230-RICR-20-60-7
230-RICR-20-60-7. Privacy of Consumer Information (formerly Insurance Regulation 99) (version Amendment, 05/14/2018 to 05/14/2018)
7.1 Authority
This Part is promulgated pursuant to the
authority granted by R.I. Gen. Laws §§ 27-58-4 and 27-58-10.
7.2 Purpose and Scope
A. Purpose. This Part governs the treatment
of nonpublic personal health information and nonpublic personal
financial information about individuals by all insurance licensees of
the Rhode Island Department of Business Regulation. This Part:
1. Requires a licensee to provide notice to
individuals about its privacy policies and practices;
2. Describes the conditions under which a
licensee may disclose nonpublic personal health information and
nonpublic personal financial information about individuals to
affiliates and nonaffiliated third parties; and
3. Provides methods for individuals to
prevent a licensee from disclosing that information.
B. Scope.
This Part applies to:
1. Nonpublic personal financial information
about individuals who obtain or are claimants or beneficiaries of
products or services primarily for personal, family or household
purposes from licensees. This Part does not apply to information
about companies or about individuals who obtain products or services
for business, commercial or agricultural purposes.
2. All nonpublic personal health
information.
3. Nothing in this Part shall be construed
to modify, limit or supersede the operation of the Rhode Island
Workers’ Compensation Act (R.I. Gen. Laws Chapter 28-29) and the
health care provider’s obligation to provide information directly
related to a claim for workers’ compensation benefits or any
proceeding before the Workers’ Compensation Court, or any
proceeding relating to workers’ compensation including, but not
limited to, actions seeking benefits under the Longshore and Harbor
Workers Compensation Act (33 U.S.C. § 901 et seq .) or the
Police Officers and Firefighters Relief Statute (R.I. Gen. Laws
Chapter 45-19)
C. Compliance. A licensee domiciled in this
state that is in compliance with this Part in a state that has not
enacted laws or regulations that meet the requirements of Title V of
the Gramm-Leach-Bliley Act (Pub. Law 102-106) may nonetheless be
deemed to be in compliance with Title V of the Gramm-Leach-Bliley Act
in the other state.
7.3 Rule of Construction
A. The examples in this Part and the sample
clauses and Federal Model Privacy Form provided in the bulletin
issued for such purpose are not exclusive. Compliance with an example
or use of a sample clause or the Federal Model Privacy Form, to the
extent applicable, constitutes compliance with this Part.
B. Licensees may rely on use of the Federal
Model Privacy Form, consistent with the instructions provided in a
bulletin issued for that purpose and available on the Departments
website, as a safe harbor of compliance with the privacy notice
content requirements of this Part. Use of the Federal Model Privacy
Form is not required. Licensees may continue to use other types of
privacy notices, including notices that contain the examples in this
Part and/or the sample clauses provided in the bulletin issued for
such purpose, provided that such notices accurately describe the
Licensee’s privacy practices and otherwise meet the notice content
requirements of this Part. However, while Licensees may continue to
use privacy notices that contain the examples in this Part and/or the
sample clauses, Licensees may not rely on use of privacy notices with
the sample clauses as a safe harbor of compliance with the notice
content requirements of this Part after July 1, 2019.
7.4 Definitions
A. As
used in this Part, unless the context requires otherwise:
1. “Affiliate” means a company that
controls, is controlled by or is under common control with another
company.
2. “Clear and conspicuous” means that a
notice is reasonably understandable and designed to call attention to
the nature and significance of the information in the notice.
Examples:
a. Reasonably understandable. A licensee
makes its notice reasonably understandable if it:
(1) presents the information in the notice
in clear, concise sentences, paragraphs and sections;
(2) uses short explanatory sentences or
bullet lists whenever possible;
(3) uses definite, concrete, everyday words
and active voice whenever possible;
(4) avoids multiple negatives;
(5) avoids legal and highly technical
business terminology whenever possible; and
(6) avoids explanations that are imprecise
and readily subject to different interpretations.
b. Designed to call attention. A licensee
designs its notice to call attention to the nature and significance
of the information in it if the licensee:
(1) uses a plain-language heading to call
attention to the notice;
(2) uses a typeface and type size that are
easy to read;
(3) provides wide margins and ample line
spacing;
(4) uses boldface or italics for key words;
and
(5) in a form that combines the licensee’s
notice with other information, uses distinctive type size, style, and
graphic devices, such as shading or sidebars.
c. Notices on web sites. If a licensee
provides a notice on a web page, the licensee designs its notice to
call attention to the nature and significance of the information in
it if the licensee uses text or visual cues to encourage scrolling
down the page if necessary to view the entire notice and ensure that
other elements on the web site (such as text, graphics, hyperlinks or
sound) do not distract attention from the notice, and the licensee
either:
(1) places the notice on a screen that
consumers frequently access, such as a page on which transactions are
conducted; or
(2) places a link on a screen that
consumers frequently access, such as a page on which transactions are
conducted, that connects directly to the notice and is labeled
appropriately to convey the importance, nature and relevance of the
notice.
3. “Collect” means to obtain
information that the licensee organizes or can retrieve by the name
of an individual or by identifying number, symbol or other
identifying particular assigned to the individual, irrespective of
the source of the underlying information.
4. “Company” means a corporation,
limited liability company, business trust, general or limited
partnership, association, sole proprietorship or similar
organization.
5. “Consumer” means an individual who
seeks to obtain, obtains or has obtained an insurance product or
service from a licensee that is to be used primarily for personal,
family or household purposes, and about whom the licensee has
nonpublic personal financial information, or that individual’s
legal representative. Examples:
a. An individual who provides nonpublic
personal financial information to a licensee in connection with
obtaining or seeking to obtain financial, investment or economic
advisory services relating to an insurance product or service is a
consumer regardless of whether the licensee establishes an ongoing
advisory relationship.
b. An applicant for insurance prior to the
inception of insurance coverage is a licensee’s consumer.
c. An individual who is a consumer of
another financial institution is not a licensee’s consumer solely
because the licensee is acting as agent for, or provides processing
or other services to, that financial institution.
d. An individual is a licensee’s consumer
if:
(1) the individual is a beneficiary of a
life insurance policy underwritten by the licensee;
(2) the individual is a claimant under an
insurance policy issued by the licensee;
(3) the individual is an insured or an
annuitant under an insurance policy or an annuity, respectively,
issued by the licensee; or
(4) the individual is a mortgagor of a
mortgage covered under a mortgage insurance policy; and
(5) the licensee discloses nonpublic
personal financial information about the individual to a
nonaffiliated third party other than as permitted under §§ 7.14,
7.15 and 7.16 of this Part.
e. Provided that the licensee provides the
initial, annual and revised notices under §§ 7.5, 7.6 and 7.9 of
this Part to the plan sponsor, group or blanket insurance
policyholder or group annuity contract holder, and further provided
that the licensee does not disclose to a nonaffiliated third party
nonpublic personal financial information about such an individual
other than as permitted under §§ 7.14, 7.15 and 7.16 of this Part,
an individual is not the consumer of the licensee solely because he
or she is:
(1) a participant or a beneficiary of an
employee benefit plan that the licensee administers or sponsors or
for which the licensee acts as a trustee, insurer or fiduciary;
(2) covered under a group or blanket
insurance policy or group annuity contract issued by the licensee; or
(3) a beneficiary in a workers’
compensation plan.
f. The individuals described in §§
7.4(A)(5)(e)((1)) through ((3)) of this Part above are consumers of a
licensee if the licensee does not meet all the conditions of §
7.4(A)(5)(e) of this Part.
(1) In no event shall the individuals,
solely by virtue of the status described in §§ 7.4(A)(5)(e)((1))
through ((3)) of this Part above, be deemed to be customers for
purposes of this Part.
g. An individual is not a licensee’s
consumer solely because he or she is a beneficiary of a trust for
which the licensee is a trustee.
h. An individual is not a licensee’s
consumer solely because he or she has designated the licensee as
trustee for a trust.
