19 MAC Pt. 1, R. 31.05
Requirements
Cite as 19 Miss. Admin. Code Pt. 1, R. 31.05
Requirements
A. Insurers must maintain and make available upon request by the Department specific
written procedures detailing their practices regarding credit history and insurance scores,
including the following information:
1.
When credit history will be ordered and when insurance scores will be ordered or
calculated, e.g. at initial underwriting, upon applicant’s request,etc;
2.
About whom such information will be ordered or calculated, e.g. the named
applicant, all known household members, etc; and,
3.
How such information will be used, e.g. to calculate rates, to determine eligibility
for coverage, etc.
B. If an insurer relies, in whole or in part, on an insurance score to initially underwrite or
rate any applicant, or to re-underwrite or re-rate any existing class or subclass of insureds,
or for tier placement, the insurer shall, before its use in determining any applicant’s risk,
file the insurance scoring model with the Commissioner. A Third Party may file scoring
models on behalf of personal lines insurers licensed in this state. This filing shall include
the factors or characteristics from an applicant’s credit history that are utilized in
determining an insurance score, and the algorithm, computer program, model, or other
process used in determining an insurance score. The underlying support, including
statistical validation, for the development of the algorithm, computer program, model, or
other process that is used in determining an insurance score shall also be filed.
C. If an insurer relies, in whole or in part, on credit history or an insurance score to initially
underwrite or rate any applicant, or to underwrite or re-rate an existing class or subclass
of insureds, or for tier placement, the insurer shall maintain and make available upon
request by the Department samples of the notification and disclosure forms utilized by
the insurer as required in Section 7 of this Regulation. The insurer shall also maintain and
make available upon request by the Department evidence that the notification and
disclosure forms as required in Section 7 of this Regulation were furnished to the
applicant.
D. If an applicant is eligible for a particular rate or tier based on all other criteria, except for
the fact that an applicant’s credit history or insurance score is unavailable (“no-hit”) or
incomplete (“thin file”) for that applicant, the applicant will be given that rate or tier
unless said insurer files and the Department concurs with actuarial documentation which
supports other practices. The actuarial documentation shall include age segmentation as
well as other reasonable criteria. Notwithstanding the above, the insurer may treat the
applicant as if the applicant had neutral credit.
E. If it is determined through the dispute resolution process set forth in the federal Fair
Credit Reporting Act, 15 USC 1681i(a)(5), that the credit history of an insured is
incorrect or incomplete and if the insurer receives notice and documentation of this
determination from either the consumer reporting agency or the insured, the insurer shall
within thirty (30) days after receiving notice:
1. Re-underwrite or re-rate the insured; and,
2. Adjust the premium as indicated in Subsection G below.
F. If it is determined through the dispute resolution process set forth in the federal Fair
Credit Reporting Act, 15 USC 1681i(a)(5), that the credit history of an applicant is
incorrect or incomplete and if the insurer receives notice and documentation of this
determination from either the consumer reporting agency or the applicant, the insurer
shall within thirty (30) days after receiving the notice correct its records by removing the
incorrect or incomplete information pertaining to the applicant.
G. If it is determined by the re-underwriting or re-rating in accordance withSubsection E.
above that the insured has overpaid the premium, the insurer shall refund or credit to the
insured the amount of the overpayment of premium. Such refund shall be calculated back
to the shorter of either the last twelve (12) months or the actual policy period.
H. Any filing made in response to Section 5.B. of this Regulation is considered to be a
commercially valuable trade secret and proprietary information of the entity filing the
information. Any release of information that is filed with the Department on a proprietary
basis shall be governed by Miss. Code Ann. § 25-61-9 (Rev. 1999). Any proprietary
information shall be submitted under separate cover and must clearly state the desires of
the party filing the information as to its confidentiality.
I. An insurance company writing personal insurance that uses credit history or insurance
scores, in whole or in part, to initially underwrite or rate any applicant, or to re-
underwrite or re-rate any existing class or subclass of insureds, or for tier placement, shall
provide its producers with informational materials pertaining to the company’s use of
credit history or insurance scores in the underwriting and rating of its policies.