Rhode Island General Laws 27-61-5. Justification of adverse insurance decisions
An insurer of an individual or group policy that takes an underwriting action that adversely affects a subject of abuse on the basis of a medical condition that the insurer knows is abuse-related shall explain the reason for its action to the applicant or insured in writing and shall be able to demonstrate that its action:
(1) Does not treat abuse status as a medical condition;
(2) Is permissible by law and applies in the same manner and to the same extent to all applicants and the insured with a similar medical condition without regard to whether the condition or claim is abuse-related; and
(3) Is based on a determination, made in conformance with sound actuarial principles or related actual or reasonably anticipated experience, that there is a correlation between the medical condition and a material increase in insurance risk.
History of Section.
P.L. 1997, ch. 163, § 1; P.L. 2023, ch. 395, art. 1, § 20, effective December 31, 2023.
Terms Used In Rhode Island General Laws 27-61-5
- in writing: include printing, engraving, lithographing, and photo-lithographing, and all other representations of words in letters of the usual form. See Rhode Island General Laws 43-3-16