6. “Consumer reporting agency” has the
same meaning as in Section 603(f) of the federal Fair Credit
Reporting Act (15 U.S.C. § 1681a(f)).
7. “Control” means:
a. ownership, control or power to vote
twenty-five percent (25%) or more of the outstanding shares of any
class of voting security of the company, directly or indirectly, or
acting through one or more other persons;
b. control in any manner over the election
of a majority of the directors, trustees or general partners (or
individuals exercising similar functions) of the company; or
c. the power to exercise, directly or
indirectly, a controlling influence over the management or policies
of the company, as the Director determines.
8. “Customer” means a consumer who has
a customer relationship with a licensee.
9. “Customer relationship” means a
continuing relationship between a consumer and a licensee under which
the licensee provides one or more insurance products or services to
the consumer that are to be used primarily for personal, family or
household purposes. Examples:
a. A consumer has a continuing relationship
with a licensee if:
(1) The consumer is a current policyholder
of an insurance product issued by or through the licensee; or
(2) The consumer obtains financial,
investment or economic advisory services relating to an insurance
product or service from the licensee for a fee.
b. A consumer does not have a continuing
relationship with a licensee if:
(1) the consumer applies for insurance but
does not purchase the insurance;
(2) the licensee sells the consumer travel
insurance in an isolated transaction;
(3) the individual is no longer a current
policyholder of an insurance product or no longer obtains insurance
services with or through the licensee;
(4) the consumer is a beneficiary or
claimant under a policy and has submitted a claim under a policy
choosing a settlement option involving an ongoing relationship with
the licensee;
(5) the consumer is a beneficiary or a
claimant under a policy and has submitted a claim under that policy
choosing a lump sum settlement option;
(6) the customer’s policy is lapsed,
expired, or otherwise inactive or dormant under the licensee’s
business practices, and the licensee has not communicated with the
customer about the relationship for a period of twelve (12)
consecutive months, other than annual privacy notices, material
required by law or regulation, communication at the direction of a
state or federal authority, or promotional materials;
(7) the individual is an insured or an
annuitant under an insurance policy or annuity, respectively, but is
not the policyholder or owner of the insurance policy or annuity; or
(8) for the purposes of this Part, the
individual’s last known address according to the licensee’s
records is deemed invalid. An address of record is deemed invalid if
mail sent to that address by the licensee has been returned by the
postal authorities as undeliverable and if subsequent attempts by the
licensee to obtain a current valid address for the individual have
been unsuccessful.
10. “Director” means the Director of
the Rhode Island Department of Business Regulation or his or her
designee.
11. “Financial institution” means any
institution the business of which is engaging in activities that are
financial in nature or incidental to such financial activities as
described in Section 4(k) of the Bank Holding Company Act of 1956 (12
U.S.C. § 1843(k)). Financial institution does not include:
a. any person or entity with respect to any
financial activity that is subject to the jurisdiction of the
Commodity Futures Trading Commission under the Commodity Exchange Act
(7 U.S.C. § 1 et seq .);
b. the Federal Agricultural Mortgage
Corporation or any entity charged and operating under the Farm Credit
Act of 1971 (12 U.S.C. § 2001 et seq .); or
c. institutions chartered by Congress
specifically to engage in securitizations, secondary market sales
(including sales of servicing rights) or similar transactions related
to a transaction of a consumer, as long as the institutions do not
sell or transfer nonpublic personal information to a nonaffiliated
third party.
12. “Financial product or service”
means a product or service that a financial holding company could
offer by engaging in an activity that is financial in nature or
incidental to such a financial activity under Section 4(k) of the
Bank Holding Company Act of 1956 (12 U.S.C. § 1843(k)).
a. Financial service includes a financial
institution’s evaluation or brokerage of information that the
financial institution collects in connection with a request or an
application from a consumer for a financial product or service.
13. “Health care” means:
a. Preventive, diagnostic, therapeutic,
rehabilitative, maintenance or palliative care, services, procedures,
tests or counseling that:
(1) Relates to the physical, mental or
behavioral condition of an individual; or
(2) Affects the structure or function of
the human body or any part of the human body, including the banking
of blood, sperm, organs or any other tissue; or
b. Prescribing, dispensing or furnishing to
an individual drugs or biologicals, or medical devices or health care
equipment and supplies.
14. “Health care provider” means a
physician or other health care practitioner licensed, accredited or
certified to perform specified health services consistent with state
law, or a health care facility.
15. “Health information” means any
information or data except age or gender, whether oral or recorded in
any form or medium, created by or derived from a health care provider
or the consumer that relates to:
a. The past, present or future physical,
mental or behavioral health or condition of an individual;
b. The provision of health care to an
individual; or
c. Payment for the provision of health care
to an individual.
16. “Insurance product or service”
means any product or service that is offered by a licensee pursuant
to the insurance laws of this state.
a. Insurance service includes a licensee's
evaluation, brokerage or distribution of information that the
licensee collects in connection with a request or an application from
a consumer for an insurance product or service.
17. “Licensee” means all licensed
insurers, producers and other persons licensed or required to be
licensed, or authorized or required to be authorized, or registered
or required to be registered pursuant to R.I. Gen. Laws Title 27.
a. A licensee is not subject to the notice
and opt out requirements for nonpublic personal financial information
of this Part if the licensee is an employee, agent or other
representative of another licensee (“the principal”) and:
(1) the principal otherwise complies with,
and provides the notices required by, the provisions of this Part;
and
(2) the licensee does not disclose any
nonpublic personal information to any person other than the principal
or its affiliates in a manner permitted by this Part.
b. Subject to § 7.4(A)(17)(c) of this Part
below, “licensee” shall also include an approved surplus insurer
that accepts business placed through a licensed surplus lines broker
in this state, but only in regard to the surplus lines placements
placed pursuant to R.I. Gen. Laws §§ 27-3-38 through 27-3-42.
c. A surplus lines broker or insurer shall
be deemed to be in compliance with the notice and opt out
requirements for nonpublic personal financial information of this
Part provided:
(1) The broker or insurer does not disclose
nonpublic personal financial information of a consumer or a customer
to nonaffiliated third parties for any purpose, including joint
servicing or marketing under § 7.14 of this Part, except as
permitted by §§ 7.15 or 7.16 of this Part; and
(2) The broker or insurer delivers a notice
to the consumer at the time a customer relationship is established on
which the following is printed in 16-point type:
PRIVACY
NOTICE
“ Neither
the U.S. brokers that handled this insurance nor the insurers that
have underwritten this insurance will disclose nonpublic personal
financial information concerning the buyer to nonaffiliates of the
brokers or insurers except as permitted by law”.
18. “Nonaffiliated third party” means
any person except:
a. a licensee’s affiliate; or
b. a person employed jointly by a licensee
and any company that is not the licensee’s affiliate (but
nonaffiliated third party includes the other company that jointly
employs the person).
c. Nonaffiliated third party includes any
company that is an affiliate solely by virtue of the direct or
indirect ownership or control of the company by the licensee or its
affiliate in conducting merchant banking or investment banking
activities of the type described in Section 4(k)(4)(H) or insurance
company investment activities of the type described in Section
4(k)(4)(I) of the federal Bank Holding Company Act (12 U.S.C. §
1843(k)(4)(H) and (I).)
19. “Nonpublic personal information”
means nonpublic personal financial information and nonpublic personal
health information.
