SB 354: Insurance Information and Privacy Protection Act.
- Session Year: 2025-2026
- House: Senate
- Latest Version Date: 2026-09-27
Current Status:
Passed
(2026-09-27: Chaptered by Secretary of State. Chapter 481, Statutes of 2026.)
Introduced
In Committee
Awaiting First Chamber Vote
Passed First Chamber
In Committee
Awaiting Second Chamber Vote
Passed Second Chamber
Enacted
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
On and after July 1, 2028, this bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the processing and sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing or sharing of a consumers personal information for specified purposes, including sharing in connection with an insurance transaction. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a stand-alone document that includes specified information to a consumer within a specified period of time, and would prohibit the sharing of a consumers personal information unless it is reasonably necessary and proportionate to achieve specified purposes related to an insurance transaction or another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may access, correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider to govern the processing and sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
This bill would incorporate additional changes to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by AB 1798 to be operative only if this bill and AB 1798 are enacted and this bill is enacted last.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
On and after July 1, 2028, this bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the processing and sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing or sharing of a consumers personal information for specified purposes, including sharing in connection with an insurance transaction. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a stand-alone document that includes specified information to a consumer within a specified period of time, and would prohibit the sharing of a consumers personal information unless it is reasonably necessary and proportionate to achieve specified purposes related to an insurance transaction or another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may access, correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider to govern the processing and sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
This bill would incorporate additional changes to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by AB 1798 to be operative only if this bill and AB 1798 are enacted and this bill is enacted last.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
On and after July 1, 2028, this bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or processing and sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing or sharing of a consumers personal information for specified purposes, including sharing in connection with an insurance transaction. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a stand-alone document that includes specified information to a consumer within a specified period of time, and would prohibit the sharing of a consumers personal information unless it is reasonably necessary and proportionate to achieve specified purposes related to an insurance transaction or another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may access, correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider to govern the processing and sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
This bill would incorporate additional changes to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by AB 1798 to be operative only if this bill and AB 1798 are enacted and this bill is enacted last.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
ThisOn and after July 1, 2028, this bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing or sharing of a consumers personal information for specified purposes, including sharing in connection with an insurance transaction. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a standalone stand-alone document that includes specified information to a consumer within a specified period of time, and would prohibit the sharing of a consumers personal information unless it is reasonably necessary and proportionate to achieve specified purposes related to an insurance transaction or another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may access, correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider to govern the processing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
This bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing or sharing of a consumers personal information for specified purposes, including sharing in connection with an insurance transaction. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a standalone document that includes specified information to a consumer within a specified period of time, and would prohibit the processing sharing of a consumers personal information unless it is reasonably necessary and proportionate to achieve specified purposes related to an insurance transaction or another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider to govern the processing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
This bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees, surplus line insurers, reinsurers, and third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee licensee, surplus line insurer, reinsurer, or third-party service provider to provide a clear and conspicuous privacy notice presented as a standalone document that includes specified information to a consumer at specified times, within a specified period of time, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the specified purposes related to an insurance transaction or other purpose the consumer requested or authorized. another purpose that is fully disclosed to the consumer and to which the consumer has consented. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee licensee, surplus line insurer, or reinsurer to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee licensee, surplus line insurer, reinsurer, or its third-party service providers. The bill would require a contract between a licensee licensee, surplus line insurer, or reinsurer and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. licensee, surplus line insurer, or reinsurer. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
This bill would revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees licensees, surplus line insurers, reinsurers, and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee licensee, surplus line insurer, reinsurer, or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee licensee, surplus line insurer, or reinsurer to retain personal information, as specified, and would require a licensee licensee, surplus line insurer, or reinsurer to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
This bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations of the act. The bill would increase the fine if a cease and desist order is violated to at least $25,000, but not more than $10,000,000, $15,000 for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations. The Insurance Information and Privacy Protection Act imposes various monetary penalties for violations of the act and makes a person who knowingly and willfully obtains information about an individual from an insurance institution, agent, or insurance-support organization under false pretenses guilty of a misdemeanor.
This bill would enact the Insurance Consumer Privacy Protection Act of 2025 revise the Insurance Information and Privacy Protection Act to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee to retain personal information, as specified, and would require a licensee to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner. The bill would also make technical and conforming changes.
To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of the act, this bill would authorize the commissioner to examine and investigate the licensee or third-party service provider, then hold a hearing regarding those violations. If a hearing results in a finding of a knowing violation, the bill would require the commissioner to issue a cease and desist order andThis bill would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations. violations of the act. The bill would authorize additional fines and suspension or revocation of the licensees license increase the fine if a cease and desist order is violated. violated to at least $25,000, but not more than $10,000,000, for each violation, and would increase a fine to at least $50,000 for each violation if the commissioner finds the violations to be a general business practice. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to 6 months, or both, thus creating expanding the applicability of a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations.
This bill would enact the Insurance Consumer Privacy Protection Act of 2025 to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee to retain personal information, as specified, and would require a licensee to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner.
To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of the act, this bill would authorize the commissioner to examine and investigate the licensee or third-party service provider, then hold a hearing regarding those violations. If a hearing results in a finding of a knowing violation, the bill would require the commissioner to issue a cease and desist order and would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations. The bill would authorize additional fines and suspension or revocation of the licensees license if a cease and desist order is violated. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment in a county jail for up to six 6 months, or both, thus creating a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations.
This bill would enact the Insurance Consumer Privacy Protection Act of 2025 to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee to retain personal information, as specified, and would require a licensee to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner.
To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of the act, this bill would authorize the commissioner to examine and investigate the licensee or third-party service provider, then hold a hearing regarding those violations. If a hearing results in a finding of a knowing violation, the bill would require the commissioner to issue a cease and desist order and would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations. The bill would authorize additional fines and suspension or revocation of the licensees license if a cease and desist order is violated. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment for not more than one year in a county jail, in a county jail for up to six months, or both, thus creating a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations.
This bill would enact the Insurance Consumer Privacy Protection Act of 2025 to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would require a licensee or third-party service provider to obtain a consumers consent to take specified actions, and would set forth the means by which consent is obtained. The bill would authorize a licensee to retain personal information, as specified, and would require a licensee to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner.
To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of the act, this bill would authorize the commissioner to examine and investigate the licensee or third-party service provider, then hold a hearing regarding those violations. If a hearing results in a finding of a knowing violation, the bill would require the commissioner to issue a cease and desist order and would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations. The bill would authorize additional fines and suspension or revocation of the licensees license if a cease and desist order is violated. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment for not more than one year in a county jail, or both, thus creating a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The California Consumer Privacy Act of 2018 (CCPA) grants to a consumer various rights with respect to personal information that is collected by a business, including the right to request that a business delete personal information about the consumer that the business has collected from the consumer. The California Privacy Rights Act of 2020, an initiative measure approved by the voters as Proposition 24 at the November 3, 2020, statewide general election, amended, added to, and reenacted the CCPA. Existing law, the Insurance Information and Privacy Protection Act, establishes privacy standards for the collection, use, and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents, and insurance-support organizations.
This bill would enact the Insurance Consumer Privacy Protection Act of 2025 to establish new standards for the collection, processing, retaining, or sharing of consumers personal information by insurance licensees and their third-party service providers. The bill would authorize processing of a consumers personal information for specified purposes, including in connection with an insurance transaction. The bill would require a licensee to provide a clear and conspicuous privacy notice that includes specified information to a consumer at specified times, and would prohibit the processing of a consumers personal information unless it is consistent with and complies with that notice and is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized. The bill would also require a licensee to provide a privacy rights notice, as specified, to each consumer with whom the licensee has an ongoing business relationship. The bill would authorize a licensee to retain personal information, as specified, and would require a licensee to develop a written records retention policy and schedule. The bill would require a licensee to provide specified information to a consumer if it makes an adverse underwriting decision, and would provide a process by which a consumer may correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The bill would require a contract between a licensee and a third-party service provider to clearly govern the processing of personal information performed on behalf of the licensee. The bill would prohibit retaliation against a consumer because the consumer exercised or attempted to exercise their rights under the act. The bill would prohibit public disclosure of specified systems, processes, policies, procedures, and plans that are disclosed to the Insurance Commissioner.
To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of the act, this bill would authorize the commissioner to examine and investigate the licensee or third-party service provider, then hold a hearing regarding those violations. If a hearing results in a finding of a knowing violation, the bill would require the commissioner to issue a cease and desist order and would authorize a penalty of at least $5,000, not to exceed $1,000,000 in the aggregate for multiple violations. The bill would authorize additional fines and suspension or revocation of the licensees license if a cease and desist order is violated. Under the bill, a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses would be guilty of a misdemeanor, punishable by a fine of up to $50,000, imprisonment for not more than one year in a county jail, or both, thus creating a crime and imposing a state-mandated local program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law generally regulates the business of insurance in the state and sets standards for the collection, use, and disclosure of information gathered in connection with insurance transactions. Existing law prohibits an insurance institution, agent, or insurance-support organization from preparing or requesting an investigative consumer report about an individual for an insurance application unless they inform the individual of specified information and take specified actions regarding personal interviews.This bill would make technical, nonsubstantive changes to those provisions.Existing law generally regulates the business of insurance in the state and sets standards for the collection, use, and disclosure of information gathered in connection with insurance transactions. Existing law prohibits an insurance institution, agent, or insurance-support organization from preparing or requesting an investigative consumer report about an individual for an insurance application unless they inform the individual of specified information and take specified actions regarding personal interviews.
This bill would make technical, nonsubstantive changes to those provisions.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information reasonable and proportionate to the purposes disclosed to the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and in ways that are reasonable and proportionate to the purposes disclosed to the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers understand how their personal information will be used and have the opportunity to control the processing and sharing of their personal information for purposes other than an insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.6 (commencing with Section 791) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.6.Insurance Information and Privacy Protection Act791.The purpose of this article is to establish standards for the collection, use, storage, disclosure, analysis, deletion, retention, or modification of personal information, collectively known as processing and sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing or sharing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed or shared by licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed or shared.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing or sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, or reinsurer.
(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers to the extent they do either of the following:
(A)Process or share consumers personal information in connection with the business of insurance.
(B)Engage in insurance transactions with consumers.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed or shared in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is processed or shared for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to Securities and Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities and Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate is also licensed by the department, this article shall only apply to the processing or sharing of personal information in the business of insurance by the Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate, except that it shall not apply when that information is collected in connection with making, modifying, or servicing a loan or line of credit, provided that the insurer issuing coverage complies with this article on behalf of the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing or sharing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed or shared in connection with insurance for business or professional purposes shall not be processed or shared in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)(1)The obligations imposed by this article shall not apply to the processing of personal information by a surplus lines advisory organization designated by the commissioner for purposes consistent with the mandates of the advisory organization pursuant to Chapter 6.1 (commencing with Section 1780.50).
(2)Notwithstanding paragraph (1), a surplus lines advisory organization shall be required to comply with subdivision (i) of Section 791.13, Section 791.24, Section 791.32, and Section 791.33, and, with respect to those provisions, shall be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(i)(1)The obligations imposed by Sections 791.06, 791.08, 791.09, and 791.099 do not apply to a producer that processes or shares a consumers personal information in response to a consumers request to solicit, obtain, or place insurance coverage on behalf of the consumer, or on behalf of another licensee transacting insurance on behalf of the consumer, or for purposes of renewal, replacement, remarketing, servicing, coverage recommendations, or administration of insurance coverage, provided that all of the following are true:
(A)The producer does not process or share personal information for purposes unrelated to those identified in paragraph (1) or an insurance transaction or transactions.
(B)The producer discloses personal information only to a licensee for purposes of soliciting, obtaining, or placing the insurance coverage requested by the consumer or for any of the purposes identified in paragraph (1) as it pertains to the consumers insurance needs.
(C)Upon the consumers request, within a reasonable time not more than 21 days, the producer discloses to the consumer the identity of all licensees with which the producer has shared personal information.
(D)The producer does not process, share, or retain the consumers personal information after issuing the coverage requested by the consumer, except as reasonably necessary for purposes of servicing the policy or consumers account, regulatory compliance, defense of legal claims, record retention required by law, or purposes stated in paragraph (1).
(E)The producer provides clear and conspicuous notice within a reasonable time not more than 21 days, after the consumer first contacts the producer about soliciting, obtaining, or placing insurance coverage or for any of the purposes in paragraph (1) as it pertains to their insurance needs. The notice shall do all of the following:
(i)Confirm that the consumer has requested the producer to undertake the actions and services necessary to fulfill the consumers request for assistance in obtaining insurance coverage.
(ii)Confirm that the consumer has provided personal information for the purpose of enabling the producer to fulfill the consumers request for assistance in obtaining insurance coverage.
(iii)Disclose that the insurance producer may share the consumers personal information with other licensees or third-party service providers to the extent necessary to fulfill the assistance requested by the consumer or service the consumers account.
(iv)Provide that the producer will not disclose or share the personal information provided by the consumer for any purpose not previously authorized by the consumer.
(v)Provide that, except as required by law or regulation, the producer shall maintain the minimum personal information necessary to service the consumers account and to provide billing, claims management, or other administrative services necessary to serve the consumers insurance needs.
(vi)Provide that the privacy notice will remain in effect for as long as there is a business relationship between the producer and the consumer, or until the producers privacy practices change, in which case the producer shall provide the consumer with an updated notice.
(vii)Disclose to the consumer the right to access and correct personal information that the insurance producer collects about the consumer.
(F)The insurer with which the producer has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, limited to the information provided by the producer and information collected or obtained by the insurer, on the producers behalf, including complying with provisions related to substitute performance in subdivision (f) of Section 791.099 and the producer complies with Sections 791.08 and 791.09 to the extent that it collects or retains personal information other than the information provided to the insurer.
(G)To the extent the producer engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the producer provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(2)The obligations imposed by Sections 791.04, 791.045, and 791.046 are satisfied with respect to a producer if the insurer with whom the producer places the consumers insurance complies with Sections 791.04, 791.045, and 791.046, and subdivision (f) of Section 791.099. A producer may reasonably rely upon the insurers representation of compliance with these sections and an insurers failure to comply shall not constitute a violation by the producer, unless the producer knowingly prevents or interferes with the insurers compliance with this article.
(3)A licensees failure to comply with Section 791.04, 791.045, 791.046, 791.08, or 791.09, shall not constitute a violation by the licensee to the extent that failure is caused by the producers inaccurate, incomplete, or untimely transmission of consumer information or consumer requests to the licensee, or by the producers failure to maintain personal information in a manner reasonably accessible to the licensee.
(j)A wholesale intermediary:
(1)May satisfy Sections 791.08 and 791.09 provided that the insurer with which the wholesale intermediary has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, and complies with provisions related to substitute performance in subdivision (f) of Section 791.099.
(2)To the extent the wholesale intermediary engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the wholesale intermediary provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(3)Shall comply with subdivision (i) of Section 791.13 and Sections 791.24, 791.32, and 791.33.
(4)Shall, with respect to this subdivision, be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(k)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.04, 791.045, 791.046, 791.13, 791.19, and 791.24 to producers. The regulations shall include the development of sample notices, forms, and compliance documents, consistent with the requirements of subdivision (c) of Section 791.40. In regard to Sections 791.04, 791.045, 791.24, and 791.046, when substitute performance in subdivision (f) of Section 791.099 is not applicable, the commissioner shall consider, in addition to other factors, the scale and complexity of the licensees operations.
791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) residential mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any consumer who seeks to contract for insurance coverage primarily for personal, family, or household purposes, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing or sharing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed or shared or has been processed or shared in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed or shared by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes or shares deidentified information meets all the following criteria:
(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(D)Makes no attempt to reidentify the information.
(E)Does not retain any sensitive personal information.
(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(v)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(y)(1)Insurance support organization means a person who regularly engages in the processing or sharing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing or sharing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing or sharing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, third-party service providers, or businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements and exceptions pertaining to third-party service providers pursuant to this article, including provisions related to substitute performance.
(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits relating to financial products or services.
(D)An actuarial study related to any of the following:
(i)Rating or risk management.
(ii)Modeling based on claims data.
(iii)Use of geocoded and structure information in connection with catastrophe-modeling activities.
(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(v)Pricing model development.
(vi)Customer lifetime value modeling.
(vii)Underwriting algorithm testing.
(viii)Product development.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only processed or shared for the purposes for which it is disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.) advising, and federal Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12101 et seq.) guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only processed or shared for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization or third-party service provider for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:
(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.
(ii)The deidentified aggregate results are used solely for insurance industry research purposes.
(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.
(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.
(2)Insurance transaction does not include processing or sharing related to marketing or research activities.
(aa)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.
(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(ah)Personal information means information processed or shared in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(aj)Privileged information means personal information that is processed or shared in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, storage, analysis, deletion, retention, or modification of personal information. As used in this article, process does not include share.
(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(A)Federal, state, or local government records.
(B)Widely distributed media.
(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.
(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.
(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate or in connection with a joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(A)Social security, drivers license, state identification card, or passport number.
(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(C)Precise geolocation.
(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(F)Genetic or neural data.
(G)Information about the consumers sex life or sexual orientation.
(H)Health information.
(I)Biometric information.
(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information.
(at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing or sharing of personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed or shared consistently with this article. If a third party materially alters how it processes or shares the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.
(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code, or providers of information technology infrastructure or software services that process and share personal information at the direction of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ay)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ba)Wholesale intermediary means a producer that accepts insurance business to be placed with an insurer or a nonadmitted insurer from other licensees, but does not interact directly with or originate insurance business with consumers.
(bb)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.
791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a stand-alone document within a reasonable time not to exceed 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing or sharing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(F)By a wholesale intermediary that accepts insurance business from an originating licensee and does not interact directly with the consumer, provided that the following requirements are met:
(i)The privacy notice required pursuant to this section is provided by the insurer when the consumer insurance is placed.
(ii)The wholesale intermediary has posted a clear and conspicuous privacy notice on its internet website.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal information has been processed or shared before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing or sharing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees, surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process or share, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers process or share the consumers personal information.
(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or if the consumer has provided consent or has not opted out of sharing consistent with this article.
(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may share the consumers personal information in connection with these activities, unless the consumer has opted out of that sharing.
(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to share the consumers personal information for most purposes unrelated to the insurance transaction, including processing or sharing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information, consistent with the consumers rights pursuant to Section 791.13.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.
(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The licensee does not share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization from the consumer.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.
(iv)The consumers right to opt out of the sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted out, may revoke the opt-out election.
(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.
(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(f)The notice required by subdivision (a) shall not be required to be provided to a third-party natural person, including a beneficiary, claimant, family or household member, or emergency contact, or to an individual plan participant of an employee benefit plan for whom notice has been provided to the employer, consistent with the exemptions available under paragraph (2) of subdivision (a) of Section 791.04.
791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers personal information in a manner inconsistent with the consent provided by the consumer if consent is implicated pursuant to Section 791.13.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing or sharing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(b)Before processing or sharing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to sharing of personal information for any of the following reasons:
(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the categories of persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee, surplus line insurer, or reinsurer that the consumer is authorizing to collect personal information.
(F)Specifies the purposes for which the consumer is authorizing the processing or sharing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the form in compliance with the requirements of Section 38.6.
(c)A consumer does not have the ability to opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing or sharing is legally required by this article or by any other law or regulation.
(d)As applicable, a licensees, surplus line insurers, reinsurers, or third-party service providers processing or sharing of personal information shall comply with the consumers consent or opt-out election as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or opt-out election or a change to the consumers consent or opt-out election.(e)A consumer who has consented to processing or sharing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(f)The consumers most recent consent shall take precedence over any prior consent.
(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.
(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.065.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize as its disclosure authorization form in connection with insurance transactions a form or statement that authorizes the disclosure of personal or privileged information about an individual to the licensee, surplus line insurer, reinsurer, or third-party service provider unless the form or statement meets all of the following criteria:
(1)Is written in plain language.
(2)Is dated.
(3)Specifies the types of persons authorized to disclose information about the individual.
(4)Specifies the nature of the information authorized to be disclosed.
(5)Names the licensee, surplus line insurer, reinsurer, or third-party service provider and identifies by generic reference representatives of the insurance institution to whom the individual is authorizing information to be disclosed.
(6)Specifies the purposes for which the information is collected.
(7)Specifies the length of time the authorization shall remain valid, which shall be no longer than:
(A)One of the following for authorizations signed for the purpose of collecting information in connection with an application for an insurance policy, a policy reinstatement or a request for change in policy benefits:
(i)Thirty months from the date the authorization is signed if the application or request involves life, health, or disability insurance.
(ii)One year from the date the authorization is signed if the application or request involves property or casualty insurance.
(B)One of the following for authorizations signed for the purpose of collecting information in connection with a claim for benefits under an insurance policy:
(i)The term of coverage of the policy if the claim is for a health insurance benefit.
(ii)The duration of the claim if the claim is not for a health insurance benefit.
(iii)The duration of all claims processing activity performed in connection with all claims for benefits made by any person entitled to benefits under a nonprofit hospital service contract.
(8)Advises the individual or a person authorized to act on behalf of the individual that the individual or the individuals authorized representative is entitled to receive a copy of the authorization form.
(b)For purposes of this section, a disclosure authorization form means a form used by licensee or third-party service provider to obtain personal information about an individual from a person other than the individual.
(c)This section does not require any authorization for the receipt of personal or privileged information about an individual.
791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer for access to the consumers personal information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed or shared in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation or the detection or prevention of fraud, or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.
791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal information in dispute.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal information.
(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth either of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information.
(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal information and provide a copy of the consumers statement to anyone reviewing the disputed personal information in the licensees records.
(2)In a later disclosure of the personal information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(h)The rights granted to a consumer pursuant to this section shall not be construed to require deletion of information pertaining to an anticipated or active fraud investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(i)For purposes of this section, insurance support organization does not include a consumer reporting agency.
(j)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.
(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons, however:
(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation, or material nondisclosure.
(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.
Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b), provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a).
791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism, provided, however, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, when reasonably available, shall be furnished the requesting insurer and the individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may share a consumers personal information according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with a specific marketing activity of a product or service not otherwise permitted under this article.
(B)In connection with a specific research activity, after receiving affirmative consent from the consumer to share the consumers information.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the sharing and the consumers ability to opt out of the sharing, a reasonable opportunity for the consumer to opt out of the sharing, and the consumer has not done so:
(A)In connection with joint marketing, provided that all of the following are true:
(i)Personal information is only shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(ii)Only the following elements of personal information are shared for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(I)Name.
(II)Address or email address.
(III)Financial institution affiliation and account type.
(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.
(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers sensitive personal information, other than in connection with the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.
(c)(1)A licensees processing or sharing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed or shared in a manner that is incompatible with those purposes, or for one of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:
(i)Pricing model development.
(ii)Customer lifetime value modeling.
(iii)Underwriting algorithm testing.
(iv)Product development.
(v)Research activities.
(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.
(2)A third-party service provider shall process or share personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing or sharing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.
(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process or share consumers deidentified information.
(e)Processing or sharing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider that requires or permits the consumers consent shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(g)(1)An affiliate that processes or shares personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)Notwithstanding paragraph (1), this subdivision does not apply to an affiliate that is not otherwise subject to this article and that processes personal information of a consumer with whom the affiliate has a direct relationship, for a purpose which has been disclosed to the consumer and that does not constitute processing in the business of insurance.
(h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivisions (a) to (c), inclusive.
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)A licensee shall comply with all of the following on and after January 1, 2032:
(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after July 1, 2028, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after July 1, 2028, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
(j)A licensee that is a producer, when processing or sharing personal information received from another licensee for use in that other licensees marketing or servicing program, shall be subject to the same use-limitation, confidentiality, and incident-reporting obligations applicable to a third-party service provider under Section 791.24 with respect to that personal information. The licensee providing information to a producer pursuant to this subdivision shall satisfy the requirements of Section 791.24 with respect to the recipient producer.
791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
791.19.(a)(1)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)As applied to producers, the commissioner shall consider, in addition to other factors, the proportionate nature of the violation or violations and the scale and complexity of the licensees operations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.08, 791.09, or 791.10, with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.
(c)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing or sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing or sharing personal information, the nature and purpose of processing or sharing, the types of personal information subject to processing or sharing, the duration of processing or sharing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing or sharing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes or shares the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 of the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.
(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after July 1, 2028.
(e)This article applies to a third-party service provider only to the extent that the third-party service provider processes or shares personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
(f)(1)With respect to a producer, the obligations under this section shall apply only to a third-party service provider with which the producer has a direct contractual relationship and over which whom the producer exercises control with respect to the possession of personal information. A producer may rely in good faith on the third-party service providers representation, certification, or contractual commitment regarding the subjects of paragraphs (1) to (9), inclusive, of subdivision (b). If the producer has taken commercially reasonable measures to ensure compliance by its third-party service provider, then the third-party service provider shall be directly liable for any violation of the article, and the producer shall not be held liable for that violation.
(2)This subdivision does not apply to a producer, to the extent that the producer has received information from another licensee pursuant to subdivision (j) of Section 791.13.
791.27.(a)A disability insurer that provides coverage for hospital, medical, or surgical expenses shall not release any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. An insurer that has, pursuant to an agreement, assumed the responsibility to pay compensation pursuant to Article 3 (commencing with Section 3750) of Chapter 4 of Part 1 of Division 4 of the Labor Code, shall not be considered an employer for the purposes of this section.
(b)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Chapter 12 (commencing with Section 1871) of Part 2 of Division 1.
(c)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Section 10181.10.
791.28.An insurer under a personal lines residential property insurance policy, if it reports the claims history or loss experience of insureds under those policies to an insurance-support organization, shall provide the insured with the following additional disclosure at the time that it provides the disclosure required pursuant to paragraph (1) of subdivision (b) of Section 790.034:
This insurer reports claim information to one or more claims information databases. The claim information is used to furnish loss history reports to insurers. If you are interested in obtaining a report from a claims information database, you may do so by contacting:
(Insert the name, toll-free telephone number, and, if applicable, internet website address of each claims information database to which the insurer reports the information covered by this section)
791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
791.33.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
(b)A producer that, pursuant to subdivision (j) of Section 791.13, receives personal information from another licensee shall promptly report to the disclosing licensee any incident of unauthorized access to, or acquisition, disclosure, or use of, that personal information, consistent with the reporting obligation imposed on a third-party service provider under paragraph (3) of subdivision (b) of Section 791.24.
791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to a factory default setting, thereby removing the consumers personal information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device capable of storing personal information, or rendering unreadable the personal information stored on the device capable of storing personal information, shall satisfy the requirements of this section.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.
(f)(1)This section is satisfied if any of the following apply before selling or transferring the title of a vehicle:
(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider is unable to power on the vehicle after making all reasonable attempts to do so that do not create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.
(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.
(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.
(g)For purposes of this section, the following definitions apply with respect to vehicles and vehicular systems:
(1)Device capable of storing personal information includes both of the following:
(A)A device that plugs into a vehicles on-board diagnostics II.
(B)Any other electronic device that is attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.
(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.
(h)Subdivision (g) does not limit the applicability of this article.
791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer, or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices in accordance with the California Privacy Rights Act of 2020.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.
791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article.
(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.
(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.
791.41.This article shall become operative on July 1, 2028.
SEC. 2.1.Section 791.07 is added to the Insurance Code, to read:791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits, unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the individual may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the individual is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
(f)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report that seeks an individuals genetic information or full genome.
SEC. 2.2.Section 791.11 is added to the Insurance Code, to read:791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning any of the following:
(a)A previous adverse underwriting decision experienced by an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
(c)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution, agent, or insurance-support organization may seek genetic information in connection with an insurance transaction if all of the following are true:
(1)The genetic information is included in the medical record of the individual, and is not sought from any other source or record.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 2.3.Section 791.12 is added to the Insurance Code, to read:791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, if requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, if reasonably available, shall be furnished the requesting insurer and the individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(e)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution or agent may base an underwriting decision in part on genetic information if all of the following are true:
(1)The genetic information is included in the medical record of the individual.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 3.Section 791.30 is added to the Insurance Code, immediately following Section 791.29, to read:791.30.This article shall become inoperative on July 1, 2028, and, as of January 1, 2029, is repealed.
SEC. 4.The Legislature finds and declares that Section 2 of this act, which adds Sections 791.10, 791.13, 791.24, and 791.36 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensees, surplus line insurers, reinsurers, or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 5.Sections 2.1, 2.2, and 2.3 of this bill incorporate amendments to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by this bill and Assembly Bill 1798. Those sections of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2027, (2) each bill amends Sections 791.07, 791.11, and 791.12 of the Insurance Code, and (3) this bill is enacted after Assembly Bill 1798, in which case Sections 791.07, 791.11, and 791.12 of the Insurance Code, as amended by Assembly Bill 1798, shall remain operative only until the operative date of Section 2 of this bill, at which time Sections 2.1, 2.2, and 2.3 of this bill shall become operative, and Sections 791.07, 791.11, and 791.12 as added by Section 2 of this bill shall not become operative.
SEC. 6.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information reasonable and proportionate to the purposes disclosed to the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and in ways that are reasonable and proportionate to the purposes disclosed to the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers understand how their personal information will be used and have the opportunity to control the processing and sharing of their personal information for purposes other than an insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.6 (commencing with Section 791) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.6.Insurance Information and Privacy Protection Act791.The purpose of this article is to establish standards for the collection, use, storage, disclosure, analysis, deletion, retention, or modification of personal information, collectively known as processing and sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing or sharing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed or shared by licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed or shared.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing or sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, or reinsurer.
(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers to the extent they do either of the following:
(A)Process or share consumers personal information in connection with the business of insurance.
(B)Engage in insurance transactions with consumers.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed or shared in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is processed or shared for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to Securities and Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities and Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate is also licensed by the department, this article shall only apply to the processing or sharing of personal information in the business of insurance by the Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate, except that it shall not apply when that information is collected in connection with making, modifying, or servicing a loan or line of credit, provided that the insurer issuing coverage complies with this article on behalf of the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing or sharing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed or shared in connection with insurance for business or professional purposes shall not be processed or shared in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)(1)The obligations imposed by this article shall not apply to the processing of personal information by a surplus lines advisory organization designated by the commissioner for purposes consistent with the mandates of the advisory organization pursuant to Chapter 6.1 (commencing with Section 1780.50).
(2)Notwithstanding paragraph (1), a surplus lines advisory organization shall be required to comply with subdivision (i) of Section 791.13, Section 791.24, Section 791.32, and Section 791.33, and, with respect to those provisions, shall be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(i)(1)The obligations imposed by Sections 791.06, 791.08, 791.09, and 791.099 do not apply to a producer that processes or shares a consumers personal information in response to a consumers request to solicit, obtain, or place insurance coverage on behalf of the consumer, or on behalf of another licensee transacting insurance on behalf of the consumer, or for purposes of renewal, replacement, remarketing, servicing, coverage recommendations, or administration of insurance coverage, provided that all of the following are true:
(A)The producer does not process or share personal information for purposes unrelated to those identified in paragraph (1) or an insurance transaction or transactions.
(B)The producer discloses personal information only to a licensee for purposes of soliciting, obtaining, or placing the insurance coverage requested by the consumer or for any of the purposes identified in paragraph (1) as it pertains to the consumers insurance needs.
(C)Upon the consumers request, within a reasonable time not more than 21 days, the producer discloses to the consumer the identity of all licensees with which the producer has shared personal information.
(D)The producer does not process, share, or retain the consumers personal information after issuing the coverage requested by the consumer, except as reasonably necessary for purposes of servicing the policy or consumers account, regulatory compliance, defense of legal claims, record retention required by law, or purposes stated in paragraph (1).
(E)The producer provides clear and conspicuous notice within a reasonable time not more than 21 days, after the consumer first contacts the producer about soliciting, obtaining, or placing insurance coverage or for any of the purposes in paragraph (1) as it pertains to their insurance needs. The notice shall do all of the following:
(i)Confirm that the consumer has requested the producer to undertake the actions and services necessary to fulfill the consumers request for assistance in obtaining insurance coverage.
(ii)Confirm that the consumer has provided personal information for the purpose of enabling the producer to fulfill the consumers request for assistance in obtaining insurance coverage.
(iii)Disclose that the insurance producer may share the consumers personal information with other licensees or third-party service providers to the extent necessary to fulfill the assistance requested by the consumer or service the consumers account.
(iv)Provide that the producer will not disclose or share the personal information provided by the consumer for any purpose not previously authorized by the consumer.
(v)Provide that, except as required by law or regulation, the producer shall maintain the minimum personal information necessary to service the consumers account and to provide billing, claims management, or other administrative services necessary to serve the consumers insurance needs.
(vi)Provide that the privacy notice will remain in effect for as long as there is a business relationship between the producer and the consumer, or until the producers privacy practices change, in which case the producer shall provide the consumer with an updated notice.
(vii)Disclose to the consumer the right to access and correct personal information that the insurance producer collects about the consumer.
(F)The insurer with which the producer has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, limited to the information provided by the producer and information collected or obtained by the insurer, on the producers behalf, including complying with provisions related to substitute performance in subdivision (f) of Section 791.099 and the producer complies with Sections 791.08 and 791.09 to the extent that it collects or retains personal information other than the information provided to the insurer.
(G)To the extent the producer engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the producer provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(2)The obligations imposed by Sections 791.04, 791.045, and 791.046 are satisfied with respect to a producer if the insurer with whom the producer places the consumers insurance complies with Sections 791.04, 791.045, and 791.046, and subdivision (f) of Section 791.099. A producer may reasonably rely upon the insurers representation of compliance with these sections and an insurers failure to comply shall not constitute a violation by the producer, unless the producer knowingly prevents or interferes with the insurers compliance with this article.
(3)A licensees failure to comply with Section 791.04, 791.045, 791.046, 791.08, or 791.09, shall not constitute a violation by the licensee to the extent that failure is caused by the producers inaccurate, incomplete, or untimely transmission of consumer information or consumer requests to the licensee, or by the producers failure to maintain personal information in a manner reasonably accessible to the licensee.
(j)A wholesale intermediary:
(1)May satisfy Sections 791.08 and 791.09 provided that the insurer with which the wholesale intermediary has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, and complies with provisions related to substitute performance in subdivision (f) of Section 791.099.
(2)To the extent the wholesale intermediary engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the wholesale intermediary provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(3)Shall comply with subdivision (i) of Section 791.13 and Sections 791.24, 791.32, and 791.33.
(4)Shall, with respect to this subdivision, be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(k)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.04, 791.045, 791.046, 791.13, 791.19, and 791.24 to producers. The regulations shall include the development of sample notices, forms, and compliance documents, consistent with the requirements of subdivision (c) of Section 791.40. In regard to Sections 791.04, 791.045, 791.24, and 791.046, when substitute performance in subdivision (f) of Section 791.099 is not applicable, the commissioner shall consider, in addition to other factors, the scale and complexity of the licensees operations.
791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) residential mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any consumer who seeks to contract for insurance coverage primarily for personal, family, or household purposes, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing or sharing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed or shared or has been processed or shared in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed or shared by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes or shares deidentified information meets all the following criteria:
(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(D)Makes no attempt to reidentify the information.
(E)Does not retain any sensitive personal information.
(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(v)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(y)(1)Insurance support organization means a person who regularly engages in the processing or sharing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing or sharing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing or sharing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, third-party service providers, or businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements and exceptions pertaining to third-party service providers pursuant to this article, including provisions related to substitute performance.
