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What's New in Cybertalk?

by Jean Gora

August 1999

Note: CyberTalk is a column that appears monthly in LOMA's Resource, the magazine for insurance and financial services management. To see more contents of the magazine and to see how to subscribe, click on Resource.

E-Commerce Regulation Meets the NAIC

Insurance regulations have been a major barrier to the use of the Internet for insurance electronic commerce. These regulations tend to rely heavily on the use of "wet signatures" (where documents must be physically signed in person and either mailed or faxed) and paper documents. They have the effect of requiring an insurer to back up most Internet transactions with paper documents. In consequence, insurers have been reluctant to use the Internet in distribution, and those that have done so have not had a gain in efficiency.

Other sectors of the financial industry—notably banking and securities—faced many similar regulatory barriers. These sectors of the industry are regulated at the federal level in the United States. With strong backing of the Clinton Administration and Congress, they have moved rapidly to modify regulations to take electronic commerce into account.

With 50 state regulators, however, the insurance industry has had no such luck. Nonetheless, the Electronic Commerce and Regulation Working Group of the National Association of Insurance Commissioners (NAIC) recently published a "working draft" of recommendations regarding desirable changes in state insurance laws. This document is available in its entirety at the NAIC’s Internet site. The paper lists 12 electronic commerce issues affecting the insurance industry and makes recommendations concerning them. Here are highlights:

Countersignature Requirements
Some states require the countersignature of a resident agent when a non-resident agent transacts business in the state. The assumption was that a non-resident agent would not know enough about local state laws to give good advice. This requirement places an obvious barrier on electronic distribution from a central location. The Working Group recommends its elimination.

Signature Requirements
Insurance law is filled with signature requirements. The signature authenticates the signer. In the life and health insurance business, an insurer can assert that an applicant misrepresented facts if these erroneous facts are listed in an application signed by the individual.

Because of this situation, insurers require that signed applications accompany all underwritten policies. The Working Group recommends allowing digital signatures and electronic authentication as substitutes for wet signatures. It also envisions the possibility that other technologies in addition to digital signatures be used for authentication. It specifically states that electronic authentication should be permitted for the application and claims processes.

It also recommends a review of all authentication requirements associated with insurance transactions and a removal of those that inhibit electronic commerce. For example, in the case of private passenger auto insurance, it recommends removal of the requirement that applicants submit additional paper forms verifying that they were offered uninsured motorist coverage. Instead, applicants could make a similar verification as part of the electronic application process.

Delivery of Documents
Insurance law is replete with paper document delivery requirements. Many states have laws requiring the delivery of paper documents for policies, position letters from claims, billing notices, cancellation/non-renewal notices, and certificates of insurance.

The Working Group recommends allowing electronic document delivery to substitute for paper delivery if all parties to the transaction are in agreement. There must be some method of verifying receipt of the document by the insured, and acceptable records must be maintained. The insurer must maintain these documents in either electronic or paper form and be able to produce them in either electronic or paper form to the insured.

Format of Documents
Many state laws impose requirements with regard to the font size, margins, paper color, and paper size of insurance documents. The Working Group recommends interpreting existing laws for electronic purposes by requiring the use of a font with characters "which are clearly discernable and understandable to a person conversant in the written language presented, with as nearly as possible, in the given font, the same relative character sizes for different parts of the document as are specified under the current law." A large-print option should be available for those with diminished eyesight.

Electronic Payments
Some states prohibit the use of credit cards to pay premiums. Some state laws that allow payment of claims by electronic funds transfer may not currently be written so that they allow the use of electronic checks. Others require settlement refunds by check and do not allow transfers to a premium account or bank account. In some cases where insurance regulators permit electronic rate filing, they still require that associated payments be made by mailed checks. The Working Group recommends the elimination of all prohibitions against electronic payments.

Records Retention
Many states require the retention of paper documents for many years. The Working Group recommends allowing records to be maintained in any medium or by any process that accurately reproduces or forms a durable medium for the reproduction of a record. The Working Group notes that the technology associated with records retention continues to evolve.

Disclosure of License Status
Insurance regulations require license status disclosure so consumers will know whether the insurer or agent is authorized to transact a particular business in a particular location. Some of these requirements use terminology that does not apply readily to electronic transactions. The Working Group recommends that specific disclosure statements appear on the Internet sites of insurers and agents. In the case of an insurer, these statements must include name, any group with which it is affiliated, and the name, phone number, and address for the state insurance department. Agents face similar requirements.

Advertising
Some insurance regulations require filing and prior approval of advertising material. The fact that an insurer maintains an Internet site does not necessarily mean the insurer is advertising or trying to conduct business in a particular state. The Working Group recommends the elimination of requirements for the filing and prior approval of advertising.

Compensation
In some cases, insurers enter agreements with Internet third party service providers that require compensation of the providers on the basis of a percentage of premiums. This compensation arrangement tends to cause the service providers to be treated as agents under some state insurance laws. The NAIC’s Producer Licensing Working Group is dealing with this issue.

Code and Regulation Clean-up
Because so many state laws contain terminology incompatible with electronic commerce, the Working Group recommends that language be enacted that globally allows the interpretation of existing laws in a way that embraces electronic commerce. The state of Arkansas recently enacted such legislation. It should shorten by many years the time required to create a legal environment hospitable to insurance electronic commerce.

Proof of Coverage
In many cases, individuals are required to demonstrate proof that they are covered by insurance. For example, the police may ask someone to prove he has auto insurance coverage. If this proof of coverage is maintained in electronic form, the Working Group recommends that it be producible in a format that satisfies requirements for proof of coverage.

Privacy Issues
The Working Group has not yet drafted its recommendations with regard to privacy.

Anyone interested in insurance electronic commerce should be overjoyed that its legal foundation is finally beginning to move into place. Now, it remains to be seen if 50 state legislatures will move to enact the very wise recommendations of the Working Group. Anyone who wonders why insurance electronic commerce has been slow to develop need only look to the state regulation of insurance for the answer.


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