20. “Nonpublic personal financial
information” means:
a. personally identifiable financial
information; and
b. any list, description or other grouping
of consumers (and publicly available information pertaining to them)
that is derived using any personally identifiable financial
information that is not publicly available.
c Nonpublic personal financial information
does not include:
(1) health information;
(2) publicly available information, except
as included on a list described in § 7.4(A)(20)(b) of this Part
above; or
(3) any list, description or other grouping
of consumers (and publicly available information pertaining to them)
that is derived without using any personally identifiable financial
information that is not publicly available. Examples of lists:
(AA) Nonpublic personal financial
information includes any list of individuals’ names and street
addresses that is derived in whole or in part using personally
identifiable financial information that is not publicly available,
such as account numbers.
(BB) Nonpublic personal financial
information does not include any list of individuals’ names and
addresses that contains only publicly available information, is not
derived in whole or in part using personally identifiable financial
information that is not publicly available, and is not disclosed in a
manner that indicates that any of the individuals on the list is a
consumer of a financial institution.
21. “Nonpublic personal health
information” means health information:
a. That identifies an individual who is the
subject of the information; or
b. With respect to which there is a
reasonable basis to believe that the information could be used to
identify an individual.
22. “Personally identifiable financial
information” means any information:
a. a consumer provides to a licensee to
obtain an insurance product or service from the licensee;
b. about a consumer resulting from a
transaction involving an insurance product or service between a
licensee and a consumer; or
c. the licensee otherwise obtains about a
consumer in connection with providing an insurance product or service
to that consumer. Personally identifiable financial information
includes:
(1) information a consumer provides to a
licensee on an application to obtain an insurance product or service;
(2) account balance information and payment
history;
(3) the fact that an individual is or has
been one of the licensee’s customers or has obtained an insurance
product or service from the licensee;
(4) any information about the licensee’s
consumer if it is disclosed in a manner that indicates that the
individual is or has been the licensee’s consumer;
(5) any information that a consumer
provides to a licensee or that the licensee or its agent otherwise
obtains in connection with collecting on a loan or servicing a loan;
(6) any information the licensee collects
through an Internet cookie (an information-collecting device from a
web server); and
(7) information from a consumer report.
d. Information not included. Personally
identifiable financial information does not include:
(1) health information;
(2) a list of names and addresses of
customers of an entity that is not a financial institution; and
(3) information that does not identify a
consumer, such as aggregate information or blind data that does not
contain personal identifiers such as account numbers, names or
addresses.
23. “Publicly available information”
means any information that a licensee has a reasonable basis to
believe is lawfully made available to the general public from:
a. federal, state or local government
records;
b. widely distributed media; or
c. disclosures to the general public that
are required to be made by federal, state or local law.
d. Reasonable basis. A licensee has a
reasonable basis to believe that information is lawfully made
available to the general public if the licensee has taken steps to
determine:
(1) that the information is of the type
that is available to the general public; and
(2) whether an individual can direct that
the information not be made available to the general public and, if
so, that the licensee’s consumer has not done so. Examples:
(AA) Government records. Publicly available
information in government records includes information in government
real estate records and security interest filings.
(BB) Widely distributed media. Publicly
available information from widely distributed media includes
information from a telephone book, a television or radio program, a
newspaper or a web site that is available to the general public on an
unrestricted basis. A web site is not restricted merely because an
Internet service provider or a site operator requires a fee or a
password, so long as access is available to the general public.
(CC) A licensee has a reasonable basis to
believe that mortgage information is lawfully made available to the
general public if the licensee has determined that the information is
of the type included on the public record in the jurisdiction where
the mortgage would be recorded.
(DD) A licensee has a reasonable basis to
believe that an individual’s telephone number is lawfully made
available to the general public if the licensee has located the
telephone number in the telephone book or the consumer has informed
you that the telephone number is not unlisted.
7.5 Initial Privacy Notice to
Consumers Required
A. Initial notice requirement. A licensee
shall provide a clear and conspicuous notice that accurately reflects
its privacy policies and practices to:
1. Customer. An individual who becomes the
licensee’s customer, not later than when the licensee establishes a
customer relationship, except as provided in § 7.5(E) of this Part,
and
2. Consumer. A consumer, before the
licensee discloses any nonpublic personal financial information about
the consumer to any nonaffiliated third party, if the licensee makes
a disclosure other than as authorized by §§ 7.15 and 7.16 of this
Part.
B. When initial notice to a consumer is not
required. A licensee is not required to provide an initial notice to
a consumer under § 7.5(A)(2) of this Part if:
1. the licensee does not disclose any
nonpublic personal financial information about the consumer to any
nonaffiliated third party, other than as authorized by §§ 7.15 and
7.16 of this Part, and the licensee does not have a customer
relationship with the consumer; or
2. a notice has been provided by an
affiliated licensee, as long as the notice clearly identifies all
licensees to whom the notice applies and is accurate with respect to
the licensee and the other institutions.
C. When the licensee establishes a customer
relationship.
1. General rule. A licensee establishes a
customer relationship at the time the licensee and the consumer enter
into a continuing relationship.
2. Examples of establishing customer
relationship. A licensee establishes a customer relationship when the
consumer:
a. becomes a policyholder of a licensee
that is an insurer when the insurer delivers an insurance policy or
contract to the consumer, or in the case of a licensee that is an
insurance producer or insurance broker, obtains insurance through
that licensee; or
b. agrees to obtain financial, economic or
investment advisory services relating to insurance products or
services for a fee from the licensee.
D. Existing customers. When an existing
customer obtains a new insurance product or service from a licensee
that is to be used primarily for personal, family or household
purposes, the licensee satisfies the initial notice requirements of §
7.5(A) of this Part as follows:
1. the licensee may provide a revised
policy notice, under § 7.9 of this Part, that covers the customer’s
new insurance product or service; or
2. if the initial, revised or annual notice
that the licensee most recently provided to that customer was
accurate with respect to the new insurance product or service, the
licensee does not need to provide a new privacy notice under §
7.5(A) of this Part.
E. Exceptions to allow subsequent delivery
of notice.
1. A licensee may provide the initial
notice required by § 7.5(A)(1) of this Part within a reasonable time
after the licensee establishes a customer relationship if:
a. establishing the customer relationship
is not at the customer’s election; or
b. providing notice not later than when the
licensee establishes a customer relationship would substantially
delay the customer’s transaction and the customer agrees to receive
the notice at a later time.
2. Examples of exceptions.
a. Not at customer’s election.
Establishing a customer relationship is not at the customer’s
election if a licensee acquires or is assigned a customer’s policy
from another financial institution or residual market mechanism and
the customer does not have a choice about the licensee’s
acquisition or assignment.
b. Substantial delay of customer’s
transaction. Providing notice not later than when a licensee
establishes a customer relationship would substantially delay the
customer’s transaction when the licensee and the individual agree
over the telephone to enter into a customer relationship involving
prompt delivery of the insurance product or service.
c. No substantial delay of customer’s
transaction. Providing notice not later than when a licensee
establishes a customer relationship would not substantially delay the
customer’s transaction when the relationship is initiated in person
at the licensee’s office or through other means by which the
customer may view the notice, such as on a web site.
F. Delivery. When a licensee is required to
deliver an initial privacy notice by this Part, the licensee shall
deliver it according to § 7.10 of this Part. If the licensee uses a
short-form initial notice for non-customers according to § 7.7(D) of
this Part, the licensee may deliver its privacy notice according to §
7.7(D)(3) of this Part.
7.6 Annual Privacy Notice to
Customers Required
A. General rule. A licensee shall provide a
clear and conspicuous notice to customers that accurately reflects
its privacy policies and practices not less than annually during the
continuation of the customer relationship. Annually means at least
once in any period of twelve (12) consecutive months during which
that relationship exists. A licensee may define the
twelve-consecutive-month period, but the licensee shall apply it to
the customer on a consistent basis.
1. Example. A licensee provides a notice
annually if it defines the twelve-consecutive-month period as a
calendar year and provides the annual notice to the customer once in
each calendar year following the calendar year in which the licensee
provided the initial notice. For example, if a customer opens an
account on any day of year 1, the licensee shall provide an annual
notice to that customer by December 31 of year 2.