(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits relating to financial products or services.
(D)An actuarial study related to any of the following:
(i)Rating or risk management.
(ii)Modeling based on claims data.
(iii)Use of geocoded and structure information in connection with catastrophe-modeling activities.
(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(v)Pricing model development.
(vi)Customer lifetime value modeling.
(vii)Underwriting algorithm testing.
(viii)Product development.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only processed or shared for the purposes for which it is disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.) advising, and federal Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12101 et seq.) guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only processed or shared for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization or third-party service provider for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:
(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.
(ii)The deidentified aggregate results are used solely for insurance industry research purposes.
(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.
(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.
(2)Insurance transaction does not include processing or sharing related to marketing or research activities.
(aa)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.
(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(ah)Personal information means information processed or shared in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(aj)Privileged information means personal information that is processed or shared in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, storage, analysis, deletion, retention, or modification of personal information. As used in this article, process does not include share.
(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(A)Federal, state, or local government records.
(B)Widely distributed media.
(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.
(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.
(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate or in connection with a joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(A)Social security, drivers license, state identification card, or passport number.
(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(C)Precise geolocation.
(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(F)Genetic or neural data.
(G)Information about the consumers sex life or sexual orientation.
(H)Health information.
(I)Biometric information.
(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information.
(at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing or sharing of personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed or shared consistently with this article. If a third party materially alters how it processes or shares the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.
(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code, or providers of information technology infrastructure or software services that process and share personal information at the direction of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ay)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ba)Wholesale intermediary means a producer that accepts insurance business to be placed with an insurer or a nonadmitted insurer from other licensees, but does not interact directly with or originate insurance business with consumers.
(bb)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.
791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a stand-alone document within a reasonable time not to exceed 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing or sharing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(F)By a wholesale intermediary that accepts insurance business from an originating licensee and does not interact directly with the consumer, provided that the following requirements are met:
(i)The privacy notice required pursuant to this section is provided by the insurer when the consumer insurance is placed.
(ii)The wholesale intermediary has posted a clear and conspicuous privacy notice on its internet website.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal information has been processed or shared before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing or sharing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees, surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process or share, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers process or share the consumers personal information.
(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or if the consumer has provided consent or has not opted out of sharing consistent with this article.
(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may share the consumers personal information in connection with these activities, unless the consumer has opted out of that sharing.
(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to share the consumers personal information for most purposes unrelated to the insurance transaction, including processing or sharing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information, consistent with the consumers rights pursuant to Section 791.13.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.
(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The licensee does not share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization from the consumer.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.
(iv)The consumers right to opt out of the sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted out, may revoke the opt-out election.
(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.
(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(f)The notice required by subdivision (a) shall not be required to be provided to a third-party natural person, including a beneficiary, claimant, family or household member, or emergency contact, or to an individual plan participant of an employee benefit plan for whom notice has been provided to the employer, consistent with the exemptions available under paragraph (2) of subdivision (a) of Section 791.04.
791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers personal information in a manner inconsistent with the consent provided by the consumer if consent is implicated pursuant to Section 791.13.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing or sharing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(b)Before processing or sharing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to sharing of personal information for any of the following reasons:
(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the categories of persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee, surplus line insurer, or reinsurer that the consumer is authorizing to collect personal information.
(F)Specifies the purposes for which the consumer is authorizing the processing or sharing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the form in compliance with the requirements of Section 38.6.
(c)A consumer does not have the ability to opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing or sharing is legally required by this article or by any other law or regulation.
(d)As applicable, a licensees, surplus line insurers, reinsurers, or third-party service providers processing or sharing of personal information shall comply with the consumers consent or opt-out election as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or opt-out election or a change to the consumers consent or opt-out election.(e)A consumer who has consented to processing or sharing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(f)The consumers most recent consent shall take precedence over any prior consent.
(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.
(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.065.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize as its disclosure authorization form in connection with insurance transactions a form or statement that authorizes the disclosure of personal or privileged information about an individual to the licensee, surplus line insurer, reinsurer, or third-party service provider unless the form or statement meets all of the following criteria:
(1)Is written in plain language.
(2)Is dated.
(3)Specifies the types of persons authorized to disclose information about the individual.
(4)Specifies the nature of the information authorized to be disclosed.
(5)Names the licensee, surplus line insurer, reinsurer, or third-party service provider and identifies by generic reference representatives of the insurance institution to whom the individual is authorizing information to be disclosed.
(6)Specifies the purposes for which the information is collected.
(7)Specifies the length of time the authorization shall remain valid, which shall be no longer than:
(A)One of the following for authorizations signed for the purpose of collecting information in connection with an application for an insurance policy, a policy reinstatement or a request for change in policy benefits:
(i)Thirty months from the date the authorization is signed if the application or request involves life, health, or disability insurance.
(ii)One year from the date the authorization is signed if the application or request involves property or casualty insurance.
(B)One of the following for authorizations signed for the purpose of collecting information in connection with a claim for benefits under an insurance policy:
(i)The term of coverage of the policy if the claim is for a health insurance benefit.
(ii)The duration of the claim if the claim is not for a health insurance benefit.
(iii)The duration of all claims processing activity performed in connection with all claims for benefits made by any person entitled to benefits under a nonprofit hospital service contract.
(8)Advises the individual or a person authorized to act on behalf of the individual that the individual or the individuals authorized representative is entitled to receive a copy of the authorization form.
(b)For purposes of this section, a disclosure authorization form means a form used by licensee or third-party service provider to obtain personal information about an individual from a person other than the individual.
(c)This section does not require any authorization for the receipt of personal or privileged information about an individual.
791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer for access to the consumers personal information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed or shared in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation or the detection or prevention of fraud, or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.
791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal information in dispute.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal information.
(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth either of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information.
(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal information and provide a copy of the consumers statement to anyone reviewing the disputed personal information in the licensees records.
(2)In a later disclosure of the personal information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(h)The rights granted to a consumer pursuant to this section shall not be construed to require deletion of information pertaining to an anticipated or active fraud investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(i)For purposes of this section, insurance support organization does not include a consumer reporting agency.
(j)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.
(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons, however:
(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation, or material nondisclosure.
(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.
Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b), provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a).
791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism, provided, however, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, when reasonably available, shall be furnished the requesting insurer and the individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may share a consumers personal information according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with a specific marketing activity of a product or service not otherwise permitted under this article.
(B)In connection with a specific research activity, after receiving affirmative consent from the consumer to share the consumers information.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the sharing and the consumers ability to opt out of the sharing, a reasonable opportunity for the consumer to opt out of the sharing, and the consumer has not done so:
(A)In connection with joint marketing, provided that all of the following are true:
(i)Personal information is only shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(ii)Only the following elements of personal information are shared for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(I)Name.
(II)Address or email address.
(III)Financial institution affiliation and account type.
(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.
(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers sensitive personal information, other than in connection with the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.
(c)(1)A licensees processing or sharing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed or shared in a manner that is incompatible with those purposes, or for one of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:
(i)Pricing model development.
(ii)Customer lifetime value modeling.
(iii)Underwriting algorithm testing.
(iv)Product development.
(v)Research activities.
(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.
(2)A third-party service provider shall process or share personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing or sharing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.
(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process or share consumers deidentified information.
(e)Processing or sharing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider that requires or permits the consumers consent shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(g)(1)An affiliate that processes or shares personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)Notwithstanding paragraph (1), this subdivision does not apply to an affiliate that is not otherwise subject to this article and that processes personal information of a consumer with whom the affiliate has a direct relationship, for a purpose which has been disclosed to the consumer and that does not constitute processing in the business of insurance.
(h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivisions (a) to (c), inclusive.
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)A licensee shall comply with all of the following on and after January 1, 2032:
(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after July 1, 2028, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after July 1, 2028, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
(j)A licensee that is a producer, when processing or sharing personal information received from another licensee for use in that other licensees marketing or servicing program, shall be subject to the same use-limitation, confidentiality, and incident-reporting obligations applicable to a third-party service provider under Section 791.24 with respect to that personal information. The licensee providing information to a producer pursuant to this subdivision shall satisfy the requirements of Section 791.24 with respect to the recipient producer.
791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
791.19.(a)(1)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)As applied to producers, the commissioner shall consider, in addition to other factors, the proportionate nature of the violation or violations and the scale and complexity of the licensees operations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.08, 791.09, or 791.10, with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.
(c)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing or sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing or sharing personal information, the nature and purpose of processing or sharing, the types of personal information subject to processing or sharing, the duration of processing or sharing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing or sharing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes or shares the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 of the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.
(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after July 1, 2028.
(e)This article applies to a third-party service provider only to the extent that the third-party service provider processes or shares personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
(f)(1)With respect to a producer, the obligations under this section shall apply only to a third-party service provider with which the producer has a direct contractual relationship and over which whom the producer exercises control with respect to the possession of personal information. A producer may rely in good faith on the third-party service providers representation, certification, or contractual commitment regarding the subjects of paragraphs (1) to (9), inclusive, of subdivision (b). If the producer has taken commercially reasonable measures to ensure compliance by its third-party service provider, then the third-party service provider shall be directly liable for any violation of the article, and the producer shall not be held liable for that violation.
(2)This subdivision does not apply to a producer, to the extent that the producer has received information from another licensee pursuant to subdivision (j) of Section 791.13.
791.27.(a)A disability insurer that provides coverage for hospital, medical, or surgical expenses shall not release any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. An insurer that has, pursuant to an agreement, assumed the responsibility to pay compensation pursuant to Article 3 (commencing with Section 3750) of Chapter 4 of Part 1 of Division 4 of the Labor Code, shall not be considered an employer for the purposes of this section.
(b)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Chapter 12 (commencing with Section 1871) of Part 2 of Division 1.
(c)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Section 10181.10.
791.28.An insurer under a personal lines residential property insurance policy, if it reports the claims history or loss experience of insureds under those policies to an insurance-support organization, shall provide the insured with the following additional disclosure at the time that it provides the disclosure required pursuant to paragraph (1) of subdivision (b) of Section 790.034:
This insurer reports claim information to one or more claims information databases. The claim information is used to furnish loss history reports to insurers. If you are interested in obtaining a report from a claims information database, you may do so by contacting:
(Insert the name, toll-free telephone number, and, if applicable, internet website address of each claims information database to which the insurer reports the information covered by this section)
791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
791.33.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
(b)A producer that, pursuant to subdivision (j) of Section 791.13, receives personal information from another licensee shall promptly report to the disclosing licensee any incident of unauthorized access to, or acquisition, disclosure, or use of, that personal information, consistent with the reporting obligation imposed on a third-party service provider under paragraph (3) of subdivision (b) of Section 791.24.
791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to a factory default setting, thereby removing the consumers personal information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device capable of storing personal information, or rendering unreadable the personal information stored on the device capable of storing personal information, shall satisfy the requirements of this section.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.
(f)(1)This section is satisfied if any of the following apply before selling or transferring the title of a vehicle:
(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider is unable to power on the vehicle after making all reasonable attempts to do so that do not create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.
(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.
(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.
(g)For purposes of this section, the following definitions apply with respect to vehicles and vehicular systems:
(1)Device capable of storing personal information includes both of the following:
(A)A device that plugs into a vehicles on-board diagnostics II.
(B)Any other electronic device that is attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.
(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.
(h)Subdivision (g) does not limit the applicability of this article.
791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer, or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices in accordance with the California Privacy Rights Act of 2020.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.
791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article.
(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.
(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.
791.41.This article shall become operative on July 1, 2028.
SEC. 2.1.Section 791.07 is added to the Insurance Code, to read:791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits, unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the individual may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the individual is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
(f)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report that seeks an individuals genetic information or full genome.
SEC. 2.2.Section 791.11 is added to the Insurance Code, to read:791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning any of the following:
(a)A previous adverse underwriting decision experienced by an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
(c)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution, agent, or insurance-support organization may seek genetic information in connection with an insurance transaction if all of the following are true:
(1)The genetic information is included in the medical record of the individual, and is not sought from any other source or record.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 2.3.Section 791.12 is added to the Insurance Code, to read:791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, if requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, if reasonably available, shall be furnished the requesting insurer and the individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(e)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution or agent may base an underwriting decision in part on genetic information if all of the following are true:
(1)The genetic information is included in the medical record of the individual.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 3.Section 791.30 is added to the Insurance Code, immediately following Section 791.29, to read:791.30.This article shall become inoperative on July 1, 2028, and, as of January 1, 2029, is repealed.
SEC. 4.The Legislature finds and declares that Section 2 of this act, which adds Sections 791.10, 791.13, 791.24, and 791.36 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensees, surplus line insurers, reinsurers, or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 5.Sections 2.1, 2.2, and 2.3 of this bill incorporate amendments to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by this bill and Assembly Bill 1798. Those sections of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2027, (2) each bill amends Sections 791.07, 791.11, and 791.12 of the Insurance Code, and (3) this bill is enacted after Assembly Bill 1798, in which case Sections 791.07, 791.11, and 791.12 of the Insurance Code, as amended by Assembly Bill 1798, shall remain operative only until the operative date of Section 2 of this bill, at which time Sections 2.1, 2.2, and 2.3 of this bill shall become operative, and Sections 791.07, 791.11, and 791.12 as added by Section 2 of this bill shall not become operative.
SEC. 6.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by reasonable and proportionate to the purposes disclosed to the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of in ways that are reasonable and proportionate to the purposes disclosed to the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers understand how their personal information will be used and have the opportunity to control the use processing and sharing of their personal information for purposes other than the an insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.6 (commencing with Section 791) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.6.Insurance Information and Privacy Protection Act791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, use, storage, disclosure, analysis, deletion, retention, or modification of personal information, collectively known as processing, processing and sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing or sharing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed or shared by licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed. processed or shared.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing or sharing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, or reinsurer.
(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers to the extent they do either of the following:
(A)Process or share consumers personal information in connection with the business of insurance.
(B)Engage in insurance transactions with consumers.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed or shared in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is processed or shared for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to Securities and Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities and Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate is also licensed by the department, this article shall only apply to the processing or sharing of personal information in the business of insurance by the Securities and Exchange Commission-regulated broker, dealer, investment company, registered investment advisor, or depository institution or affiliate. affiliate, except that it shall not apply when that information is collected in connection with making, modifying, or servicing a loan or line of credit, provided that the insurer issuing coverage complies with this article on behalf of the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing or sharing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed or shared in connection with insurance for business or professional purposes shall not be processed or shared in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)(1)The obligations imposed by this article shall not apply to the processing of personal information by a surplus lines advisory organization designated by the commissioner for purposes consistent with the mandates of the advisory organization pursuant to Chapter 6.1 (commencing with Section 1780.50).
(2)Notwithstanding paragraph (1), a surplus lines advisory organization shall be required to comply with subdivision (i) of Section 791.13, Section 791.24, Section 791.32, and Section 791.33, and, with respect to those provisions, shall be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(i)(1)The obligations imposed by Sections 791.06, 791.08, 791.09, and 791.099 do not apply to a producer that processes or shares a consumers personal information in response to a consumers request to solicit, obtain, or place insurance coverage on behalf of the consumer, or on behalf of another licensee transacting insurance on behalf of the consumer, or for purposes of renewal, replacement, remarketing, servicing, coverage recommendations, or administration of insurance coverage, provided that all of the following are true:
(A)The producer does not process or share personal information for purposes unrelated to those identified in paragraph (1) or an insurance transaction or transactions.
(B)The producer discloses personal information only to a licensee for purposes of soliciting, obtaining, or placing the insurance coverage requested by the consumer or for any of the purposes identified in paragraph (1) as it pertains to the consumers insurance needs.
(C)Upon the consumers request, within a reasonable time not more than 21 days, the producer discloses to the consumer the identity of all licensees with which the producer has shared personal information.
(D)The producer does not process, share, or retain the consumers personal information after issuing the coverage requested by the consumer, except as reasonably necessary for purposes of servicing the policy or consumers account, regulatory compliance, defense of legal claims, record retention required by law, or purposes stated in paragraph (1).
(E)The producer provides clear and conspicuous notice within a reasonable time not more than 21 days, after the consumer first contacts the producer about soliciting, obtaining, or placing insurance coverage or for any of the purposes in paragraph (1) as it pertains to their insurance needs. The notice shall do all of the following:
(i)Confirm that the consumer has requested the producer to undertake the actions and services necessary to fulfill the consumers request for assistance in obtaining insurance coverage.
(ii)Confirm that the consumer has provided personal information for the purpose of enabling the producer to fulfill the consumers request for assistance in obtaining insurance coverage.
(iii)Disclose that the insurance producer may share the consumers personal information with other licensees or third-party service providers to the extent necessary to fulfill the assistance requested by the consumer or service the consumers account.
(iv)Provide that the producer will not disclose or share the personal information provided by the consumer for any purpose not previously authorized by the consumer.
(v)Provide that, except as required by law or regulation, the producer shall maintain the minimum personal information necessary to service the consumers account and to provide billing, claims management, or other administrative services necessary to serve the consumers insurance needs.
(vi)Provide that the privacy notice will remain in effect for as long as there is a business relationship between the producer and the consumer, or until the producers privacy practices change, in which case the producer shall provide the consumer with an updated notice.
(vii)Disclose to the consumer the right to access and correct personal information that the insurance producer collects about the consumer.
(F)The insurer with which the producer has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, limited to the information provided by the producer and information collected or obtained by the insurer, on the producers behalf, including complying with provisions related to substitute performance in subdivision (f) of Section 791.099 and the producer complies with Sections 791.08 and 791.09 to the extent that it collects or retains personal information other than the information provided to the insurer.
(G)To the extent the producer engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the producer provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(2)The obligations imposed by Sections 791.04, 791.045, and 791.046 are satisfied with respect to a producer if the insurer with whom the producer places the consumers insurance complies with Sections 791.04, 791.045, and 791.046, and subdivision (f) of Section 791.099. A producer may reasonably rely upon the insurers representation of compliance with these sections and an insurers failure to comply shall not constitute a violation by the producer, unless the producer knowingly prevents or interferes with the insurers compliance with this article.
(3)A licensees failure to comply with Section 791.04, 791.045, 791.046, 791.08, or 791.09, shall not constitute a violation by the licensee to the extent that failure is caused by the producers inaccurate, incomplete, or untimely transmission of consumer information or consumer requests to the licensee, or by the producers failure to maintain personal information in a manner reasonably accessible to the licensee.
(j)A wholesale intermediary:
(1)May satisfy Sections 791.08 and 791.09 provided that the insurer with which the wholesale intermediary has placed the consumers insurance complies with the requirements of Sections 791.08 and 791.09, and complies with provisions related to substitute performance in subdivision (f) of Section 791.099.
(2)To the extent the wholesale intermediary engages in any processing or sharing of personal information described in subparagraph (B) of paragraph (3) of subdivision (a) or subdivision (b) of Section 791.13, or engages in any sharing subject to the rights described in Section 6802(b)(1) of Title 15 of the United States Code, the wholesale intermediary provides consumers a reasonable means to indicate their election to opt out of that processing or sharing.
(3)Shall comply with subdivision (i) of Section 791.13 and Sections 791.24, 791.32, and 791.33.
(4)Shall, with respect to this subdivision, be subject to the powers of the commissioner set forth in Sections 791.14 to 791.19, inclusive.
(h)(k)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.13 791.04, 791.045, 791.046, 791.13, 791.19, and 791.24 to producers. Producers shall not be subject to the requirements of these sections prior to the adoption of regulations by the commissioner, provided, however, that no producer shall disclose personal information in violation of Section 791.13. Producers shall fully comply with the provisions of Sections 791.13 and 791.24 on or before July 1, 2029, or upon the adoption of regulations pursuant to this subdivision, whichever is first. The regulations shall include the development of sample notices, forms, and compliance documents, consistent with the requirements of subdivision (c) of Section 791.40. In regard to Sections 791.04, 791.045, 791.24, and 791.046, when substitute performance in subdivision (f) of Section 791.099 is not applicable, the commissioner shall consider, in addition to other factors, the scale and complexity of the licensees operations.
791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) residential mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any consumer who seeks to contract for insurance coverage primarily for personal, family, or household purposes, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing or sharing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed or shared or has been processed or shared in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known residential mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed or shared by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes or shares deidentified information meets all the following criteria:
(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(D)Makes no attempt to reidentify the information.
(E)Does not retain any sensitive personal information.
(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(v)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(y)(1)Insurance support organization means a person who regularly engages in the processing or sharing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing or sharing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing or sharing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, third-party service providers, or businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements and exceptions pertaining to third-party service providers pursuant to this article, including provisions related to substitute performance.
(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits relating to financial products or services.
(D)An actuarial study related to any of the following:
(i)Rating or risk management.
(ii)Modeling based on claims data.
(iii)Use of geocoded and structure information in connection with catastrophe-modeling activities.
(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(v)Pricing model development.
(vi)Customer lifetime value modeling.
(vii)Underwriting algorithm testing.
(viii)Product development.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only processed or shared for the purposes for which it is disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.) advising, and federal Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12101 et seq.) guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only processed or shared for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization or third-party service provider for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:
(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.
(ii)The deidentified aggregate results are used solely for insurance industry research purposes.
(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.
(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.
(2)Insurance transaction does not include processing or sharing related to marketing or research activities.
(aa)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.
(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(ah)Personal information means information processed or shared in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(aj)Privileged information means personal information that is processed or shared in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information. As used in this article, process does not include share.
(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(A)Federal, state, or local government records.
(B)Widely distributed media.
(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.
(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.
(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate or in connection with a joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(A)Social security, drivers license, state identification card, or passport number.
(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(C)Precise geolocation.
(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(F)Genetic or neural data.
(G)Information about the consumers sex life or sexual orientation.
(H)Health information.
(I)Biometric information.
(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information.
(at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing or sharing of personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed or shared consistently with this article. If a third party materially alters how it processes or shares the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.
(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code, or providers of information technology infrastructure or software services that process and share personal information at the direction of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ay)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ba)Wholesale intermediary means a producer that accepts insurance business to be placed with an insurer or a nonadmitted insurer from other licensees, but does not interact directly with or originate insurance business with consumers.
(ba)(bb)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.
791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a stand-alone document within a reasonable time not to exceed 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing or sharing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(F)By a wholesale intermediary that accepts insurance business from an originating licensee and does not interact directly with the consumer, provided that the following requirements are met:
(i)The privacy notice required pursuant to this section is provided by the insurer when the consumer insurance is placed.
(ii)The wholesale intermediary has posted a clear and conspicuous privacy notice on its internet website.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed or shared before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing or sharing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees, surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process, process or share, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers process or share the consumers personal information.
(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer. if the consumer has provided consent or has not opted out of sharing consistent with this article.
(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may share the consumers personal information in connection with these activities, unless the consumer has opted out of that sharing.
(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to share the consumers personal information for most purposes unrelated to the insurance transaction, including processing or sharing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction. information, consistent with the consumers rights pursuant to Section 791.13.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.
(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The licensee does not share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization from the consumer.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.
(iv)The consumers right to opt out of the sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted out, may revoke the opt-out election.
(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.
(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(f)The notice required by subdivision (a) shall not be required to be provided to a third-party natural person, including a beneficiary, claimant, family or household member, or emergency contact, or to an individual plan participant of an employee benefit plan for whom notice has been provided to the employer, consistent with the exemptions available under paragraph (2) of subdivision (a) of Section 791.04.
791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers personal information in a manner inconsistent with the consent provided by the consumer. consumer if consent is implicated pursuant to Section 791.13.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing or sharing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(b)Before processing or sharing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to sharing of personal information for any of the following reasons:
(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the categories of persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee, surplus line insurer, or reinsurer to whom the consumer is authorizing information to be disclosed. that the consumer is authorizing to collect personal information.
(F)Specifies the purposes for which the consumer is authorizing the processing or sharing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), provided the licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the form in compliance with the requirements of Section 38.6.
(c)A consumer does not have the ability to opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing or sharing is legally required by this article or by any other law or regulation.
(d)A As applicable, a licensees, surplus line insurers, reinsurers, or third-party service providers processing or sharing of personal information shall comply with the consumers consent or opt-out election as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or opt-out election or a change to the consumers consent. consent or opt-out election.(e)A consumer who has consented to processing or sharing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(f)The consumers most recent consent shall take precedence over any prior consent.
(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.
(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.065.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize as its disclosure authorization form in connection with insurance transactions a form or statement that authorizes the disclosure of personal or privileged information about an individual to the licensee, surplus line insurer, reinsurer, or third-party service provider unless the form or statement meets all of the following criteria:
(1)Is written in plain language.
(2)Is dated.
(3)Specifies the types of persons authorized to disclose information about the individual.
(4)Specifies the nature of the information authorized to be disclosed.
(5)Names the licensee, surplus line insurer, reinsurer, or third-party service provider and identifies by generic reference representatives of the insurance institution to whom the individual is authorizing information to be disclosed.
(6)Specifies the purposes for which the information is collected.
(7)Specifies the length of time the authorization shall remain valid, which shall be no longer than:
(A)One of the following for authorizations signed for the purpose of collecting information in connection with an application for an insurance policy, a policy reinstatement or a request for change in policy benefits:
(i)Thirty months from the date the authorization is signed if the application or request involves life, health, or disability insurance.
(ii)One year from the date the authorization is signed if the application or request involves property or casualty insurance.
(B)One of the following for authorizations signed for the purpose of collecting information in connection with a claim for benefits under an insurance policy:
(i)The term of coverage of the policy if the claim is for a health insurance benefit.
(ii)The duration of the claim if the claim is not for a health insurance benefit.
(iii)The duration of all claims processing activity performed in connection with all claims for benefits made by any person entitled to benefits under a nonprofit hospital service contract.
(8)Advises the individual or a person authorized to act on behalf of the individual that the individual or the individuals authorized representative is entitled to receive a copy of the authorization form.
(b)For purposes of this section, a disclosure authorization form means a form used by licensee or third-party service provider to obtain personal information about an individual from a person other than the individual.
(c)This section does not require any authorization for the receipt of personal or privileged information about an individual.
791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, or reinsurer reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer for access to the consumers personal and publicly available information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed or shared in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation or the detection or prevention of fraud, or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.
791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal information in dispute.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal information.
(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth either of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information.
(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal information and provide a copy of the consumers statement to anyone reviewing the disputed personal information in the licensees records.
(2)In a later disclosure of the personal information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process or share the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(h)The rights granted to a consumer pursuant to this section shall not be construed to require deletion of information pertaining to an anticipated or active fraud investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(i)For purposes of this section, insurance support organization does not include a consumer reporting agency.
(j)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.
(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons, however:
(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation, or material nondisclosure.
(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.
Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b), provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a).
791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by a consumer. an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)The previous Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that a consumer an individual previously obtained insurance coverage through a residual market mechanism, provided, however, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the consumer individual and, when reasonably available, shall be furnished the requesting insurer and the consumer, individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees, provided, however, licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that a consumer an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer retains no does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may share a consumers personal information according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with the a specific marketing activity of a product or service, after receiving affirmative consent from the consumer to share the consumers information in connection with specific marketing activity to which the consumer has consented. service not otherwise permitted under this article.
(B)In connection with a specific research activity, after receiving affirmative consent from the consumer to share the consumers information in connection with specific research activity to which the consumer has consented. information.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the sharing and the consumers ability to opt out of the sharing, a reasonable opportunity for the consumer to opt out of the sharing, and the consumer has not done so:
(A)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, joint marketing, provided that all of the following are true:
(i)Personal information is only shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(ii)Only the following elements of personal information are shared for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(I)Name.
(II)Address or email address.
(III)Financial institution affiliation and account type.
(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.
(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process or share a consumers sensitive personal information, other than in connection with the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.
(c)(1)A licensees processing or sharing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed or shared in a manner that is incompatible with those purposes, or for one of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:
(i)Pricing model development.
(ii)Customer lifetime value modeling.
(iii)Underwriting algorithm testing.
(iv)Product development.
(v)Research activities.
(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.
(2)A third-party service provider shall process or share personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing or sharing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.
(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process or share consumers deidentified information.
(e)Processing or sharing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider that requires or permits the consumers consent shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(g)(1)An affiliate that processes or shares personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)Notwithstanding paragraph (1), this subdivision does not apply to an affiliate that is not otherwise subject to this article and that processes personal information of a consumer with whom the affiliate has a direct relationship, for a purpose which has been disclosed to the consumer and that does not constitute processing in the business of insurance.
(h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivisions (a) to (c), inclusive.
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)A licensee shall comply with all of the following on and after January 1, 2032:
(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after January 1, 2027, July 1, 2028, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after January 1, 2027, July 1, 2028, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
(j)A licensee that is a producer, when processing or sharing personal information received from another licensee for use in that other licensees marketing or servicing program, shall be subject to the same use-limitation, confidentiality, and incident-reporting obligations applicable to a third-party service provider under Section 791.24 with respect to that personal information. The licensee providing information to a producer pursuant to this subdivision shall satisfy the requirements of Section 791.24 with respect to the recipient producer.
791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
791.19.(a)(1)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)As applied to producers, the commissioner shall consider, in addition to other factors, the proportionate nature of the violation or violations and the scale and complexity of the licensees operations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.08, 791.09, or 791.10, with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.
(c)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing or sharing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing or sharing personal information, the nature and purpose of processing, processing or sharing, the types of personal information subject to processing, processing or sharing, the duration of processing, processing or sharing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing or sharing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes or shares the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 of the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.
(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after January 1, 2027. July 1, 2028.
(e)This article applies to a third-party service provider only to the extent that the third-party service provider processes or shares personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
(f)(1)With respect to a producer, the obligations under this section shall apply only to a third-party service provider with which the producer has a direct contractual relationship and over which whom the producer exercises control with respect to the possession of personal information. A producer may rely in good faith on the third-party service providers representation, certification, or contractual commitment regarding the subjects of paragraphs (1) to (9), inclusive, of subdivision (b). If the producer has taken commercially reasonable measures to ensure compliance by its third-party service provider, then the third-party service provider shall be directly liable for any violation of the article, and the producer shall not be held liable for that violation.
(2)This subdivision does not apply to a producer, to the extent that the producer has received information from another licensee pursuant to subdivision (j) of Section 791.13.
791.27.(a)A disability insurer that provides coverage for hospital, medical, or surgical expenses shall not release any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. An insurer that has, pursuant to an agreement, assumed the responsibility to pay compensation pursuant to Article 3 (commencing with Section 3750) of Chapter 4 of Part 1 of Division 4 of the Labor Code, shall not be considered an employer for the purposes of this section.
(b)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Chapter 12 (commencing with Section 1871) of Part 2 of Division 1.
(c)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Section 10181.10.
791.28.An insurer under a personal lines residential property insurance policy, if it reports the claims history or loss experience of insureds under those policies to an insurance-support organization, shall provide the insured with the following additional disclosure at the time that it provides the disclosure required pursuant to paragraph (1) of subdivision (b) of Section 790.034:
This insurer reports claim information to one or more claims information databases. The claim information is used to furnish loss history reports to insurers. If you are interested in obtaining a report from a claims information database, you may do so by contacting:
(Insert the name, toll-free telephone number, and, if applicable, internet website address of each claims information database to which the insurer reports the information covered by this section)
791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
791.33.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
(b)A producer that, pursuant to subdivision (j) of Section 791.13, receives personal information from another licensee shall promptly report to the disclosing licensee any incident of unauthorized access to, or acquisition, disclosure, or use of, that personal information, consistent with the reporting obligation imposed on a third-party service provider under paragraph (3) of subdivision (b) of Section 791.24.
791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to a factory default setting, thereby removing the consumers personal information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device capable of storing personal information, or rendering unreadable the personal information stored on the device capable of storing personal information, shall satisfy the requirements of this section.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.
(f)(1)This section is satisfied if any of the following apply before selling or transferring the title of a vehicle:
(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider is unable to power on the vehicle after making all reasonable attempts to do so that do not create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.
(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.
(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.
(g)For purposes of this section, the following definitions apply with respect to vehicles and vehicular systems:
(1)Device capable of storing personal information includes both of the following:
(A)A device that plugs into a vehicles on-board diagnostics II.
(B)Any other electronic device that is attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.
(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.
(h)Subdivision (g) does not limit the applicability of this article.
791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer, or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices in accordance with the California Privacy Rights Act of 2020.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.
791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article.
(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.
(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.
791.41.This article shall become operative on July 1, 2028.
SEC. 2.1.Section 791.07 is added to the Insurance Code, to read:791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits, unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the individual may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the individual is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process or share personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
(f)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report that seeks an individuals genetic information or full genome.
SEC. 2.2.Section 791.11 is added to the Insurance Code, to read:791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning any of the following:
(a)A previous adverse underwriting decision experienced by an individual unless the inquiry also requests the reasons for the previous adverse underwriting decision.
(b)Any insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
(c)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution, agent, or insurance-support organization may seek genetic information in connection with an insurance transaction if all of the following are true:
(1)The genetic information is included in the medical record of the individual, and is not sought from any other source or record.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 2.3.Section 791.12 is added to the Insurance Code, to read:791.12.A licensee, third-party service provider, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, third-party service provider, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, if requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, if reasonably available, shall be furnished the requesting insurer and the individual, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees. However, a licensee, third-party service provider, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer does not retain liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(e)An individuals genetic information or full genome, except, unless prohibited by law, an insurance institution or agent may base an underwriting decision in part on genetic information if all of the following are true:
(1)The genetic information is included in the medical record of the individual.
(2)The genetic information is not derived from a direct-to-consumer test.
(3)The genetic information is for the purpose of ruling out an adverse finding based on the individuals medical record and the individual has provided informed, written consent for the release, disclosure, and use of the genetic test results or has provided the genetic test results to the insurer.
SEC. 3.Section 791.30 is added to the Insurance Code, immediately following Section 791.29, to read:791.30.This article shall become inoperative on July 1, 2028, and, as of January 1, 2029, is repealed.
SEC. 4.The Legislature finds and declares that Section 2 of this act, which adds Sections 791.10, 791.13, 791.24, and 791.36 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensees, surplus line insurers, reinsurers, or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 5.Sections 2.1, 2.2, and 2.3 of this bill incorporate amendments to Sections 791.07, 791.11, and 791.12 of the Insurance Code proposed by this bill and Assembly Bill 1798. Those sections of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2027, (2) each bill amends Sections 791.07, 791.11, and 791.12 of the Insurance Code, and (3) this bill is enacted after Assembly Bill 1798, in which case Sections 791.07, 791.11, and 791.12 of the Insurance Code, as amended by Assembly Bill 1798, shall remain operative only until the operative date of Section 2 of this bill, at which time Sections 2.1, 2.2, and 2.3 of this bill shall become operative, and Sections 791.07, 791.11, and 791.12 as added by Section 2 of this bill shall not become operative.
