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28 | 28 | | STATE OF OKLAHOMA |
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29 | 29 | | |
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30 | 30 | | 2nd Session of the 58th Legislature (2022) |
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31 | 31 | | |
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32 | 32 | | HOUSE BILL 3186 By: Phillips |
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33 | 33 | | |
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34 | 34 | | |
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35 | 35 | | |
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36 | 36 | | |
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37 | 37 | | |
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38 | 38 | | AS INTRODUCED |
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39 | 39 | | |
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40 | 40 | | An Act relating to insurance; enacting the Insurance |
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41 | 41 | | Consumer Rights Act; defining terms; prohibiting |
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42 | 42 | | discrimination by insurers; prohibiting the use of |
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43 | 43 | | algorithms and predictive models that unfairly |
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44 | 44 | | discriminate; directing Insurance Commissioner to |
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45 | 45 | | adopt rules; directing process for rule creation; |
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46 | 46 | | directing use of necessary provisions; permitting |
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47 | 47 | | Insurance Commissioner to investigate; clarifying |
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48 | 48 | | applicability of act; providing for codification; and |
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49 | 49 | | providing an effective date . |
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50 | 50 | | |
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51 | 51 | | |
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52 | 52 | | |
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53 | 53 | | |
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54 | 54 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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55 | 55 | | SECTION 1. NEW LAW A new section of law to be codified |
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56 | 56 | | in the Oklahoma Statutes as Section 3701 of Title 36, unless there |
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57 | 57 | | is created a duplication in numbering, reads as follows: |
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58 | 58 | | This act shall be known and may be cited as the "Insurance |
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59 | 59 | | Consumer Rights Act". |
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60 | 60 | | SECTION 2. NEW LAW A new sect ion of law to be codified |
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61 | 61 | | in the Oklahoma Statutes as Section 3702 of Title 36, unless there |
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62 | 62 | | is created a duplication in numbering, reads as follows: |
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63 | 63 | | As used in this act, unless the context other wise requires: |
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64 | 64 | | |
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89 | 89 | | |
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90 | 90 | | 1. "Algorithm" means a computational or machine learning |
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91 | 91 | | process that informs human decision-making in insurance practices; |
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92 | 92 | | 2. "External consumer data and information source " means a data |
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93 | 93 | | or an information source that is used by an insurer to supplement |
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94 | 94 | | traditional underwriting or other insuran ce practices or to |
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95 | 95 | | establish lifestyle indicators that are used in insurance practices. |
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96 | 96 | | External consumer data and information sources include credit |
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97 | 97 | | scores, social media habits, locations, purchasing habits, home |
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98 | 98 | | ownership, educational attainment, occupation, licensures, civil |
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99 | 99 | | judgments, and court records. The Insurance Commissioner may |
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100 | 100 | | promulgate rules to further define external consumer data and |
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101 | 101 | | information source for particular lines of insurance and insurance |
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102 | 102 | | practices; |
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103 | 103 | | 3. "Insurance practice" means marketing, underwriting, pricing, |
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104 | 104 | | utilization management, reimbursement methodologies, and claims |
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105 | 105 | | management in the transaction of insurance ; |
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106 | 106 | | 4. "Predictive model" means a process of using mathematical and |
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107 | 107 | | computational methods that examine current and historical data sets |
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108 | 108 | | for underlying patterns and to calculate the probability of an |
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109 | 109 | | outcome; |
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110 | 110 | | 5. "Unfairly discriminate " and "unfair discrimination" include |
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111 | 111 | | the use of one or more external consumer data and information |
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112 | 112 | | sources, as well as algorithms or pred ictive models using external |
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113 | 113 | | consumer data and information sources, that have a correlation to |
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139 | 139 | | |
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140 | 140 | | race, color, national or ethnic origin, r eligion, sex, sexual |
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141 | 141 | | orientation, disability, gender identity, or gender expression, and |
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142 | 142 | | that use results in a dispropor tionately negative outcome for such |
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143 | 143 | | classification or classifications, which negative outcome exceeds |
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144 | 144 | | the reasonable correlation to the under lying insurance practice, |
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145 | 145 | | including losses, and costs for underwriting. |
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146 | 146 | | SECTION 3. NEW LAW A new section of law to be codified |
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147 | 147 | | in the Oklahoma Statutes as Section 3703 of Title 36, unless there |
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148 | 148 | | is created a duplication in numbering, reads as follows: |
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149 | 149 | | Insurers shall not, with regard to any insurance practice : |
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150 | 150 | | A. Unfairly discriminate based on ra ce, color, national or |
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151 | 151 | | ethnic origin, religion, sex, sexual orientation, disability, gender |