B. Exception to general rule. A licensee
that provides nonpublic personal information to nonaffiliated third
parties only in accordance with §§ 7.15, 7.16, or 7.17 of this Part
and has not changed its policies and practices with regard to
disclosing nonpublic personal information from the policies and
practices that were disclosed in the most recent disclosure sent to
consumers in accordance with this Part or § 7.5 of this Part shall
not be required to provide an annual disclosure under this Part until
such time as the licensee fails to comply with any criteria described
in this paragraph.
C. Termination of customer relationship. A
licensee is not required to provide an annual notice to a former
customer. A former customer is an individual with whom a licensee no
longer has a continuing relationship. Examples:
1. A licensee no longer has a continuing
relationship with an individual if the individual no longer is a
current policyholder of an insurance product or no longer obtains
insurance services with or through the licensee.
2. A licensee no longer has a continuing
relationship with an individual if the individual’s policy is
lapsed, expired or otherwise inactive or dormant under the licensee’s
business practices, and the licensee has not communicated with the
customer about the relationship for a period of twelve (12)
consecutive months, other than to provide annual privacy notices,
material required by law or regulation, or promotional materials.
3. For the purposes of this Part, a
licensee no longer has a continuing relationship with an individual
if the individual’s last known address according to the licensee’s
records is deemed invalid. An address of record is deemed invalid if
mail sent to that address by the licensee has been returned by the
postal authorities as undeliverable and if subsequent attempts by the
licensee to obtain a current valid address for the individual have
been unsuccessful.
4. A licensee no longer has a continuing
relationship with a customer in the case of providing real estate
settlement services, at the time the customer completes execution of
all documents related to the real estate closing, payment for those
services has been received, or the licensee has completed all of its
responsibilities with respect to the settlement, including filing
documents on the public record, whichever is later.
D. Delivery. When a licensee is required by
this Part to deliver an annual privacy notice, the licensee shall
deliver it according to § 7.10 of this Part.
7.7 Information to be Included in
Privacy Notices
A. General rule. The initial, annual and
revised privacy notices that a licensee provides under §§ 7.5, 7.6
and 7.9 of this Part shall include each of the following items of
information, in addition to any other information the licensee wishes
to provide, that applies to the licensee and to the consumers to whom
the licensee sends its privacy notice:
1. the categories of nonpublic personal
financial information that the licensee collects;
2. the categories of nonpublic personal
financial information that the licensee discloses;
3. the categories of affiliates and
nonaffiliated third parties to whom the licensee discloses nonpublic
personal financial information, other than those parties to whom the
licensee discloses information under §§ 7.15 and 7.16 of this Part;
4. the categories of nonpublic personal
financial information about the licensee’s former customers that
the licensee discloses and the categories of affiliates and
nonaffiliated third parties to whom the licensee discloses nonpublic
personal financial information about the licensee’s former
customers, other than those parties to whom the licensee discloses
information under §§ 7.15 and 7.16 of this Part;
5. if a licensee discloses nonpublic
personal financial information to a nonaffiliated third party under §
7.14 of this Part (and no other exception in §§ 7.15 and 7.16 of
this Part applies to that disclosure), a separate description of the
categories of information the licensee discloses and the categories
of third parties with whom the licensee has contracted;
6. an explanation of the consumer’s right
under § 7.11(A) of this Part to opt out of the disclosure of
nonpublic personal financial information to nonaffiliated third
parties, including the methods by which the consumer may exercise
that right at that time;
7. any disclosures that the licensee makes
under Section 603(d)(2)(A)(iii) of the federal Fair Credit Reporting
Act (15 U.S.C. § 1681a(d)(2)(A)(iii)) (that is, notices regarding
the ability to opt out of disclosures of information among
affiliates);
8. the licensee’s policies and practices
with respect to protecting the confidentiality and security of
nonpublic personal financial information; and
9. any disclosure that the licensee makes
under § 7.7(B) of this Part.
B. Description of parties subject to
exceptions. If a licensee discloses nonpublic personal financial
information as authorized under §§ 7.15 and 7.16 of this Part, the
licensee is not required to list those exceptions in the initial or
annual privacy notices required by §§ 7.5 and 7.6 of this Part.
When describing the categories of parties to whom disclosure is made,
the licensee is required to state only that it makes disclosures to
other affiliated or nonaffiliated third parties, as applicable, as
permitted by law.
C. Examples.
1. Categories of nonpublic personal
financial information that the licensee collects. A licensee
satisfies the requirement to categorize the nonpublic personal
financial information it collects if the licensee categorizes it
according to the source of the information, as applicable:
a. information from the consumer;
b. information about the consumer’s
transactions with the licensee or its affiliates;
c. information about the consumer’s
transactions with nonaffiliated third parties; and
d. information from a consumer reporting
agency.
2. Categories of nonpublic personal
financial information a licensee discloses.
a. A licensee satisfies the requirement to
categorize nonpublic personal financial information it discloses if
the licensee categorizes the information according to source, as
described in § 7.7(C)(1) of this Part, as applicable, and provides a
few examples to illustrate the types of information in each category.
These might include:
(1) information from the consumer,
including application information, such as assets and income and
identifying information, such as name, address and social security
number;
(2) transaction information, such as
information about balances, payment history and parties to the
transaction; and
(3) information from consumer reports, such
as a consumer’s creditworthiness and credit history.
b. A licensee does not adequately
categorize the information that it discloses if the licensee uses
only general terms, such as transaction information about the
consumer.
c. If a licensee reserves the right to
disclose all of the nonpublic personal financial information about
consumers that it collects, the licensee may simply state that fact
without describing the categories or examples of nonpublic personal
financial information that the licensee discloses.
3. Categories of affiliates and
nonaffiliated third parties to whom the licensee discloses.
a. A licensee satisfies the requirement to
categorize the affiliates and nonaffiliated third parties to which
the licensee discloses nonpublic personal financial information about
consumers if the licensee identifies the types of businesses in which
they engage.
b. Types of businesses may be described by
general terms only if the licensee uses a few illustrative examples
of significant lines of business. For example, a licensee may use the
term financial products or services if it includes appropriate
examples of significant lines of businesses, such as life insurer,
automobile insurer, consumer banking or securities brokerage.
c. A licensee also may categorize the
affiliates and nonaffiliated third parties to which it discloses
nonpublic personal financial information about consumers using more
detailed categories.
4. Disclosures under exception for service
providers and joint marketers. If a licensee discloses nonpublic
personal financial information under the exception in § 7.14 of this
Part to a nonaffiliated third party to market products or services
that it offers alone or jointly with another financial institution,
the licensee satisfies the disclosure requirement of § 7.7(A)(5) of
this Part if it:
a. Lists the categories of nonpublic
personal financial information it discloses, using the same
categories and examples the licensee used to meet the requirements of
§ 7.7(A)(2) of this Part, as applicable; and
b. States whether the third party is:
(1) a service provider that performs
marketing services on the licensee’s behalf or on behalf of the
licensee and another financial institution; or
(2) a financial institution with whom the
licensee has a joint marketing agreement.
5. Simplified notices. If a licensee does
not disclose, and does not wish to reserve the right to disclose,
nonpublic personal financial information about customers or former
customers to affiliates or nonaffiliated third parties except as
authorized under §§ 7.15 and 7.16 of this Part, the licensee may
simply state that fact, in addition to the information it shall
provide under §§ 7.7(A)(1), (A)(8), (A)(9) and (B) of this Part.
6. Confidentiality and security. A licensee
describes its policies and practices with respect to protecting the
confidentiality and security of nonpublic personal financial
information if it does both of the following:
a. describes in general terms who is
authorized to have access to the information; and
b. states whether the licensee has security
practices and procedures in place to ensure the confidentiality of
the information in accordance with the licensee’s policy. The
licensee is not required to describe technical information about the
safeguards it uses.