SEC. 5.SEC. 6.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Section 791 of the Insurance Code is amended to read:791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:(a)Protect consumers personal information processed by licensees, surplus line insurers, reinsurers, or their third-party service providers.(b)Inform consumers of the categories of personal information that are processed.(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.(f)Inform consumers of the reasons for adverse underwriting decisions.(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.(h)Provide accountability for the improper processing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.SEC. 3.Section 791.01 of the Insurance Code is amended to read:791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, or reinsurer.(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers to the extent they do either of the following:(A)Process consumers personal information in connection with the business of insurance.(B)Engage in insurance transactions with consumers.(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria: (1)One whose personal information is processed in connection with insurance transactions.(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.(3)One whose personal information is processed for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.(d)The obligations imposed by this article shall not apply to Securities Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a depository institution or affiliate is also licensed by the department, this article shall only apply to the processing of personal information in the business of insurance by the depository institution or affiliate.(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.(g)The obligations imposed by this article shall only apply to the processing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed in connection with insurance for business or professional purposes shall not be processed in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.(h)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.13 and 791.24 to producers. Producers shall not be subject to the requirements of these sections prior to the adoption of regulations by the commissioner, provided, however, that no producer shall disclose personal information in violation of Section 791.13. Producers shall fully comply with the provisions of Sections 791.13 and 791.24 on or before July 1, 2029, or upon the adoption of regulations pursuant to this subdivision, whichever is first.SEC. 4.Section 791.02 of the Insurance Code is amended to read:791.02.As used in this article:(a)Address of record means either of the following:(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:(A)A declination of insurance coverage.(B)A termination of insurance coverage.(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.(D)In the case of a property or casualty insurance coverage, either of the following:(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.(E)In the case of a life, health, or disability insurance coverage, an offer to insure at higher than standard rates.(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:(A)The termination of an individual policy form on a class or statewide basis.(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.(C)The rescission of a policy.(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.(e)Applicant means any consumer who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.(i)Commissioner means the Insurance Commissioner.(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.(k)Consumer means an individual who is a resident of California whose personal information is processed or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes deidentified information meets all the following criteria:(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.(D)Makes no attempt to reidentify the information.(E)Does not retain any sensitive personal information.(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.(2)Deidentified information is not personal information.(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:(A)An individuals genetic tests.(B)The genetic tests of family members of an individual.(C)The manifestation of a disease or disorder in family members of an individual.(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:(A)A fetus carried by the individual or family member who is pregnant.(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.(3)Genetic information does not include information about the sex or age of any individual.(v)Health care means both of the following:(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:(A)Relates to the physical, mental, or behavioral condition of an individual.(B)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.(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.(2)The genetic information of an individual.(3)The provision of health care to an individual.(4)Payment for the provision of health care to an individual.(y)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.(B)The processing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, third-party service providers, or businesses registered pursuant to Section 1798.99.82 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.(C)Provision of value-added services or benefits relating to financial products or services.(D)An actuarial study related to any of the following:(i)Rating or risk management.(ii)Modeling based on claims data.(iii)Use of geo-coded and structure information in connection with catastrophe-modeling activities.(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.(v)Pricing model development.(vi)Customer lifetime value modeling.(vii)Underwriting algorithm testing.(viii)Product development.(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records-retention obligations.(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only processed for the purposes for which it is disclosed.(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 advising, and federal Americans with Disabilities Act of 1990 guidance.(J)Information protection and cybersecurity.(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only processed for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.(L)Disclosure to an insurance support organization for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.(ii)The deidentified aggregate results are used solely for insurance industry research purposes.(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.(2)Insurance transaction does not include processing related to marketing or research activities.(aa)(1)Insurer means any of the following:(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.(B)A self-funded plan subject to regulation by the commissioner.(C)A preferred provider organization administrator.(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:(A)An insurer.(B)A producer.(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.(ah)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.(C)Characteristics of protected classifications pursuant to state or federal law.(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.(E)Biometric information.(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.(G)Geolocation data.(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.(I)Professional or employment-related information.(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.(L)Sensitive personal information.(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.(3)Personal information can exist in various formats, including all of the following:(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.(B)Digital formats, including text, image, audio, or video files.(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information. (ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:(1)Pretends to be someone they are not.(2)Pretends to represent a person they are not in fact representing.(3)Misrepresents the true purpose of the interview.(4)Refuses to identify who they are upon request.(aj)Privileged information means personal information that is processed in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:(A)Federal, state, or local government records.(B)Widely distributed media.(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge. (an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.(3)Providing or disclosing information to an affiliate or in connection with joint marketing activity as permitted by this article.(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer: (A)Social security, drivers license, state identification card, or passport number.(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.(C)Precise geolocation.(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.(F)Genetic or neural data.(G)Information about the consumers sex life or sexual orientation.(H)Health information.(I)Biometric information.(J)Additional items specified by the commissioner in regulation.(2)Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information. (at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing of personal information.(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed consistently with this article. If a third party materially alters how it processes the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, or businesses registered pursuant to Section 1798.99.82 of the Civil Code.(ay)Value-added service or benefit means a product or service that meets both of the following criteria:(1)Relates to insurance coverage applied for or purchased by a consumer.(2)Is primarily designed to satisfy one or more of the following:(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.(B)Reduce claim costs or claim settlement costs.(C)Provide education about liability risks or risk of loss to persons or property.(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.(E)Enhance the health of the consumer, including care coordination.(F)Enhance financial wellness of the consumer through education or financial planning services.(G)Provide post-loss services.(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.(I)Assist in the administration of employee or retiree benefit insurance coverage.(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.(ba)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.SEC. 5.Section 791.03 of the Insurance Code is amended to read:791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.SEC. 6.Section 791.04 of the Insurance Code is amended to read:791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a standalone document within a reasonable time not to exceed 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.(6)If the licensees surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process, including examples of the information in each category.(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers processes the consumers personal information.(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.(8)That the consumer has the right to opt out of sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may share the consumers personal information in connection with these activities, unless the consumer has opted out of that sharing.(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to share the consumers personal information for most purposes unrelated to the insurance transaction, including processing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.(10)A description of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.(13)Additional items that the commissioner specifies in regulation.(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:(1)The licensee does not share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).(B)All of the following statements:(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization from the consumer.(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.(C)A description of each of the following rights in a clear and conspicuous manner: (i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.(iv)The consumers right to opt out of the sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.(v)The consumers right to provide prior, opt-in consent, before a licensee may share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted-out, may revoke the opt-out election.(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.SEC. 8.Section 791.046 is added to the Insurance Code, to read:791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:(1)Hand delivers a printed copy of the notice to the consumer.(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:(A)Emails the notice to the consumers email address of record.(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:(1)The notices are clearly and conspicuously available.(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.(3)The notice is either of the following:(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.(B)Accessible using a clear and conspicuous link in an area 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.(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.(1)Notices required pursuant to this article shall meet all of the following criteria:(A)Use a format that makes the notices readable, including on smaller screens, if applicable.(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.(h)An address of record is invalid for purposes of this article if either of the following is true:(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.SEC. 9.Section 791.05 of the Insurance Code is amended to read:791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.SEC. 10.Section 791.06 of the Insurance Code is amended to read:791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.(2)For purposes of this article, consent is not established by any of the following means:(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.(B)Hovering over, muting, pausing, or closing a given piece of content.(C)Agreement obtained through use of dark patterns. (b)Before processing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to sharing of personal information for any of the following reasons:(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.(B)Each purpose for which a consumer is permitted to opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:(A)Is written in plain language.(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.(D)Specifies the types of personal information the consumer is authorizing to be shared.(E)Names the licensee, surplus line insurer, or reinsurer to whom the consumer is authorizing information to be disclosed.(F)Specifies the purposes for which the consumer is authorizing the processing of the consumers personal information.(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.(I)Includes additional information or elements specified by the commissioner in regulation.(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), provided in compliance with the requirements of Section 38.6.(c)A consumer does not have the ability to opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required by this article or by any other law or regulation. (d)A licensees, surplus line insurers, reinsurers, or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or a change to the consumers consent.(e)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.(f)The consumers most recent consent shall take precedence over any prior consent.(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.SEC. 11.Section 791.07 of the Insurance Code is amended to read:791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:(1)Comply with the requirements of this section.(2)Not process personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.(e)A licensee, surplus line insurer, or reinsurer that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.SEC. 12.Section 791.08 of the Insurance Code is amended to read:791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, reinsurer, or insurance support organization for access to the consumers personal and publicly available information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:(1)Acknowledge the request within five business days from the date the request is received.(2)Do all of the following within 30 business days from the date the request is received:(A)Provide the consumer with a copy of any items of personal information relating to the consumer.(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.(d)The rights granted to a consumer pursuant to this section: (1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.SEC. 13.Section 791.09 of the Insurance Code is amended to read:791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:(1)Correct, amend, or delete the portion of the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:(A)Written notice of the refusal to make the correction, amendment, or deletion.(B)The reasons for the refusal.(C)The contact information for filing a complaint with the commissioner.(D)The consumers right to file a statement as provided in subdivision (d).(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:(A)Written notice of the refusal to make the deletion.(B)The reasons for the refusal.(C)The contact information for filing a complaint with the commissioner.(D)The consumers right to file a statement pursuant to subdivision (d).(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal or publicly available information.(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth either of the following:(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information.(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information in the licensees records.(2)In a later disclosure of the personal or publicly available information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal or publicly available information being disclosed.(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purposes unrelated to the insurance transaction. (h)For purposes of this section, insurance support organization does not include a consumer reporting agency.(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.SEC. 14.Section 791.099 is added to the Insurance Code, to read:791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.SEC. 15.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).(2)The specific items of personal and privileged information that support those reasons; provided, however:(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation or material nondisclosure.(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b); provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a). This subdivision shall become operative on July 1, 2006.SEC. 16.Section 791.11 of the Insurance Code is amended to read:791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:(a)A previous adverse underwriting decision experienced by a consumer.(b)The previous insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.SEC. 17.Section 791.12 of the Insurance Code is amended to read:791.12.A licensee, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:(a)On the fact of a previous adverse underwriting decision or on the fact that a consumer previously obtained insurance coverage through a residual market mechanism; provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the consumer and, when reasonably available, shall be furnished the requesting insurer and the consumer, if applicable.(b)On personal information received from an insurance-support organization whose primary source of information is licensees; provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.(c)On the fact that a consumer has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.SEC. 18.Section 791.13 of the Insurance Code is repealed.SEC. 19.Section 791.13 is added to the Insurance Code, to read:791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may share a consumers personal information according to the following:(1)As is reasonably necessary and proportionate for each of the following purposes: (A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.(B)For compliance with either of the following: (i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records-retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information. (C)When otherwise specifically required by state or federal law.(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes: (A)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to share the consumers information in connection with specific marketing activity to which the consumer has consented.(B)In connection with research activity, after receiving affirmative consent from the consumer to share the consumers information in connection with specific research activity to which the consumer has consented.(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the sharing and the consumers ability to opt out of the sharing, a reasonable opportunity for the consumer to opt out of the sharing, and the consumer has not done so: (A)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true: (i)Personal information is only shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.(ii)Only the following elements of personal information are shared for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:(I)Name.(II)Address or email address.(III)Financial institution affiliation and account type.(IV)Age.(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so. (4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers sensitive personal information, other than in connection with the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.(c)(1)A licensees processing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed in a manner that is incompatible with those purposes, or for one of the following purposes:(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.(B)For compliance with either of the following:(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.(C)When otherwise specifically required by state or federal law.(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:(i)Pricing model development.(ii)Customer lifetime value modeling.(iii)Underwriting algorithm testing.(iv)Product development.(v)Research activities.(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.(2)A third-party service provider shall process personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process consumers deidentified information.(e)Processing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.(g)An affiliate that processes personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider. (h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivisions (a) to (c), inclusive.(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(3)A licensee shall comply with all of the following on and after January 1, 2032:(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.(B)On or after January 1, 2027, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after January 1, 2027, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.SEC. 20.Section 791.14 of the Insurance Code is amended to read:791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.SEC. 21.Section 791.15 of the Insurance Code is amended to read:791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.SEC. 22.Section 791.16 of the Insurance Code is amended to read:791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.SEC. 23.Section 791.17 of the Insurance Code is amended to read:791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.SEC. 24.Section 791.18 of the Insurance Code is amended to read:791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.SEC. 25.Section 791.19 of the Insurance Code is amended to read:791.19.(a)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.SEC. 26.Section 791.20 of the Insurance Code is amended to read:791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.08, 791.09, or 791.10, with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.(c)In any action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.SEC. 27.Section 791.21 of the Insurance Code is amended to read:791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.SEC. 28.Section 791.22 of the Insurance Code is amended to read:791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.SEC. 29.Section 791.23 of the Insurance Code is repealed.SEC. 30.Section 791.24 is added to the Insurance Code, to read:791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes the personal information for legitimate duties as assigned.(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after January 1, 2027.(e)This article applies to a third-party service provider only to the extent that the third-party service provider processes personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.SEC. 31.Section 791.29 of the Insurance Code is amended to read:791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:(i)Bills and attempts to collect payment.(ii)A notice of adverse benefits determinations.(iii)An explanation of benefits notice.(iv)A health insurers request for additional information regarding a claim.(v)A notice of a contested claim.(vi)The name and address of a provider, description of services provided, and other information related to a visit.(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:(A)In a conspicuously visible location in the evidence of coverage.(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.(g)For purposes of this section:(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.SEC. 32.Section 791.32 is added to the Insurance Code, to read:791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.SEC. 33.Section 791.33 is added to the Insurance Code, to read:791.33.A licensee, surplus line insurer, reinsurer or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.SEC. 34.Section 791.34 is added to the Insurance Code, to read:791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to a factory default setting, thereby removing the consumers personal information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.(d)Destroying a device capable of storing personal information, or rendering unreadable the personal information stored on the device capable of storing personal information, shall satisfy the requirements of this section.(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.(f)(1)This section is satisfied if any of the following apply before selling or transferring title of a vehicle:(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.(B)The licensee, surplus line insurer, reinsurer, or third-party service provider makes all reasonable attempts to power on the vehicle, and the vehicle is not able to be powered on.(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.(g)For purposes of this section, the following definitions apply with respect to vehicles and vehicular systems:(1)Device storing personal information includes both of the following:(A)A device that plugs into a vehicles on-board diagnostics II.(B)Any other electronic device that is attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.(h)Subdivision (g) does not limit the applicability of this article.(i)This section shall be operative on July 1, 2028.SEC. 35.Section 791.35 is added to the Insurance Code, to read:791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.SEC. 36.Section 791.36 is added to the Insurance Code, to read:791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer or third-party service provider shared with the third-party consultant or vendor pursuant to this article.(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.SEC. 37.Section 791.37 is added to the Insurance Code, to read:791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.SEC. 38.Section 791.38 is added to the Insurance Code, to read:791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.SEC. 39.Section 791.39 is added to the Insurance Code, to read:791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.(b)This article does not preempt or supersede existing federal or state law related to protected health information.(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices.(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.SEC. 40.Section 791.40 is added to the Insurance Code, to read:791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article.(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.SEC. 2.Article 6.6 (commencing with Section 791) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.6.Insurance Information and Privacy Protection Act791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, or reinsurer.
(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers to the extent they do either of the following:
(A)Process consumers personal information in connection with the business of insurance.
(B)Engage in insurance transactions with consumers.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is processed for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to Securities Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a depository institution or affiliate is also licensed by the department, this article shall only apply to the processing of personal information in the business of insurance by the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed in connection with insurance for business or professional purposes shall not be processed in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.13 and 791.24 to producers. Producers shall not be subject to the requirements of these sections prior to the adoption of regulations by the commissioner, provided, however, that no producer shall disclose personal information in violation of Section 791.13. Producers shall fully comply with the provisions of Sections 791.13 and 791.24 on or before July 1, 2029, or upon the adoption of regulations pursuant to this subdivision, whichever is first.
791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any consumer who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes deidentified information meets all the following criteria:
(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(D)Makes no attempt to reidentify the information.
(E)Does not retain any sensitive personal information.
(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(v)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(y)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, third-party service providers, or businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements and exceptions pertaining to third-party service providers pursuant to this article, including provisions related to substitute performance.
(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits relating to financial products or services.
(D)An actuarial study related to any of the following:
(i)Rating or risk management.
(ii)Modeling based on claims data.
(iii)Use of geocoded and structure information in connection with catastrophe-modeling activities.
(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(v)Pricing model development.
(vi)Customer lifetime value modeling.
(vii)Underwriting algorithm testing.
(viii)Product development.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only processed for the purposes for which it is disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.) advising, and federal Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12101 et seq.) guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only processed for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:
(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.
(ii)The deidentified aggregate results are used solely for insurance industry research purposes.
(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.
(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.
(2)Insurance transaction does not include processing related to marketing or research activities.
(aa)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.
(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(ah)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(aj)Privileged information means personal information that is processed in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(A)Federal, state, or local government records.
(B)Widely distributed media.
(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.
(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.
(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate or in connection with a joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(A)Social security, drivers license, state identification card, or passport number.
(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(C)Precise geolocation.
(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(F)Genetic or neural data.
(G)Information about the consumers sex life or sexual orientation.
(H)Health information.
(I)Biometric information.
(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information.
(at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing of personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed consistently with this article. If a third party materially alters how it processes the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.
(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, businesses subject to Section 1798.99.82 or 1798.99.86 of the Civil Code, or providers of information technology infrastructure or software services that process and share personal information at the direction of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ay)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ba)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.
791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a stand-alone document within a reasonable time not to exceed 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees, surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers process the consumers personal information.
(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may share the consumers personal information in connection with these activities, unless the consumer has opted out of that sharing.
(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to share the consumers personal information for most purposes unrelated to the insurance transaction, including processing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.
(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The licensee does not share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization from the consumer.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.
(iv)The consumers right to opt out of the sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted out, may revoke the opt-out election.
(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.
(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(b)Before processing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to sharing of personal information for any of the following reasons:
(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee, surplus line insurer, or reinsurer to whom the consumer is authorizing information to be disclosed.
(F)Specifies the purposes for which the consumer is authorizing the processing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), provided in compliance with the requirements of Section 38.6.
(c)A consumer does not have the ability to opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required by this article or by any other law or regulation.
(d)A licensees, surplus line insurers, reinsurers, or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or a change to the consumers consent.
(e)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(f)The consumers most recent consent shall take precedence over any prior consent.
(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.
(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, or reinsurer that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer for access to the consumers personal and publicly available information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation or the detection or prevention of fraud, or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.
791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal information in dispute.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal information.
(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth either of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal information.
(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal information and provide a copy of the consumers statement to anyone reviewing the disputed personal information in the licensees records.
(2)In a later disclosure of the personal information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(h)The rights granted to a consumer pursuant to this section shall not be construed to require deletion of information pertaining to an anticipated or active fraud investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(i)For purposes of this section, insurance support organization does not include a consumer reporting agency.
(j)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.
(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons, however:
(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation, or material nondisclosure.
(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.
Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b), provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a).
791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by a consumer.
(b)The previous insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
791.12.A licensee, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that a consumer previously obtained insurance coverage through a residual market mechanism, provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the consumer and, when reasonably available, shall be furnished the requesting insurer and the consumer, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees, provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that a consumer has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may share a consumers personal information according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to share the consumers information in connection with specific marketing activity to which the consumer has consented.
(B)In connection with research activity, after receiving affirmative consent from the consumer to share the consumers information in connection with specific research activity to which the consumer has consented.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the sharing and the consumers ability to opt out of the sharing, a reasonable opportunity for the consumer to opt out of the sharing, and the consumer has not done so:
(A)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(i)Personal information is only shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(ii)Only the following elements of personal information are shared for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(I)Name.
(II)Address or email address.
(III)Financial institution affiliation and account type.
(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.
(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers sensitive personal information, other than in connection with the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.
(c)(1)A licensees processing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed in a manner that is incompatible with those purposes, or for one of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:
(i)Pricing model development.
(ii)Customer lifetime value modeling.
(iii)Underwriting algorithm testing.
(iv)Product development.
(v)Research activities.
(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.
(2)A third-party service provider shall process personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.
(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process consumers deidentified information.
(e)Processing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(g)An affiliate that processes personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivisions (a) to (c), inclusive.
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)A licensee shall comply with all of the following on and after January 1, 2032:
(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after January 1, 2027, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after January 1, 2027, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
791.19.(a)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.08, 791.09, or 791.10, with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.
(c)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 of the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.
(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after January 1, 2027.
(e)This article applies to a third-party service provider only to the extent that the third-party service provider processes personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
791.27.(a)A disability insurer that provides coverage for hospital, medical, or surgical expenses shall not release any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. An insurer that has, pursuant to an agreement, assumed the responsibility to pay compensation pursuant to Article 3 (commencing with Section 3750) of Chapter 4 of Part 1 of Division 4 of the Labor Code, shall not be considered an employer for the purposes of this section.
(b)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Chapter 12 (commencing with Section 1871) of Part 2 of Division 1.
(c)This section does not prohibit a disability insurer from releasing relevant information described in this section for the purposes set forth in Section 10181.10.
791.28.An insurer under a personal lines residential property insurance policy, if it reports the claims history or loss experience of insureds under those policies to an insurance-support organization, shall provide the insured with the following additional disclosure at the time that it provides the disclosure required pursuant to paragraph (1) of subdivision (b) of Section 790.034:
This insurer reports claim information to one or more claims information databases. The claim information is used to furnish loss history reports to insurers. If you are interested in obtaining a report from a claims information database, you may do so by contacting:
(Insert the name, toll-free telephone number, and, if applicable, internet website address of each claims information database to which the insurer reports the information covered by this section)
791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
791.33.A licensee, surplus line insurer, reinsurer, or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to a factory default setting, thereby removing the consumers personal information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device capable of storing personal information, or rendering unreadable the personal information stored on the device capable of storing personal information, shall satisfy the requirements of this section.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.
(f)(1)This section is satisfied if any of the following apply before selling or transferring the title of a vehicle:
(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider is unable to power on the vehicle after making all reasonable attempts to do so that do not create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.
(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.
(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.
(g)For purposes of this section, the following definitions apply with respect to vehicles and vehicular systems:
(1)Device storing personal information includes both of the following:
(A)A device that plugs into a vehicles on-board diagnostics II.
(B)Any other electronic device that is attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.
(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.
(h)Subdivision (g) does not limit the applicability of this article.
791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer, or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices in accordance with the California Privacy Rights Act of 2020.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.
791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article.
(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.
(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.
791.41.This article shall become operative on July 1, 2028.
SEC. 3.Section 791.30 is added to the Insurance Code, immediately following Section 791.29, to read:791.30.This article shall become inoperative on July 1, 2028, and, as of January 1, 2029, is repealed.
SEC. 41.SEC. 4.The Legislature finds and declares that Sections 15, 19, 30, and 36 Section 2 of this act, which amend Section 791.10 of, and add adds Sections 791.10, 791.13, 791.24, and 791.36 to, to the Insurance Code, impose imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensees, surplus line insurers, reinsurers reinsurers, or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 42.SEC. 5.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Section 791 of the Insurance Code is amended to read:791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
SEC. 3.Section 791.01 of the Insurance Code is amended to read:791.01.(a)(1)The obligations imposed by this article shall apply to a licensee, surplus line insurer, reinsurer, and the or reinsurer.
(2)The obligations imposed by this article shall apply to a licensees, surplus line insurers, or reinsurers third-party service providers that do any to the extent they do either of the following:
(1)(A)Process consumers personal information in connection with the business of insurance.
(2)(B)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is processed for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to Securities Exchange Commission-regulated brokers, dealers, investment companies, or registered investment advisors, or depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the Securities Exchange Commission-regulated broker, dealer, investment company, or registered investment advisor, or depository institution or affiliate is also licensed by the department for purposes of this article. If a depository institution or affiliate is also licensed by the department, this article shall only apply to the processing of personal information in the business of insurance by the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed in connection with insurance for business or professional purposes shall not be processed in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.13 and 791.24 to producers. Producers shall not be subject to the requirements of these sections prior to the adoption of regulations by the commissioner, provided, however, that no producer shall disclose personal information in violation of Section 791.13. Producers shall fully comply with the provisions of Sections 791.13 and 791.24 on or before July 1, 2029, or upon the adoption of regulations pursuant to this subdivision, whichever is first.
SEC. 4.Section 791.02 of the Insurance Code is amended to read:791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of a life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any consumer who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Cross marketing means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
(n)(o)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)(p)Declination of insurance coverage means a denial, in whole or in part, by a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(p)(q)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that uses processes deidentified information meets all the following criteria:
(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(D)Makes no attempt to reidentify the information.
(E)Does not retain any sensitive personal information.
(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(q)(r)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(r)(s)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(s)(t)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(t)(u)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(u)(v)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(v)(w)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(w)(x)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(x)(y)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing of personal information from licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. providers, or businesses registered pursuant to Section 1798.99.82 of the Civil Code. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(y)(z)(1)Insurance transaction means any transaction or service by or on behalf of a licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits relating to financial products or services.
(D)An actuarial study related to rating any of the following:
(i)Rating or risk management, modeling management.
(ii)Modeling based on claims data, use data.
(iii)Use of geo-coded and structure information in connection with catastrophe-modeling activities, or academic activities.
(iv)Academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(v)Pricing model development.
(vi)Customer lifetime value modeling.
(vii)Underwriting algorithm testing.
(viii)Product development.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records-retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure, including reasonable maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used processed for the purposes for which it is disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 advising, and federal Americans with Disabilities Act of 1990 guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only used processed for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization in connection with an insurance transaction. for the purposes of actuarial experience studies, industry benchmarking, loss modeling, market research, or other insurance industry research, if all of the following conditions are met:
(i)The receiving organization implements technical and contractual controls to aggregate and deidentify individual records before publication or disclosure to another party.
(ii)The deidentified aggregate results are used solely for insurance industry research purposes.
(iii)A consumer is not identified in a report or information published or disclosed by the receiving organization.
(iv)Individual consumer records are not retained by the receiving organization beyond the period necessary to produce the deidentified aggregate outputs and are not further disclosed by the receiving organization.
(2)Insurance transaction does not include processing related to marketing or research activities.
(z)(aa)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(aa)(ab)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ac)Joint marketing means marketing by or on behalf of a licensee of cobranded financial products or services offered by a licensee and a financial institution.
(ab)(ad)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ac)(ae)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ad)(af)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ae)(ag)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(af)(ah)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ag)(ai)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(ah)(aj)Privileged information means personal information that is processed in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(ai)(ak)To process, processing, or a process means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(aj)(al)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(ak)(am)(1)Publicly available means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(A)Federal, state, or local government records.
(B)Widely distributed media.
(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(al)(an)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(am)(ao)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities includes design of products and services.
(an)(ap)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2.
(ao)(aq)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
(ap)(ar)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate or in connection with joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
(aq)(as)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(A)Social security, drivers license, state identification card, or passport number.
(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(C)Precise geolocation.
(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(F)Genetic or neural data.
(G)Information about the consumers sex life or sexual orientation.
(H)Health information.
(I)Biometric information.
(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available, as defined in subdivision (ak), available shall not be considered sensitive personal information or personal information.
(ar)(at)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
(2)A licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing of personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is processed consistently with this article. If a third party materially alters how it processes the personal information of a consumer in a manner that is materially inconsistent with the notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(as)(au)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees, surplus line insurers, or reinsurers.
(at)(av)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(au)(aw)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(av)(ax)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer, that provides reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, and to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, or reinsurers. reinsurers, or businesses registered pursuant to Section 1798.99.82 of the Civil Code.
(aw)(ay)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(ax)(az)Verifiable request means a request that the licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ay)(ba)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) or the requirements of Section 38.6.
SEC. 5.Section 791.03 of the Insurance Code is amended to read:791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
SEC. 6.Section 791.04 of the Insurance Code is amended to read:791.04.(a)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a standalone document within a reasonable time not to exceed 14 21 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a beneficiary of a life insurance policy, if the licensee, surplus line insurer, or reinsurer does not process the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.(C)To a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, if the licensee does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(D)By an employee, representative, or appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)A licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(5)Each version of a licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees surplus line insurers, or reinsurers privacy practices change, the licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee, surplus line insurer, or reinsurer or their third-party service providers processes the consumers personal information.
(5)That the licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of processing sharing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes, and that a licensee, surplus line insurer, or reinsurer may process share the consumers personal information in connection with these activities, unless the consumer has opted out of that processing. sharing.
(9)That the consumers prior, opt-in consent is required for the licensee, surplus line insurer, or reinsurer or their third-party service providers to process share the consumers personal information for most purposes unrelated to the insurance transaction, including processing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of the categories of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer may have as described in these notices are not limited by the standard privacy notice that the licensee also uses.
(c)A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The licensee does not process share health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization. authorization from the consumer.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(iii)If the licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the licensees refusal.
(iv)The consumers right to opt-out opt out of the processing sharing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may process share personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted-out, may revoke the opt-out election.
(3)The licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)A licensee is not required to provide a notice pursuant to subdivision (a) to a consumer with whom it no longer has an ongoing business relationship.
(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 8.Section 791.046 is added to the Insurance Code, to read:791.046.(a)A licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee, surplus line insurer, or reinsurer conducts business through an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page, online platform, or digital application application, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 9.Section 791.05 of the Insurance Code is amended to read:791.05.A licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
SEC. 10.Section 791.06 of the Insurance Code is amended to read:791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(b)Before processing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to processing sharing of personal information for any of the following reasons:
(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt-out opt out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee, surplus line insurer, or reinsurer to whom the consumer is authorizing information to be disclosed.
(F)Specifies the purposes for which the consumer is authorizing the processing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), provided in compliance with the requirements of Section 38.6.
(c)A consumer shall does not have the ability to opt-out opt out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required by this article or by any other law or regulation.
(d)A licensees, surplus line insurers, reinsurers, or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee, surplus line insurer, or reinsurer is notified of the consumers consent or a change to the consumers consent.
(e)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(f)The consumers most recent consent shall take precedence over any prior consent.
(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee, surplus line insurer, or reinsurer has no ongoing business relationship shall only be valid for the duration specified on the consent document.
(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 11.Section 791.07 of the Insurance Code is amended to read:791.07.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not process personal information provided to the third-party service provider by the licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee, surplus line insurer, or reinsurer.
(e)A licensee, surplus line insurer, or reinsurer that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
SEC. 12.Section 791.08 of the Insurance Code is amended to read:791.08.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, reinsurer, or insurance support organization for access to the consumers personal and publicly available information in the possession of the licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation. investigation or information shared in accordance with the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871).
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, insurance support organization does not include a consumer reporting agency.
SEC. 13.Section 791.09 of the Insurance Code is amended to read:791.09.(a)A consumer may submit a verifiable request to a licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee, surplus line insurer, reinsurer, or its third-party service providers.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal or publicly available information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with a licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth both either of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information.
(e)If a consumer files a statement as described in subdivision (d), the licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information. information in the licensees records.
(2)In a later disclosure of the personal or publicly available information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(h)For purposes of this section, insurance support organization does not include a consumer reporting agency.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 14.Section 791.099 is added to the Insurance Code, to read:791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
SEC. 15.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the consumer that upon written request the consumer may receive the specific reason or reasons in writing.
(2)Provide the consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons; provided, however:
(A)The licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation or material nondisclosure.
(B)Specific items of health information supplied by a health care provider shall be disclosed either directly to the individual about whom the information relates or to a health care provider designated by the individual and licensed to provide health care with respect to the condition to which the information relates, whichever the individual prefers.
Health information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b); provided, however, that the identity of any health care provider shall be disclosed either directly to the individual or to the designated health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a). This subdivision shall become operative on July 1, 2006.
SEC. 16.Section 791.11 of the Insurance Code is amended to read:791.11.A licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by a consumer.
(b)The previous insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
SEC. 17.Section 791.12 of the Insurance Code is amended to read:791.12.A licensee, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that a consumer previously obtained insurance coverage through a residual market mechanism; provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from a licensee, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the consumer and, when reasonably available, shall be furnished the requesting insurer and the consumer, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is licensees; provided, however, a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that a consumer has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
SEC. 18.Section 791.13 of the Insurance Code is repealed.SEC. 19.Section 791.13 is added to the Insurance Code, to read:791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may process share a consumers personal information according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records-retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(A)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to process share the consumers information in connection with specific marketing activity to which the consumer has consented.
(B)In connection with research activity, after receiving affirmative consent from the consumer to process share the consumers information in connection with specific research activity to which the consumer has consented.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and processing sharing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the processing sharing and the consumers ability to opt-out opt out of the processing, sharing, a reasonable opportunity for the consumer to opt-out opt out of the processing, sharing, and the consumer has not done so:
(A)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(i)Personal information is only processed shared pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(ii)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(I)Name.
(II)Address or email address.
(III)Financial institution affiliation and account type.
(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship, if that the consumer is provided with notice and the ability to opt out of the cross-marketing activity and has not done so. relationship. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information necessary to effectuate marketing related to the licensees own products, goods, or services directly to individuals.
(C)(D)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(D)(E)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt-out opt out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(4)Additional purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers sensitive personal information, other than in connection with an insurance transaction. the purposes in subparagraphs (A) to (G), inclusive, of paragraph (1) of subdivision (a) or for other disclosed purposes if the consumer is provided an opportunity to opt out of those other disclosed purposes.
(c)(1)A licensees processing of a consumers personal information shall be reasonably necessary and proportionate to achieve the purposes for which the personal information was collected or processed, for another disclosed purpose for which the personal information was collected and not further processed in a manner that is incompatible with those purposes, or for one of the following purposes:
(A)In connection with an insurance transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, as long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation or records retention periods applicable to the licensee in connection with a consumers personal information.
(C)When otherwise specifically required by state or federal law.
(D)In connection with any of the following activities, in accordance with Proposition 103, approved by the electors on November 8, 1988, actuarially sound principles, and laws prohibiting unfair discrimination, as applicable:
(i)Pricing model development.
(ii)Customer lifetime value modeling.
(iii)Underwriting algorithm testing.
(iv)Product development.
(v)Research activities.
(vi)Collection or development of a consumer profile by or on behalf of a licensee, as described in subparagraph (K) of paragraph (1) of subdivision (ah) of Section 791.02.
(2)A third-party service provider shall process personal information in connection with its relationship with a licensee only in accordance with the terms of its contract with the licensee, and only as is reasonably necessary and proportionate for the purposes specified in that contract, which shall be consistent with the purposes enumerated in this section. This section does not restrict a third-party service provider from processing personal information connected to nonlicensees or to make a third-party service providers business operations generally subject to this section.
(c)(d)A licensee, surplus line insurer, reinsurer, or third-party service provider may process consumers deidentified information.
(d)(e)Processing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(e)(f)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(f)(g)An affiliate that processes personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall shall, with respect to that information, be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(g)(h)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(h)(i)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivision (a). subdivisions (a) to (c), inclusive.
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)A licensee shall comply with all of the following on and after January 1, 2032:
(3)(A)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(4)(B)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(5)(C)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (a), subdivisions (a) to (c), inclusive, the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(6)(4)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(7)(5)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(8)(6)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after January 1, 2027, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after January 1, 2027, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
SEC. 20.Section 791.14 of the Insurance Code is amended to read:791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
SEC. 21.Section 791.15 of the Insurance Code is amended to read:791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
SEC. 22.Section 791.16 of the Insurance Code is amended to read:791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
SEC. 23.Section 791.17 of the Insurance Code is amended to read:791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
SEC. 24.Section 791.18 of the Insurance Code is amended to read:791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
SEC. 25.Section 791.19 of the Insurance Code is amended to read:791.19.(a)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
SEC. 26.Section 791.20 of the Insurance Code is amended to read:791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.06, 791.08, 791.09, or 791.10, 791.11, 791.12, 791.13, 791.31, or 791.35 with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.13.