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152 | 152 | | identity, or gender expression; o r |
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153 | 153 | | B. Pursuant to rules adopted by the Insurance Commissioner, use |
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154 | 154 | | any external consumer data and information so urces, or any |
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155 | 155 | | algorithms or predictive models that use external consumer data and |
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156 | 156 | | information sources, in a way that unfairly discriminates based on |
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157 | 157 | | race, color, national or ethnic origin, religion, sex, sexual |
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158 | 158 | | orientation, disability, gender identity, or gender expression. |
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159 | 159 | | SECTION 4. NEW LAW A new section of law to be codified |
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160 | 160 | | in the Oklahoma Statutes as Section 3704 of Title 36, unless there |
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161 | 161 | | is created a duplication in numbering, reads as follows: |
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162 | 162 | | A. 1. The Insurance Commissioner sh all adopt rules for the |
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163 | 163 | | implementation of this act. |
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190 | 190 | | 2. The Insurance Commissioner shall engage in a stakeholder |
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191 | 191 | | process prior to the adoption of rules for any type of insurance |
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192 | 192 | | that includes carriers, producers, consumer representatives, and |
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193 | 193 | | other interested parties. The Commissioner shall hold stakeholder |
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194 | 194 | | meetings for stakeholders of different types of insurance to ensure |
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195 | 195 | | sufficient opportunity to consider factors and processes relevant to |
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196 | 196 | | each type of insurance. The Commissioner shall provide notice of |
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197 | 197 | | stakeholder meetings on the agency website. Stakeholder meetings |
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198 | 198 | | shall be open to the public. |
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199 | 199 | | B. After the stakeholder process described in paragraph 2 of |
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200 | 200 | | subsection A of this section, the Insurance Commissioner shall adopt |
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201 | 201 | | rules for specific types of insurance, by insu rance practice, which |
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202 | 202 | | rules establish the means by which an insurer may demonstrate, to |
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203 | 203 | | the extent practicable, that it has tested whether its use of |
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204 | 204 | | external consumer data and informati on sources, as well as |
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205 | 205 | | algorithms or predictive models using external cons umer data and |
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206 | 206 | | information sources, unfairly di scriminates based on race, color, |
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207 | 207 | | national or ethnic origin, religion, sex, sexual orientation, |
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208 | 208 | | disability, gender identity, or gender expre ssion. The rules shall |
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209 | 209 | | become effective January 1, 2023, at the earliest, for any type of |
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210 | 210 | | insurance, and the Commissioner shall consider solvency impacts, if |
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211 | 211 | | any, to insurers in adopting the rules. |
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212 | 212 | | C. Rules adopted pursuant to this act shall require each |
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213 | 213 | | insurer to: |
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240 | 240 | | 1. Provide information to the Insurance Commissioner concerning |
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241 | 241 | | the external consumer data and information sources used by the |
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242 | 242 | | insurer in the development and implementation of algorithms and |
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243 | 243 | | predictive models for a particular type of insurance and insurance |
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244 | 244 | | practice; |
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245 | 245 | | 2. Provide an explanation of the m anner in which the insurer |
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246 | 246 | | uses external consum er data and information sources, as well as |
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247 | 247 | | algorithms and predictive models using external consumer data and |
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248 | 248 | | information sources, for the particular type of insurance and |
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249 | 249 | | insurance practice; |
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250 | 250 | | 3. Establish and maintain a risk management framework or |
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251 | 251 | | similar processes or procedures that are reasonably designed to |
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252 | 252 | | determine, to the extent practicable, whether the insurer 's use of |
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253 | 253 | | external consumer data and information sources, as well as |
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254 | 254 | | algorithms and predictive models using external consumer data and |
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255 | 255 | | information sources, unfairly discriminates based on race, color, |
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256 | 256 | | national or ethnic origin, religion, sex, sexual orientation, |
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257 | 257 | | disability, gender identity, or gender expression; |
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258 | 258 | | 4. Provide an assessment of the res ults of the risk management |
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259 | 259 | | framework or similar processes or procedures and actions taken to |
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260 | 260 | | minimize the risk of unfair discrimination, including ongoing |
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261 | 261 | | monitoring; and |
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288 | 288 | | 5. Provide an attestation by one or more officers that the |
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289 | 289 | | insurer has implemented a risk management framework or similar |
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290 | 290 | | processes or procedures appropriately on a continuous basis. |
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291 | 291 | | C. The rules adopted by the Commissioner pursuant to this act |
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292 | 292 | | must include provisions establishing: |
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293 | 293 | | 1. A reasonable period of time for insurers to remed y any |
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294 | 294 | | unfairly discriminatory impact in an algorith m or predictive model; |
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295 | 295 | | and |
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296 | 296 | | 2. The ability of insurers to use external consumer data and |