D. Short-form initial notice with opt out
notice for non-customers.
1. A licensee may satisfy the initial
notice requirements in §§ 7.5(A) and 7.8(D) of this Part for a
consumer who is not a customer by providing a short-form initial
notice at the same time as the licensee delivers an opt out notice as
required in § 7.8 of this Part.
2. A short-form initial notice shall:
a. be clear and conspicuous;
b. state that the licensee’s privacy
notice is available upon request; and
c. explain a reasonable means by which the
consumer may obtain that notice.
3. The licensee shall deliver its
short-form initial notice according to § 7.10 of this Part. The
licensee is not required to deliver its privacy notice with its
short-form initial notice. The licensee instead may simply provide
the consumer a reasonable means to obtain its privacy notice. If a
consumer who receives the licensee’s short-form notice requests the
licensee’s privacy notice, the licensee shall deliver its privacy
notice according to § 7.10 of this Part.
4. Examples of obtaining privacy notice.
The licensee provides a reasonable means by which a consumer may
obtain a copy of its privacy notice if the licensee:
a. provides a toll-free telephone number
that the consumer may call to request the notice; or
b. for a consumer who conducts business in
person at the licensee’s office, maintains copies of the notice on
hand that the licensee provides to the consumer immediately upon
request.
E. Future disclosures. The licensee’s
notice may include:
1. categories of nonpublic personal
financial information that the licensee reserves the right to
disclose in the future, but does not currently disclose; and
2. categories of affiliates or
nonaffiliated third parties to whom the licensee reserves the right
in the future to disclose, but to whom the licensee does not
currently disclose, nonpublic personal financial information.
F. Sample clauses and Federal Model Privacy
Form Sample clauses illustrating some of the notice content required
by this Part and the Federal Model Privacy Form which have been
included in a bulletin issued for that purpose and available on the
Department’s website.
7.8 Form of Opt Out Notice to
Consumers and Opt Out Methods
A. Form of opt out notice. If a licensee is
required to provide an opt out notice under § 7.11(A) of this Part,
it shall provide a clear and conspicuous notice to each of its
consumers that accurately explains the right to opt out under §
7.11(A) of this Part. The notice shall state:
1. that the licensee discloses or reserves
the right to disclose nonpublic personal financial information about
its consumer to a nonaffiliated third party;
2. that the consumer has the right to opt
out of that disclosure; and
3. a reasonable means by which the consumer
may exercise the opt out right.
B. Examples.
1. Adequate opt out notice. A licensee
provides adequate notice that the consumer can opt out of the
disclosure of nonpublic personal financial information to a
nonaffiliated third party if the licensee:
a. identifies all of the categories of
nonpublic personal financial information that it discloses or
reserves the right to disclose, and all of the categories of
nonaffiliated third parties to which the licensee discloses the
information, as described in §§ 7.7(A)(2) and (3) of this Part, and
states that the consumer can opt out of the disclosure of that
information; and
b. identifies the insurance products or
services that the consumer obtains from the licensee, either singly
or jointly, to which the opt out direction would apply.
2. Reasonable opt out means. A licensee
provides a reasonable means to exercise an opt out right if it:
a. designates check-off boxes in a
prominent position on the relevant forms with the opt out notice;
b. includes a reply form together with the
opt out notice;
c. provides an electronic means to opt out,
such as a form that can be sent via electronic mail or a process at
the licensee’s web site, if the consumer agrees to the electronic
delivery of information; or
d. provides a toll-free telephone number
that consumers may call to opt out.
3. Unreasonable opt out means. A licensee
does not provide a reasonable means of opting out if:
a. the only means of opting out is for the
consumer to write his or her own letter to exercise that opt out
right; or
b. the only means of opting out as
described in any notice subsequent to the initial notice is to use a
check-off box that the licensee provided with the initial notice but
did not include with the subsequent notice.
4. Specific opt out means. A licensee may
require each consumer to opt out through a specific means, as long as
that means is reasonable for that consumer.
C. Same form as initial notice permitted. A
licensee may provide the opt out notice together with or on the same
written or electronic form as the initial notice the licensee
provides in accordance with § 7.5 of this Part.
D. Initial notice required when opt out
notice delivered subsequent to initial notice. If a licensee provides
the opt out notice later than required for the initial notice in
accordance with § 7.5 of this Part, the licensee shall also include
a copy of the initial notice with the opt out notice in writing or,
if the consumer agrees, electronically.
E. Joint relationships.
1. If two (2) or more consumers jointly
obtain an insurance product or service from a licensee, the licensee
may provide a single opt out notice. The licensees opt out notice
shall explain how the licensee will treat an opt out direction by a
joint consumer (as explained in § 7.8(E)(5) of this Part).
2. Any of the joint consumers may exercise
the right to opt out. The licensee may either:
a. treat an opt out direction by a joint
consumer as applying to all of the associated joint consumers; or
b. permit each joint consumer to opt out
separately.
3. If a licensee permits each joint
consumer to opt out separately, the licensee shall permit one of the
joint consumers to opt out on behalf of all of the joint consumers.
4. A licensee may not require all joint
consumers to opt out before it implements any opt out direction.
5. Example. If John and Mary are both named
policyholders on a homeowner’s insurance policy issued by a
licensee and the licensee sends policy statements to John’s
address, the licensee may do any of the following, but it shall
explain in its opt out notice which opt out policy the licensee will
follow:
a. Send a single opt out notice to John’s
address, but the licensee shall accept an opt out direction from
either John or Mary.
b. Treat an opt out direction by either
John or Mary as applying to the entire policy. If the licensee does
so and John opts out, the licensee may not require Mary to opt out as
well before implementing John’s opt out direction.
c. Permit John and Mary to make different
opt out directions. If the licensee does so:
(1) it shall permit John and Mary to opt
out for each other;
(2) if both opt out, the licensee shall
permit both of them to notify it in a single response (such as on a
form or through a telephone call); and
(3) if John opts out and Mary does not, the
licensee may only disclose nonpublic personal financial information
about Mary, but not about John and not about John and Mary jointly.
F. Time to comply with opt out. A licensee
shall comply with a consumer’s opt out direction as soon as
reasonably practicable after the licensee receives it.
G. Continuing right to opt out. A consumer
may exercise the right to opt out at any time.
H. Duration of consumer’s opt out
direction.
1. A consumer’s direction to opt out
under this Part is effective until the consumer revokes it in writing
or, if the consumer agrees, electronically.
2. When a customer relationship terminates,
the customer’s opt out direction continues to apply to the
nonpublic personal financial information that the licensee collected
during or related to that relationship. If the individual
subsequently establishes a new customer relationship with the
licensee, the opt out direction that applied to the former
relationship does not apply to the new relationship.
I. Delivery. When a licensee is required to
deliver an opt out notice by this Part, the licensee shall deliver it
according to § 7.10 of this Part.
7.9 Revised Privacy Notices
A. General rule. Except as otherwise
authorized in this Part, a licensee shall not, directly or through an
affiliate, disclose any nonpublic personal financial information
about a consumer to a nonaffiliated third party other than as
described in the initial notice that the licensee provided to that
consumer under § 7.5 of this Part, unless:
1. the licensee has provided to the
consumer a clear and conspicuous revised notice that accurately
describes its policies and practices;
2. the licensee has provided to the
consumer a new opt out notice;
3. the licensee has given the consumer a
reasonable opportunity, before the licensee discloses the information
to the nonaffiliated third party, to opt out of the disclosure; and
4. the consumer does not opt out.
B. Examples.
1. Except as otherwise permitted by §§
7.14, 7.15 and 7.16 of this Part, a licensee shall provide a revised
notice before it:
a. discloses a new category of nonpublic
personal financial information to any nonaffiliated third party;
b. discloses nonpublic personal financial
information to a new category of nonaffiliated third party; or
c. discloses nonpublic personal financial
information about a former customer to a nonaffiliated third party,
if that former customer has not had the opportunity to exercise an
opt out right regarding that disclosure.