(c)In any action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
SEC. 27.Section 791.21 of the Insurance Code is amended to read:791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
SEC. 28.Section 791.22 of the Insurance Code is amended to read:791.22.Any person who knowingly and willfully obtains information about a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
SEC. 29.Section 791.23 of the Insurance Code is repealed.SEC. 30.Section 791.24 is added to the Insurance Code, to read:791.24.(a)A licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only processes the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of personal information provided by the licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor only pursuant to a written contract that requires the subcontractor to comply with substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee, surplus line insurer, or reinsurer other than as stated in the contract.
(9)Promptly notify the licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after January 1, 2027.
(e)This article applies only to a third-party service provider that only to the extent that the third-party service provider processes personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
SEC. 31.Section 791.29 of the Insurance Code is amended to read:791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
SEC. 32.Section 791.32 is added to the Insurance Code, to read:791.32.A licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
SEC. 33.Section 791.33 is added to the Insurance Code, to read:791.33.A licensee, surplus line insurer, reinsurer or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
SEC. 34.Section 791.34 is added to the Insurance Code, to read:791.34.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a device vehicle storing personal information of a consumer, shall use commercially reasonable efforts to delete restore the vehicle to a factory default setting, thereby removing the consumers personal information within a reasonable period of time, information, before selling or transferring title to the vehicle and shall not further process or share personal information obtained in this manner.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to or has leased, loaned, or otherwise provided for use by a consumer a device device, other than a vehicle, capable of storing personal information of a consumer shall, upon taking or retaking possession of the nonvehicular device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device, device capable of storing personal information, or rendering unreadable the personal information stored on the device, device capable of storing personal information, shall satisfy the requirements of this section.
(e)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device capable of storing the personal information of a consumer.
(f)(1)This section is satisfied if any of the following apply before selling or transferring title of a vehicle:
(A)The licensee, surplus line insurer, reinsurer, or third-party service provider determines, after thorough and complete visual inspection, that damage to the vehicles electrical system prevents any access to the components storing personal information.
(B)The licensee, surplus line insurer, reinsurer, or third-party service provider makes all reasonable attempts to power on the vehicle, and the vehicle is not able to be powered on.
(C)The vehicle is determined to contain a biohazard or other hazardous condition that would make access to the vehicle or its electronic systems unsafe.
(D)Accessing the components storing personal information would create a reasonable risk to the health or safety of an employee, contractor, or other person acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider.
(E)The licensee, surplus line insurer, reinsurer, or third-party service provider destroys or renders unreadable the personal information stored on the vehicle.
(2)Other than as provided in subparagraph (B) of paragraph (1), this section does not require a licensee, surplus line insurer, reinsurer, or third-party service provider to repair, restore, energize, disassemble, or otherwise alter a vehicle or vehicular system for the purpose of removing personal information.
(f)(1)(g)For purposes of this section as it applies section, the following definitions apply with respect to vehicles and vehicular systems, device systems:
(1)Device storing personal information includes all both of the following:
(A)On-board computers.(B)Infotainment systems.(C)Global Positioning Systems and other similar space-based systems.(D)Head units.(E)Radios.(F)Black boxes.(G)Telematics devices.(H)On-board diagnostics II devices.(A)A device that plugs into a vehicles on-board diagnostics II.
(I)(B)Any other electronic device that is contained within or attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)Factory default setting means a manufacturer-provided factory reset, master reset, or substantially equivalent process that restores the vehicles electronic systems to their default factory settings and that has the effect of deleting personal information stored on the system being reset.
(3)Vehicle has the same meaning as motor vehicle as defined in Section 415 of the Vehicle Code.
(2)This subdivision(h)Subdivision (g) does not limit the applicability of this article.
(i)This section shall be operative on July 1, 2028.
SEC. 35.Section 791.35 is added to the Insurance Code, to read:791.35.A licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
SEC. 36.Section 791.36 is added to the Insurance Code, to read:791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee, surplus line insurer, reinsurer or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
SEC. 37.Section 791.37 is added to the Insurance Code, to read:791.37.(a)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the five calendar years thereafter.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee, surplus line insurer, or reinsurer.
SEC. 38.Section 791.38 is added to the Insurance Code, to read:791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
SEC. 39.Section 791.39 is added to the Insurance Code, to read:791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
(f)This article does not limit or otherwise impede the reporting of suspected insurance fraud under Chapter 12 (commencing with Section 1871) or limit the legal immunities granted within Article 8 (commencing with Section 1879) of Chapter 12.
SEC. 40.Section 791.40 is added to the Insurance Code, to read:791.40.(a)The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
(b)When adopting regulations pursuant to this section, the commissioner shall, to the extent reasonably possible, ensure that the commissioners regulations do not conflict with regulations adopted by California Privacy Protection Agency, to the extent that the regulations pertain to the same subject matter and are adopted pursuant to substantially similar authorizing statutes.
(c)The commissioner shall adopt regulations providing model policies, forms, and contracts that licensees may use for compliance with this article.
SEC. 41.The Legislature finds and declares that Sections 15, 19, 30, and 36 of this act, which amend Section 791.10 of, and add Sections 791.13, 791.24, and 791.36 to, the Insurance Code, impose a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensees, surplus line insurers, reinsurers or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 42.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Section 791 of the Insurance Code is amended to read:791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees licensees, surplus line insurers, reinsurers, and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees licensees, surplus line insurers, reinsurers, or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees licensees, surplus line insurers, or reinsurers for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of this article.
SEC. 3.Section 791.01 of the Insurance Code is amended to read:791.01.(a)The obligations imposed by this article shall apply to a licensee and the licensees licensee, surplus line insurer, reinsurer, and the licensees, surplus line insurers, or reinsurers third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee licensee, surplus line insurer, reinsurer, or third-party service provider involving the consumers personal information.
(3)One whose personal information is used processed for purposes other than insurance transactions by licensees, surplus line insurers, reinsurers, third-party service providers, or both. any of the foregoing.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the licensee or the licensees licensee, surplus line insurer, or reinsurer, or the licensees, surplus line insurers, or reinsurers third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the depository institution or affiliate is also licensed by the department for purposes of this article. If a depository institution or affiliate is also licensed by the department, this article shall only apply to the processing of personal information in the business of insurance by the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
(f)This article shall not apply to any person or entity engaged in the business of title insurance, as defined in Section 12340.3.
(g)The obligations imposed by this article shall only apply to the processing by a licensee, surplus line insurer, or reinsurer of personal information in connection with insurance for personal, family, or household purposes. Personal information processed in connection with insurance for business or professional purposes shall not be processed in connection with insurance for personal, family, or household purposes, provided that this limitation shall not prevent cross-marketing consistent with the requirements of subparagraph (B) of paragraph (3) of subdivision (a) of Section 791.13.
(h)No later than January 1, 2029, the commissioner shall adopt regulations applying the provisions of Sections 791.13 and 791.24 to producers. Producers shall not be subject to the requirements of these sections prior to the adoption of regulations by the commissioner, provided, however, that no producer shall disclose personal information in violation of Section 791.13. Producers shall fully comply with the provisions of Sections 791.13 and 791.24 on or before July 1, 2029, or upon the adoption of regulations pursuant to this subdivision, whichever is first.
SEC. 4.Section 791.02 of the Insurance Code is amended to read:791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees licensees, surplus line insurers, reinsurers, or third-party service providers records.
(2)A consumers last known email address as shown in the licensees licensees, surplus line insurers, reinsurers, or third-party service providers records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:(1)A declination of insurance coverage requested by a consumer, in whole or in part, including a reduction in coverage limits or scope of coverage.(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.(3)A rescission of the insurance policy.(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.(5)In the case of a property or casualty insurance coverage:(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.(B)Placement by a licensee of a risk with an insurer not approved to conduct business in this state.(C)The charging of a higher rate on the basis of information that differs from the information that the consumer furnished. (6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.(b)(1)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten:
(A)A declination of insurance coverage.
(B)A termination of insurance coverage.
(C)Failure of a producer to apply for insurance coverage with a specific insurer that the producer represents and that is requested by a consumer.
(D)In the case of a property or casualty insurance coverage, either of the following:
(i)Placement by a licensee, surplus line insurer, or reinsurer of a risk with a residual market mechanism, with a surplus line insurer or with an insurer that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurer that provides insurance to other than preferred or standard risks, shall not include placement if the consumer did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks.
(ii)The charging of a higher rate on the basis of information that differs from that which the consumer furnished.
(E)In the case of a life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), none of the following actions shall be considered adverse underwriting decisions, but the licensee, surplus line insurer, or reinsurer responsible for their occurrence shall nevertheless provide the consumer with the specific reason or reasons for their occurrence:
(A)The termination of an individual policy form on a class or statewide basis.
(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.
(C)The rescission of a policy.
(c)Affiliate or affiliated has the same meaning as defined in subdivision (a) of Section 1215. Control as used in that definition has the same meaning as defined in subdivision (d) of Section 1215.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any person consumer who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, processed or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification. licensee, surplus line insurer, or reinsurer.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid pursuant to Section 791.045. subdivision (h) of Section 791.046.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed by the licensee licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Declination of insurance coverage means a denial, in whole or in part, by an insurance institution or agent a licensee, surplus line insurer, or reinsurer of requested insurance coverage.
(p)(1)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee licensee, surplus line insurer, or reinsurer that uses deidentified information meets all the following criteria:
(1)(A)Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)(B)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)(C)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)(D)Makes no attempt to reidentify the information.
(5)(E)Does not retain any sensitive personal information.
(6)(F)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(2)Deidentified information is not personal information.
(q)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(r)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(s)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(t)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(u)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(v)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(w)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(x)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers licensees, surplus line insurers, reinsurers, or third-party service providers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee licensee, surplus line insurer, reinsurer, or third-party service provider, or other insurance support organization for use in connection with an insurance transaction.
(B)The processing of personal information from licensees licensees, surplus line insurers, reinsurers, third-party service providers, or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(y)(1)Insurance transaction means any transaction or service by or on behalf of a licensee and its licensee, surplus line insurer, reinsurer, or their affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement. settlement, and the placing, issuance, renewal, reinstatement, cancellation, or nonrenewal of a policy.
(B)Licensees Licensees, surplus line insurers, reinsurers, or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance. benefits relating to financial products or services.
(D)Processing of personal information using algorithmic or automated decisionmaking means.(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.(D)An actuarial study related to rating or risk management, modeling based on claims data, use of geo-coded and structure information in connection with catastrophe-modeling activities, or academic uses subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(E)Compliance with legal, regulatory, accounting, tax, audit, reporting, data call, solvency, market conduct, complaint handling, producer oversight, reinsurance, or records-retention obligations.
(F)Claims intake, investigation, adjustment, administration, payment, subrogation, salvage, litigation management, dispute resolution, and recovery activities.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure. nondisclosure, including maintenance of records for those purposes.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared. disclosed.
(I)Providing absence management and workplace accommodation services, including, among other similar services, employer leave policy administration, federal Family and Medical Leave Act of 1993 advising, and federal Americans with Disabilities Act of 1990 guidance.
(J)Information protection and cybersecurity.
(K)The short-term transient collection of personal information through consumer interaction with the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, provided that the consumers personal information is only used for analytics relating to functionality of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application.
(L)Disclosure to an insurance support organization in connection with an insurance transaction.
(2)Insurance transaction does not include processing related to marketing or research. research activities.
(z)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(aa)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ab)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including both of the following:
(A)An insurer.
(B)A producer.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ac)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ad)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ae)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(af)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application website, online platform, digital application, or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph subdivision to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:(i)Information that is lawfully made available from federal, state, or local government records.(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.(iv)Records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video phonographic records, or magnetic tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ag)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations. (ah)(ag)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(ai)(ah)Privileged information means personal information that is collected processed in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(aj)(ai)To process, processing, or a process means an any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ak)(aj)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(al)(ak)(1)Publicly available means information about a consumer that a licensee licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
(1)(A)Federal, state, or local government records.
(2)(B)Widely distributed media.
(3)(C)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(2)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(am)(al)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(an)(am)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction: includes design of products and services.
(1)Relating to rating or risk management.(2)For actuarial studies.(3)Disclosure to an insurance support organization.(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.(ao)(an)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, 2 and the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2. 2.
(ap)(ao)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees a licensee, surplus line insurer, reinsurer, or third-party service provider.
(aq)(ap)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer. reinsurer in connection with an insurance transaction.
(3)Providing or disclosing information to an affiliate. affiliate or in connection with joint marketing activity as permitted by this article.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees licensees, surplus line insurers, or reinsurers assets.
(5)Disclosure pursuant to a consumers direction to the licensee licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more licensees or other financial institutions. third parties.
(ar)Sensitive personal information means personal information, including all of the following, of a consumer:(aq)(1)Sensitive personal information means personal information that reveals any of the following information about a consumer:
(1)(A)Social security, drivers license, state identification card, or passport number.
(2)(B)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)(C)Precise geolocation.
(4)(D)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)(E)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)(F)Genetic or neural data.
(7)(G)Information about the consumers sex life or sexual orientation.
(8)(H)Health information.
(9)(I)Biometric information.
(10)(J)Additional items specified by the commissioner in regulation.
(2)Sensitive personal information that is publicly available, as defined in subdivision (ak), shall not be considered sensitive personal information or personal information.
(as)(ar)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee licensee, surplus line insurer, reinsurer, or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged. party.
(2)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.(A)Disclosure pursuant to a consumers direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties, including a request by a consumer to disclose the consumers records to an attorney or health care provider. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not utilize this subparagraph to process or disclose personal information in a manner otherwise prohibited by this article, or to circumvent a requirement to obtain a consumers consent for processing of personal information.
(B)The licensee licensee, surplus line insurer, reinsurer, or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information. exercised an opt-out right pursuant to this article for the purpose of alerting persons that the consumer has exercised that right.
(C)The licensee licensee, surplus line insurer, reinsurer, or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared processed consistently with this article. If a third party materially alters how it uses or shares processes the personal information of a consumer in a manner that is materially inconsistent with the promises made notice provided at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate any provision of this code or the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(at)(as)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees licensees, surplus line insurers, or reinsurers, and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees. licensees, surplus line insurers, or reinsurers.
(au)(at)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(av)(au)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(aw)(av)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer, that provides services to the licensee, surplus line insurer, or reinsurer, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. licensee, surplus line insurer, or reinsurer. Third-party service provider includes insurance support organizations and a person with whom a licensee licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, or reinsurers.
(ax)(aw)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(ay)(ax)Verifiable request means a request that the licensee licensee, surplus line insurer, reinsurer, or third-party service provider can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(az)(ay)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code). Code) or the requirements of Section 38.6.
SEC. 5.Section 791.03 of the Insurance Code is amended to read:791.03.A licensee, surplus line insurer, reinsurer, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
SEC. 6.Section 791.04 of the Insurance Code is amended to read:791.04.(a)(1)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a clear and conspicuous privacy notice to a consumer presented as a standalone document within a reasonable time not to exceed 14 calendar days after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)If From a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has if the reinsurer, third-party service provider, or surplus line insurer has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a beneficiary of a life insurance policy, if the licensee licensee, surplus line insurer, or reinsurer does not use process the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(D)By an employee, representative, or designee appointee of a licensee, surplus line insurer, or reinsurer, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee appointing licensee, surplus line insurer, or reinsurer and that licensee, surplus line insurer, or reinsurer provides the privacy notice required pursuant to this section.
(E)By an insurer or surplus line insurer, with respect to personal information received from a producer in connection with an application for insurance, provided that both of the following requirements are met:
(i)The application does not result in the issuance of a policy or establishment of an ongoing business relationship.
(ii)The insurer or surplus line insurer does not process, retain, or disclose the personal information for any further purpose.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)(A)A licensee licensee, surplus line insurer, or reinsurer shall provide an updated privacy notice to each consumer with whom the licensee licensee, surplus line insurer, or reinsurer has an ongoing business relationship when the privacy practices of the licensee licensee, surplus line insurer, or reinsurer materially change, or the substantive content of the preceding privacy notice is no longer materially accurate. The licensee licensee, surplus line insurer, or reinsurer shall do both of the following:
(i)(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(ii)(B)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees licensees, surplus line insurers, or reinsurers privacy practices during a claim involving the claimant or beneficiary.
(B)Notwithstanding subparagraph (A), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.(5)Each version of a licensees licensees, surplus line insurers, or reinsurers privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee licensee, surplus line insurer, or reinsurer revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees licensees surplus line insurers, or reinsurers privacy practices change, the licensee licensee, surplus line insurer, or reinsurer remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee licensee, surplus line insurer, or reinsurer or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its licensee, surplus line insurer, or reinsurer or their third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee licensee, surplus line insurer, or reinsurer or their third-party service providers to collect the consumers personal information.
(4)The purposes for which the licensee licensee, surplus line insurer, or reinsurer or their third-party service providers processes the consumers personal information.
(5)That the licensee and its licensee, surplus line insurer, or reinsurer and their third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its licensee, surplus line insurer, or reinsurer and their third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its licensee, surplus line insurer, or reinsurer or their third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers have shared the consumers personal information within the last 12 months.(7)If personal information has been, or may routinely be, shared with a person residing in a country outside of the United States and its territories, a list of those countries.
(8)That the consumer has the right to opt out of joint marketing activity, processing for any of the purposes stated in paragraph (3) of subdivision (a) of Section 791.13, along with a description of each of those purposes, and that a licensee licensee, surplus line insurer, or reinsurer may process the consumers personal information in connection with joint marketing activity, these activities, unless the consumer has opted out of that processing.
(9)That the consumers prior prior, opt-in consent is required for the licensee or its licensee, surplus line insurer, or reinsurer or their third-party service providers to process the consumers personal information for any most purposes unrelated to the insurance transaction. transaction, including processing for any of the purposes stated in paragraph (2) of subdivision (a) of Section 791.13, along with a description of each of those purposes.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights. rights, including information about accessing the consumers right pursuant to Section 791.099.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.(14)(13)Additional items that the commissioner specifies in regulation.
(c)If the licensee licensee, surplus line insurer, reinsurer, or third-party service provider shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee licensee, surplus line insurer, or reinsurer will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee licensee, surplus line insurer, reinsurer, or third-party service provider may be satisfied by another licensee licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf. provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects the consumers rights pursuant to this article not less than annually during the continuation of the customer relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which that relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.(2)The privacy rights notice required pursuant to paragraph (1) shall inform the consumer of the consumers right to all of the following:(A)Access the consumers own personal information.(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.(D)Opt out of processing of the consumers personal information in connection with joint marketing activity.(E)Not to have the consumers personal information used for marketing, except as authorized by Section 791.30, or research purposes, unless the consumer has provided consent.(F)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.(G)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.(H)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.(I)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.(J)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.(3)The privacy rights notice required pursuant to paragraph (1) shall provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.(b)(1)The privacy rights notice required pursuant to this section shall be provided in addition to other notices required pursuant to this article.(2)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, an insurance institution or agent a licensee shall provide a clear and conspicuous notice to customers a consumer that accurately reflects its privacy policies and practices not less than annually during the continuation of the customer relationship. an ongoing business relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which that relationship exists. An insurance institution or agent an ongoing business relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the customer consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with Section 2689.7 of Title 10 of the California Code of Regulations. the requirements of Section 791.04.
(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.
(2)If the insurance institution or agent licensee uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer, claimant, or beneficiary consumer may have as described in these notices are not limited by the standard privacy notice that the insurance institution or agent licensee also uses.
(c)An insurance institution or agent A licensee shall be deemed to be in compliance with this section if all of the following conditions are met:
(1)The insurance institution or agent does not provide medical record, personal, or privileged information to a nonaffiliated third party pursuant to subdivision (k) of Section 791.13.(2)The insurance institution or agent additionally provides, as part of an abbreviated notice provided pursuant to subdivision (c) of Section 791.04, the internet website address of the insurance institutions or agents complete privacy notice that complies with subdivision (a) and informs the consumer of each of the following rights in a clear and conspicuous manner:(1)The licensee does not process health information or personal, sensitive, or privileged information pursuant to paragraphs (2) and (3) of subdivision (a) of Section 791.13.
(2)The licensee additionally provides, as part of a notice pursuant to this section, all of the following:
(A)The internet website address of the licensees complete privacy notice that complies with subdivision (a).
(B)All of the following statements:
(i)Personal information may be collected from persons other than the consumer or consumers proposed for coverage.
(ii)The personal information described in clause (i) as well as any other personal or privileged information subsequently collected by the licensee may, in certain circumstances, be disclosed to third parties without authorization.
(iii)The notice prescribed in Section 791.04 will be furnished to the consumer upon request.
(C)A description of each of the following rights in a clear and conspicuous manner:
(A)(i)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.
(B)(ii)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.
(C)(iii)If the insurance institution licensee refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the insurance institutions licensees refusal.
(iv)The consumers right to opt-out of the processing of personal information pursuant to paragraph (3) of subdivision (a) of Section 791.13.
(v)The consumers right to provide prior, opt-in consent, before a licensee may process personal information pursuant to paragraph (2) of subdivision (a) of Section 791.13.
(vi)That the consumer, after having provided prior opt-in consent, may revoke that consent or, having opted-out, may revoke the opt-out election.
(3)The insurance institutions or agents licensees policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).
(d)An insurance institution or agent A licensee is not required to provide a notice pursuant to subdivision (a) to a former customer consumer with whom it no longer has a continuing relationship. an ongoing business relationship.
(e)The terms used in this section have the same meaning as defined in Section 2689.4 of Title 10 of the California Code of Regulations.(e)The obligations imposed upon a licensee by this section may be satisfied by another licensee or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 8.Section 791.046 is added to the Insurance Code, to read:791.046.(a)A licensee licensee, surplus line insurer, or reinsurer shall provide the notices required pursuant to this article so that the licensee licensee, surplus line insurer, or reinsurer reasonably expects a consumer to receive actual notice in writing.
(b)A licensee licensee, surplus line insurer, or reinsurer may reasonably expect that a consumer shall receive actual notice if the licensee licensee, surplus line insurer, or reinsurer does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website website, online platform, or digital application to access insurance products and services, either of the following, provided that the licensee licensee, surplus line insurer, or reinsurer has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee licensee, surplus line insurer, or reinsurer conducts business through a an online platform or digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the online platform or digital application.
(4)With respect to a consumer who interacts with a licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application, but is not in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer, provides the notice in compliance with the requirements of subdivision (f).
(c)A licensee licensee, surplus line insurer, or reinsurer shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends Provides the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee. licensee, other than as permitted by paragraph (4) of subdivision (b).
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee licensee, surplus line insurer, or reinsurer, or third-party service provider of a licensee, surplus line insurer, or reinsurer, may provide a joint notice from the licensee licensee, surplus line insurer, or reinsurer and one or more of its affiliates or third-party service providers, if the notice clearly identifies all parties covered by the notice and accurately reflects the licensees and the affiliates licensees, surplus line insurers, or reinsurers, and each affiliates or third-party service providers, privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee licensee, surplus line insurer, or reinsurer shall prominently post and make available the notices required pursuant to this article on its internet website home page page, online platform, or digital application if the licensee licensee, surplus line insurer, or reinsurer maintains an internet website. The licensee website, online platform, or digital application. The licensee, surplus line insurer, or reinsurer shall design its internet website home page page, online platform, or digital application so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, online platform, or digital application, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page page, online platform, or digital application that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee licensee, surplus line insurer, or reinsurer in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee licensee, surplus line insurer, or reinsurer shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees licensees, surplus line insurers, or reinsurers shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee licensee, surplus line insurer, or reinsurer has been returned as undeliverable and later attempts by the licensee licensee, surplus line insurer, or reinsurer to obtain a current valid address for the consumer have been unsuccessful.
(2)The Email addressed to the consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee licensee, surplus line insurer, or reinsurer to obtain a current valid email address for the consumer have been unsuccessful.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 9.Section 791.05 of the Insurance Code is amended to read:791.05.A licensee licensee, surplus line insurer, or reinsurer shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
SEC. 10.Section 791.06 of the Insurance Code is amended to read:791.06.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.(b)791.06.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee, surplus line insurer, or reinsurer has a reinsurer, or third-party service provider has an ongoing business relationship with a consumer, or that the licensee, surplus line insurer, reinsurer, or third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)(1)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction without the prior consent of the consumer.(2)Notwithstanding paragraph (1), if a licensee, surplus line insurer, or reinsurer has given a consumer notice and the opportunity to opt out, and the consumer has not opted out, the licensee, surplus line insurer, or reinsurer may process a consumers personal information for purposes of joint marketing if the licensee complies with paragraph (10) of subdivision (a) of Section 791.13. (d)(b)Before processing a consumers personal information for a purpose for which the consumers prior, opt-in consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide prior, opt-in consent or opt out and maintain a written record of that prior, opt-in consent or opt-out election.
(1)A licensee, surplus line insurer, or reinsurer reinsurer, or third-party service provider shall provide the consumer with a means to separately indicate the consumers prior, opt-in consent or opt-out election, as applicable, with respect to processing of personal information for any of the following reasons:
(A)Marketing the licensees products and services.(B)Marketing products and services from affiliates of the licensee.(C)Joint marketing of financial products or services.(D)Marketing products and services from unrelated companies.(E)California FAIR Plan Association clearinghouse activity.(F)Research activities that are unrelated to the consumers insurance transaction.(G)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.(A)Each purpose for which a consumers prior, opt-in consent is required pursuant to the requirements of paragraph (2) of subdivision (a) of Section 791.13.
(B)Each purpose for which a consumer is permitted to opt-out pursuant to the requirements of paragraph (3) of subdivision (a) of Section 791.13.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee surplus line insurer, reinsurer, or third-party service provider, the licensee, surplus line insurer, reinsurer, or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee licensee, surplus line insurer, or reinsurer has no ongoing business relationship, contains a termination date for the consent.
(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee licensee, surplus line insurer, or reinsurer to whom the consumer is authorizing information to be disclosed.
(F)Specifies the purposes for which the consumer is authorizing the processing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(J)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), provided in compliance with the requirements of Section 38.6.
(c)A consumer shall not have the ability to opt-out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required by this article or by any other law or regulation.
(e)(d)A licensees licensees, surplus line insurers, reinsurers, or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee licensee, surplus line insurer, or reinsurer is notified of the consumers consent or a change to the consumers consent.
(f)(e)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain a written record of the revocation.
(g)(f)The consumers most recent consent shall take precedence over any prior consent.
(h)(g)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee licensee, surplus line insurer, or reinsurer has no ongoing customer business relationship shall only be valid for the duration specified on the consent document.
(i)(h)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee licensee, surplus line insurer, or reinsurer reestablishes a business relationship more than 30 days after the previous business relationship ended.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 11.Section 791.07 of the Insurance Code is amended to read:791.07.(a)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee licensee, surplus line insurer, reinsurer, or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, the licensee surplus line insurer, or reinsurer, the licensee, surplus line insurer, or reinsurer shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee licensee, surplus line insurer, or reinsurer shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee licensee, surplus line insurer, or reinsurer uses a third-party service provider to obtain or prepare an investigative consumer report, the written contract between the licensee licensee, surplus line insurer, or reinsurer and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use process personal information provided to the third-party service provider by the licensee licensee, surplus line insurer, or reinsurer or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee. licensee, surplus line insurer, or reinsurer.
(e)A licensee licensee, surplus line insurer, or reinsurer that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is The licensee, surplus line insurer, reinsurer, or third-party service provider is not required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
SEC. 12.Section 791.08 of the Insurance Code is amended to read:791.08.(a)A consumer may submit a verifiable request to a licensee licensee, surplus line insurer, reinsurer, or insurance support organization for access to the consumers personal and publicly available information in the possession of the licensee licensee, surplus line insurer, reinsurer, or insurance support organization, or its third-party service providers. Upon receiving a verifiable request, the licensee licensee, surplus line insurer, reinsurer, insurance support organization, or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee licensee, surplus line insurer, reinsurer, or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(D)Provide the consumer with a summary of the procedures by which the consumer may request correction, amendment, or deletion of recorded personal information.
(b)Health information in the possession of a licensee licensee, surplus line insurer, or reinsurer and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee licensee, surplus line insurer, or reinsurer to disclose the information to a health care provider designated by the consumer, the licensee licensee, surplus line insurer, or reinsurer shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee licensee, surplus line insurer, or reinsurer may be satisfied by another licensee authorized to act on its behalf. licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee licensee, surplus line insurer, or reinsurer or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation.
(4)Shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purpose unrelated to the insurance transaction.
(e)A licensee licensee, surplus line insurer, or reinsurer shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee licensee, surplus line insurer, or reinsurer does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, third-party service provider insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law. agency.
SEC. 13.Section 791.09 of the Insurance Code is amended to read:791.09.(a)A consumer may submit a verifiable request to a licensee licensee, surplus line insurer, or reinsurer to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee licensee, surplus line insurer, reinsurer, or its third-party service providers. The licensee or third-party service provider shall acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual or legal basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the correction, amendment, or deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee licensee, surplus line insurer, reinsurer, or third-party service provider shared the information.
(c)(1)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee licensee, surplus line insurer, reinsurer, or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall notify the individual consumer in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal or publicly available information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer insurer, surplus line insurer, or reinsurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with a licensees licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee licensee, surplus line insurer, reinsurer, or third-party service provider a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee licensee, surplus line insurer, reinsurer, or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees licensees, surplus line insurers, reinsurers, or third-party service providers refusal to correct, amend, or delete personal or publicly available information.
(e)If a consumer files a statement as described in subdivision (d), the licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)In a later disclosure of the personal or publicly available information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.(h)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.(g)The rights granted to a consumer by this section shall not extend to a third-party natural person, including a beneficiary, family or household member, or emergency contact, whose personal information is collected directly from a consumer in connection with an insurance transaction, provided that the licensee, surplus line insurer, or reinsurer does not process the third-party natural persons personal information for any purposes unrelated to the insurance transaction.
(i)(h)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law. agency.
(i)The obligations imposed upon a licensee, surplus line insurer, or reinsurer by this section may be satisfied by another licensee, surplus line insurer, reinsurer, or third-party service provider, consistent with the requirements of subdivision (f) of Section 791.099.
SEC. 14.Section 791.099 is added to the Insurance Code, to read:791.099.(a)A licensee, surplus line insurer, reinsurer, or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including the following:
(1)A mailing address, email address, internet website, online platform, digital application, or toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees, surplus line insurers, or reinsurers internet website, online platform, or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee, surplus line insurer, or reinsurer maintains an internet website, online platform, or digital application.
(b)A consumer shall be able to access their rights pursuant to this article in any manner in which the consumer interacts with the licensee, surplus line insurer, or reinsurer. The requirements of this section are met if the licensee, surplus line insurer, or reinsurer provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee, surplus line insurer, or reinsurer shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee, surplus line insurer, or reinsurer shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee, surplus line insurer, reinsurer, or third-party service provider shall not use dark patterns with respect to a consumers exercise of the rights provided by this article.
(e)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), the licensee, surplus line insurer, or reinsurer shall provide means for consumers to exercise their rights, in compliance with the requirements of Section 38.6.
(f)An obligation imposed upon a licensee, surplus line insurer, reinsurer, or third-party service provider by this article may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on behalf of the former licensee, surplus line insurer, or reinsurer, provided that all of the following requirements are satisfied:
(1)With respect to notices required to be provided pursuant to Sections 791.04 and 791.045, a notice shall identify all licensees, surplus line insurers, or reinsurers whose privacy practices are stated in the notice, except to the extent allowed by subparagraph (D) of paragraph (2) of subdivision (a) of Section 791.04.
(2)With respect to consent obtained pursuant to Section 791.06, a consent document shall identify all licensees, surplus line insurers, or reinsurers seeking to obtain consent.
(3)With respect to the rights provided pursuant to Section 791.08, 791.09, or 791.10, a response to the consumer shall clearly identify all licensees, surplus line insurers, or reinsurers on whose behalf the response is being provided.
(4)With respect to the rights provided pursuant to Section 791.10, a response to the consumer shall clearly identify the licensee, surplus line insurer, or reinsurer responsible for making the adverse underwriting decision pursuant to subdivision (a) of Section 791.10, or action pursuant to subdivision (e) of Section 791.10, to which the consumer is subject.
(5)The licensee, surplus line insurer, reinsurer, or third-party service provider providing substitute performance on behalf of another licensee, surplus line insurer, or reinsurer otherwise satisfies all of the requirements pertaining to the obligation for which the licensee, surplus line insurer, reinsurer, or third-party service provider is providing substitute performance.
(g)The commissioner may develop regulations as necessary to implement and enforce this section, including regulations regarding legal representatives for purposes of this article.
(h)This article shall not require a licensee, surplus line insurer, or reinsurer to disclose personal information in response to a consumer access request, correct personal information in response to a consumer correction request, or delete personal information in response to a consumer deletion request, to the extent such disclosure, correction, or deletion would violate the confidentiality requirements of Part 2 of Title 42 of the Code of Federal Regulations or, following any amendment to those provisions, any successor federal regulation governing the confidentiality of substance use disorder treatment information. A licensee, surplus line insurer, or reinsurer may provide a consumer with a notice that responsive information exists but is subject to federal confidentiality protections that limit its disclosure, in lieu of providing the restricted information itself, and shall refer the consumer to the treating program as the appropriate source of access to such records consistent with federal requirements.
SEC. 14.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:(1)The specific reason or reasons for the adverse underwriting decision.(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.(4)A summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.(b)Notwithstanding paragraph (2) of subdivision (a):(1)A licensee shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or material nondisclosure.(2)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates or to a health care provider designated by the consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.SEC. 15.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the insurance institution or agent licensee, surplus line insurer, or reinsurer responsible for the decision shall:
(1)Either provide the applicant, policyholder, or individual proposed for coverage consumer with the specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the person consumer that upon written request he or she the consumer may receive the specific reason or reasons in writing.
(2)Provide the applicant, policyholder or individual proposed for coverage consumer with a summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to an applicant, policyholder or individual proposed for coverage, the insurance institution or agent a consumer, the licensee, surplus line insurer, or reinsurer shall furnish to such person within 21 business days from the date of receipt of such written request:
(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).
(2)The specific items of personal and privileged information that support those reasons; provided, however:
(A)The insurance institution or agent licensee, surplus line insurer, or reinsurer shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the applicant, policyholder or individual consumer proposed for coverage has engaged in criminal activity, fraud, material misrepresentation or material nondisclosure.
(B)Specific items of medical record health information supplied by a medical care institution or medical professional health care provider shall be disclosed either directly to the individual about whom the information relates or to a medical professional health care provider designated by the individual and licensed to provide medical health care with respect to the condition to which the information relates, whichever the individual prefers.
Mental health recordHealth information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.
(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b); provided, however, that the identity of any medical professional or medical care institution health care provider shall be disclosed either directly to the individual or to the designated medical professional, health care provider, whichever the individual prefers.
(c)The obligations imposed by this section upon an insurance institution or agent a licensee, surplus line insurer, or reinsurer may be satisfied by another insurance institution or agent licensee, surplus line insurer, reinsurer, or third-party service provider authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.
(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the insurance institution or agent licensee, surplus line insurer, or reinsurer responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of medical record health information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a). This subdivision shall become operative on July 1, 2006.
