MI DIFS Bulletin 2019-20-INS

Assistance Animal Exclusions and Underwriting Rules ___________________________________________

RescindedYear: 2019Length: 585 wordsOfficial source
STATE OF MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES Bulletin 2019-20-INS In the matter of: Assistance Animal Exclusions and Underwriting Rules ___________________________________________/ Issued and entered This 31st day of October 2019 by Anita G. Fox Director This bulletin supersedes Bulletin 2019-13-INS, which is hereby rescinded. Bulletin 2019-13-INS explained the circumstances under which property and casualty insurers may utilize rating and underwriting rules related to service dogs. This bulletin clarifies that animals other than service dogs may qualify as “assistance animals” under the Fair Housing Act, 42 U.S.C. 3601 et seq. (FHA). Rating Although Michigan law does not prohibit the imposition of surcharges based on dog breeds if the surcharge is actuarially supported, the FHA prohibits the imposition of a surcharge for assistance animals. The U.S. Department of Housing and Urban Development’s Office of Fair Housing and Equal Opportunity has provided guidance with regard to the definition of an assistance animal for the purpose of providing reasonable accommodations under the FHA. An assistance animal includes a certified service animal, an emotional support animal, or any other animal that “works, provides assistance, or performs tasks for the benefit of a person with a disability, or provides emotional support that alleviates one or more identified symptoms or effects of a person’s disability.” See HUD FHEO-2013-01 at 2, “Service Animals and Assistance Animals for People with Disabilities in Housing and HUD-Funded Programs” (Apr. 25, 2013). Accordingly, rating programs that include a surcharge for specific dog breeds or specific animals must include an exception from this surcharge for an animal that qualifies as an “assistance animal” pursuant to the above definition. In addition, any surcharges related to animals that are not assistance animals must be actuarially supported. Underwriting The Essential Insurance Act, specifically MCL 500.2103(2), permits insurers to deny, cancel, or non-renew coverage to a “person who insures or seeks to insure a dwelling that has physical conditions that clearly present an extreme likelihood of a significant loss under a home insurance policy.” See MCL 500.2103(2). Pet ownership, by itself, does not cause an otherwise eligible person to become ineligible for homeowners insurance because a pet does not “clearly present an extreme likelihood of significant loss.” Id. The Essential Insurance Act does not allow companies to deny, cancel or non-renew coverage based on the insured’s possession of a particular animal. The Essential Insurance Act, specifically MCL 500.2117(2)(c)(i) and (ii), does permit a non-group policy to be non-renewed based on the claim experience of the person insured or to be insured, if, during the threeyear period immediately preceding renewal of the policy, the claim experience arose from the insured's negligence or if the insured, after written notice, failed to correct a condition directly related to a paid claim or that presented a clear risk of significant loss. Therefore, a non-group policy could be non-renewed based on an insured’s claim experience involving the insured’s animal. However, insurers are not permitted to nonrenew group policies using the criteria of MCL 500.2117(2)(c)(i) and (ii) because MCL 500.2105(2) specifies that Essential Insurance Act does not apply to members of a group, franchise plan, or blanket coverage who are eligible persons. Companies are strongly encouraged to review their rating and underwriting programs to ensure they comply with the requirements of this bulletin. Any questions regarding this bulletin should be directed to: Department of Insurance and Financial Services Office of Insurance Rates and Forms 530 W. Allegan Street – 7th Floor P.O. Box 30220 Lansing, Michigan 48909-7720 Toll Free: (877) 999-6442 /s/ ____________________________ Anita G. Fox Director
MI DIFS Bulletin 2019-20-INS: Assistance Animal Exclusions and Underwriting Rules ___________________________________________ | Justis AI