2. A revised notice is not required if the
licensee discloses nonpublic personal financial information to a new
nonaffiliated third party that the licensee adequately described in
its prior notice.
C. Delivery. When a licensee is required to
deliver a revised privacy notice by this Part, the licensee shall
deliver it according to § 7.10 of this Part.
7.10 Privacy Notices to Group
Policyholders
Unless a licensee is providing privacy
notices directly to covered individuals described in §§
7.4(A)(5)(e)((1)), ((2)) or ((3)) of this Part, a licensee shall
provide initial, annual and revised notices to the plan sponsor,
group or blanket insurance policyholder or group annuity
contractholder, or workers’ compensation policyholder, in the
manner described in §§ 7.5 through 7.9 of this Part, describing the
licensee’s privacy practices with respect to nonpublic personal
information about individuals covered under the policies, contracts
or plans.
7.11 Delivery
A. How to provide notices. A licensee shall
provide any notices that this Part requires so that each consumer can
reasonably be expected to receive actual notice in writing or, if the
consumer agrees, electronically.
B. Examples
1. Examples of reasonable expectation of
actual notice. A licensee may reasonably expect that a consumer will
receive actual notice if the licensee:
a. hand-delivers a printed copy of the
notice to the consumer;
b. mails a printed copy of the notice to
the last known address of the consumer separately, or in a policy,
billing or other written communication;
c. for a consumer who conducts transactions
electronically, posts the notice on the electronic site and requires
the consumer to acknowledge receipt of the notice as a necessary step
to obtaining a particular insurance product or service, or
d. for an isolated transaction with a
consumer, such as the licensee providing an insurance quote or
selling the consumer travel insurance, posts the notice and requires
the consumer to acknowledge receipt of the notice as a necessary step
to obtaining the particular insurance product or service.
2. Examples of unreasonable expectation of
actual notice. A licensee may not, however, reasonably expect that a
consumer will receive actual notice of its privacy policies and
practices if it:
a. only posts a sign in its office or
generally publishes advertisements of its privacy policies and
practices; or
b. sends the notice via electronic mail to
a consumer who does not obtain an insurance product or service from
the licensee electronically.
C. Annual notices only. A licensee may
reasonably expect that a customer will receive actual notice of the
licensee’s annual privacy notice if:
1. the customer uses the licensee’s web
site to access insurance products and services electronically and
agrees to receive notices at the web site and the licensee posts its
current privacy notice continuously in a clear and conspicuous manner
on the web site; or
2. the customer has requested that the
licensee refrain from sending any information regarding the customer
relationship, and the licensee’s current privacy notice remains
available to the customer upon request.
D. Oral description of notice insufficient.
A licensee may not provide any notice required by this Part solely by
orally explaining the notice, either in person or over the telephone.
E. Retention or accessibility of notices
for customers.
1. For customers only, a licensee shall
provide the initial notice required by § 7.5(A)(1) of this Part, the
annual notice required by § 7.6(A) of this Part, and the revised
notice required by § 7.9 of this Part so that the customer can
retain them or obtain them later in writing or, if the customer
agrees, electronically.
2. Examples of retention or accessibility.
A licensee provides a privacy notice to the customer so that the
customer can retain it or obtain it later if the licensee:
a. hand-delivers a printed copy of the
notice to the customer;
b. mails a printed copy of the notice to
the last known address of the customer; or
c. makes its current privacy notice
available on a web site (or a link to another web site) for the
customer who obtains an insurance product or service electronically
and agrees to receive the notice at the web site.
F. Joint notice with other financial
institutions. A licensee may provide a joint notice from the licensee
and one or more of its affiliates or other financial institutions, as
identified in the notice, as long as the notice is accurate with
respect to the licensee and the other institutions. A licensee also
may provide a notice on behalf of another financial institution.
G. Joint relationships. If two (2) or more
consumers jointly obtain an insurance product or service from a
licensee, the licensee may satisfy the initial, annual and revised
notice requirements of §§ 7.5(A), 7.6(A) and 7.9(A) of this Part,
respectively, by providing one (1) notice to those consumers
jointly.
7.12 Limits on Disclosure of
Nonpublic Personal Financial Information to Nonaffiliated Third
Parties
A. Conditions for disclosure.
1. Except as otherwise authorized in this
Part, a licensee may not, directly or through any affiliate, disclose
any nonpublic personal financial information about a consumer to a
nonaffiliated third party unless:
a. the licensee has provided to the
consumer an initial notice as required under § 7.5 of this Part;
b. the licensee has provided to the
consumer an opt out notice as required in § 7.8 of this Part.
c. the licensee has given the consumer a
reasonable opportunity, before it discloses the information to the
nonaffiliated third party, to opt out of the disclosure; and
d. the consumer does not opt out.
2. Opt out definition. Opt out means a
direction by the consumer that the licensee not disclose nonpublic
personal financial information about that consumer to a nonaffiliated
third party, other than as permitted by §§ 7.14, 7.15 and 7.16 of
this Part.
3. Examples of reasonable opportunity to
opt out. A licensee provides a consumer with a reasonable opportunity
to opt out if:
a. By mail. The licensee mails the notices
required in § 7.11(A)(1) of this Part to the consumer and allows the
consumer to opt out by mailing a form, calling a toll-free telephone
number or any other reasonable means within thirty (30) days from the
date the licensee mailed the notices.
b. By electronic means. A customer opens an
on-line account with a licensee and agrees to receive the notices
required in § 7.11(A)(1) of this Part electronically, and the
licensee allows the customer to opt out by any reasonable means
within thirty (30) days after the date that the customer acknowledges
receipt of the notices in conjunction with opening the account.
c. Isolated transaction with consumer. For
an isolated transaction such as providing the consumer with an
insurance quote, a licensee provides the consumer with a reasonable
opportunity to opt out if the licensee provides the notices required
in § 7.11(A)(1) of this Part at the time of the transaction and
requests that the consumer decide, as a necessary part of the
transaction, whether to opt out before completing the transaction.
B. Application of opt out to all consumers
and all nonpublic personal financial information.
1. A licensee shall comply with this Part,
regardless of whether the licensee and the consumer have established
a customer relationship.
2. Unless a licensee complies with this
Part, the licensee may not, directly or through any affiliate,
disclose any nonpublic personal financial information about a
consumer that the licensee has collected, regardless of whether the
licensee collected it before or after receiving the direction to opt
out from the consumer.
C. Partial opt out. A licensee may allow a
consumer to select certain nonpublic personal financial information
or certain nonaffiliated third parties with respect to which the
consumer wishes to opt out.
7.13 Limits on Redisclosure and
Reuse of Nonpublic Personal Financial Information
A. Information the licensee receives under
an exception. If a licensee receives nonpublic personal financial
information from a nonaffiliated financial institution under an
exception in §§ 7.15 or 7.16 of this Part, the licensee’s
disclosure and use of that information is limited as follows:
1. the licensee may disclose the
information to the affiliates of the financial institution from which
the licensee received the information;
2. the licensee may disclose the
information to its affiliates, but the licensee’s affiliates may,
in turn, disclose and use the information only to the extent that the
licensee may disclose and use the information; and
3. the licensee may disclose and use the
information pursuant to an exception in §§ 7.15 or 7.16 of this
Part, in the ordinary course of business to carry out the activity
covered by the exception under which the licensee received the
information.
4. Example. If a licensee receives
information from a nonaffiliated financial institution for claims
settlement purposes, the licensee may disclose the information for
fraud prevention, or in response to a properly authorized subpoena.
The licensee may not disclose that information to a third party for
marketing purposes or use that information for its own marketing
purposes.