SEC. 15.SEC. 16.Section 791.11 of the Insurance Code is amended to read:791.11.A licensee licensee, surplus line insurer, reinsurer, or insurance-support organization shall not seek information in connection with an insurance transaction concerning either of the following:
(a)A previous adverse underwriting decision experienced by a consumer.
(b)The previous insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
SEC. 16.Section 791.12 of the Insurance Code is amended to read:791.12.A licensee shall not base an adverse underwriting decision on any of the following:(a)Solely the loss history of the previous owner of the property to be insured.(b)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.(c)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further personal information independently supporting the adverse writing decision.(d)Information that the consumer has previously inquired and received information about the scope or nature of coverage under a policy and the inquiry did not result in the filing of a claim.(e)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.SEC. 17.Section 791.12 of the Insurance Code is amended to read:791.12.No insurance institution or agent may A licensee, surplus line insurer, or reinsurer shall not base an adverse underwriting decision in whole or in part on the following:
(a)On the fact of a previous adverse underwriting decision or on the fact that an individual a consumer previously obtained insurance coverage through a residual market mechanism; provided, however, an insurance institution or agent a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further information obtained from an insurance institution or agent a licensee, surplus line insurer, or reinsurer responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual consumer and, when reasonably available, shall be furnished the requesting insurer and the individual, consumer, if applicable.
(b)On personal information received from an insurance-support organization whose primary source of information is insurance institutions; licensees; provided, however, an insurance institution or agent a licensee, surplus line insurer, or reinsurer may base an adverse underwriting decision on further personal information obtained as the result of information received from an insurance-support organization.
(c)On the fact that an individual a consumer has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is insurance institutions licensees and the inquiry did not result in the filing of a claim.
(d)On the fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
SEC. 17.SEC. 18.Section 791.13 of the Insurance Code is repealed.SEC. 18.SEC. 19.Section 791.13 is added to the Insurance Code, to read:791.13.(a)Consistent with this article, a licensee, surplus line insurer, reinsurer, or third-party service provider may process a consumers personal information as necessary for all of the following purposes: according to the following:
(1)As is reasonably necessary and proportionate for each of the following purposes:
(1)(A)In connection with an insurance transaction. transaction, or provision of value-added services or benefits in connection with an insurance transaction.
(B)For compliance with either of the following:
(2)For compliance with a(i)A request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(ii)A legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation or records-retention periods applicable to the licensee, surplus line insurer, or reinsurer in connection with a consumers personal information.
(3)(C)When otherwise specifically required by state law.
(4)(D)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)(i)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)(ii)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)(E)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, if both of the following are true:
(A)(i)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)(ii)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)(F)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)(G)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(2)Upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for each of the following purposes:
(8)(A)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use process the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)(B)In connection with research activity, after receiving affirmative consent from the consumer to use process the consumers information in connection with specific research activity to which the consumer has consented.
(C)For another purpose not enumerated in this section, provided that the purpose has been clearly and fully disclosed to the consumer and processing is limited to the specific activity which has been disclosed and to which the consumer has consented.
(3)On an opt-out basis as is reasonably necessary and proportionate for each of the following purposes, provided that the consumer has been provided with notice of the processing and the consumers ability to opt-out of the processing, a reasonable opportunity for the consumer to opt-out of the processing, and the consumer has not done so:
(10)(A)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(A)The consumer is provided with notice and the ability to opt out of the joint marketing activity, and has not done so. (B)(i)Personal information is only processed pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(C)(ii)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(i)(I)Name.
(ii)(II)Address or email address.
(iii)(III)Financial institution affiliation and account type.
(iv)(IV)Age.
(B)In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship, if that the consumer is provided with notice and the ability to opt out of the cross-marketing activity and has not done so. The provisions of this paragraph shall govern the referral of insurance or financial products and services by an independent producer to a consumer with whom the producer has an ongoing business relationship.
(C)In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified in paragraph (1), provided that the consumer is given notice and the ability to opt out of the affiliate-sharing activity and has not done so.
(D)In connection with FAIR Plan clearinghouse activities, consistent with subdivisions (i) and (j) of Section 10095, provided that the consumer is given notice and the ability to opt-out of the clearinghouse activity pursuant to subdivision (k) of Section 10095 and has not done so.
(11)(4)Additional purposes purposes, as well as the consent requirements pertaining to each purpose, specified by the commissioner in regulation.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers sensitive personal information, other than in connection with an insurance transaction.
(b)(c)A licensee, surplus line insurer, reinsurer, or third-party service provider may process consumers deidentified information.
(c)(d)Processing of a consumers personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(d)(e)Notwithstanding any other law, a licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of monetary or other valuable consideration.
(f)An affiliate that processes personal information received from, or on behalf of, a licensee, surplus line insurer, reinsurer, or third-party service provider shall be subject to the same requirements under this article as are applicable to the licensee, surplus line insurer, reinsurer, or third-party service provider.
(e)(g)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
(h)(1)A licensees, surplus line insurers, or reinsurers retention of a consumers personal information shall be reasonably necessary and proportionate in connection with the purposes specified under subdivision (a).
(2)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(3)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(4)Not less than once every three years, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(5)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (a), the licensee, surplus line insurer, or reinsurer shall take reasonable steps to securely destroy, delete, or deidentify the consumers personal information in a timely manner in accordance with its records retention schedule.
(6)This section does not require the deletion of information related to tracking or detection of fraud or information related to a consumers claims history.
(7)This section does not permit or require the deletion of a record that is required to be retained by law or regulation.
(8)(A)This section does not require a licensee, surplus line insurer, or reinsurer to delete personal information if targeted disposal is not reasonably feasible due to the manner in which the personal information is maintained.
(B)On or after January 1, 2027, a licensee, surplus line insurer, or reinsurer shall not implement any new system covered by the exception described in subparagraph (A).
(C)Subparagraph (A) shall not apply to any personal information maintained by a licensee, surplus line insurer, or reinsurer more than seven years after January 1, 2027, unless the information is maintained on a system that is physically isolated from any internet-connected network infrastructure.
SEC. 19.SEC. 20.Section 791.14 of the Insurance Code is amended to read:791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider acting on behalf of a licensee licensee, surplus line insurer, or reinsurer that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
SEC. 20.SEC. 21.Section 791.15 of the Insurance Code is amended to read:791.15.(a)Whenever the commissioner has reason to believe that a licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
SEC. 21.SEC. 22.Section 791.16 of the Insurance Code is amended to read:791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
SEC. 22.SEC. 23.Section 791.17 of the Insurance Code is amended to read:791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
SEC. 23.SEC. 24.Section 791.18 of the Insurance Code is amended to read:791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
SEC. 24.SEC. 25.Section 791.19 of the Insurance Code is amended to read:791.19.(a)If a hearing pursuant to Section 791.15 results in the finding that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
SEC. 25.SEC. 26.Section 791.20 of the Insurance Code is amended to read:791.20.(a)If a licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.06, 791.08, 791.09, 791.10, 791.11, 791.12, 791.13, 791.31, or 791.35 with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.06 or 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.06 or 791.13.
(c)In any action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
SEC. 26.SEC. 27.Section 791.21 of the Insurance Code is amended to read:791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
SEC. 27.SEC. 28.Section 791.22 of the Insurance Code is amended to read:791.22.Any person who knowingly and willfully obtains information about an individual a consumer from a licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
SEC. 28.SEC. 29.Section 791.23 of the Insurance Code is repealed.SEC. 29.SEC. 30.Section 791.24 is added to the Insurance Code, to read:791.24.(a)A licensee licensee, surplus line insurer, or reinsurer shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee licensee, surplus line insurer, or reinsurer shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees licensees, surplus line insurers, or reinsurers procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee licensee, surplus line insurer, or reinsurer and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. licensee, surplus line insurer, or reinsurer. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both all parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses processes the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee. licensee, surplus line insurer, or reinsurer.
(3)Promptly report to the licensee licensee, surplus line insurer, or reinsurer and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, surplus line insurer, or reinsurer, make available to the licensee licensee, surplus line insurer, or reinsurer all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee licensee, surplus line insurer, or reinsurer with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same substantially similar obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee licensee, surplus line insurer, or reinsurer other than as specifically stated in the contract.
(9)Promptly notify the licensee licensee, surplus line insurer, or reinsurer if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee licensee, surplus line insurer, or reinsurer has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee licensee, surplus line insurer, or reinsurer may share a consumers personal information with a third-party service provider with whom the licensee licensee, surplus line insurer, or reinsurer has no ongoing business relationship and with whom the licensee licensee, surplus line insurer, or reinsurer has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee licensee, surplus line insurer, or reinsurer on behalf of the consumer.
(d)The section applies to a contract between a licensee licensee, surplus line insurer, or reinsurer and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article. January 1, 2027.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, surplus line insurer, or reinsurer, or in the business of insurance.
SEC. 30.Section 791.25 is added to the Insurance Code, to read:791.25.(a)A licensee shall not process a consumers personal information unless both of the following are true:(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:(1)The processing is in compliance with this article.(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.(e)Other than pursuant to a contract with a licensee pursuant to Section 791.24, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.(f)An affiliate that processes personal information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.SEC. 31.Section 791.29 of the Insurance Code is amended to read:791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
SEC. 32.Section 791.30 is added to the Insurance Code, to read:791.30.(a)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.(b)A licensee shall comply with all of the following on and after January 1, 2032:(1)Once the licensee, surplus line insurer, or reinsurer provides the initial privacy notice pursuant to this article, the licensee, surplus line insurer, or reinsurer may retain a consumers personal information as necessary for any of the following:(A)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee, surplus line insurer, or reinsurer.(B)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.(C)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(D)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.(E)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.(F)Identification of beneficiaries of unclaimed insurance policy benefits.(G)Processing consistent with the requirements of paragraph (8), (9), or (10) of subdivision (a) of Section 791.13.(H)Additional purposes specified by the commissioner in regulation.(2)Not less than annually, a licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.(3)(A)Once a licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to paragraph (2) the licensee, surplus line insurer, or reinsurer shall destroy or delete the consumers personal information within 90 days after making the determination.(B)Subject to the approval of the commissioner, a licensee, surplus line insurer, or reinsurer that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee, surplus line insurer, or reinsurer shall do both of the following:(i)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.(ii)Report to the commissioner regarding the plan developed pursuant to clause (i) and report annually thereafter on the licensees progress on implementing its plan pursuant to clause (i).(C)A licensees, surplus line insurers, or reinsurers plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(4)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee, surplus line insurer, or reinsurer shall delete that information as of the date specified in the contract between the licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.(5)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee, surplus line insurer, or reinsurer shall inform the consumer that the licensee, surplus line insurer, or reinsurer and the licensees, surplus line insurers, or reinsurers third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.(6)A licensee, surplus line insurer, or reinsurer shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivision (a) and paragraph (3).(c)The commissioner may grant to an individual licensee, surplus line insurer, or reinsurer an exception to this section for good cause.(d)This section does not require the deletion of information related to tracking or detection of fraud or information related to an individuals claims history.(e)This section does not permit or require the deletion of a record that is required to be retained by law.SEC. 33.Section 791.31 is added to the Insurance Code, to read:791.31.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:(1)A mailing address and toll-free telephone number through which consumers may submit a request.(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.(e)The commissioner may specify additional requirements pertaining to access in regulation.SEC. 34.SEC. 32.Section 791.32 is added to the Insurance Code, to read:791.32.A licensee licensee, surplus line insurer, or reinsurer shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee. licensee, surplus line insurer, or reinsurer.
SEC. 35.SEC. 33.Section 791.33 is added to the Insurance Code, to read:791.33.A licensee licensee, surplus line insurer, reinsurer or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
SEC. 36.SEC. 34.Section 791.34 is added to the Insurance Code, to read:791.34.(a)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, takes title to a device storing personal information of a consumer, shall use commercially reasonable efforts to delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(b)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider that, pursuant to an insurance transaction with a consumer, has leased, loaned, or otherwise provided for use by a consumer a device capable of storing personal information of a consumer shall, upon retaking possession of the device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee licensee, surplus line insurer, reinsurer, or third-party service provider is prohibited by law from deleting.
(d)Destroying a device, or rendering unreadable the personal information stored on the device, shall satisfy the requirements of this section.
(e)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell or transfer title to a device storing the personal information of a consumer.
(f)(1)For purposes of this section as it applies to vehicles and vehicular systems, device storing personal information includes all of the following:
(A)On-board computers.
(B)Infotainment systems.
(C)Global Positioning Systems and other similar space-based systems.
(D)Head units.
(E)Radios.
(F)Black boxes.
(G)Telematics devices.
(H)On-board diagnostics II devices.
(I)Any other electronic device that is contained within or attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)This subdivision does not limit the applicability of this article.
SEC. 37.SEC. 35.Section 791.35 is added to the Insurance Code, to read:791.35.A licensee licensee, surplus line insurer, or reinsurer shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee licensee, surplus line insurer, or reinsurer retaliates against a consumer if the licensee, surplus line insurer, or reinsurer, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
SEC. 38.SEC. 36.Section 791.36 is added to the Insurance Code, to read:791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee licensee, surplus line insurer, reinsurer, or third-party service provider, or an employee or agent thereof acting on behalf of the licensee licensee, surplus line insurer, reinsurer, or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee licensee, surplus line insurer, reinsurer, or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee licensee, surplus line insurer, reinsurer or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
SEC. 39.SEC. 37.Section 791.37 is added to the Insurance Code, to read:791.37.(a)Notwithstanding any other law, a licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three five calendar years thereafter.
(b)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion deletion, and adverse underwriting information pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee. licensee, surplus line insurer, or reinsurer.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee. licensee, surplus line insurer, or reinsurer.
SEC. 40.SEC. 38.Section 791.38 is added to the Insurance Code, to read:791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
SEC. 41.SEC. 39.Section 791.39 is added to the Insurance Code, to read:791.39.(a)This article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.(c)The Legislature finds and declares that the act that added this section furthers the purposes and intent of the California Privacy Rights Act of 2020, and that the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices.
(d)This article shall not be construed to reduce or eliminate any existing records retention periods or supersede any legal requirements pertaining to records retention.
(e)This article shall not be construed to abridge or limit the rights of litigants, including parties to administrative proceedings, under the laws, or case law, of discovery of this state.
SEC. 42.SEC. 40.Section 791.40 is added to the Insurance Code, to read:791.40.The commissioner may issue rules, regulations, and orders as the commissioner deems necessary to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
SEC. 43.SEC. 41.The Legislature finds and declares that Sections 14, 29, 32, and 38 15, 19, 30, and 36 of this act, which amend Section 791.10 of, and add Sections 791.13, 791.24, 791.30, and 791.36 to, the Insurance Code, impose a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee licensees, surplus line insurers, reinsurers, or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee licensee, surplus line insurer, reinsurer, or third-party service provider competitive harm or disadvantage, or expose a licensee licensees, surplus line insurers, reinsurers or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees licensees, surplus line insurers, reinsurers, and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 44.SEC. 42.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Section 791 of the Insurance Code is amended to read:791.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
SEC. 3.Section 791.01 of the Insurance Code is amended to read:791.01.(a)The obligations imposed by this article shall apply to a licensee and the licensees third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The rights and protections granted by this article shall extend to a consumer who meets any of the following criteria:
(1)One whose personal information is processed in connection with insurance transactions.
(2)One who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(3)One whose personal information is used for purposes other than insurance transactions by licensees, third-party service providers, or both.
(c)For purposes of this article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the licensee or the licensees third-party service provider, is located in this state.
(d)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the affiliates are licensees for purposes of this article. depository institution or affiliate is also licensed by the department for purposes of this article. If a depository institution or affiliate is also licensed by the department, this article shall only apply to the processing of personal information in the business of insurance by the depository institution or affiliate.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
SEC. 4.Section 791.02 of the Insurance Code is amended to read:791.02.As used in this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:
(1)A declination of insurance coverage requested by a consumer, in whole or in part, including a reduction in coverage limits or scope of coverage.
(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(5)In the case of a property or casualty insurance coverage:
(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
(B)Placement by a licensee of a risk with an insurer not approved to conduct business in this state.
(C)The charging of a higher rate on the basis of information that differs from the information that the consumer furnished.
(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:
(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means any person who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to Section 791.045.
(3)Consumer does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individuals personal information is processed by the licensee solely within the context of the individuals role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Declination of insurance coverage means a denial, in whole or in part, by an insurance institution or agent of requested insurance coverage.
(p)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(q)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(r)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(s)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(t)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(u)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(v)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(w)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(x)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to a licensee or other insurance support organization for use in connection with an insurance transaction.
(B)The processing of personal information from licensees or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(y)(1)Insurance transaction means any transaction or service by or on behalf of a licensee and its affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.
(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(z)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(aa)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(ab)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all both of the following:
(A)An insurer.
(B)A producer.
(C)A surplus line insurer.(D)A director, officer, employee, or agent of a licensee.(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction. jurisdiction, and does not include a surplus line insurer domiciled in a state other than this state or another country.
(ac)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ad)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ae)Person means an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(af)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(iv)Records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ag)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(ah)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(ai)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this article shall nevertheless be considered personal information under this article if it is disclosed in violation of this article.
(aj)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ak)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(al)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(am)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(an)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(ao)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(ap)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(aq)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ar)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about the consumers sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(as)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(at)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(au)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(av)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(aw)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee licensee, that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, or reinsurers.
(ax)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(ay)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(az)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
SEC. 5.Section 791.03 of the Insurance Code is amended to read:791.03.A licensee, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with a claim.
SEC. 6.Section 791.04 of the Insurance Code is amended to read:791.04.(a)(1)A licensee shall provide a clear and conspicuous privacy notice to a consumer within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(D)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)(A)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following:
(i)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(ii)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(B)Notwithstanding subparagraph (A), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(5)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers have shared the consumers personal information within the last 12 months.
(8)That the consumer has the right to opt out of joint marketing activity, and that a licensee may process the consumers personal information in connection with joint marketing activity, unless the consumer has opted out of that processing.
(9)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(10)A description of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer established under Sections 791.08 and 791.09 and the instructions for exercising those rights.
(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(14)Additional items that the commissioner specifies in regulation.
(c)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, a licensee shall provide a clear and conspicuous notice to a consumer that accurately reflects the consumers rights pursuant to this article not less than annually during the continuation of the customer relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which that relationship exists. A licensee may define the period of 12 consecutive months, but shall apply it to the consumer on a consistent basis.
(2)The privacy rights notice required pursuant to paragraph (1) shall inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Opt out of processing of the consumers personal information in connection with joint marketing activity.
(E)Not to have the consumers personal information used for marketing, except as authorized by Section 791.30, or research purposes, unless the consumer has provided consent.
(F)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.
(G)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(H)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(I)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(J)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(3)The privacy rights notice required pursuant to paragraph (1) shall provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(b)(1)The privacy rights notice required pursuant to this section shall be provided in addition to other notices required pursuant to this article.
(2)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
SEC. 8.Section 791.046 is added to the Insurance Code, to read:791.046.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer shall receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website or digital application to access insurance products and services, either of the following, provided that the licensee has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee has been returned as undeliverable and later attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
SEC. 9.Section 791.05 of the Insurance Code is amended to read:791.05.A licensee shall clearly specify those questions designed to obtain information solely for marketing or research purposes from a consumer in connection with an insurance transaction.
SEC. 10.Section 791.06 of the Insurance Code is amended to read:791.06.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee licensee, surplus line insurer, or reinsurer has a business relationship with a consumer, or that the licensee licensee, surplus line insurer, reinsurer, or its third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)(1)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, transaction without the prior consent of the consumer.
(2)Notwithstanding paragraph (1), if a licensee licensee, surplus line insurer, or reinsurer has given a consumer notice and the opportunity to opt out, and the consumer has not opted out, the licensee licensee, surplus line insurer, or reinsurer may process a consumers personal information for purposes of joint marketing if the licensee complies with paragraph (10) of subdivision (a) of Section 791.13.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:(1)In connection with a reinsurance transaction.(2)With an affiliate of the licensee.(e)(d)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee for which the consumers consent is required, or for which the consumer is entitled to opt out, a licensee, surplus line insurer, reinsurer, or third-party service provider shall provide a reasonable means for a consumer to provide consent or opt out and maintain a written record of that consent or opt-out election.
(1)A licensee licensee, surplus line insurer, or reinsurer shall provide the consumer with a means to separately indicate the consumers consent or opt-out election, as applicable, with respect to use processing of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Joint marketing of financial products or services.
(D)Marketing products and services from unrelated companies.
(E)California FAIR Plan Association clearinghouse activity.
(E)(F)Research activities that are unrelated to the consumers insurance transaction.
(F)(G)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(G)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Is written in plain language.
(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, relationship, contains a termination date for the consent.
(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specifies the types of personal information the consumer is authorizing to be shared.
(E)Names the licensee to whom the consumer is authorizing information to be disclosed.
(F)Specifies the purposes for which the consumer is authorizing the processing of the consumers personal information.
(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(f)(e)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent. consent or a change to the consumers consent.
(g)(f)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.
(h)(g)The consumers most recent consent shall take precedence over any prior consent.
(i)(h)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)(i)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
SEC. 11.Section 791.07 of the Insurance Code is amended to read:791.07.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits unless the licensee or third-party service provider informs the consumer of both of the following in writing before the report preparation:
(1)That the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by a licensee, the licensee shall institute reasonable procedures to conduct a personal interview requested by a consumer.
(c)If an investigative consumer report is to be prepared by a third-party service provider, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(e)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
SEC. 12.Section 791.08 of the Insurance Code is amended to read:791.08.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers. Upon receiving a verifiable request, the licensee or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date the request is received:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee or third-party service provider has disclosed an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(b)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The rights granted to a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is possessed by a licensee or third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation.
(e)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
SEC. 13.Section 791.09 of the Insurance Code is amended to read:791.09.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The licensee or third-party service provider shall acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(b)Within 30 business days from the date of receipt of a written request from a consumer to correct, amend, or delete any recorded personal information about the consumer within its possession, a licensee or third-party service provider shall do the following, as appropriate:
(1)Correct, amend, or delete the portion of the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(2)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the correction, amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement as provided in subdivision (d).
(3)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee or third-party service provider corrects, amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (b), the licensee or third-party service provider shall notify the individual in writing and furnish the correction, amendment, or deletion to:
(A)A person specifically designated by the consumer who may have, within the preceding two years, received the personal or publicly available information.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion need not be furnished if the insurance support organization no longer maintains recorded personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with a licensees refusal to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)The reasons why the consumer disagrees with the licensees refusal to correct, amend, or delete personal or publicly available information.
(e)If a consumer files a statement as described in subdivision (d), the licensee shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)In a later disclosure of the personal or publicly available information that is the subject of disagreement, clearly identify the matter or matters in dispute and include the consumers statement along with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(h)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(i)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
SEC. 14.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:
(1)The specific reason or reasons for the adverse underwriting decision.
(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)A summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Notwithstanding paragraph (2) of subdivision (a):
(1)A licensee shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation misrepresentation, or material nondisclosure.
(2)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates or to a health care provider designated by the consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
SEC. 15.Section 791.11 of the Insurance Code is amended to read:791.11.A licensee shall not seek information in connection with an insurance transaction concerning either of the following. following:
(a)A previous adverse underwriting decision experienced by a consumer.
(b)The previous insurance coverage obtained by a consumer through a residual market mechanism, unless the inquiry also requests the reasons for a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
SEC. 16.Section 791.12 of the Insurance Code is amended to read:791.12.A licensee shall not base an adverse underwriting decision on any of the following:
(a)Solely the loss history of the previous owner of the property to be insured.
(b)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(c)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further personal information independently supporting the adverse writing decision.
(d)Information that the consumer has previously inquired and received information about the scope or nature of coverage under a policy and the inquiry did not result in the filing of a claim.
(e)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
SEC. 17.Section 791.13 of the Insurance Code is repealed.SEC. 18.Section 791.13 is added to the Insurance Code, to read:791.13.(a)Consistent with this article, a licensee licensee, surplus line insurer, reinsurer, or third-party service provider may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(A)The consumer is provided with notice and the ability to opt out of the joint marketing activity, and has not done so.
(B)Personal information is only processed pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(C)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(i)Name.
(ii)Address or email address.
(iii)Financial institution affiliation and account type.
(iv)Age.
(11)Additional purposes specified by the commissioner in regulation.
(b)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(d)Notwithstanding any other law, a licensee licensee, surplus line insurer, reinsurer, or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
SEC. 19.Section 791.14 of the Insurance Code is amended to read:791.14.(a)The commissioner may examine and investigate into the affairs of a licensee doing business in this state to determine if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner may examine and investigate into the affairs of a surplus line insurer, reinsurer, or third-party service provider on behalf of a licensee that either transacts business in this state or transacts business outside this state that has an effect on a consumer residing in this state in order to determine if the third-party service provider has been or is engaged in any conduct in violation of this article.
SEC. 20.Section 791.15 of the Insurance Code is amended to read:791.15.(a)Whenever the commissioner has reason to believe that a licensee licensee, surplus line insurer, reinsurer, or third-party service provider has been or is engaged in conduct in this state that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee licensee, surplus line insurer, reinsurer, or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for the hearing, the licensee licensee, surplus line insurer, reinsurer, or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(c)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third party third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
SEC. 21.Section 791.16 of the Insurance Code is amended to read:791.16.For the purpose of this article, a surplus line insurer, reinsurer, or third-party service provider transacting business outside this state that has an effect on a consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third party third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
SEC. 22.Section 791.17 of the Insurance Code is amended to read:791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee licensee, surplus line insurer, reinsurer, or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee licensee, surplus line insurer, reinsurer, or third-party service provider a copy of the findings and an order requiring the licensee licensee, surplus line insurer, reinsurer, or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the licensee licensee, surplus line insurer, reinsurer, or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee licensee, surplus line insurer, reinsurer, or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant that action or if the public interest so requires.
SEC. 23.Section 791.18 of the Insurance Code is amended to read:791.18.(a)Any person subject to an order of the commissioner under Section 791.17 or 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final upon either of the following. following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17.
(2)A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)An order or report of the commissioner under this article or order of a court to enforce the same shall not relieve or absolve any person affected by the order or report from any liability under any law of this state.
SEC. 24.Section 791.19 of the Insurance Code is amended to read:791.19.(a)If a hearing pursuant to Section 791.15 results in the finding of a knowing violation of this article, that a licensee, surplus line insurer, reinsurer, or third-party service provider knowingly violated this article, or should have known that their conduct would violate this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(b)A person who violates a cease and desist order of the commissioner issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(1)A monetary fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000), for each fifteen thousand dollars ($15,000) per violation.
(2)A monetary fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(3)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
SEC. 25.Section 791.20 of the Insurance Code is amended to read:791.20.(a)If a licensee licensee, surplus line insurer, reinsurer, or third-party service provider fails to comply with Section 791.06, 791.08, 791.09, 791.10, 791.11, 791.12, 791.13, 791.31, or 791.35 with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction for appropriate equitable relief.
(b)A licensee licensee, surplus line insurer, reinsurer, or third-party service provider that discloses information in violation of Section 791.06 or 791.13 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Section 791.06 or 791.13.
(c)In any action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall not be a remedy or recovery available to consumers, in law or in equity, for occurrences constituting a violation of this article.
SEC. 26.Section 791.21 of the Insurance Code is amended to read:791.21.A cause of action in the nature of defamation, invasion of privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, or against any person for furnishing personal or privileged information to a licensee licensee, surplus line insurer, reinsurer, or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
SEC. 27.Section 791.22 of the Insurance Code is amended to read:791.22.Any person who knowingly and willfully obtains information about an individual from a licensee licensee, surplus line insurer, reinsurer, or third-party service provider under false pretenses shall be fined not more than fifty thousand dollars ($50,000), imprisoned in a county jail for not more than six months, or both.
SEC. 28.Section 791.23 of the Insurance Code is repealed.SEC. 29.Section 791.23 is added to the Insurance Code, to read:791.23.A licensee has five years from the operative date of the bill that added this section to implement Section 791.30, except that a licensee shall comply with subdivision (c) of Section 791.30 on the operative date of the bill that added this section.SEC. 30.SEC. 29.Section 791.24 is added to the Insurance Code, to read:791.24.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
SEC. 31.SEC. 30.Section 791.25 is added to the Insurance Code, to read:791.25.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 791.24, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
(f)An affiliate that processes personal information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
SEC. 32.SEC. 31.Section 791.29 of the Insurance Code is amended to read:791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
SEC. 33.SEC. 32.Section 791.30 is added to the Insurance Code, to read:791.30.(a)A licensee, surplus line insurer, or reinsurer shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees, surplus line insurers, or reinsurers policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee, surplus line insurer, or reinsurer shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(b)A licensee shall comply with all of the following on and after January 1, 2032:
(1)Once the licensee licensee, surplus line insurer, or reinsurer provides the initial privacy notice pursuant to this article, the licensee licensee, surplus line insurer, or reinsurer may retain a consumers personal information as necessary for any of the following:
(1)(A)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee. licensee, surplus line insurer, or reinsurer.
(2)(B)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee licensee, surplus line insurer, or reinsurer is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)(C)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, licensee, surplus line insurer, or reinsurer, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)(D)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)(E)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)(F)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Uses(G)Processing consistent with the requirements of paragraph (8), (9), or (10) of subdivision (a) of Section 791.13.
(8)(H)Additional purposes specified by the commissioner in regulation.
(b)(2)Not less than annually, a licensee licensee, surplus line insurer, or reinsurer shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.(d)(1)(3)(A)Once a licensee licensee, surplus line insurer, or reinsurer has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), paragraph (2) the licensee licensee, surplus line insurer, or reinsurer shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)(B)Subject to the approval of the commissioner, a licensee licensee, surplus line insurer, or reinsurer that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee licensee, surplus line insurer, or reinsurer shall do both of the following:
(A)(i)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)(ii)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), clause (i) and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A). clause (i).
(3)(C)A licensees licensees, surplus line insurers, or reinsurers plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.(f)(4)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee licensee, surplus line insurer, or reinsurer shall delete that information as of the date specified in the contract between the licensee licensee, surplus line insurer, or reinsurer and third-party service provider, or upon the conclusion of the provision of services, unless the licensee licensee, surplus line insurer, or reinsurer specifies an earlier destruction date.
(g)(5)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee licensee, surplus line insurer, or reinsurer shall inform the consumer that the licensee licensee, surplus line insurer, or reinsurer and the licensees licensees, surplus line insurers, or reinsurers third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)(6)A licensee licensee, surplus line insurer, or reinsurer shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d). subdivision (a) and paragraph (3).
(c)The commissioner may grant to an individual licensee, surplus line insurer, or reinsurer an exception to this section for good cause.
(i)(d)This section does not require the deletion of information related to tracking or detection of fraud or information related to an individuals claims history.
(j)(e)This section does not permit or require the deletion of a record that is required to be retained by law.
SEC. 34.SEC. 33.Section 791.31 is added to the Insurance Code, to read:791.31.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
SEC. 35.SEC. 34.Section 791.32 is added to the Insurance Code, to read:791.32.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
SEC. 36.SEC. 35.Section 791.33 is added to the Insurance Code, to read:791.33.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
SEC. 37.SEC. 36.Section 791.34 is added to the Insurance Code, to read:791.34.(a)A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing storing personal information of the a consumer, shall use commercially reasonable efforts to delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
(b)A licensee that, pursuant to an insurance transaction with a consumer, has leased, loaned, or otherwise provided for use by a consumer a device capable of storing personal information of a consumer shall, upon retaking possession of the device, delete any personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner.
(c)This section does not require the deletion of privileged information or information that the licensee is prohibited by law from deleting.
(d)Destroying a device, or rendering unreadable the personal information stored on the device, shall satisfy the requirements of this section.
(e)A licensee shall not sell or transfer title to a device storing the personal information of a consumer.
(f)(1)For purposes of this section as it applies to vehicles and vehicular systems, device storing personal information includes all of the following:
(A)On-board computers.
(B)Infotainment systems.
(C)Global Positioning Systems and other similar space-based systems.
(D)Head units.
(E)Radios.
(F)Black boxes.
(G)Telematics devices.
(H)On-board diagnostics II devices.
(I)Any other electronic device that is contained within or attached to a vehicle or vehicular system, and that is capable of storing personal information of a consumer.
(2)This subdivision does not limit the applicability of this article.