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297 | 297 | | information sources, as well as algo rithms or predictive models |
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298 | 298 | | using external consumer data and information sources , that have been |
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299 | 299 | | previously assessed by the Department and found not to be unfairly |
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300 | 300 | | discriminatory. |
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301 | 301 | | D. Documents, materials, and other information in the |
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302 | 302 | | possession or control of the Oklahoma Insurance Department that are |
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303 | 303 | | obtained by, created by, or disclosed to the Insurance Commissioner |
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304 | 304 | | or any other person pursuant to this act or any rules adopted |
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305 | 305 | | pursuant to this act are recognized as proprietary and containing |
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306 | 306 | | trade secrets. All such documents, materials, a nd other information |
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307 | 307 | | are confidential and privileged; are not subject to disclosure under |
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308 | 308 | | the Oklahoma Open Records Act, or other open records, freedom of |
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309 | 309 | | information, sunshine, or similar law of this state; are not subject |
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310 | 310 | | to subpoena; and are not subject to discovery or admissible in |
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311 | 311 | | evidence in any private civil action. However, the Insurance |
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337 | 337 | | |
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338 | 338 | | Commissioner may use the documents, materials, or other information |
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339 | 339 | | in the furtherance of any regulatory or legal action brought as part |
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340 | 340 | | of the Commissioner's official duties. The Insurance Commissioner |
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341 | 341 | | shall not otherwise make the documents, materials, or other |
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342 | 342 | | information public without the prior written consent of the insurer |
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343 | 343 | | from when the documents, materials, or other information was |
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344 | 344 | | obtained. The Insurance Commissioner may make data publicly |
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345 | 345 | | available in an aggregated or de-identified format in a manner |
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346 | 346 | | deemed appropriate by the Commissioner. |
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347 | 347 | | SECTION 5. NEW LAW A new section of law to be codified |
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348 | 348 | | in the Oklahoma Statutes as Section 3705 of Title 36, unless there |
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349 | 349 | | is created a duplication in numbering, reads as follows: |
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350 | 350 | | The Insurance Commissioner shall have the power to examine and |
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351 | 351 | | investigate an insurer 's use of an external consumer data and |
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352 | 352 | | information source, algorithm, or predictive model in any insurance |
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353 | 353 | | practice. Insurers shall cooperate with the Commissioner and the |
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354 | 354 | | Oklahoma Insurance Department in any examination or investigation |
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355 | 355 | | under this act. |
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356 | 356 | | SECTION 6. NEW LAW A new section of law to be codified |
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357 | 357 | | in the Oklahoma Statutes as Section 3706 of Title 36, unless there |
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358 | 358 | | is created a duplication in numbering, r eads as follows: |
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359 | 359 | | Nothing in this act: |
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360 | 360 | | A. Requires an insurer to collect from an applicant or |
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361 | 361 | | policyholder the race, color, national or ethnic origin, religion, |
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388 | 388 | | sex, sexual orientation, disability, gend er identity, or gender |
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389 | 389 | | expression of an individual; or |
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390 | 390 | | B. May be construed to: |
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391 | 391 | | 1. Prohibit the use of or to require life, annuity, long-term |
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392 | 392 | | care, or disability insurers to test, medical, family history, |
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393 | 393 | | occupational, disability, or behavioral information related to a |
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394 | 394 | | specific individual, which information, bas ed on actuarially sound |
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395 | 395 | | principles, has a direct relationship to mortality, morbidity, or |
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396 | 396 | | longevity risk unless such information is otherwise included in the |
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397 | 397 | | testing of an algorithm or predictive mode l that also uses external |
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398 | 398 | | consumer data and information sources; |
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399 | 399 | | 2. Prohibit the use of or to require life, annuity, long -term |
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400 | 400 | | care, or disability insur ers to test, traditional underwriting |
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401 | 401 | | factors being used for the exclusive purpose of determining |
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402 | 402 | | insurable interest or eligibility for coverage unless such fact ors |
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403 | 403 | | are otherwise included in the testing of an algorithm or predictive |
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404 | 404 | | model that also uses externa l consumer data and information sources; |
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405 | 405 | | 3. Prohibit the use of or to require the testing of |
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406 | 406 | | longstanding and well-established common industry practices in |
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407 | 407 | | settling claims or traditional underwriting practices unless such |
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408 | 408 | | practices or factors are otherwise in cluded in the testing of an |
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409 | 409 | | algorithm or predictive model that also uses external consumer data |
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410 | 410 | | and information sources. |
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437 | 437 | | SECTION 7. This act shall become effective November 1, 2022. |
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438 | 438 | | |
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439 | 439 | | 58-2-8942 MJ 01/13/22 |
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