B. Information a licensee receives outside
of an exception. If a licensee receives nonpublic personal financial
information from a nonaffiliated financial institution other than
under an exception in § 7.15 or 7.16 of this Part, the licensee may
disclose the information only:
1. to the affiliates of the financial
institution from which the licensee received the information;
2. to its affiliates, but its affiliates
may, in turn, disclose the information only to the extent that the
licensee may disclose the information; and
3. to any other person, if the disclosure
would be lawful if made directly to that person by the financial
institution from which the licensee received the information.
4. Example. If a licensee obtains a
customer list from a nonaffiliated financial institution outside of
the exceptions in §§ 7.15 or 7.16 of this Part:
a. the licensee may use that list for its
own purposes; and
b. the licensee may disclose that list to
another nonaffiliated third party only if the financial institution
from which the licensee purchased the list could have lawfully
disclosed the list to that third party. That is, the licensee may
disclose the list in accordance with the privacy policy of the
financial institution from which the licensee received the list, as
limited by the opt out direction of each consumer whose nonpublic
personal financial information the licensee intends to disclose, and
the licensee may disclose the list in accordance with an exception in
§§ 7.15 or 7.16 of this Part, such as to the licensee’s attorneys
or accountants.
C. Information a licensee discloses under
an exception. If a licensee discloses nonpublic personal financial
information to a nonaffiliated third party under an exception in §§
7.15 or 7.16 of this Part, the third party may disclose and use that
information only as follows:
1. the third party may disclose the
information to the licensee’s affiliates;
2. the third party may disclose the
information to its affiliates, but its affiliates may, in turn,
disclose and use the information only to the extent that the third
party may disclose and use the information; and
3. the third party may disclose and use the
information pursuant to an exception in §§ 7.15 or 7.16 of this
Part in the ordinary course of business to carry out the activity
covered by the exception under which it received the information.
D. Information a licensee discloses outside
of an exception. If a licensee discloses nonpublic personal financial
information to a nonaffiliated third party other than under an
exception in §§ 7.15 or 7.16 of this Part, the third party may
disclose the information only:
1. to the licensee’s affiliates;
2. to the third party's affiliates, but the
third party's affiliates, in turn, may disclose the information only
to the extent the third party can disclose the information; and
3. to any other person, if the disclosure
would be lawful if the licensee made it directly to that person.
7.14 Limits on Sharing Account
Number Information for Marketing Purposes
A. General prohibition on disclosure of
account numbers. A licensee shall not, directly or through an
affiliate, disclose, other than to a consumer reporting agency, a
policy number or similar form of access number or access code for a
consumer’s policy or transaction account to any nonaffiliated third
party for use in telemarketing, direct mail marketing or other
marketing through electronic mail to the consumer.
B. Exceptions. § 7.13(A) of this Part
above does not apply if a licensee discloses a policy number or
similar form of access number or access code:
1. to the licensee’s service provider
solely in order to perform marketing for the licensee’s own
products or services, as long as the service provider is not
authorized to directly initiate charges to the account;
2. to a licensee who is a producer solely
in order to perform marketing for the licensee’s own products or
services; or
3. to a participant in an affinity or
similar program where the participants in the program are identified
to the customer when the customer enters into the program.
C. Examples.
1. Policy number. A policy number, or
similar form of access number or access code, does not include a
number or code in an encrypted form, as long as the licensee does not
provide the recipient with a means to decode the number or code.
2. Policy or transaction account. For the
purposes of this Part, a policy or transaction account is an account
other than a deposit account or a credit card account. A policy or
transaction account does not include an account to which third
parties cannot initiate charges.
7.15 Exception to Opt Out
Requirements for Disclosure of Nonpublic Personal Financial
Information for Service Providers and Joint Marketing
A. General rule.
1. The opt out requirements in §§ 7.8 and
7.11 of this Part do not apply when a licensee provides nonpublic
personal financial information to a nonaffiliated third party to
perform services for the licensee or functions on the licensee’s
behalf, if the licensee:
a. provides the initial notice in
accordance with § 7.5 of this Part; and
b. enters into a contractual agreement with
the third party that prohibits the third party from disclosing or
using the information other than to carry out the purposes for which
the licensee disclosed the information, including use under an
exception in §§ 7.15 or 7.16 of this Part in the ordinary course of
business to carry out those purposes.
2. Example. If a licensee discloses
nonpublic personal financial information under this Part to a
financial institution with which the licensee performs joint
marketing, the licensee’s contractual agreement with that
institution meets the requirements of § 7.14(A)(1)(b) of this Part
if it prohibits the institution from disclosing or using the
nonpublic personal financial information except as necessary to carry
out the joint marketing or under an exception in §§ 7.15 or 7.16 of
this Part in the ordinary course of business to carry out that joint
marketing.
B. Service may include joint marketing. The
services a nonaffiliated third party performs for a licensee under §
7.14(A) of this Part may include marketing of the licensee’s own
products or services or marketing of financial products or services
offered pursuant to joint agreements between the licensee and one or
more financial institutions.
C. Definition of “joint agreement.” For
purposes of this Part, “joint agreement” means a written contract
pursuant to which a licensee and one or more financial institutions
jointly offer, endorse or sponsor a financial product or service.
7.16 Exceptions to Notice and Opt
Out Requirements for Disclosure of Nonpublic Personal Financial
Information for Processing and Servicing Transactions
A. Exceptions for processing transactions
at consumer’s request. The requirements for initial notice in §
7.5(A)(2) of this Part, the opt out in §§ 7.8 and 7.11, and service
providers and joint marketing in § 7.14 of this Part do not apply if
the licensee discloses nonpublic personal financial information as
necessary to effect, administer or enforce a transaction that a
consumer requests or authorizes, or in connection with:
1. servicing or processing an insurance
product or service that a consumer requests or authorizes;
2. maintaining or servicing the consumer’s
account with a licensee, or with another entity as part of a private
label credit card program or other extension of credit on behalf of
such entity;
3. a proposed or actual securitization,
secondary market sale (including sales of servicing rights) or
similar transaction related to a transaction of the consumer; or
4. reinsurance or stop loss or excess loss
insurance.
B. “Necessary to effect, administer or
enforce a transaction” means that the disclosure is:
1. Required, or is one of the lawful or
appropriate methods, to enforce the licensee’s rights or the rights
of other persons engaged in carrying out the financial transaction or
providing the product or service; or
2. Required, or is a usual, appropriate or
acceptable method:
a. to carry out the transaction or the
product or service business of which the transaction is a part, and
record, service or maintain the consumer’s account in the ordinary
course of providing the insurance product or service;
b. to administer or service benefits or
claims relating to the transaction or the product or service business
of which it is a part;
c. to provide a confirmation, statement or
other record of the transaction, or information on the status or
value of the insurance product or service to the consumer or the
consumer’s agent or broker;
d. to accrue or recognize incentives or
bonuses associated with the transaction that are provided by a
licensee or any other party;
e. to underwrite insurance at the
consumer’s request or for any of the following purposes as they
relate to a consumer’s insurance: account administration,
reporting, investigating or preventing fraud or material
misrepresentation, processing premium payments, processing insurance
claims, administering insurance benefits (including utilization
review activities), participating in research projects or as
otherwise required or specifically permitted by federal or state law;
or
f. in connection with:
(1) the authorization, settlement, billing,
processing, clearing, transferring, reconciling or collection of
amounts charged, debited or otherwise paid using a debit, credit or
other payment card, check or account number, or by other payment
means;
(2) the transfer of receivables, accounts
or interests therein; or
(3) the audit of debit, credit or other
payment information.