SEC. 38.SEC. 37.Section 791.35 is added to the Insurance Code, to read:791.35.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, licensee, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
SEC. 39.SEC. 38.Section 791.36 is added to the Insurance Code, to read:791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
SEC. 40.SEC. 39.Section 791.37 is added to the Insurance Code, to read:791.37.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
SEC. 41.SEC. 40.Section 791.38 is added to the Insurance Code, to read:791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
SEC. 42.SEC. 41.Section 791.39 is added to the Insurance Code, to read:791.39.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
SEC. 43.SEC. 42.Section 791.40 is added to the Insurance Code, to read:791.40.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient necessary to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
SEC. 44.SEC. 43.The Legislature finds and declares that Sections 14, 30, 33, and 39 29, 32, and 38 of this act, which amend Section 791.10 of, and add Sections 791.24, 791.30, and 791.36 to, the Insurance Code, impose a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 45.SEC. 44.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.65 (commencing with Section 792) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.65.Insurance Consumer Privacy Protection Act of 2025792.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:(a)Protect consumers personal information processed by licensees or their third-party service providers.(b)Inform consumers of the categories of personal information that are processed.(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.(f)Inform consumers of the reasons for adverse underwriting decisions.(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.792.100.(a)On and after the operative date of this article, the obligations imposed by this article shall apply to a licensee and the licensees third-party service providers that do any of the following:(1)Process consumers personal information in connection with the business of insurance.(2)Engage in insurance transactions with consumers.(3)Engage in activities not related to insurance transactions involving consumers personal information.(b)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Subchapter I (commencing with Section 6801) of Chapter 94 of Title 15 of the United States Code), unless the affiliates are licensees for purposes of this article.(c)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed pursuant to Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).792.105.The protections of this article shall extend to a consumer who meets any of the following criteria:(a)Whose personal information is processed in connection with an insurance transaction.(b)Who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.(c)Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.792.110.For purposes of this article:(a)Address of record means either of the following:(1)A consumers last known United States Postal Service (USPS) mailing address shown in the licensees records.(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:(1)A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage.(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.(3)A rescission of the insurance policy.(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.(5)Any of the following for property or casualty insurance coverage:(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.(B)Placement by an insurer or producer of a risk with an insurer not approved to conduct business in this state.(C)Charging a higher rate based on information that differs from the information that the consumer furnished.(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.(e)Applicant means a person who seeks to contract for insurance coverage, other than a person seeking group insurance that is not individually underwritten.(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, vein pattern, and voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.(i)Commissioner means the Insurance Commissioner.(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 792.175.(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.(o)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.(4)Makes no attempt to reidentify the information.(5)Does not retain any sensitive personal information.(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.(p)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.(q)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.(r)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.(s)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:(A)An individuals genetic tests.(B)The genetic tests of family members of an individual.(C)The manifestation of a disease or disorder in family members of an individual.(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:(A)A fetus carried by the individual or family member who is pregnant.(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.(3)Genetic information does not include information about the sex or age of any individual.(t)Health care means both of the following:(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:(A)Relates to the physical, mental, or behavioral condition of an individual.(B)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.(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.(u)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.(v)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.(2)The genetic information of an individual.(3)The provision of health care to an individual.(4)Payment for the provision of health care to an individual.(w)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:(A)The furnishing of consumer reports or investigative consumer reports to licensees or other insurance support organizations for use in connection with the business of insurance.(B)The processing of personal information from licensees or other insurance support organizations to detect or prevent insurance fraud and insurance crime, material misrepresentation, or material nondisclosure in connection with the business of insurance.(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.(2)Insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.(x)(1)Insurance transaction means a transaction or service by or on behalf of a licensee and its affiliates related to any of the following:(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.(C)Provision of value-added services or benefits in connection with the business of insurance.(D)Processing of personal information using algorithmic or automated decisionmaking means.(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.(2)Insurance transaction does not include processing related to marketing or research.(y)(1)Insurer means any of the following:(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.(B)A self-funded plan subject to regulation by the commissioner.(C)A preferred provider organization administrator.(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.(z)Investigative consumer report means a consumer report or portion of a consumer report in which information about an individuals character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the individuals neighbors, friends, associates, acquaintances, or others who may have knowledge concerning that information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.(aa)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:(A)An insurer.(B)A producer.(C)A surplus line insurer.(D)A director, officer, employee, or agent of a licensee.(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.(ab)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.(ac)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.(ad)Person means an individual, corporation, association, partnership, or other legal entity. Person does not include a governmental entity.(ae)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.(C)Characteristics of protected classifications pursuant to state or federal law.(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.(E)Biometric information.(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.(G)Geolocation data.(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.(I)Professional or employment-related information.(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.(L)Sensitive personal information.(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.(A)For purposes of this paragraph, publicly available means any of the following:(i)Information that is lawfully made available from federal, state, or local government records.(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.(iv)Records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.(3)Personal information can exist in various formats, including all of the following:(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.(B)Digital formats, including text, image, audio, or video files.(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.(af)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.(ag)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or a civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information that otherwise meets the requirements of this article shall nevertheless be considered personal information if it is disclosed in violation of this article.(ah)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.(ai)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).(aj)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:(1)Federal, state, or local government records.(2)Widely distributed media.(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.(ak)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.(al)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:(1)Relating to rating or risk management.(2)For actuarial studies.(3)Disclosure to an insurance support organization.(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.(am)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Chapter 1 (commencing with Section 11550) of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.(an)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.(ao)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.(3)Providing information to an affiliate.(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.(ap)Sensitive personal information means personal information, including all of the following, of a consumer:(1)Social security, drivers license, state identification card, or passport number.(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.(3)Precise geolocation.(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.(6)Genetic or neural data.(7)Information about the consumers sex life or sexual orientation.(8)Health information.(9)Biometric information.(10)Additional items specified by the commissioner in regulation.(aq)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.(2)A licensee or third-party service provider does not share personal information when any of the following occurs:(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).(ar)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.(as)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).(at)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than failing to pay a premium as required by the policy.(au)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 792.115. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.(av)Value-added service or benefit means a product or service that meets both of the following criteria:(1)Relates to insurance coverage applied for or purchased by a consumer.(2)Is primarily designed to satisfy one or more of the following:(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.(B)Reduce claim costs or claim settlement costs.(C)Provide education about liability risks or risk of loss to persons or property.(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.(E)Enhance the health of the consumer, including care coordination.(F)Enhance financial wellness of the consumer through education or financial planning services.(G)Provide post-loss services.(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.(I)Assist in the administration of employee or retiree benefit insurance coverage.(aw)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.(ax)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).792.115.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.792.120.(a)A licensee shall not process a consumers personal information unless both of the following are true:(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:(1)The processing is in compliance with this article.(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.(e)Other than pursuant to a contract with a licensee pursuant to Section 792.115, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.(f)An affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.792.125.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:(1)In connection with an insurance transaction.(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(3)When otherwise specifically required by state law.(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.(10)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:(A)The consumer is provided with notice and the ability to opt out of the joint marketing activity, and has not done so.(B)Personal information is only processed pursuant to a contract complying with the requirements of subdivision (b) of Section 792.115.(C)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:(i)Name.(ii)Address or email address.(iii)Financial institution affiliation and account type.(iv)Age.(11)Additional purposes specified by the commissioner in regulation.(b)A licensee may process consumers deidentified information.(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 792.135.(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.792.130.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.(6)Identification of beneficiaries of unclaimed insurance policy benefits.(7)Uses consistent with the requirements of paragraph (8), (9), or (10) of subdivision (a) of Section 792.125.(8)Additional purposes specified by the commissioner in regulation.(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(e)The commissioner may grant to an individual licensee an exception to this section for good cause.(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).(i)This section does not require the deletion of information related to tracking or detection of fraud or information related to an individuals claims history.(j)This section does not permit or require the deletion of a record that is required to be retained by law.792.135.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.(1)To comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.(2)For purposes of this article, consent is not established by any of the following means:(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.(B)Hovering over, muting, pausing, or closing a given piece of content.(C)Agreement obtained through use of dark patterns.(c)(1)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.(2)Notwithstanding paragraph (1), if a licensee has given a consumer notice and the opportunity to opt out, and the consumer has not opted out, the licensee may process a consumers personal information for purposes of joint marketing if the licensee complies with paragraph (10) of subdivision (a) of Section 792.125.(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:(1)In connection with a reinsurance transaction.(2)With an affiliate of the licensee.(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee or third-party service provider shall provide a reasonable means for a consumer to provide consent or opt out and maintain a written record of that consent or opt-out election. (1)A licensee shall provide the consumer with a means to separately indicate the consumers consent or opt-out election, as applicable, with respect to use of personal information for any of the following reasons:(A)Marketing the licensees products and services.(B)Marketing products and services from affiliates of the licensee.(C)Joint marketing of financial products or services.(D)Marketing products and services from unrelated companies.(E)Research activities that are unrelated to the consumers insurance transaction.(F)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.(G)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.(3)When a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:(A)Be written in plain language.(B)Be dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contain a termination date for the consent.(C)Specify the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.(D)Specify the types of personal information the consumer is authorizing to be shared.(E)Specify the purposes for which the consumer is authorizing the processing of the consumers personal information.(F)Name the licensee that the consumer is authorizing to share the consumers personal information.(G)Advise the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.(H)Explain that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.(I)Include additional information or elements specified by the commissioner in regulation.(f)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.(g)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.(h)The consumers most recent consent shall take precedence over any prior consent.(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.792.140.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:(1)A mailing address and toll-free telephone number through which consumers may submit a request.(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.(e)The commissioner may specify additional requirements pertaining to access in regulation.792.145.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.792.150.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.792.155.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.792.160.(a)A licensee shall provide a clear and conspicuous privacy notice to a consumer that describes the licensees privacy practices. The privacy notice shall be provided within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction. Notwithstanding this requirement, a privacy notice shall not be required in any of the following circumstances:(1)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.(2)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.(3)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.(4)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.(b)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.(c)(1)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following:(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.(B)Provide any third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.(2)Notwithstanding paragraph (1), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.(d)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to subdivision (c). The updated privacy notice shall specify the date the privacy notice was revised.(e)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.792.165.(a)A privacy notice required pursuant to Section 792.160 shall state in writing all of the following:(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.(4)The purposes for which the licensee processes the consumers personal information.(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers has shared the consumers personal information within the last 12 months.(8)That the consumer has the right to opt out of joint marketing activity, and that a licensee may process the consumers personal information in connection with joint marketing activity, unless the consumer has opted out of that processing.(9)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.(10)A statement of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer, and the instructions for exercising those rights.(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.(12)A statement of the rights of nonretaliation established pursuant to Section 792.195.(13)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.(14)Additional items that the commissioner specifies in regulation.(b)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (a), all of the following information shall be included in the privacy notice:(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.792.170.(a)In addition to the privacy notice required pursuant to Section 792.160, a licensee shall provide to each consumer with whom the licensee has an ongoing business relationship a privacy rights notice describing the consumers rights pursuant to this article.(b)The privacy rights notice required pursuant to this section shall do all of the following:(1)Be clear and conspicuous and inform the consumer of the consumers right to all of the following:(A)Access the consumers own personal information.(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.(D)Opt out of processing of the consumers personal information in connection with joint marketing activity.(E)Not to have the consumers personal information used for marketing, except as authorized by paragraph (10) of subdivision (a) of Section 792.125, or research purposes, unless the consumer has provided consent.(F)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.(G)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.(H)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.(I)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.(J)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.(2)Provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.(3)Be provided to the consumer at least every 12 months.(4)Be provided in addition to other notices required pursuant to this article.(c)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.792.175.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.(b)A licensee may reasonably expect that a consumer will receive actual notice if the licensee does one of the following:(1)Hand delivers a printed copy of the notice to the consumer.(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), and to use the licensees internet website or digital application to access insurance products and services, either of the following:(A)Emails the notice to the consumers email address of record.(B)With respect to the privacy notice required pursuant to Section 792.160, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 792.160 and 792.170. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 792.160 and 792.170 shall be easily accessible through the digital application.(c)A licensee shall not reasonably expect that a consumer will receive actual notice of its privacy practices if it does any of the following:(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 792.160 and 792.170 by providing one notice to those consumers jointly.(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:(1)The notices are clearly and conspicuously available.(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.(3)The notice is either of the following:(A)Placed on a portion of the internet website home page that consumers frequently access.(B)Accessible using a clear and conspicuous link in an area 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.(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.(1)Notices required pursuant to this article shall meet all of the following criteria:(A)Use a format that makes the notices readable, including on smaller screens, if applicable.(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.(h)An address of record is invalid for purposes of this article if either of the following is true:(1)USPS mail sent to that address by the licensee has been returned as undeliverable and subsequent attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.(2)The consumers email address in the licensees records is returned as undeliverable and subsequent attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.792.180.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers.(b)The licensee or third-party service provider shall do both of the following:(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do all of the following:(A)Provide the consumer with a copy of any items of personal information relating to the consumer.(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.(C)Disclose to the consumer the identity of those persons to whom the licensee or any third-party service provider has shared an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.(c)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider as designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.(e)The rights granted to a consumer pursuant to this section:(1)Shall extend to an individual to the extent that personal or publicly available information about the individual is processed by a licensee or its third-party service provider.(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or a civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation.(f)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.(g)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal laws.792.185.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.(b)The licensee or third-party service provider shall do both of the following:(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do the following, as appropriate:(A)Correct, amend, or delete the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.(B)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:(i)Written notice of the refusal to make the correction, amendment, or deletion.(ii)The basis for the refusal to correct, amend, or delete the information.(iii)The contact information for filing a complaint with the commissioner.(iv)The consumers right to file a statement pursuant to subdivision (d).(C)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:(i)Written notice of the refusal to make the deletion.(ii)The basis for the refusal to delete the information.(iii)The contact information for filing a complaint with the commissioner.(iv)The consumers right to file a statement pursuant to subdivision (d).(D)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.(2)If the licensee corrects, amends, or deletes personal or publicly available information in accordance with this section, the licensee shall notify the consumer in writing and furnish the correction, amendment, or deletion to all of the following:(A)A person specifically designated by the consumer who may have received the personal or publicly available information within the preceding two years.(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion does not need to be furnished if the insurance support organization no longer maintains personal information about the consumer.(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.(d)If a consumer disagrees with the refusal of a licensee to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.(2)The reasons why the consumer disagrees with the refusal of the licensee to correct, amend, or delete the personal or publicly available information.(e)If a consumer files a statement described in subdivision (d), the licensee shall do both of the following:(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.(2)Clearly identify, in a later disclosure of the personal or publicly available information that is the subject of disagreement, the matter or matters in dispute and include the consumers statement with the personal or publicly available information being disclosed.(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about the consumer that is processed in connection with or in reasonable anticipation of a claim or a civil or criminal proceeding involving the consumer.(g)The rights granted to a consumer by this section shall not extend to records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.(h)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.(i)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.792.190.(a)In the event of an adverse underwriting decision, the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:(1)The specific reason or reasons for the adverse underwriting decision.(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.(4)Notwithstanding paragraph (2):(A)A licensee shall not be required to furnish specific privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or a material nondisclosure, and the information withheld relates to the suspected criminal activity, fraud, material misrepresentation, or a material nondisclosure.(B)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates, or to a health care provider designated by the individual consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.(5)A summary of the rights established pursuant to this section and Sections 792.180 and 792.185.(b)A licensee shall not base an adverse underwriting decision on any of the following:(1)Solely the loss history of the previous owner of the property to be insured.(2)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.(3)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.(4)Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.(5)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.792.195.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.792.200.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, policy renewal, policy reinstatement, or change in insurance benefits unless the licensee or third-party service provider informs the consumer in writing before the report preparation that the consumer:(1)May request to be interviewed in connection with the preparation of the investigative consumer report and the licensee or third-party service provider shall conduct the interview.(2)Is entitled to receive a written copy of the investigative consumer report.(b)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:(1)Comply with the requirements of this section.(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.(c)If a licensee requests that a third-party service provider prepare an investigative consumer report, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.(d)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.792.210.(a)To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of this article, the commissioner may examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state.(b)(1)If the commissioner has reason to believe that a licensee or third-party service provider has been or is engaged in conduct that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.(2)At the time and place fixed for the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.(3)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.(4)Statements of charges, notice, orders, and other processes of the commissioner pursuant to this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights pursuant to this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.(5)A third-party service provider transacting business outside this state that has an effect on a person residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, if the commissioner causes a copy of the service to be mailed immediately by registered or certified mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof of proper mailing by the commissioner.(c)(1)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.(2)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee or third-party service provider charged and upon the person or persons, if any, whose rights pursuant to this article were allegedly violated.(3)Until the expiration of the time allowed pursuant to this article for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside an order or report issued under this section. If a petition has not been duly filed after the expiration of the time allowed for filing a petition for review, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, an order or report issued under this section if conditions of fact or law warrant that action or if the public interest requires.(d)A person subject to an order of the commissioner pursuant to subdivision (c) or a person whose rights pursuant to this article were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction pursuant to Section 1094.5 of the Code of Civil Procedure within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.(e)An order or report issued by the commissioner pursuant to subdivision (c) shall become final upon either of the following:(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report pursuant to paragraph (3) of subdivision (c).(2)A final decision of the court, if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.(f)An order or report of the commissioner pursuant to this article or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.(g)(1)If a hearing pursuant to subdivision (b) results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to subdivision (c), order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.(2)A person who violates a cease and desist order of the commissioner issued pursuant to subdivision (c) may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:(A)A fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000) for each violation.(B)A fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.(C)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.792.215.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.792.220.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.792.225.(a)If a licensee or third-party service provider fails to comply with Section 792.125, 792.135, 792.140, 792.180, 792.185, 792.190, or 792.195, with respect to the rights granted pursuant to those sections, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider that discloses information in violation of Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135.(b)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.(c)Notwithstanding any other law, an action pursuant to this section shall be brought within two years from the date the alleged violation is or should have been discovered.(d)Other than remedies pursuant to this section, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation of this article.792.230.(a)A cause of action for defamation, invasion of privacy, or negligence shall not arise against either of the following:(1)A person for disclosing personal or privileged information in accordance with this article.(2)A person for furnishing personal or privileged information to a licensee or third-party service provider.(b)This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.792.235.A person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor punishable by imprisonment in a county jail for up to six months, a fine of up to fifty thousand dollars ($50,000), or both.792.240.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.792.245.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.(b)This article does not preempt or supersede existing federal or state law related to protected health information.(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.792.250.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).792.255.A licensee has five years from the operative date of this article to implement Section 792.130, except that a licensee shall comply with subdivision (c) of Section 792.130 on the operative date of this article.SEC. 2.Section 791 of the Insurance Code is amended to read:791.The purpose of this article is to establish standards for the collection, use and disclosure of information gathered in connection with insurance transactions by insurance institutions, agents or insurance-support organizations; processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those conducting the business of insurance and the publics consumers need for fairness in insurance information practices, including the need to minimize intrusiveness; to establish a regulatory mechanism to enable natural persons to ascertain what information is being or has been collected about them in connection with insurance transactions and to have access to such information for the purpose of verifying or disputing its accuracy; to limit the disclosure of information collected in connection with insurance transactions; and to enable insurance applicants and policyholders to obtain the reasons for any adverse underwriting decision. and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
SEC. 3.Section 791.01 of the Insurance Code is amended to read:791.01.(a)The obligations imposed by this article shall apply to those insurance institutions, agents or insurance-support organizations which, on or after October 1, 1981: a licensee and the licensees third-party service providers that do any of the following:
(1)In the case of life or disability insurance:(A)Collect, receive or maintain information in connection with insurance transactions which pertains to natural persons who are residents of this state, or(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(B)(3)Engage in activities not related to insurance transactions with applicants, individuals or policyholders who are residents of this state. involving consumers personal information.
(2)In the case of property or casualty insurance:(A)Collect, receive or maintain information in connection with insurance transactions involving policies, contracts or certificates of insurance delivered, issued for delivery or renewed in this state, or(B)Engage in insurance transactions involving policies, contracts or certificates of insurance delivered, issued for delivery or renewed in this state.(b)The rights and protections granted by this article shall extend to: to a consumer who meets any of the following criteria:
(1)In the case of life or disability insurance, the following persons who are residents of this state:(A)Natural persons who are the subject of information collected, received or maintained(1)One whose personal information is processed in connection with insurance transactions.
(B)Applicants, individuals or policyholders who engage in or seek to engage in insurance transactions.(2)In the case of property or casualty insurance, the following persons:(A)Natural persons who are the subject of information collected, received or maintained in connection with insurance transactions involving policies, contracts or certificates of insurance delivered, issued for delivery or renewed in this state, and(B)Applicants, individuals or policyholders who engage in or seek to engage in insurance transactions involving policies, contracts or certificates of insurance delivered, issued for delivery or renewed in this state.(2)One who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(3)One whose personal information is used for purposes other than insurance transactions by licensees, third-party service providers, or both.
(c)For purposes of this section, article, a person shall be considered a resident of this state if the persons last known mailing address, as shown in the records of the insurance institution, agent, or insurance-support organization, licensee or the licensees third-party service provider, is located in this state.
(d)This article shall not apply to any person or entity engaged in the business of title insurance as defined in Section 12340.3.(e)This article shall not apply to a person or entity engaged in the business of a home protection company, as defined in Section 12740, which does not obtain or maintain personal information, as defined in this article, of its policyholders and applicants.(f)Insurance institutions, agents, insurance support organizations or any insurance transaction subject to this article shall be exempt from Part 2.6 (commencing with Section 56) of Division 1 of, and Sections 1785.20 and 1786.40 of, the Civil Code.(d)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Public Law 106-102), unless the affiliates are licensees for purposes of this article.
(e)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed to transact health insurance, as defined in Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
SEC. 4.Section 791.02 of the Insurance Code is amended to read:791.02.As used in this act: article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address as shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(a)(1)(b)Adverse underwriting decision means any of the following actions with respect to insurance transactions involving insurance coverage that is individually underwritten: by a licensee or producer in the business of insurance:
(A)(1)A declination of insurance coverage. coverage requested by a consumer, in whole or in part, including a reduction in coverage limits or scope of coverage.
(B)(2)A termination of insurance coverage. coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(C)Failure of an agent to apply for insurance coverage with a specific insurance institution that the agent represents and that is requested by an applicant.(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(D)(5)In the case of a property or casualty insurance coverage:
(i)(A)Placement by an insurance institution or agent a licensee of a risk with a residual market mechanism, with an unauthorized insurer, or with an insurance institution that provides insurance to other than preferred or standard risks, if in fact the placement is at other than a preferred or standard rate. An adverse underwriting decision, in case of placement with an insurance institution that provides insurance to other than preferred or standard risks, shall not include placement if the applicant or insured did not specify or apply for placement as a preferred or standard risk or placement with a particular company insuring preferred or standard risks, or mechanism or an insurer that specializes in substandard risks.
(B)Placement by a licensee of a risk with an insurer not approved to conduct business in this state.
(ii)(C)The charging of a higher rate on the basis of information which that differs from that which the applicant or policyholder the information that the consumer furnished.
(E)In the case of a(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(2)Notwithstanding paragraph (1), any of the following actions shall not be considered adverse underwriting decisions but the insurance institution or agent responsible for their occurrence shall nevertheless provide the applicant or policyholder with the specific reason or reasons for their occurrence:(A)The termination of an individual policy form on a class or statewide basis.(B)A declination of insurance coverage solely because coverage is not available on a class or statewide basis.(C)The rescission of a policy.(b)(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by by, or is under common control with another person. For purposes of this definition, control means any of the following:
(c)Agent means any person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(d)(e)Applicant means any person who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to Section 791.045.
(e)(l)Consumer report means any written, oral, or other communication of information bearing on a natural persons creditworthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living that is used or expected to be used in connection with an insurance transaction. has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(f)(m)Consumer reporting agency means any person who: has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(1)Regularly engages, in whole or in part, in the practice of assembling or preparing consumer reports for a monetary fee.(2)Obtains information primarily from sources other than insurance institutions.(3)Furnishes consumer reports to other persons.(g)Control, including the terms controlled by or under common control with, means the possession, direct or indirect, of the power to direct or cause the direction of the management and policies of a person, whether through the ownership of voting securities, by contract other than a commercial contract for goods or nonmanagement services, or otherwise, unless the power is the result of an official position with or corporate office held by the person.(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(h)(o)Declination of insurance coverage means a denial, in whole or in part, by an insurance institution or agent of requested insurance coverage.
(i)Individual means any natural person who is any of the following:(1)In the case of property or casualty insurance, is a past, present, or proposed named insured or certificate holder.(2)In the case of life or disability insurance, is a past, present, or proposed principal insured or certificate holder.(3)Is a past, present, or proposed policyowner.(4)Is a past or present applicant.(5)Is a past or present claimant.(6)Derived, derives, or is proposed to derive insurance coverage under an insurance policy or certificate subject to this act.(j)Institutional source means any person or governmental entity that provides information about an individual to an agent, insurance institution, or insurance-support organization, other than any of the following:(1)An agent.(2)The individual who is the subject of the information.(3)A natural person acting in a personal capacity rather than in a business or professional capacity.(k)Insurance institution means any corporation, association, partnership, reciprocal exchange, interinsurer, Lloyds insurer, fraternal benefit society, or other person engaged in the business of insurance. Insurance institution shall not include agents, insurance-support organizations, or health care service plans regulated pursuant to the Knox-Keene Health Care Service Plan Act, Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code.(l)Insurance-support organization means:(1)Any person who regularly engages, in whole or in part, in the business of assembling or collecting information about natural persons for the primary purpose of providing the information to an insurance institution or agent for insurance transactions, including either of the following:(p)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(q)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(r)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(s)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(t)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(u)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(v)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(w)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(x)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to an insurance institution or agent a licensee or other insurance support organization for use in connection with an insurance transaction.
(B)The collection processing of personal information from insurance institutions, agents, or other insurance-support licensees or other insurance support organizations for the purpose of detecting or preventing fraud, material misrepresentation, or material nondisclosure in connection with insurance underwriting or insurance claim activity. the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Notwithstanding paragraph (1), the following persons shall not be considered insurance-support organizations: agents, governmental institutions, insurance institutions, medical care institutions, medical professionals, and peer review committees. insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(m)(y)(1)Insurance transaction means any transaction involving insurance primarily for personal, family, or household needs rather than business or professional needs that entails either or service by or on behalf of a licensee and its affiliates related to any of the following:
(1)(A)The underwriting or the determination of an individuals a consumers eligibility for an or the amount of insurance coverage, rate, benefit, or payment. payment, or claim settlement.
(2)The servicing of an insurance application, policy, contract, or certificate.(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(z)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(n)(aa)Investigative consumer report means a consumer report or portion thereof in which information about a natural persons character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the persons neighbors, friends, associates, acquaintances, or others who may have knowledge concerning those items of information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(o)Medical care institution means any facility or institution that is licensed to provide health care services to natural persons, including, but not limited to, hospitals, skilled nursing facilities, home health agencies, medical clinics, rehabilitation agencies, and public health agencies.(p)Medical professional means any person licensed or certified to provide health care services to natural persons, including, but not limited to, a physician, dentist, nurse, optometrist, physical or occupational therapist, psychiatric social worker, clinical dietitian, clinical psychologist, chiropractor, pharmacist, or speech therapist.(q)Medical record information means personal information that is both of the following:(1)Relates to an individuals physical or mental condition, medical history, or medical treatment.(2)Is obtained from a medical professional or medical care institution, from the individual, or from the individuals spouse, parent, or legal guardian.(ab)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:
(A)An insurer.
(B)A producer.
(C)A surplus line insurer.
(D)A director, officer, employee, or agent of a licensee.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.
(ac)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ad)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(r)(ae)Person means any natural person, an individual, corporation, association, partnership, limited liability company, or other legal entity. Person does not include a governmental entity.
(s)Personal information means any individually identifiable information gathered in connection with an insurance transaction from which judgments can be made about an individuals character, habits, avocations, finances, occupation, general reputation, credit, health, or any other personal characteristics. Personal information includes an individuals name and address and medical record information but does not include privileged information.(t)Policyholder means any person who is any of the following:(1)In the case of individual property or casualty insurance, is a present named insured.(2)In the case of individual life or disability insurance, is a present policyowner.(3)In the case of group insurance, which is individually underwritten, is a present group certificate holder.(af)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(iv)Records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(ag)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(u)(ah)Pretext interview means an interview whereby a person, in an attempt to obtain information about a natural person, performs one or more of the following acts:
(1)Pretends to be someone they are not.
(2)Pretends to represent a person they are not in fact representing.
(3)Misrepresents the true purpose of the interview.
(4)Refuses to identify who they are upon request.
(v)Privileged information means any individually identifiable information that both:(1)Relates to a claim for insurance benefits or a civil or criminal proceeding involving an individual.(2)Is(ai)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or civil or criminal proceeding involving an individual. a consumer, until the claim or proceeding is finalized. However, information otherwise meeting the requirements of this division article shall nevertheless be considered personal information under this act article if it is disclosed in violation of Section 791.13. this article.
(aj)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ak)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(al)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(am)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(an)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(w)(ao)Residual market mechanism means the California FAIR Plan Association, Chapter 10 Association established pursuant to Chapter 9 (commencing with Section 10101) 10090) of Part 1 of Division 2, and the assigned risk plan, Chapter 1 (commencing with Section 11550) plan established pursuant to Article 4 (commencing with Section 11620) of Chapter 1 of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(ap)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(aq)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ar)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about the consumers sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(as)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(at)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(au)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(x)(av)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than the failure to pay a premium as required by the policy.
(y)Unauthorized insurer means an insurance institution that has not been granted a certificate of authority by the director to transact the business of insurance in this state.(z)Commissioner means the Insurance Commissioner.(aa)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.(ab)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.(ac)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code, and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.(ad)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, electronic mail address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.(aw)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.
(ax)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(ay)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(az)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
SEC. 5.Section 791.03 of the Insurance Code is amended to read:791.03.No insurance institution, agent or insurance-support A licensee, third-party service provider, or insurance support organization shall not use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction; provided, however, that transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person to whom the information relates for the purpose of investigating a claim where for which there is a reasonable basis for suspecting criminal activity, fraud, material misrepresentation misrepresentation, or material nondisclosure in connection with a claim.
SEC. 6.Section 791.04 of the Insurance Code is amended to read:791.04.(a)An insurance institution or agent (1)A licensee shall provide a notice of information practices to all applicants or policyholders in connection with insurance transactions as provided below: clear and conspicuous privacy notice to a consumer within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction.
(1)In the case of a written application for insurance, a notice shall be provided no later than:(A)At the time of the delivery of the insurance policy or certificate when personal information is collected only from the applicant, an insured under the policy, or from public records; or(B)At the time the collection of personal information is initiated when personal information is collected from a source other than the applicant, an insured under the policy, or public records.(2)In the case of a policy renewal, a notice shall be provided no later than the policy renewal date or the date upon which policy renewal is confirmed, except that no notice shall be required in connection with a policy renewal if either of the following applies:(A)Personal information is collected only from the policyholder, an insured under the policy, or from public records.(B)A notice meeting the requirements of this section has been given within the previous 24 months.(3)In the case of a policy reinstatement or change in insurance benefits, a notice shall be provided no later than the time a request for a policy reinstatement or change in insurance benefits is received by the insurance institution, except that no notice shall be required if personal information is collected only from the policyholder, an insured under the policy, or from public records or if a notice meeting the requirements of this section has been given within the previous 24 months.(2)Notwithstanding paragraph (1), a privacy notice shall not be required in any of the following circumstances:
(A)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(B)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(C)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(D)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(3)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(4)(A)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following:
(i)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(ii)Provide a third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(B)Notwithstanding subparagraph (A), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(5)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to paragraph (4). The updated privacy notice shall specify the date the privacy notice was revised.
(6)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
(b)The notice required by subdivision (a) shall be in writing and shall state all of the following:
(1)Whether If personal information has been or may be collected from persons sources other than the individual or individuals proposed for coverage. consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The types categories of the consumers personal information that may be collected and the types of sources and investigative techniques that may be used to collect such information. the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The types of disclosures identified in subdivisions (b), (c), (d), (e), (f), (i), (k), (l), and (n) of Section 791.13 and the circumstances under which the disclosures may be made without prior authorization, except that only those circumstances need be described which occur with such frequency as to indicate a general business practice.(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers have shared the consumers personal information within the last 12 months.
(8)That the consumer has the right to opt out of joint marketing activity, and that a licensee may process the consumers personal information in connection with joint marketing activity, unless the consumer has opted out of that processing.
(9)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(4)(10)A description of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer established under Sections 791.08 and 791.09 and the manner in which the rights may be exercised. instructions for exercising those rights.
(5)That information obtained from a report prepared by an insurance-support organization may be retained by the insurance-support organization and disclosed to other persons.(c)In lieu of the notice prescribed in subdivision (b), the insurance institution or agent may provide an abbreviated notice informing the applicant or policyholder of the following:(1)Personal information may be collected from persons other than the individual or individuals proposed for coverage.(2)Such information as well as other personal or privileged information subsequently collected by the insurance institution or agent may in certain circumstances be disclosed to third parties without authorization.(3)A right of access and correction exists with respect to all personal information collected.(4)The notice prescribed in subdivision (b) will be furnished to the applicant or policyholder upon request.(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(12)A statement of the rights of nonretaliation established pursuant to Section 791.35.
(13)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(14)Additional items that the commissioner specifies in regulation.
(c)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (b), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(d)The obligations imposed by this section upon an insurance institution or agent a licensee may be satisfied by another insurance institution or agent licensee or third-party service provider authorized to act on its behalf.
SEC. 7.Section 791.045 of the Insurance Code is amended to read:791.045.(a)(1)In addition to the notice required by Section 791.04, an insurance institution or agent a licensee shall provide a clear and conspicuous notice to customers a consumer that accurately reflects its privacy policies and practices the consumers rights pursuant to this article not less than annually during the continuation of the customer relationship. For purposes of this section, annually means at least once in any period of 12 consecutive months during which that relationship exists. An insurance institution or agent A licensee may define the period of 12 consecutive months, but shall apply it to the customer consumer on a consistent basis.
(2)A notice required pursuant to this section shall comply with Section 2689.7 of Title 10 of the California Code of Regulations.(b)(1)The notices required pursuant to Section 791.04 and this section may be combined into a single notice or provided as separate notices, as long as the requirements of Section 791.04 and this section are met.(2)If the insurance institution or agent uses a separate, standard privacy notice in addition to the notices required pursuant to Section 791.04 and this section, the notices required pursuant to Section 791.04 and this section shall clearly state that any rights a consumer, claimant, or beneficiary may have as described in these are not limited by the standard privacy notice that the insurance institution or agent also uses.(c)An insurance institution or agent shall be deemed to be in compliance with this section if all of the following conditions are met:(1)The insurance institution or agent does not provide medical record, personal, or privileged information to a nonaffiliated third party pursuant to subdivision (k) of Section 791.13.(2)The insurance institution or agent additionally provides, as part of an abbreviated notice provided pursuant to subdivision (c) of Section 791.04, the internet website address of the insurance institutions or agents complete privacy notice that complies with subdivision (a) and informs the consumer of each of the following rights in a clear and conspicuous manner:(A)The right to submit a written request to access, correct, amend, or delete the consumers personal information and the manner in which the right may be exercised, including the contact information and the mailing address, internet website address, or both, where the consumer may submit a request.(B)The right to receive a response within 30 business days of the consumer submitting a request to access, correct, amend, or delete their personal information.(C)If the insurance institution refuses the consumers request, the right to file a statement regarding what the consumer believes to be accurate and fair information and why the consumer disagrees with the insurance institutions refusal.(3)The insurance institutions or agents policies and practices about disclosing personal or privileged information have not changed from the previous notice provided pursuant to subdivision (a).(d)An insurance institution or agent is not required to provide a notice pursuant to subdivision (a) to a former customer with whom it no longer has a continuing relationship.(e)The terms used in this section have the same meaning as defined in Section 2689.4 of Title 10 of the California Code of Regulations.(2)The privacy rights notice required pursuant to paragraph (1) shall inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Opt out of processing of the consumers personal information in connection with joint marketing activity.
(E)Not to have the consumers personal information used for marketing, except as authorized by Section 791.30, or research purposes, unless the consumer has provided consent.
(F)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.
(G)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(H)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(I)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(J)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(3)The privacy rights notice required pursuant to paragraph (1) shall provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(b)(1)The privacy rights notice required pursuant to this section shall be provided in addition to other notices required pursuant to this article.
(2)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
SEC. 8.Section 791.046 is added to the Insurance Code, to read:791.046.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer shall receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code) and to use the licensees internet website or digital application to access insurance products and services, either of the following, provided that the licensee has complied with the requirements of Section 38.6:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 791.04, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 791.04 and 791.045. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 791.04 and 791.045 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer shall receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 791.04 and 791.045 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)United States Postal Service mail sent to that address by the licensee has been returned as undeliverable and later attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and later attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
SEC. 9.Section 791.05 of the Insurance Code is amended to read:791.05.An insurance institution or agent A licensee shall clearly specify those questions designed to obtain information solely for marketing or research purposes from an individual a consumer in connection with an insurance transaction.
SEC. 10.Section 791.06 of the Insurance Code is amended to read:791.06.Notwithstanding any other provision of law, no insurance institution, agent or insurance-support organization may utilize as its disclosure authorization form in connection with insurance transactions a form or statement which authorizes the disclosure of personal or privileged information about an individual to the insurance institution, agent, or insurance-support organization unless the form or statement:791.06.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)(1)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
(2)Notwithstanding paragraph (1), if a licensee has given a consumer notice and the opportunity to opt out, and the consumer has not opted out, the licensee may process a consumers personal information for purposes of joint marketing if the licensee complies with paragraph (10) of subdivision (a) of Section 791.13.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:
(1)In connection with a reinsurance transaction.
(2)With an affiliate of the licensee.
(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee or third-party service provider shall provide a reasonable means for a consumer to provide consent or opt out and maintain a written record of that consent or opt-out election.
(1)A licensee shall provide the consumer with a means to separately indicate the consumers consent or opt-out election, as applicable, with respect to use of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Joint marketing of financial products or services.
(D)Marketing products and services from unrelated companies.
(E)Research activities that are unrelated to the consumers insurance transaction.
(F)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(G)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)If a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(a)(A)Is written in plain language.
