  EFFECTIVE DATE.
 26 27    1.  This Act takes effect on July 1, 2000.
 26 28    2.  The rights granted under sections 8, 9, and 13 of this
 26 29 Act take effect on July 1, 2000, regardless of the date of the
 26 30 collection or receipt of the information which is the subject
 26 31 of such sections.  
 26 32                           EXPLANATION
 26 33    This bill creates a new Code chapter 514H relating to the
 26 34 establishment of standards for the collection, use, and
 26 35 disclosure of information gathered in connection with
 27  1 insurance transactions.  The bill establishes a mechanism
 27  2 which enables an individual to discover what information is
 27  3 being or has been collected about the individual in connection
 27  4 with an insurance transaction, and enables such individual to
 27  5 access the information for purposes of verifying or disputing
 27  6 the accuracy of the information.  The bill also limits the
 27  7 disclosure of information collected in connection with an
 27  8 insurance transaction.  The bill is based upon the national
 27  9 association of insurance commissioners (NAIC) insurance
 27 10 information and privacy protection model Act.
 27 11    New Code section 514H.1 establishes the purpose of the
 27 12 chapter in general terms.
 27 13    New Code section 514H.2 establishes the scope of the
 27 14 chapter and provides that the chapter applies to a life,
 27 15 health, and disability insurance carrier, and a property or
 27 16 casualty insurance carrier that collects, receives, or
 27 17 maintains information in connection with an insurance
 27 18 transaction.  The section also identifies the individuals to
 27 19 whom rights under the chapter are extended.
 27 20    New Code section 514H.3 establishes the definitions of key
 27 21 terms used in the new Code chapter.
 27 22    New Code section 514H.4 prohibits an insurance carrier,
 27 23 producer, or insurance support organization from using or
 27 24 authorizing the use of a pretext interview in connection with
 27 25 an insurance transaction.  A pretext interview is defined as
 27 26 an interview where a person, in attempting to obtain
 27 27 information about an individual, pretends to be someone the
 27 28 person is not, pretends to represent another person whom the
 27 29 person does not represent, misrepresents the true purpose of
 27 30 the interview, or refuses to identify the person's self upon
 27 31 request of the interviewee.
 27 32    New Code section 514H.5 requires an insurance carrier to
 27 33 provide a notice of information practices to an applicant or
 27 34 policyholder in connection with an insurance transaction, and
 27 35 provides the manner in which such notice is to be given.  In
 28  1 addition to other items, the notice must include a description
 28  2 of the rights of the applicant or policyholder.
 28  3    New Code section 514H.6 provides that an insurance carrier
 28  4 must clearly specify those questions designed to obtain
 28  5 personal information from an individual in connection with an
 28  6 insurance transaction which is solely for marketing or
 28  7 research purposes.
 28  8    New Code section 514H.7 establishes specific restrictions
 28  9 and requirements applicable to a disclosure authorization form
 28 10 used by an insurance carrier, producer, or insurance support
 28 11 organization.
 28 12    New Code section 514H.8 provides that an insurance carrier
 28 13 or an insurance support organization shall not prepare or
 28 14 request an investigative consumer report about an individual
 28 15 in connection with an insurance transaction unless such
 28 16 carrier or organization informs the individual that the
 28 17 individual may request to be interviewed in connection with
 28 18 the preparation of such report, and that the individual is
 28 19 entitled to receive a copy of the report.
 28 20    New Code section 514H.9 provides that an individual, after
 28 21 proper identification and after submitting a written request,
 28 22 shall be allowed access to recorded personal information.  The
 28 23 insurance carrier, producer, or insurance support
 28 24 organization, within 60 business days of receipt of the
 28 25 request, must inform the individual of the nature and
 28 26 substance of the recorded personal information; permit the
 28 27 individual to see and copy, in person, such recorded personal
 28 28 information; disclose the identity, if recorded, of those
 28 29 persons to whom such information has been disclosed; and
 28 30 provide the individual with a summary of the procedures by
 28 31 which the individual may request correction, amendment, or
 28 32 deletion of recorded personal information.