7.17 Other Exceptions to Notice
and Opt Out Requirements for Disclosure of Nonpublic Personal
Financial Information
A. Exceptions to opt out requirements. The
requirements for initial notice to consumers in § 7.5(A)(2) of this
Part, the opt out in §§ 7.8 and 7.11 of this Part, and service
providers and joint marketing in § 7.14 of this Part do not apply
when a licensee discloses nonpublic personal financial information:
1. with the consent or at the direction of
the consumer, provided that the consumer has not revoked the consent
or direction;
2. to protect the confidentiality or
security of a licensee’s records pertaining to the consumer,
service, product or transaction;
a. to protect against or prevent actual or
potential fraud or unauthorized transactions;
b. for required institutional risk control
or for resolving consumer disputes or inquiries;
c. to persons holding a legal or beneficial
interest relating to the consumer; or
d. to persons acting in a fiduciary or
representative capacity on behalf of the consumer;
3. to provide information to insurance rate
advisory organizations, guaranty funds or agencies, agencies that are
rating a licensee, persons that are assessing the licensee’s
compliance with industry standards, and the licensee’s attorneys,
accountants and auditors;
4. to the extent specifically permitted or
required under other provisions of law and in accordance with the
federal Right to Financial Privacy Act of 1978 (12 U.S.C. §§ 3401
et seq .), to law enforcement agencies (including the Federal
Reserve Board, Office of the Comptroller of the Currency, Federal
Deposit Insurance Corporation, Office of Thrift Supervision, National
Credit Union Administration, the Securities and Exchange Commission,
the Secretary of the Treasury, with respect to 31 U.S.C. §§ 5311 et
seq . [Records and Reports on Monetary Instruments and
Transactions] and 12 U.S.C. §§ 1951 et seq . [Financial
Recordkeeping], a state insurance authority, and the Federal Trade
Commission, self-regulatory organizations or for an investigation on
a matter related to public safety;
5. to a consumer reporting agency in
accordance with the federal Fair Credit Reporting Act (15 U.S.C. §§
1681 et seq .) and the fair credit laws of this state; or from
a consumer report reported by a consumer reporting agency;
6. in connection with a proposed or actual
sale, merger, transfer or exchange of all or a portion of a business
or operating unit if the disclosure of nonpublic personal financial
information concerns solely consumers of the business or unit;
7. to comply with federal, state or local
laws, rules and other applicable legal requirements;
a. to comply with a properly authorized
civil, criminal or regulatory investigation, or subpoena or summons
by federal, state or local authorities; or
b. to respond to judicial process or
government regulatory authorities having jurisdiction over a licensee
for examination, compliance or other purposes as authorized by law;
or
8. for purposes related to the replacement
of a group benefit plan, a group health plan or a group welfare plan.
B. Example of revocation of consent. A
consumer may revoke consent by subsequently exercising the right to
opt out of future disclosures of nonpublic personal financial
information as permitted under § 7.8(G) of this Part.
7.18 When Authorization Required
for Disclosure of Nonpublic Personal Health Information
A. A licensee shall not disclose nonpublic
personal health information about a consumer or customer unless an
authorization is obtained from the consumer or customer whose
nonpublic personal health information is sought to be disclosed.
B. Nothing in this Part shall prohibit,
restrict or require an authorization for the disclosure of nonpublic
personal health information by a licensee for the performance of the
following insurance functions by or on behalf of the licensee: claims
administration; claims adjustment and management; detection,
investigation or reporting of actual or potential fraud,
misrepresentation or criminal activity; underwriting; policy
placement or issuance; loss control; ratemaking and guaranty fund
functions; reinsurance and excess loss insurance; risk management;
case management; disease management; quality assurance; quality
improvement; performance evaluation; provider credentialing
verification; utilization review; peer review activities; actuarial,
scientific, medical or public policy research; grievance procedures;
internal administration of compliance, managerial, and information
systems; policyholder service functions; auditing; reporting;
database security; administration of consumer disputes and inquiries;
external accreditation standards; the replacement of a group benefit
plan or workers compensation policy or program; activities in
connection with a sale, merger, transfer or exchange of all or part
of a business or operating unit; any activity that permits disclosure
without authorization pursuant to the federal Health Insurance
Portability and Accountability Act privacy rules promulgated by the
U.S. Department of Health and Human Services; disclosure that is
required, or is one of the lawful or appropriate methods, to enforce
the licensee’s rights or the rights of other persons engaged in
carrying out a transaction or providing a product or service that a
consumer requests or authorizes; and any activity otherwise permitted
by law, required pursuant to governmental reporting authority, or to
comply with legal process. Additional insurance functions may be
added with the approval of the commissioner to the extent they are
necessary for appropriate performance of insurance functions and are
fair and reasonable to the interest of consumers.
7.19 Authorizations
A. A valid authorization to disclose
nonpublic personal health information pursuant to this Part shall be
in written or electronic form and shall contain all of the following:
1. The identity of the consumer or customer
who is the subject of the nonpublic personal health information;
2. A general description of the types of
nonpublic personal health information to be disclosed;
3. General descriptions of the parties to
whom the licensee discloses nonpublic personal health information,
the purpose of the disclosure and how the information will be used;
4. The signature of the consumer or
customer who is the subject of the nonpublic personal health
information or the individual who is legally empowered to grant
authority and the date signed; and
5. Notice of the length of time for which
the authorization is valid and that the consumer or customer may
revoke the authorization at any time and the procedure for making a
revocation.
B. An authorization for the purposes of
this Part shall specify a length of time for which the authorization
shall remain valid, which in no event shall be for more than
twenty-four (24) months.
C. A consumer or customer who is the
subject of nonpublic personal health information may revoke an
authorization provided pursuant to this Part at any time, subject to
the rights of an individual who acted in reliance on the
authorization prior to notice of the revocation.
D. A licensee shall retain the
authorization or a copy thereof in the record of the individual who
is the subject of nonpublic personal health information.
7.20 Authorization Request
Delivery
A request for authorization and an
authorization form may be delivered to a consumer or a customer as
part of an opt-out notice pursuant to § 7.11 of this Part, provided
that the request and the authorization form are clear and
conspicuous. An authorization form is not required to be delivered to
the consumer or customer or included in any other notices unless the
licensee intends to disclose protected health information pursuant to
Section § 7.18(A) of this Part.
7.21 Relationship to Federal Rules
Irrespective of whether a licensee is
subject to the federal Health Insurance Portability and
Accountability Act privacy rule as promulgated by the U.S. Department
of Health and Human Services (the “federal rule”), if a licensee
complies with all requirements of the federal rule except for its
effective date provision, the licensee shall not be subject to the
provisions §§ 7.18 through 7.22 of this Part.
7.22Relationship to State Laws
Nothing in this article shall preempt or
supersede existing state law related to medical records, health or
insurance information privacy. Any disclosure of health information
must comply with R.I. Gen. Laws Chapter 5-37.3.
7.23 Protection of Fair Credit
Reporting Act
Nothing in this Part shall be construed to
modify, limit or supersede the operation of the federal Fair Credit
Reporting Act (15 U.S.C. §§ 1681 et seq .), and no inference
shall be drawn on the basis of the provisions of this Part regarding
whether information is transaction or experience information under 15
U.S.C. § 1681a.
7.24 Nondiscrimination
A. A licensee shall not unfairly
discriminate against any consumer or customer because that consumer
or customer has opted out from the disclosure of his or her nonpublic
personal financial information pursuant to the provisions of this
Part.
B. A Licensee shall not unfairly
discriminate against a consumer or customer because that consumer or
customer has not granted authorization for the disclosure of his or
her nonpublic personal health information pursuant to the provisions
of this regulation.
7.25 Violation
No licensee shall violate the provisions
of this Part. The insurance regulatory authorities of this State are
authorized to investigate any alleged violations of this Part and to
impose fines and other sanctions as lawfully determined to be
appropriate in accordance with the applicable laws of this State.
7.26 Severability
If any Part or portion of this Part or its
applicability to any person or circumstance is held invalid by a
court, the remainder of the Part or the applicability of the
provision to other persons or circumstances shall not be affected.