(b)Is dated.(B)Is dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contains a termination date for the consent.
(C)Specifies the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(c)(D)Specifies the types of persons authorized to disclose information about the individual. personal information the consumer is authorizing to be shared.
(d)Specifies the nature of the information authorized to be disclosed.(e)(E)Names the insurance institution or agent and identifies by generic reference representatives of the insurance institution licensee to whom the individual consumer is authorizing information to be disclosed.
(f)(F)Specifies the purposes for which the information is collected. consumer is authorizing the processing of the consumers personal information.
(g)Specifies the length of time the authorization shall remain valid, which shall be no longer than:(1)In the case of authorizations signed for the purpose of collecting information in connection with an application for an insurance policy, a policy reinstatement or a request for change in policy benefits:(A)Thirty months from the date the authorization is signed if the application or request involves life, health or disability insurance; or(B)One year from the date the authorization is signed if the application or request involves property or casualty insurance.(2)In the case of authorizations signed for the purpose of collecting information in connection with a claim for benefits under an insurance policy:(A)The term of coverage of the policy if the claim is for a health insurance benefit; or(B)The duration of the claim if the claim is not for a health insurance benefit; or(C)The duration of all claims processing activity performed in connection with all claims for benefits made by any person entitled to benefits under a nonprofit hospital service contract.(h)Advises the individual or a person authorized to act on behalf of the individual that the individual or the individuals authorized representative is entitled to receive a copy of the authorization form.(i)This section shall not be construed to require any authorization for the receipt of personal or privileged information about an individual.(G)Advises the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explains that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Includes additional information or elements specified by the commissioner in regulation.
(f)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.
(g)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.
(h)The consumers most recent consent shall take precedence over any prior consent.
(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
SEC. 11.Section 791.07 of the Insurance Code is amended to read:791.07.(a)No insurance institution, agent or insurance-support organization may A licensee or third-party service provider shall not prepare or request an investigative consumer report about an individual a consumer in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement reinstatement, or a change in insurance benefits unless the insurance institution or agent licensee or third-party service provider informs the individual of the following: consumer of both of the following in writing before the report preparation:
(1)That he or she the consumer may request to be interviewed in connection with the preparation of the investigative consumer report, and the licensee or third-party service provider shall conduct the interview.
(2)That upon a request pursuant to Section 791.08, he or she the consumer is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by an insurance institution or agent, the insurance institution or agent a licensee, the licensee shall institute reasonable procedures to conduct a personal interview requested by an individual. a consumer.
(c)If an investigative consumer report is to be prepared by an insurance-support organization, the insurance institution or agent desiring such report shall inform the insurance-support organization whether a third-party service provider, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the individual. The insurance-support organization shall institute reasonable procedures to conduct such interviews, if consumer. The third-party service provider shall conduct the interview requested.
(d)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(e)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
SEC. 12.Section 791.08 of the Insurance Code is amended to read:791.08.(a)If any individual, after proper identification, submits a written request to an insurance institution, agent or insurance-support organization for access to recorded personal information about the individual which is reasonably described by the individual and reasonably locatable and retrievable by the insurance institution, agent or insurance-support organization, the insurance institution, agent or insurance-support organization shall within791.08.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers. Upon receiving a verifiable request, the licensee or its third-party service provider shall do both of the following:
(1)Acknowledge the request within five business days from the date the request is received.
(2)Do all of the following within 30 business days from the date such the request is received:
(1)Inform the individual of the nature and substance of such recorded personal information in writing, by telephone or by other oral communication, whichever the insurance institution, agent or insurance-support organization prefers;(2)Permit the individual to see and copy, in person, such recorded personal information pertaining to him or her or to obtain a copy of such recorded personal information by mail, whichever the individual prefers, unless such recorded personal information is in coded form, in which case an accurate translation in plain language shall be provided in writing;(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(3)(C)Disclose to the individual consumer the identity, if recorded, identity of those persons to whom the insurance institution, agent or insurance-support organization licensee or third-party service provider has disclosed such an item of the consumers personal information within two years prior to such request, and if the identity is not recorded, the names of those insurance institutions, agents, insurance-support organizations or other persons to whom such information is normally disclosed; and the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(4)Provide the individual with a summary of the procedures by which he or she may request correction, amendment or deletion of recorded personal information.(b)Any personal information provided pursuant to subdivision (a) above shall identify the source of the information if such source is an institutional source.(c)Medical record information supplied by a medical care institution or medical professional and requested under(b)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the medical professional or medical care institution which provided such source of the information, shall be supplied either directly to the individual consumer or to a medical professional health care provider designated by the individual and licensed to provide medical care with respect to the condition to which the information relates, whichever the individual prefers. Mental health record information shall be supplied directly to the individual, pursuant to this section, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates. If it consumer. If the consumer elects for the licensee to disclose the information to a medical professional health care provider designated by the individual, the insurance institution, agent or insurance-support organization consumer, the licensee shall notify the individual, consumer, at the time of the disclosure, that it has provided the information to the medical professional. designated health care provider.
(d)Except for personal information provided under Section 791.10, an insurance institution, agent or insurance-support organization may charge a reasonable fee to cover the costs incurred in providing a copy of recorded personal information to individuals.(e)(c)The obligations imposed by this section upon an insurance institution or agent a licensee may be satisfied by another insurance institution or agent licensee authorized to act on its behalf. With respect to the copying and disclosure of recorded personal information pursuant to a request under subdivision (a), an insurance institution, agent or insurance-support organization may make arrangements with an insurance-support organization or a consumer reporting agency to copy and disclose recorded personal information on its behalf.
(f)(d)The rights granted to individuals in this section shall a consumer pursuant to this section:
(1)Shall extend to all natural persons to the extent that personal or publicly available information about them is collected and maintained by an insurance institution, agent or insurance-support organization in connection with an insurance transaction. The rights granted to all natural persons by this subdivision shall possessed by a licensee or third-party service provider.
(2)Shall not extend to information about them that relates to and is collected in connection with or in reasonable anticipation of privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or civil or criminal proceeding involving them. the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation.
(e)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(g)(f)For purposes of this section, the term insurance-support organization third-party service provider does not include consumer reporting agency. a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
SEC. 13.Section 791.09 of the Insurance Code is amended to read:791.09.(a)Within A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers. The licensee or third-party service provider shall acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(b)Within 30 business days from the date of receipt of a written request from an individual a consumer to correct, amend amend, or delete any recorded personal information about the individual consumer within its possession, an insurance institution, agent or insurance-support organization a licensee or third-party service provider shall either: do the following, as appropriate:
(1)Correct, amend amend, or delete the portion of the recorded personal or publicly available information in dispute; or dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(2)Notify the individual of:(2)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(A)Its Written notice of the refusal to make such the correction, amendment amendment, or deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(C)(D)The individuals consumers right to file a statement as provided in subdivision (c). (d).
(3)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(A)Written notice of the refusal to make the deletion.
(B)The reasons for the refusal.
(C)The contact information for filing a complaint with the commissioner.
(D)The consumers right to file a statement pursuant to subdivision (d).
(4)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(b)(2)If the insurance institution, agent or insurance-support organization licensee or third-party service provider corrects, amends amends, or deletes recorded personal information in accordance with paragraph (1) of subdivision (a), the insurance institution, agent or insurance-support organization shall so (b), the licensee or third-party service provider shall notify the individual in writing and furnish the correction, amendment amendment, or fact of deletion to:
(1)Any(A)A person specifically designated by the individual consumer who may have, within the preceding two years, received such recorded the personal or publicly available information.
(2)Any insurance- support(B)An insurance support organization whose primary source of personal information is insurance institutions if the insurance-support insurers, if the insurance support organization has systematically received such recorded personal information from the insurance institution insurer within the preceding seven years; provided, however, that the five years. The correction, amendment amendment, or fact of deletion need not be furnished if the insurance-support insurance support organization no longer maintains recorded personal information about the individual. consumer.
(3)Any insurance- support(C)A third-party service provider or insurance support organization that furnished the personal information that has been corrected, amended or deleted. or publicly available information.
(c)Whenever an individual(d)If a consumer disagrees with an insurance institutions, agents or insurance-support organizations a licensees refusal to correct, amend amend, or delete recorded personal or publicly available information, the individual shall be permitted to consumer may file with the insurance institution, agent or insurance-support organization: licensee a statement setting forth both of the following:
(1)A concise statement setting forth what the individual thinks is the correct, relevant or fair information.(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)A concise statement of the The reasons why the individual consumer disagrees with the insurance institutions, agents or insurance-support organizations licensees refusal to correct, amend amend, or delete recorded personal or publicly available information.
(d)In the event an individual(e)If a consumer files either a statement as described in subdivision (c), the insurance institution, agent or support organization shall: (d), the licensee shall do both of the following:
(1)File Include the statement with the disputed personal or publicly available information and provide a means by which copy of the consumers statement to anyone reviewing the disputed personal information will be made aware of the individuals statement and have access to it. or publicly available information.
(2)In any subsequent disclosure by the insurance institution, agent or support organization a later disclosure of the recorded personal or publicly available information that is the subject of disagreement, clearly identify the matter or matters in dispute and provide include the individuals consumers statement along with the recorded personal or publicly available information being disclosed.
(3)Furnish the statement to the persons and in the manner specified in subdivision (b).(e)The rights granted to individuals in this section shall extend to all natural persons to the extent information about them is collected and maintained by an insurance institution, agent or insurance-support organization in connection with an insurance transaction. The rights granted to all natural persons by this subdivision(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about them that relates to and is collected in connection with or in reasonable anticipation of a claim or civil or criminal proceeding involving them.
(g)The rights granted to a consumer by this section shall not extend to records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(h)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(f)(i)For purposes of this section, the term insurance-support insurance support organization does not include consumer reporting agency. a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
SEC. 14.Section 791.10 of the Insurance Code is amended to read:791.10.(a)In the event of an adverse underwriting decision the insurance institution or agent licensee responsible for the decision shall: shall provide all of the following in writing to the consumer at the consumers address of record:
(1)Either provide the applicant, policyholder, or individual proposed for coverage with the(1)The specific reason or reasons for the adverse underwriting decision in writing or, except as provided in subdivision (e), advise the person that upon written request he or she may receive the specific reason or reasons in writing. decision.
(2)Provide the applicant, policyholder or individual proposed for coverage with a(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)A summary of the rights established under subdivision (b) and Sections 791.08 and 791.09.
(b)Upon receipt of a written request within 90 business days from the date of the mailing of notice or other communication of an adverse underwriting decision to an applicant, policyholder or individual proposed for coverage, the insurance institution or agent shall furnish to such person within 21 business days from the date of receipt of such written request:(1)The specific reason or reasons for the adverse underwriting decision, in writing, if such information was not initially furnished in writing pursuant to paragraph (1) of subdivision (a).(2)The specific items of personal and privileged information that support those reasons; provided, however:(A)The insurance institution or agent(b)Notwithstanding paragraph (2) of subdivision (a):
(1)A licensee shall not be required to furnish specific items of privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the applicant, policyholder or individual proposed for coverage consumer has engaged in criminal activity, fraud, material misrepresentation or material nondisclosure.
(B)Specific items of medical record information supplied by a medical care institution or medical professional(2)Health information supplied by a health care provider shall be disclosed either directly to the individual consumer about whom the information relates or to a medical professional health care provider designated by the individual consumer and licensed to provide medical health care with respect to the condition to which the information relates, whichever the individual prefers. relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
Mental health record information shall be supplied directly to the individual, pursuant to this subdivision, only with the approval of the qualified professional person with treatment responsibility for the condition to which the information relates.(3)The names and addresses of the institutional sources that supplied the specific items of information given pursuant to paragraph (2) of subdivision (b); provided, however, that the identity of any medical professional or medical care institution shall be disclosed either directly to the individual or to the designated medical professional, whichever the individual prefers.(c)The obligations imposed by this section upon an insurance institution or agent a licensee may be satisfied by another insurance institution or agent licensee authorized to act on its behalf.
(d)When an adverse underwriting decision results solely from an oral request or inquiry, the explanation of reasons and summary of rights required by subdivision (a) or (e) may be given orally to the extent that such information is available.(e)Except as provided in subdivision (d), with respect to a declination, cancellation, or nonrenewal of a property insurance policy covered by Section 675 or an automobile insurance policy covered by Section 660, or an individual life, health, or disability insurance policy, the insurance institution or agent responsible for the decision shall provide the specific reason or reasons in writing at the time of the decision. The communication of medical record information for a life or health insurance policy shall be subject to the disclosure requirements of subparagraph (B) of paragraph (2) of subdivision (a). This subdivision shall become operative on July 1, 2006.(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
SEC. 15.Section 791.11 of the Insurance Code is amended to read:791.11.No insurance institution, agent or insurance-support organization may A licensee shall not seek information in connection with an insurance transaction concerning: concerning either of the following.
(a)Any A previous adverse underwriting decision experienced by an individual, or a consumer.
(b)Any The previous insurance coverage obtained by an individual a consumer through a residual market mechanism, unless such the inquiry also requests the reasons for any a previous adverse underwriting decision or the reasons why insurance coverage was previously obtained through a residual market mechanism.
SEC. 16.Section 791.12 of the Insurance Code is amended to read:791.12.No insurance institution or agent may A licensee shall not base an adverse underwriting decision in whole or in part on any of the following:
(a)Solely the loss history of the previous owner of the property to be insured.
(a)On the fact of a(b)A previous adverse underwriting decision or on the fact that an individual previously obtained insurance coverage through a residual market mechanism; provided, however, an insurance institution or agent may base an adverse underwriting decision on further information obtained from an insurance institution or agent responsible for a previous adverse underwriting decision. The further information, when requested, shall create a conclusive presumption that the information is necessary to perform the requesting insurers function in connection with an insurance transaction involving the individual and, when reasonably available, shall be furnished the requesting insurer and the individual, if applicable. affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(c)Personal information received from an insurance-support organization a third-party service provider whose primary source of information is insurance institutions; provided, however, an insurance institution or agent may base an adverse underwriting decision on licensees, unless the licensee obtains further personal information obtained as the result of information received from an insurance-support organization. independently supporting the adverse writing decision.
(d)Information that the consumer has previously inquired and received information about the scope or nature of coverage under a residential fire or property insurance policy, if the information is received from an insurance-support organization whose primary source of information is insurance institutions policy and the inquiry did not result in the filing of a claim.
(d)On the(e)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the insurer licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
SEC. 17.Section 791.13 of the Insurance Code is repealed.791.13.An insurance institution, agent, or insurance-support organization shall not disclose any personal or privileged information about an individual collected or received in connection with an insurance transaction unless the disclosure is:(a)With the written authorization of the individual, and meets either of the conditions specified in paragraph (1) or (2):(1)If the authorization is submitted by another insurance institution, agent, or insurance-support organization, the authorization meets the requirement of Section 791.06.(2)If the authorization is submitted by a person other than an insurance institution, agent, or insurance-support organization, the authorization is:(A) Dated.(B)Signed by the individual.(C)Obtained one year or less prior to the date a disclosure is sought pursuant to this section.(b)To a person other than an insurance institution, agent, or insurance-support organization, provided the disclosure is reasonably necessary:(1)To enable the person to perform a business, professional, or insurance function for the disclosing insurance institution, agent, or insurance-support organization or insured and the person agrees not to disclose the information further without the individuals written authorization unless the further disclosure:(A)Would otherwise be permitted by this section if made by an insurance institution, agent, or insurance-support organization; or(B)Is reasonably necessary for the person to perform its function for the disclosing insurance institution, agent, or insurance-support organization.(2)To enable the person to provide information to the disclosing insurance institution, agent or insurance-support organization for the purpose of:(A)Determining an individuals eligibility for an insurance benefit or payment; or(B)Detecting or preventing criminal activity, fraud, material misrepresentation or material nondisclosure in connection with an insurance transaction.(c)To an insurance institution, agent, insurance-support organization or self-insurer, provided the information disclosed is limited to that which is reasonably necessary under either paragraph (1) or (2):(1)To detect or prevent criminal activity, fraud, material misrepresentation, or material nondisclosure in connection with insurance transactions; or(2)For either the disclosing or receiving insurance institution, agent, or insurance-support organization to perform its function in connection with an insurance transaction involving the individual.(d)To a medical-care institution or medical professional for the purpose of any of the following:(1)Verifying insurance coverage or benefits.(2)Informing an individual of a medical problem of which the individual may not be aware.(3)Conducting operations or services audit, provided the only information disclosed is reasonably necessary to accomplish the foregoing purposes.(e)To an insurance regulatory authority; or(f)To a law enforcement or other governmental authority pursuant to law.(g)Otherwise permitted or required by law.(h)In response to a facially valid administrative or judicial order, including a search warrant or subpoena.(i)Made for the purpose of conducting actuarial or research studies, provided:(1)No individual may be identified in any actuarial or research report.(2)Materials allowing the individual to be identified are returned or destroyed as soon as they are no longer needed.(3)The actuarial or research organization agrees not to disclose the information unless the disclosure would otherwise be permitted by this section if made by an insurance institution, agent, or insurance-support organization.(j)To a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the insurance institution, agent, or insurance-support organization, provided:(1)Prior to the consummation of the sale, transfer, merger, or consolidation the only information disclosed is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.(2)The recipient agrees not to disclose the information unless the disclosure would otherwise be permitted by this section if made by an insurance institution, agent, or insurance-support organization.(k)To a person whose only use of the information will be in connection with the marketing of a product or service, provided:(1)No medical-record information, privileged information, or personal information relating to an individuals character, personal habits, mode of living, or general reputation is disclosed, and no classification derived from the information is disclosed; or(2)The individual has been given an opportunity to indicate that the individual does not want personal information disclosed for marketing purposes and has given no indication that the individual does not want the information disclosed; and(3)The person receiving the information agrees not to use it except in connection with the marketing of a product or service.(l)To an affiliate whose only use of the information will be in connection with an audit of the insurance institution or agent or the marketing of an insurance product or service, provided the affiliate agrees not to disclose the information for any other purpose or to unaffiliated persons.(m)By a consumer reporting agency, provided the disclosure is to a person other than an insurance institution or agent.(n)To a group policyholder for the purpose of reporting claims experience or conducting an audit of the insurance institutions or agents operations or services, provided the information disclosed is reasonably necessary for the group policyholder to conduct the review or audit.(o)To a professional peer review organization for the purpose of reviewing the service or conduct of a medical-care institution or medical professional.(p)To a governmental authority for the purpose of determining the individuals eligibility for health benefits for which the governmental authority may be liable.(q)To a certificate holder or policyholder for the purpose of providing information regarding the status of an insurance transaction.(r)To a lienholder, mortgagee, assignee, lessor, or other person shown on the records of an insurance institution or agent as having a legal or beneficial interest in a policy of insurance. The information disclosed shall be limited to that which is reasonably necessary to permit the person to protect that persons interest in the policy and shall be consistent with Article 5.5 (commencing with Section 770).(s)To an insured or the insureds lawyer when the information disclosed is from an accident report, supplemental report, investigative report, or the actual report from a government agency or is a copy of an accident report or other report that the insured is entitled to obtain under Section 20012 of the Vehicle Code or Article 1 (commencing with Section 7923.600) of Chapter 1 of Part 5 of Division 10 of Title 1 of the Government Code.SEC. 18.Section 791.13 is added to the Insurance Code, to read:791.13.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(A)The consumer is provided with notice and the ability to opt out of the joint marketing activity, and has not done so.
(B)Personal information is only processed pursuant to a contract complying with the requirements of subdivision (b) of Section 791.24.
(C)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(i)Name.
(ii)Address or email address.
(iii)Financial institution affiliation and account type.
(iv)Age.
(11)Additional purposes specified by the commissioner in regulation.
(b)A licensee may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 791.06.
(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
SEC. 19.Section 791.14 of the Insurance Code is amended to read:791.14.(a)The commissioner shall have power to may examine and investigate into the affairs of every insurance institution or agent a licensee doing business in this state to determine whether the insurance institution or agent if the licensee has been or is engaged in any conduct in violation of this article.
(b)The commissioner shall have the power to may examine and investigate into the affairs of every insurance-support organization acting a third-party service provider on behalf of an insurance institution or agent which a licensee that either transacts business in this state or transacts business outside this state that has an effect on a person consumer residing in this state in order to determine whether such insurance-support organization if the third-party service provider has been or is engaged in any conduct in violation of this article.
SEC. 20.Section 791.15 of the Insurance Code is amended to read:791.15.(a)Whenever the commissioner has reason to believe that an insurance institution, agent or insurance-support organization a licensee or third-party service provider has been or is engaged in conduct in this state which that violates this article, or if the commissioner believes that an insurance-support organization has been or is engaged in conduct in this state or outside this state which that has an effect on a person consumer residing in this state and which violates this article, state, the commissioner shall issue and serve upon such insurance institution, agent or insurance-support organization the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for such the hearing shall be not less than 30 days after the date of service.
(b)At the time and place fixed for such hearing the insurance institution, agent or insurance-support organization the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear appear, and be heard at such the hearing by counsel or in person.
(c)At any a hearing conducted pursuant to this section section, the commissioner may administer oaths, examine and cross-examine witnesses and receive oral and documentary evidence. The commissioner shall have the power to may subpoena witnesses, compel their attendance attendance, and require the production of books, papers, records, correspondence correspondence, and other documents which that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of any a party or at the discretion of the commissioner. If no a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted under this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted under the laws of this state.
(d)Statements of charges, notice, orders orders, and other processes of the commissioner under this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third party mailing service with tracking capability that is not more expensive than registered mail. capability. A copy of the statement of charges, notice, order order, or other process shall be provided to the person or persons whose rights under this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
SEC. 21.Section 791.16 of the Insurance Code is amended to read:791.16.For the purpose of this article, an insurance-support organization a third-party service provider transacting business outside this state that has an effect on a person consumer residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, provided the commissioner causes a copy of the service to be mailed immediately by registered mail, or by a mailing service offered by a third party mailing service with tracking capability that is not more expensive than registered mail, to the insurance-support organization capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof that the same was properly mailed by the commissioner.
SEC. 22.Section 791.17 of the Insurance Code is amended to read:791.17.(a)If, after a hearing pursuant to Section 791.15, the commissioner determines that the insurance institution, agent or insurance-support organization licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce his or her the commissioners findings to writing and shall issue and cause to be served upon such insurance institution, agent or insurance-support organization the licensee or third-party service provider a copy of such the findings and an order requiring such insurance institution, agent or insurance-support organization the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(b)If, after a hearing pursuant to Section 791.15, the commissioner determines that the insurance institution, agent or insurance-support organization licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report which that sets forth findings of fact and conclusions of law. Such The report shall be served upon the insurance institution, agent or insurance-support organization licensee or third-party service provider charged and upon the person or persons, if any, whose rights under this article were allegedly violated.
(c)Until the expiration of the time allowed under Section 791.18 for filing a petition for review or until such the petition is actually filed, whichever occurs first, the commissioner may modify or set aside any order or report issued under this section. After the expiration of the time allowed under Section 791.18 for filing a petition for review, if no such a petition has not been duly filed, the commissioner may, after notice and opportunity for hearing, alter, modify modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant such that action or if the public interest so requires.
SEC. 23.Section 791.18 of the Insurance Code is amended to read:791.18.(a)Any person subject to an order of the commissioner under Section 779.17 791.17 or Section 791.20 or any person whose rights under this article were allegedly violated may obtain a review of any order or report of the commissioner by filing in a court of competent jurisdiction, within 30 days from the date of the service of such order or report, pursuant to Section 1094.5 of the Code of Civil Procedure. The court shall have jurisdiction to make and enter a decree modifying, affirming affirming, or reversing any order or report of the commissioner, in whole or in part.
(b)An order or report issued by the commissioner under Section 791.17 shall become final: final upon either of the following.
(1)Upon the The expiration of the time allowed for the filing of a petition for review, if no such a petition has not been duly filed; filed, except that the commissioner may modify or set aside an order or report to the extent provided in subdivision (c) of Section 791.17; or 791.17.
(2)Upon a A final decision of the court if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(c)No An order or report of the commissioner under this article or order of a court to enforce the same shall in any way not relieve or absolve any person affected by such the order or report from any liability under any law of this state.
SEC. 24.Section 791.19 of the Insurance Code is amended to read:791.19.Any (a)If a hearing pursuant to Section 791.15 results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to Section 791.17, order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(b)A person who violates a cease and desist order of the commissioner under issued pursuant to Section 791.17 may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(a)A monetary fine of not more than ten thousand dollars ($10,000) for each violation; or(1)A monetary fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000), for each violation.
(b)(2)A monetary fine of not more than at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice; or practice.
(c)(3)Suspension or revocation of an insurance institutions or agents the licensees license if the insurance institution or agent licensee knew or reasonably should have known it was in violation of this article.
SEC. 25.Section 791.20 of the Insurance Code is amended to read:791.20.(a)If any insurance institution, agent or insurance-support organization a licensee or third-party service provider fails to comply with Section 791.06, 791.08, 791.09 or 791.10 791.09, 791.10, 791.11, 791.12, 791.13, 791.31, or 791.35 with respect to the rights granted under those sections, any person whose rights are violated may apply to any court of competent jurisdiction, jurisdiction for appropriate equitable relief.
(b)An insurance institution, agent or insurance-support organization which(b)A licensee or third-party service provider that discloses information in violation of Section 791.06 or 791.13 shall be liable for damages sustained by the individual consumer about whom the information relates. However no individual shall be A consumer is not entitled to a monetary award which that exceeds the actual damages sustained by the individual consumer as a result of a violation of Section 791.06 or 791.13.
(c)In any action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(d)An action under this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(e)Except as specifically provided in this section, there shall be no not be a remedy or recovery available to individuals, consumers, in law or in equity, for occurrences constituting a violation of any provision of this act. this article.
SEC. 26.Section 791.21 of the Insurance Code is amended to read:791.21.No A cause of action in the nature of defamation, invasion of privacy privacy, or negligence shall not arise against any person for disclosing personal or privileged information in accordance with this chapter, nor shall such a cause of action arise or against any person for furnishing personal or privileged information to an insurance institution, agent or insurance-support organization; provided, however, this section shall provide no a licensee or third-party service provider. This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure any person.
SEC. 27.Section 791.22 of the Insurance Code is amended to read:791.22.Any person who knowingly and willfully obtains information about an individual from an insurance institution, agent or insurance-support organization a licensee or third-party service provider under false pretenses shall be fined not more than ten fifty thousand dollars ($10,000) or ($50,000), imprisoned in a county jail for not more than one year, six months, or both.
SEC. 28.Section 791.23 of the Insurance Code is repealed.791.23.The rights granted under Sections 791.08, 791.09 and 791.13 shall take effect on October 1, 1981, regardless of the date of the collection or receipt of the information which is the subject of such sections. Nothing contained in subdivisions (k) and (l) of Section 791.13, or in any other provision of this article, shall in any way affect the provisions of Section 770.1.SEC. 29.Section 791.23 is added to the Insurance Code, to read:791.23.A licensee has five years from the operative date of the bill that added this section to implement Section 791.30, except that a licensee shall comply with subdivision (c) of Section 791.30 on the operative date of the bill that added this section.
SEC. 30.Section 791.24 is added to the Insurance Code, to read:791.24.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
SEC. 31.Section 791.25 is added to the Insurance Code, to read:791.25.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 791.24, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
(f)An affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
SEC. 32.Section 791.29 of the Insurance Code is amended to read:791.29.Notwithstanding any other law, and to the extent permitted by federal law, a health insurer shall take the following steps to protect the confidentiality of an insureds medical information:
(a)(1)A health insurer shall not require a protected individual to obtain the policyholders authorization to receive sensitive services or to submit a claim for sensitive services if the protected individual has the right to consent to care.
(2)A health insurer shall recognize the right of a protected individual to exclusively exercise rights granted under this section regarding medical information related to sensitive services that the protected individual has received.
(3)A health insurer shall direct all communications regarding a protected individuals receipt of sensitive health care services directly to the protected individual receiving care as follows:
(A)If the protected individual has designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services to the alternative mailing address, email address, or telephone number designated.
(B)If the protected individual has not designated an alternative mailing address, email address, or telephone number pursuant to subdivision (b), the health insurer shall send or make all communications related to the protected individuals receipt of sensitive services in the name of the protected individual at the address or telephone number on file.
(C)Communications subject to this paragraph shall include the following written, verbal, or electronic communications:
(i)Bills and attempts to collect payment.
(ii)A notice of adverse benefits determinations.
(iii)An explanation of benefits notice.
(iv)A health insurers request for additional information regarding a claim.
(v)A notice of a contested claim.
(vi)The name and address of a provider, description of services provided, and other information related to a visit.
(vii)Any written, oral, or electronic communication from a health insurer that contains protected health information.
(4)A health insurer shall not disclose medical information related to sensitive health care services provided to a protected individual to the policyholder or any insureds other than the protected individual receiving care, absent an express written authorization of the protected individual receiving care.
(b)(1)A health insurer shall permit an insured to request, and shall accommodate requests for, confidential communication in the form and format requested by the insured, if it is readily producible in the requested form and format, or at alternative locations.
(2)A health insurer may require the insured to make a request for a confidential communication described in paragraph (1) in writing or by electronic transmission.
(3)The confidential communication request shall apply to all communications that disclose medical information or provider name and address related to receipt of medical services by the individual requesting the confidential communication.
(4)The confidential communication request shall be valid until the insured submits a revocation of the request, or a new confidential communication request is submitted.
(5)For the purposes of this section, a confidential communications request shall be implemented by the health insurer within 7 calendar days of the receipt of an electronic transmission, telephonic request, or request submitted through the health insurers internet website, or within 14 calendar days of receipt by first-class mail. The health insurer shall acknowledge receipt of the confidential communications request and advise the insured of the status of implementation of the request if an insured contacts the insurer.
(c)(1)A health insurer shall notify insureds that they may request a confidential communication pursuant to subdivision (b) and how to make the request.
(2)The information required to be provided pursuant to this subdivision shall be provided to insureds with individual or group coverage upon initial enrollment and annually thereafter upon renewal. The information shall also be provided in the following manner:
(A)In a conspicuously visible location in the evidence of coverage.
(B)On the health insurers internet website, accessible through a hyperlink on the internet websites home page and in a manner that allows insureds, prospective insureds, and members of the public to easily locate the information.
(d)Notwithstanding subdivision (b), a provider of health care may make arrangements with the insured for the payment of benefit cost sharing and communicate that arrangement with the insurer.
(e)A health insurer shall not condition coverage on the waiver of rights provided in this section.
(f)If the commissioner determines that an insurer has violated this section, the commissioner may, after appropriate notice and opportunity for hearing in accordance with the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), by order, assess a civil penalty not to exceed five thousand dollars ($5,000) for each violation, or, if a violation was willful, a civil penalty not to exceed ten thousand dollars ($10,000) for each violation. The commissioner shall have the discretion to determine the acts or omissions that constitute a violation of this section.
(g)This section shall become operative on July 1, 2022.(g)For purposes of this section:
(1)Confidential communications request means a request by an insured covered under a health insurance policy that insurance communications containing medical information be communicated to the insured at a specific mail or email address or specific telephone number, as designated by the insured.
(2)Medical information means any individually identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health insurer, pharmaceutical company, or contractor regarding a patients medical history, mental or physical condition, or treatment. Individually identifiable means that the medical information includes or contains any element of personal identifying information sufficient to allow identification of the individual, such as the patients name, address, email address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the individuals identity.
(3)Protected individual means any adult insured covered under a health insurance policy or a minor who can consent to a health care service without the consent of a parent or legal guardian, pursuant to state or federal law. Protected individual does not include an individual that lacks the capacity to give informed consent for health care pursuant to Section 813 of the Probate Code.
(4)Sensitive services means all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, and intimate partner violence, and includes services described in Sections 6924, 6925, 6926, 6927, 6928, 6929, and 6930 of the Family Code and Sections 121020 and 124260 of the Health and Safety Code, obtained by a patient of any age at or above the minimum age specified for consenting to the service specified in the section.
SEC. 33.Section 791.30 is added to the Insurance Code, to read:791.30.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:
(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.
(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Uses consistent with the requirements of paragraph (8), (9), or (10) of subdivision (a) of Section 791.13.
(8)Additional purposes specified by the commissioner in regulation.
(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:
(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).
(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.
(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).
(i)This section does not require the deletion of information related to tracking or detection of fraud or information related to an individuals claims history.
(j)This section does not permit or require the deletion of a record that is required to be retained by law.
SEC. 34.Section 791.31 is added to the Insurance Code, to read:791.31.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
SEC. 35.Section 791.32 is added to the Insurance Code, to read:791.32.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
SEC. 36.Section 791.33 is added to the Insurance Code, to read:791.33.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
SEC. 37.Section 791.34 is added to the Insurance Code, to read:791.34.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
SEC. 38.Section 791.35 is added to the Insurance Code, to read:791.35.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
SEC. 39.Section 791.36 is added to the Insurance Code, to read:791.36.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
SEC. 40.Section 791.37 is added to the Insurance Code, to read:791.37.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
SEC. 41.Section 791.38 is added to the Insurance Code, to read:791.38.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
SEC. 42.Section 791.39 is added to the Insurance Code, to read:791.39.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
SEC. 43.Section 791.40 is added to the Insurance Code, to read:791.40.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
SEC. 3.SEC. 44.The Legislature finds and declares that Section 2 Sections 14, 30, 33, and 39 of this act, which adds amend Section 791.10 of, and add Sections 792.115, 792.130, 792.190, and 792.215 to 791.24, 791.30, and 791.36 to, the Insurance Code, imposes impose a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 4.SEC. 45.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.65 (commencing with Section 792) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.65.Insurance Consumer Privacy Protection Act of 2025792.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
792.100.(a)On and after the operative date of this article, the obligations imposed by this article shall apply to a licensee and the licensees third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Subchapter I (commencing with Section 6801) of Chapter 94 of Title 15 of the United States Code), unless the affiliates are licensees for purposes of this article.
(c)(1)The obligations imposed by this article shall not apply to a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(2)A third-party service provider does not include a provider of health care governed by the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code) or a covered entity or business associate governed by the privacy, security, and breach notification rules issued by the United States Department of Health and Human Services, Parts 160 and 164 of Title 45 of the Code of Federal Regulations, established pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191).
(3)For purposes of this subdivision, medical information and provider of health care have the same meanings as defined in Section 56.05 of the Civil Code, and business associate, covered entity, and protected health information have the same meanings as defined in Section 160.103 of Title 45 of the Code of Federal Regulations.
(4)Notwithstanding paragraphs (1) and (2), this article applies to a disability insurer licensed pursuant to Section 106 that is not regulated as a health care service plan pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).
792.105.The protections of this article shall extend to a consumer who meets any of the following criteria:
(a)Whose personal information is processed in connection with an insurance transaction.
(b)Who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(c)Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
792.110.For purposes of this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:
(1)A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage.
(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(5)Any of the following for property or casualty insurance coverage:
(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
(B)Placement by an insurer or producer of a risk with an insurer not approved to conduct business in this state.
(C)Charging a higher rate based on information that differs from the information that the consumer furnished.
(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:
(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means a person who seeks to contract for insurance coverage, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, vein pattern, and voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 792.175.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(p)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(q)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(r)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(s)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(t)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(u)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(v)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(w)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to licensees or other insurance support organizations for use in connection with the business of insurance.
(B)The processing of personal information from licensees or other insurance support organizations to detect or prevent insurance fraud and insurance crime, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(x)(1)Insurance transaction means a transaction or service by or on behalf of a licensee and its affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.
