20-2106

20-2106. Content of disclosure authorization
forms

Notwithstanding any other statute no insurance institution, insurance producer or
insurance support organization may utilize as its disclosure authorization form in
connection with insurance transactions a form or statement which authorizes the
disclosure of personal or privileged information about an individual to the insurance
institution, insurance producer or insurance support organization unless the form or
statement:

1. Is written in plain language.

2. Is dated.

3. Specifies the types of persons authorized to disclose information about the
individual.

4. Specifies the nature of the information authorized to be disclosed.

5. Names the insurance institution or insurance producer and identifies by generic
reference representatives of the insurance institution to whom the individual is
authorizing information to be disclosed.

6. Specifies the purposes for which the information is collected.

7. In the case of authorizations signed for the purpose of collecting information
in connection with an application for an insurance policy, a policy reinstatement or a
request for change in policy benefits, specifies the length of time the authorization
remains valid. The length of time shall be no longer than:

(a) Thirty months from the date the authorization is signed if the application or
request involves life, health or disability insurance.

(b) One year from the date the authorization is signed if the application or
request involves property or casualty insurance.

8. In the case of authorizations signed for the purpose of collecting information
in connection with a claim for benefits under an insurance policy, specifies the length
of time the authorization remains valid. The length of time shall be no longer than:

(a) The term of coverage of the policy if the claim is for a health insurance
benefit.

(b) The duration of the claim if the claim is not for a health insurance benefit.

9. Advises the individual or a person authorized to act on behalf of the individual
that the individual or the individual's authorized representative is entitled to receive
a copy of the authorization form.