 28 33    New Code section 514H.10 establishes the procedures for
 28 34 correction, amendment, or deletion of recorded personal
 28 35 information.
 29  1    New Code section 514H.11 provides that an insurance carrier
 29  2 or a producer with underwriting authority who is responsible
 29  3 for an adverse underwriting decision must provide the
 29  4 adversely affected person with the specific reason or reasons
 29  5 for the adverse underwriting decision in writing or advise the
 29  6 person that upon written request the person may receive the
 29  7 specific reason or reasons in writing, and provide such person
 29  8 with a summary of the person's rights.
 29  9    New Code section 514H.12 prohibits an insurance carrier,
 29 10 producer, or insurance support organization from seeking
 29 11 information in connection with an insurance transaction
 29 12 concerning a previous adverse underwriting decision
 29 13 experienced by an individual, or a previous insurance coverage
 29 14 obtained by an individual through a residual market mechanism,
 29 15 unless such inquiry also requests the reasons for the previous
 29 16 adverse underwriting decision or the reasons why insurance
 29 17 coverage was previously obtained through the residual market
 29 18 mechanism.
 29 19    New Code section 514H.13 prohibits an adverse underwriting
 29 20 decision based on the fact of a previous adverse underwriting
 29 21 decision or on the fact that an individual previously obtained
 29 22 insurance coverage through a residual market mechanism, or
 29 23 based on personal information received from an insurance
 29 24 support organization whose primary source of information is
 29 25 insurance carriers.
 29 26    New Code section 514H.14 establishes limitations and
 29 27 conditions on disclosures of personal or privileged
 29 28 information.
 29 29    New Code section 514H.15 provides that the commissioner of
 29 30 insurance may examine and investigate the affairs of an
 29 31 insurance carrier, producer, or insurance support
 29 32 organization.
 29 33    New Code section 514H.16 provides that an insurance support
 29 34 organization transacting business outside this state which has
 29 35 an adverse effect on a person residing in this state is deemed
 30  1 to have appointed the commissioner to accept service of
 30  2 process on the organization's behalf.
 30  3    New Code section 514H.17 provides for the issuance of cease
 30  4 and desist orders to prohibit conduct in violation of the new
 30  5 Code chapter.
 30  6    New Code section 514H.18 establishes penalties for
 30  7 violations of the new Code chapter.  The commissioner is
 30  8 authorized to impose a civil penalty of not more than $500 for
 30  9 each violation of the chapter, not to exceed $10,000 in the
 30 10 aggregate for multiple violations.  A person who violates a
 30 11 cease and desist order of the commissioner, may be subject to
 30 12 a civil penalty of not more than $10,000, a civil penalty of
 30 13 not more than $50,000 if the commissioner finds that a
 30 14 violation has occurred with such frequency as to constitute a
 30 15 general business practice, or the suspension or revocation of
 30 16 the insurance carrier's or producer's license.
 30 17    New Code section 514H.19 provides for the judicial review
 30 18 of orders of the commissioner.
 30 19    New Code section 514H.20 provides that a cause of action in
 30 20 the nature of defamation, invasion of privacy, or negligence
 30 21 does not arise against a person for disclosing personal or
 30 22 privileged information as permitted under the new Code
 30 23 chapter.
 30 24    New Code section 514H.21 provides that a person who
 30 25 knowingly and willfully obtains information about an
 30 26 individual from an insurance carrier, producer, or insurance
 30 27 support organization under false pretenses is guilty of a
 30 28 serious misdemeanor and is subject to a fine of not more
 30 29 $10,000 or imprisonment for not more than one year, or both.
 30 30    The bill takes effect July 1, 2000.  
 30 31 LSB 3411SC 78
 30 32 mj/gg/8
     

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