(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(y)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a nonprofit hospital, medical, or health care service organization, health maintenance organization, reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(z)Investigative consumer report means a consumer report or portion of a consumer report in which information about an individuals character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the individuals neighbors, friends, associates, acquaintances, or others who may have knowledge concerning that information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(aa)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:
(A)An insurer.
(B)A producer.
(C)A surplus line insurer.
(D)A director, officer, employee, or agent of a licensee.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.
(ab)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ac)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ad)Person means an individual, corporation, association, partnership, or other legal entity. Person does not include a governmental entity.
(ae)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(iv)Records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(af)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(ag)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or a civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information that otherwise meets the requirements of this article shall nevertheless be considered personal information if it is disclosed in violation of this article.
(ah)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ai)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(aj)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(ak)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(al)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(am)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Chapter 1 (commencing with Section 11550) of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(an)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(ao)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ap)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about the consumers sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(aq)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(ar)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(as)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(at)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than failing to pay a premium as required by the policy.
(au)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 792.115. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.
(av)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(aw)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ax)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
792.115.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
792.120.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 792.115, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
(f)An affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
792.125.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, provided that all of the following are true:
(A)The consumer is provided with notice and the ability to opt out of the joint marketing activity, and has not done so.
(B)Personal information is only processed pursuant to a contract complying with the requirements of subdivision (b) of Section 792.115.
(C)Only the following elements of personal information are shared and processed for purposes of the joint marketing activity, including providing notice and the opportunity to opt out:
(i)Name.
(ii)Address or email address.
(iii)Financial institution affiliation and account type.
(iv)Age.
(10)(11)Additional purposes specified by the commissioner in regulation.
(b)A licensee may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 792.135.
(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
792.130.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:
(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.
(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Other purposes that the commissioner specifies in regulation.(7)Uses consistent with the requirements of paragraph (8), (9), or (10) of subdivision (a) of Section 792.125.
(8)Additional purposes specified by the commissioner in regulation.
(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:
(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).
(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.
(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).
(i)This section does not require the deletion of information related to tracking or detection of fraud or information related to an individuals claims history.
(i)(j)This section does not permit or require the deletion of a record that is required to be retained by law.
792.135.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)(1)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
(2)Notwithstanding paragraph (1), if a licensee has given a consumer notice and the opportunity to opt out, and the consumer has not opted out, the licensee may process a consumers personal information for purposes of joint marketing if the licensee complies with paragraph (10) of subdivision (a) of Section 792.125.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:
(1)In connection with a reinsurance transaction.
(2)With an affiliate of the licensee.
(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee or third-party service provider shall provide a reasonable means for a consumer to provide consent, consent or opt out and maintain a written record of that consent. consent or opt-out election.
(1)A licensee shall provide the consumer with a means to separately indicate the consumers consent or opt-out election, as applicable, with respect to use of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Joint marketing of financial products or services.
(C)(D)Marketing products and services from unrelated companies.
(D)(E)Research activities that are unrelated to the consumers insurance transaction.
(E)(F)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(F)(G)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)When a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Be written in plain language.
(B)Be dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contain a termination date for the consent.
(C)Specify the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specify the types of personal information the consumer is authorizing to be shared.
(E)Specify the purposes for which the consumer is authorizing the processing of the consumers personal information.
(F)Name the licensee that the consumer is authorizing to share the consumers personal information.
(G)Advise the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explain that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Include additional information or elements specified by the commissioner in regulation.
(f)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.
(g)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.
(h)The consumers most recent consent shall take precedence over any prior consent.
(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
792.140.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
792.145.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
792.150.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
792.155.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
792.160.(a)A licensee shall provide a clear and conspicuous privacy notice to a consumer that describes the licensees privacy practices. The privacy notice shall be provided within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction. Notwithstanding this requirement, a privacy notice shall not be required in any of the following circumstances:
(1)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(2)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(3)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(4)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(b)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(c)(1)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide any third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(2)Notwithstanding paragraph (1), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(d)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to subdivision (c). The updated privacy notice shall specify the date the privacy notice was revised.
(e)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
792.165.(a)A privacy notice required pursuant to Section 792.160 shall state in writing all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers has shared the consumers personal information within the last 12 months.
(8)That the consumer has the right to opt out of joint marketing activity, and that a licensee may process the consumers personal information in connection with joint marketing activity, unless the consumer has opted out of that processing.
(8)(9)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(9)(10)A statement of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer, and the instructions for exercising those rights.
(10)(11)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(11)(12)A statement of the rights of nonretaliation established pursuant to Section 792.195.
(12)(13)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(13)(14)Additional items that the commissioner specifies in regulation.
(b)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (a), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.170.(a)In addition to the privacy notice required pursuant to Section 792.160, a licensee shall provide to each consumer with whom the licensee has an ongoing business relationship a privacy rights notice describing the consumers rights pursuant to this article.
(b)The privacy rights notice required pursuant to this section shall do all of the following:
(1)Be clear and conspicuous and inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Opt out of processing of the consumers personal information in connection with joint marketing activity.
(D)(E)Not to have the consumers personal information used for marketing marketing, except as authorized by paragraph (10) of subdivision (a) of Section 792.125, or research purposes, unless the consumer has provided consent.
(E)(F)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.
(F)(G)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(G)(H)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(H)(I)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(I)(J)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(2)Provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(3)Be provided to the consumer at least every 12 months.
(4)Be provided in addition to other notices required pursuant to this article.
(c)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.175.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer will receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), and to use the licensees internet website or digital application to access insurance products and services, either of the following:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 792.160, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 792.160 and 792.170. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 792.160 and 792.170 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer will receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 792.160 and 792.170 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)USPS mail sent to that address by the licensee has been returned as undeliverable and subsequent attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and subsequent attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
792.180.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do all of the following:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee or any third-party service provider has shared an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(c)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider as designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(e)The rights granted to a consumer pursuant to this section:
(1)Shall extend to an individual to the extent that personal or publicly available information about the individual is processed by a licensee or its third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or a civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(3)Shall not be construed to require disclosure of information pertaining to an anticipated or active fraud investigation.
(f)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(g)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal laws.
792.185.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do the following, as appropriate:
(A)Correct, amend, or delete the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(B)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the correction, amendment, or deletion.
(ii)The basis for the refusal to correct, amend, or delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(C)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the deletion.
(ii)The basis for the refusal to delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(D)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee corrects, amends, or deletes personal or publicly available information in accordance with this section, the licensee shall notify the consumer in writing and furnish the correction, amendment, or deletion to all of the following:
(A)A person specifically designated by the consumer who may have received the personal or publicly available information within the preceding two years.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion does not need to be furnished if the insurance support organization no longer maintains personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with the refusal of a licensee to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)The reasons why the consumer disagrees with the refusal of the licensee to correct, amend, or delete the personal or publicly available information.
(e)If a consumer files a statement described in subdivision (d), the licensee shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)Clearly identify, in a later disclosure of the personal or publicly available information that is the subject of disagreement, the matter or matters in dispute and include the consumers statement with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about the consumer that is processed in connection with or in reasonable anticipation of a claim or a civil or criminal proceeding involving the consumer.
(g)The rights granted to a consumer by this section shall not extend to records evidencing interest in real property that have been accurately transcribed from a county recorders records into a title plant owned by an insurer licensed to transact title insurance, as defined in Section 104.
(g)(h)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(h)(i)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
792.190.(a)In the event of an adverse underwriting decision, the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:
(1)The specific reason or reasons for the adverse underwriting decision.
(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)Notwithstanding paragraph (2):
(A)A licensee shall not be required to furnish specific privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or a material nondisclosure, and the information withheld relates to the suspected criminal activity, fraud, material misrepresentation, or a material nondisclosure.
(B)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates, or to a health care provider designated by the individual consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
(5)A summary of the rights established pursuant to this section and Sections 792.180 and 792.185.
(b)A licensee shall not base an adverse underwriting decision on any of the following:
(1)Solely the loss history of the previous owner of the property to be insured.
(2)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
(3)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(4)Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
(5)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
792.195.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
792.200.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, policy renewal, policy reinstatement, or change in insurance benefits unless the licensee or third-party service provider informs the consumer in writing before the report preparation that the consumer:
(1)May request to be interviewed in connection with the preparation of the investigative consumer report and the licensee or third-party service provider shall conduct the interview.
(2)Is entitled to receive a written copy of the investigative consumer report.
(b)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(c)If a licensee requests that a third-party service provider prepare an investigative consumer report, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
792.210.(a)To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of this article, the commissioner may examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state.
(b)(1)If the commissioner has reason to believe that a licensee or third-party service provider has been or is engaged in conduct that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(2)At the time and place fixed for the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(3)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
(4)Statements of charges, notice, orders, and other processes of the commissioner pursuant to this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights pursuant to this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
(5)A third-party service provider transacting business outside this state that has an effect on a person residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, if the commissioner causes a copy of the service to be mailed immediately by registered or certified mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof of proper mailing by the commissioner.
(c)(1)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(2)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee or third-party service provider charged and upon the person or persons, if any, whose rights pursuant to this article were allegedly violated.
(3)Until the expiration of the time allowed pursuant to this article for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside an order or report issued under this section. If a petition has not been duly filed after the expiration of the time allowed for filing a petition for review, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, an order or report issued under this section if conditions of fact or law warrant that action or if the public interest requires.
(d)A person subject to an order of the commissioner pursuant to subdivision (c) or a person whose rights pursuant to this article were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction pursuant to Section 1094.5 of the Code of Civil Procedure within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.
(e)An order or report issued by the commissioner pursuant to subdivision (c) shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report pursuant to paragraph (3) of subdivision (c).
(2)A final decision of the court, if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(f)An order or report of the commissioner pursuant to this article or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
(g)(1)If a hearing pursuant to subdivision (b) results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to subdivision (c), order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)A person who violates a cease and desist order of the commissioner issued pursuant to subdivision (c) may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(A)A fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000) for each violation.
(B)A fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(C)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
792.215.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
792.220.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
792.225.(a)If a licensee or third-party service provider fails to comply with Section 792.125, 792.135, 792.140, 792.180, 792.185, 792.190, or 792.195, with respect to the rights granted pursuant to those sections, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider that discloses information in violation of Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135.
(b)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(c)Notwithstanding any other law, an action pursuant to this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(d)Other than remedies pursuant to this section, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation of this article.
792.230.(a)A cause of action for defamation, invasion of privacy, or negligence shall not arise against either of the following:
(1)A person for disclosing personal or privileged information in accordance with this article.
(2)A person for furnishing personal or privileged information to a licensee or third-party service provider.
(b)This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
792.235.A person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor punishable by imprisonment in a county jail for up to six months, a fine of up to fifty thousand dollars ($50,000), or both.
792.240.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
792.245.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
792.250.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
792.255.A licensee has five years from the operative date of this article to implement Section 792.130, except that a licensee shall comply with subdivision (c) of Section 792.130 on the operative date of this article.
SEC. 3.The Legislature finds and declares that Section 2 of this act, which adds Sections 792.115, 792.130, 792.190, and 792.215 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 4.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.65 (commencing with Section 792) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.65.Insurance Consumer Privacy Protection Act of 2025792.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
792.100.(a)On and after the operative date of this article, the obligations imposed by this article shall apply to a licensee and the licensees third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Subchapter I (commencing with Section 6801) of Chapter 94 of Title 15 of the United States Code), unless the affiliates are licensees for purposes of this article.
792.105.The protections of this article shall extend to a consumer who meets any of the following criteria:
(a)Whose personal information is processed in connection with an insurance transaction.
(b)Who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(c)Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
792.110.For purposes of this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:
(1)A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage.
(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(5)Any of the following for property or casualty insurance coverage:
(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
(B)Placement by an insurer or producer of a risk with an insurer not approved to conduct business in this state.
(C)Charging a higher rate based on information that differs from the information that the consumer furnished.
(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:
(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means a person who seeks to contract for insurance coverage, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, vein pattern, and voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 792.175.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (15 U.S.C. Sec. 1681a(f)).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(p)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(q)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(r)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(s)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(t)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(u)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(v)Health information means a consumers information or data, except age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(w)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to licensees or other insurance support organizations for use in connection with the business of insurance.
(B)The processing of personal information from licensees or other insurance support organizations to detect or prevent insurance fraud and insurance crime, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(x)(1)Insurance transaction means a transaction or service by or on behalf of a licensee and its affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.
(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(y)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a nonprofit hospital, medical, or health care service organization, health maintenance organization, reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(z)Investigative consumer report means a consumer report or portion of a consumer report in which information about an individuals character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the individuals neighbors, friends, associates, acquaintances, or others who may have knowledge concerning that information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(aa)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:
(A)An insurer.
(B)A producer.
(C)A surplus line insurer.
(D)A director, officer, employee, or agent of a licensee.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.
(ab)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ac)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ad)Person means an individual, corporation, association, partnership, or other legal entity. Person does not include a governmental entity.
(ae)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(af)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(ag)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or a civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information that otherwise meets the requirements of this article shall nevertheless be considered personal information if it is disclosed in violation of this article.
(ah)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ai)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(aj)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(ak)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(al)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(am)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Chapter 1 (commencing with Section 11550) of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(an)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(ao)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ap)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about the consumers sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(aq)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(ar)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(as)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(at)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than failing to pay a premium as required by the policy.
(au)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 792.115. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.
(av)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(aw)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(ax)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
792.115.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
792.120.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 792.115, a reinsurer, third-party service provider, or surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
(f)An affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
792.125.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)Additional purposes specified by the commissioner in regulation.
(b)A licensee may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 792.135.
(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
792.130.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:
(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.
(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Other purposes that the commissioner specifies in regulation.
(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:
(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).
(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.
(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).
(i)This section does not permit or require the deletion of a record that is required to be retained by law.
792.135.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:
(1)In connection with a reinsurance transaction.
(2)With an affiliate of the licensee.
(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee or third-party service provider shall provide a reasonable means for a consumer to provide consent, and maintain a written record of that consent.
(1)A licensee shall provide the consumer with a means to separately indicate the consumers consent with respect to use of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Marketing products and services from unrelated companies.
(D)Research activities that are unrelated to the consumers insurance transaction.
(E)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(F)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)When a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Be written in plain language.
(B)Be dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contain a termination date for the consent.
(C)Specify the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specify the types of personal information the consumer is authorizing to be shared.
(E)Specify the purposes for which the consumer is authorizing the processing of the consumers personal information.
(F)Name the licensee that the consumer is authorizing to share the consumers personal information.
(G)Advise the consumer that the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explain that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Include additional information or elements specified by the commissioner in regulation.
(f)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.
(g)A consumer who has consented to processing of personal information pursuant to this section may revoke that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.
(h)The consumers most recent consent shall take precedence over any prior consent.
(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
792.140.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
792.145.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
792.150.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
792.155.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
792.160.(a)A licensee shall provide a clear and conspicuous privacy notice to a consumer that describes the licensees privacy practices. The privacy notice shall be provided within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction. Notwithstanding this requirement, a privacy notice shall not be required in any of the following circumstances:
(1)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(2)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(3)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(4)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(b)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(c)(1)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide any third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(2)Notwithstanding paragraph (1), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(d)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to subdivision (c). The updated privacy notice shall specify the date the privacy notice was revised.
(e)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
792.165.(a)A privacy notice required pursuant to Section 792.160 shall state in writing all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers has shared the consumers personal information within the last 12 months.
(8)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(9)A statement of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer, and the instructions for exercising those rights.
(10)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(11)A statement of the rights of nonretaliation established pursuant to Section 792.195.
(12)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(13)Additional items that the commissioner specifies in regulation.
(b)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (a), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.170.(a)In addition to the privacy notice required pursuant to Section 792.160, a licensee shall provide to each consumer with whom the licensee has an ongoing business relationship a privacy rights notice describing the consumers rights pursuant to this article.
(b)The privacy rights notice required pursuant to this section shall do all of the following:
(1)Be clear and conspicuous and inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about the consumer.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Not to have the consumers personal information used for marketing or research purposes, unless the consumer has provided consent.
(E)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes specified in the consent executed by the consumer.
(F)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(G)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(H)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(I)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(2)Provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(3)Be provided to the consumer at least every 12 months.
(4)Be provided in addition to other notices required pursuant to this article.
(c)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.175.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer will receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), and to use the licensees internet website or digital application to access insurance products and services, either of the following:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 792.160, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 792.160 and 792.170. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 792.160 and 792.170 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer will receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 792.160 and 792.170 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)USPS mail sent to that address by the licensee has been returned as undeliverable and subsequent attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and subsequent attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
792.180.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do all of the following:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(C)Disclose to the consumer the identity of those persons to whom the licensee or any third-party service provider has shared an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(c)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider as designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(e)The rights granted to a consumer pursuant to this section:
(1)Shall extend to an individual to the extent that personal or publicly available information about the individual is processed by a licensee or its third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or a civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(f)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(g)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal laws.
792.185.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do the following, as appropriate:
(A)Correct, amend, or delete the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(B)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the correction, amendment, or deletion.
(ii)The basis for the refusal to correct, amend, or delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(C)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the deletion.
(ii)The basis for the refusal to delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(D)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee corrects, amends, or deletes personal or publicly available information in accordance with this section, the licensee shall notify the consumer in writing and furnish the correction, amendment, or deletion to all of the following:
(A)A person specifically designated by the consumer who may have received the personal or publicly available information within the preceding two years.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion does not need to be furnished if the insurance support organization no longer maintains personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with the refusal of a licensee to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)The reasons why the consumer disagrees with the refusal of the licensee to correct, amend, or delete the personal or publicly available information.
(e)If a consumer files a statement described in subdivision (d), the licensee shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)Clearly identify, in a later disclosure of the personal or publicly available information that is the subject of disagreement, the matter or matters in dispute and include the consumers statement with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about the consumer that is processed in connection with or in reasonable anticipation of a claim or a civil or criminal proceeding involving the consumer.
(g)A licensee shall provide reasonable means for a consumer to exercise the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(h)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
792.190.(a)In the event of an adverse underwriting decision, the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:
(1)The specific reason or reasons for the adverse underwriting decision.
(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)Notwithstanding paragraph (2):
(A)A licensee shall not be required to furnish specific privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or a material nondisclosure, and the information withheld relates to the suspected criminal activity, fraud, material misrepresentation, or a material nondisclosure.
(B)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates, or to a health care provider designated by the individual consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
(5)A summary of the rights established pursuant to this section and Sections 792.180 and 792.185.
(b)A licensee shall not base an adverse underwriting decision on any of the following:
(1)Solely the loss history of the previous owner of the property to be insured.
(2)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
(3)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(4)Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
(5)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
792.195.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
792.200.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, policy renewal, policy reinstatement, or change in insurance benefits unless the licensee or third-party service provider informs the consumer in writing before the report preparation that the consumer:
(1)May request to be interviewed in connection with the preparation of the investigative consumer report and the licensee or third-party service provider shall conduct the interview.
(2)Is entitled to receive a written copy of the investigative consumer report.
(b)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(c)If a licensee requests that a third-party service provider prepare an investigative consumer report, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
792.210.(a)To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of this article, the commissioner may examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state.
(b)(1)If the commissioner has reason to believe that a licensee or third-party service provider has been or is engaged in conduct that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(2)At the time and place fixed for the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(3)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
(4)Statements of charges, notice, orders, and other processes of the commissioner pursuant to this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights pursuant to this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
(5)A third-party service provider transacting business outside this state that has an effect on a person residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, if the commissioner causes a copy of the service to be mailed immediately by registered or certified mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof of proper mailing by the commissioner.
(c)(1)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(2)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee or third-party service provider charged and upon the person or persons, if any, whose rights pursuant to this article were allegedly violated.
(3)Until the expiration of the time allowed pursuant to this article for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside an order or report issued under this section. If a petition has not been duly filed after the expiration of the time allowed for filing a petition for review, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, an order or report issued under this section if conditions of fact or law warrant that action or if the public interest requires.
(d)A person subject to an order of the commissioner pursuant to subdivision (c) or a person whose rights pursuant to this article were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction pursuant to Section 1094.5 of the Code of Civil Procedure within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.
(e)An order or report issued by the commissioner pursuant to subdivision (c) shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report pursuant to paragraph (3) of subdivision (c).
(2)A final decision of the court, if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(f)An order or report of the commissioner pursuant to this article or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
(g)(1)If a hearing pursuant to subdivision (b) results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to subdivision (c), order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)A person who violates a cease and desist order of the commissioner issued pursuant to subdivision (c) may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(A)A fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000) for each violation.
(B)A fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(C)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
792.215.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
792.220.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
792.225.(a)If a licensee or third-party service provider fails to comply with Section 792.125, 792.135, 792.140, 792.180, 792.185, 792.190, or 792.195, with respect to the rights granted pursuant to those sections, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider that discloses information in violation of Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135.
(b)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(c)Notwithstanding any other law, an action pursuant to this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(d)Other than remedies pursuant to this section, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation of this article.
792.230.(a)A cause of action for defamation, invasion of privacy, or negligence shall not arise against either of the following:
(1)A person for disclosing personal or privileged information in accordance with this article.
(2)A person for furnishing personal or privileged information to a licensee or third-party service provider.
(b)This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
792.235.A person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to fifty thousand dollars ($50,000), imprisoned for not more than one year in a county jail, or both. punishable by imprisonment in a county jail for up to six months, a fine of up to fifty thousand dollars ($50,000), or both.
792.240.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
792.245.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
792.250.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
792.255.A licensee has five years from the operative date of this article to implement Section 792.130, except that a licensee shall comply with subdivision (c) of Section 792.130 on the operative date of this article.
SEC. 3.The Legislature finds and declares that Section 2 of this act, which adds Sections 792.115, 792.130, 792.190, and 792.215 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 4.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.65 (commencing with Section 792) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.65.Insurance Consumer Privacy Protection Act of 2025792.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
792.100.(a)On and after the operative date of this article, the obligations imposed by this article shall apply to a licensee and their the licensees third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Subchapter I (commencing with Section 6801) of Chapter 94 of Title 15 of the United States Code), unless the affiliates are licensees for purposes of this article.
792.105.The protections of this article shall extend to a consumer who meets any of the following criteria:
(a)Whose personal information is processed in connection with an insurance transaction.
(b)Who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(c)Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
792.110.For purposes of this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:
(1)A denial, in whole or in part, of insurance coverage requested by a consumer. consumer, including a reduction in coverage limits or scope of coverage.
(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(5)Any of the following for property or casualty insurance coverage:
(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
(B)Placement by an insurer or producer of a risk with an insurer not approved to conduct business in this state.
(C)Charging a higher rate based on information that differs from the information that the consumer furnished.
(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:
(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means a person who seeks to contract for insurance coverage, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, vein pattern, and voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.(j)Consent means a freely given, specific, informed, and unambiguous indication of the consumers wishes by which the consumer, or the consumers legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 792.175.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (Section 1681a(d) of Title 15 of the United States Code). (15 U.S.C. Sec. 1681a(d)).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (Section 1681a(f) of Title 15 of the United States Code). (15 U.S.C. Sec. 1681a(f)).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(p)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(q)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(r)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 that financial activity pursuant to Section 4(k) of the federal Bank Holding Company Act of 1956 (Section 1843(k) of Title 12 of the United States Code). (12 U.S.C. Sec. 1843(k)). Financial service includes a financial institutions 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.
(s)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(t)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(u)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(v)Health information means a consumers information or data, except their age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(w)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to licensees or other insurance support organizations for use in connection with the business of insurance.
(B)The processing of personal information from licensees or other insurance support organizations to detect or prevent insurance fraud and insurance crime, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(x)(1)Insurance transaction means a transaction or service by or on behalf of a licensee and its affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.
(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(y)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a nonprofit hospital, medical, or health care service organization, health maintenance organization, reciprocal exchange, interinsurer, Lloyds insurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(z)Investigative consumer report means a consumer report or portion of a consumer report in which information about an individuals character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the individuals neighbors, friends, associates, acquaintances, or others who may have knowledge concerning that information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(aa)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:
(A)An insurer.
(B)A producer.
(C)A nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).(C)A surplus line insurer.
(D)A director, officer, employee, or agent of a licensee.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.
(ab)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ac)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ad)Person means an individual, corporation, association, partnership, or other legal entity. Person does not include a governmental entity.
(ae)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (Section 1232g of Title 20 of the United States Code) (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(af)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(ag)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or a civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information that otherwise meets the requirements of this article shall nevertheless be considered personal information if it is disclosed in violation of this article.
(ah)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ai)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(aj)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(ak)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(al)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(am)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Chapter 1 (commencing with Section 11550) of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(an)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(ao)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ap)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about their the consumers sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(aq)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes in their to a privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(ar)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(as)Surplus line insurer means a nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(as)(at)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than failing to pay a premium as required by the policy.
(at)(au)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 792.115. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.
(au)(av)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(av)(aw)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(aw)(ax)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
792.115.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the license licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
792.120.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or domestic surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or domestic surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and domestic surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or domestic surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 792.115, a reinsurer, third-party service provider, or domestic surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
(f)An affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
792.125.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)Additional purposes specified by the commissioner in regulation.
(b)A licensee may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 792.135.
(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
792.130.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:
(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.
(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Other purposes that the commissioner specifies in regulation.
(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:
(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).
(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.
(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).
(i)This section does not permit or require the deletion of a record that is required to be retained by law.
792.135.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(1)To comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.
(2)For purposes of this article, consent is not established by any of the following means:
(A)Acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information.
(B)Hovering over, muting, pausing, or closing a given piece of content.
(C)Agreement obtained through use of dark patterns.
(c)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:
(1)In connection with a reinsurance transaction.
(2)With an affiliate of the licensee.
(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee or third-party service provider shall provide a reasonable means for a consumer to provide consent, and maintain a written record of that consent.
(1)A licensee shall provide the consumer with a means to separately indicate the consumers consent with respect to use of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Marketing products and services from unrelated companies.
(D)Research activities that are unrelated to the consumers insurance transaction.
(E)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(F)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee or third-party service provider may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)When a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Be written in plain language.
(B)Be dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contain a termination date for the consent.
(C)Specify the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specify the types of personal information the consumer is authorizing to be shared.
(E)Specify the purposes for which the consumer is authorizing the processing of the consumers personal information.
(F)Name the licensee that the consumer is authorizing to share the consumers personal information.
(G)Advise the consumer that they are the consumer is entitled to receive a copy of the form containing the consumers consent.
(H)Explain that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Include additional information or elements specified by the commissioner in regulation.
(f)A licensees or third-party service providers processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.
(g)A consumer who has consented to processing of personal information pursuant to this section may revoke their that consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee or third-party service provider shall maintain a written record of the revocation.
(h)The consumers most recent consent shall take precedence over any prior consent.
(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
792.140.(a)A licensee or third-party service provider shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee or third-party service provider provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee or third-party service provider shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee or third-party service provider shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article. A licensee or third-party service provider shall not use dark patterns or other means designed to influence a consumers choice to consent or otherwise hinder the consumer from freely choosing to provide or withhold consent to processing of the consumers personal information.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
792.145.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
792.150.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
792.155.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
792.160.(a)A licensee shall provide a clear and conspicuous privacy notice to a consumer that describes the licensees privacy practices. The privacy notice shall be provided within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction. Notwithstanding this requirement, a privacy notice shall not be required in any of the following circumstances:
(1)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(2)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(3)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(4)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(b)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(c)(1)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following. following:
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide any third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(2)Notwithstanding paragraph (1), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(d)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to subdivision (c). The updated privacy notice shall specify the date the privacy notice was revised.
(e)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
792.165.(a)A privacy notice required pursuant to Section 792.160 shall state in writing all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers has shared the consumers personal information within the last 12 months.
(8)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(9)A statement of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer, and the instructions for exercising those rights.
(10)A statement of the rights of the consumer to receive notice regarding an adverse underwriting decision, including the reasons for the adverse underwriting decision, the specific items of information underlying the adverse underwriting decision, and the sources of that information.
(10)(11)A statement of the rights of nonretaliation established pursuant to Section 792.195.
(11)(12)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(12)(13)Additional items that the commissioner specifies in regulation.
(b)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (a), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate their consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.170.(a)In addition to the privacy notice required pursuant to Section 792.160, a licensee shall provide to each consumer with whom the licensee has an ongoing business relationship a privacy rights notice describing the consumers rights pursuant to this article.
(b)The privacy rights notice required pursuant to this section shall do all of the following:
(1)Be clear and conspicuous and inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about themselves. the consumer.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Not to have the consumers personal information used for marketing or research purposes, unless the consumer has provided consent.
(E)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes of the consumers insurance transaction. specified in the consent executed by the consumer.
(F)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(G)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(H)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(I)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(2)Provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(3)Be provided to the consumer at least every 12 months.
(4)Be provided in addition to other notices required pursuant to this article.
(c)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.175.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer will receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), and to use the licensees internet website or digital application to access insurance products and services, either of the following:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 792.160, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 792.160 and 792.170. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 792.160 and 792.170 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer will receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Provides a notice that does not include all required elements of the notice content, or that requires the consumer to click a link, scan a code, or use any other secondary means to access any or all of the required notice content.
(4)(5)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 792.160 and 792.170 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)USPS mail sent to that address by the licensee has been returned as undeliverable and subsequent attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and subsequent attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
792.180.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do all of the following:
(A)Provide the consumer with a copy of any items of personal information relating to the consumer.
(B)If the consumer is not the source of an item of personal information provided to the consumer pursuant to this subdivision, identify the source of the item of personal information.
(A)(C)Disclose to the consumer the identity of those persons to whom the licensee or any third-party service provider has shared an item of the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(B)Provide the consumer with a copy of the information.(C)If the consumer is not the source, identify the source of the consumers personal information provided to the consumer pursuant to this subdivision.(c)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider as designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(e)The rights granted to a consumer pursuant to this section:
(1)Shall extend to an individual to the extent that personal or publicly available information about the individual is processed by a licensee or its third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or a civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(f)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(g)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal laws.
792.185.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do the following, as appropriate:
(A)Correct, amend, or delete the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(B)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the correction, amendment, or deletion.
(ii)The basis for the refusal to correct, amend, or delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(C)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the deletion.
(ii)The basis for the refusal to delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(D)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee corrects, amends, or deletes personal or publicly available information in accordance with this section, the licensee shall notify the consumer in writing and furnish the correction, amendment, or deletion to all of the following:
(A)A person specifically designated by the consumer who may have received the personal or publicly available information within the preceding two years.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion does not need to be furnished if the insurance support organization no longer maintains personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with the refusal of a licensee to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)The reasons why the consumer disagrees with the refusal of the licensee to correct, amend, or delete the personal or publicly available information.
(e)If a consumer files a statement described in subdivision (d), the licensee shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)Clearly identify, in a later disclosure of the personal or publicly available information that is the subject of disagreement, the matter or matters in dispute and include the consumers statement with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about the consumer that is processed in connection with or in reasonable anticipation of a claim or a civil or criminal proceeding involving the consumer.
(g)A licensee shall provide reasonable means for a consumer to exercise their the consumers rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(h)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
792.190.(a)In the event of an adverse underwriting decision, the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:
(1)The specific reason or reasons for the adverse underwriting decision.
(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)Notwithstanding paragraph (2):
(A)A licensee shall not be required to furnish specific privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or a material nondisclosure, and the information withheld relates to the suspected criminal activity, fraud, material misrepresentation, or a material nondisclosure.
(B)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates, or to a health care provider designated by the individual consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
(5)A summary of the rights established pursuant to this section and Sections 792.180 and 792.185.
(b)A licensee shall not base an adverse underwriting decision on any of the following:
(1)Solely the loss history of the previous owner of the property to be insured.
(2)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
(3)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(4)Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
(5)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
792.195.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise their the consumers rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the consumers rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
792.200.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, policy renewal, policy reinstatement, or change in insurance benefits unless the licensee or third-party service provider informs the consumer in writing before the report preparation that the consumer:
(1)May request to be interviewed in connection with the preparation of the investigative consumer report and the licensee or third-party service provider shall conduct the interview.
(2)Is entitled to receive a written copy of the investigative consumer report.
(b)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(c)If a licensee requests that a third-party service provider prepare an investigative consumer report, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
792.210.(a)To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of this article, the commissioner may examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state.
(b)(1)If the commissioner has reason to believe that a licensee or third-party service provider has been or is engaged in conduct that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(2)At the time and place fixed for the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(3)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
(4)Statements of charges, notice, orders, and other processes of the commissioner pursuant to this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights pursuant to this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
(5)A third-party service provider transacting business outside this state that has an effect on a person residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, if the commissioner causes a copy of the service to be mailed immediately by registered or certified mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof of proper mailing by the commissioner.
(c)(1)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(2)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee or third-party service provider charged and upon the person or persons, if any, whose rights pursuant to this article were allegedly violated.
(3)Until the expiration of the time allowed pursuant to this article for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside an order or report issued under this section. If a petition has not been duly filed after the expiration of the time allowed for filing a petition for review, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, an order or report issued under this section if conditions of fact or law warrant that action or if the public interest requires.
(d)A person subject to an order of the commissioner pursuant to subdivision (c) or a person whose rights pursuant to this article were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction pursuant to Section 1094.5 of the Code of Civil Procedure within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.
(e)An order or report issued by the commissioner pursuant to subdivision (c) shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report pursuant to paragraph (3) of subdivision (c).
(2)A final decision of the court, if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(f)An order or report of the commissioner pursuant to this article or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
(g)(1)If a hearing pursuant to subdivision (b) results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to subdivision (c), order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)A person who violates a cease and desist order of the commissioner issued pursuant to subdivision (c) may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(A)A fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000) for each violation.
(B)A fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(C)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
792.215.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
792.220.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
792.225.(a)If a licensee or third-party service provider fails to comply with Section 792.125, 792.135, 792.140, 792.180, 792.185, 792.190, or 792.195, with respect to the rights granted pursuant to those sections, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider that discloses information in violation of Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135.
(b)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(c)Notwithstanding any other law, an action pursuant to this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(d)Other than remedies pursuant to this section, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation of this article.
792.230.(a)A cause of action for defamation, invasion of privacy, or negligence shall not arise against either of the following:
(1)A person for disclosing personal or privileged information in accordance with this article.
(2)A person for furnishing personal or privileged information to a licensee or third-party service provider.
(b)This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
792.235.A person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to fifty thousand dollars ($50,000), imprisoned for not more than one year in a county jail, or both.
792.240.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
792.245.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
792.250.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
792.255.A licensee has five years from the operative date of this article to implement Section 792.130, except that a licensee shall comply with subdivision (c) of Section 792.130 on the operative date of this article.
SEC. 3.The Legislature finds and declares that Section 2 of this act, which adds Sections 792.115, 792.130, 792.190, and 792.215 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 4.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)The Legislature finds and declares all of the following:
(1)In 1972, California voters amended the California Constitution to include the right of privacy among the inalienable rights of all people. Voters acted in response to the accelerating encroachment on personal freedom and security caused by increased data collection and usage in contemporary society. The amendment established a legal and enforceable constitutional right of privacy for every Californian. Fundamental to this right of privacy is the ability of individuals to control the use, including the sale, of their personal information.
(2)A major milestone in consumer privacy occurred in 2018, when more than 629,000 California voters signed petitions to qualify the California Consumer Privacy Act of 2018 (CCPA) for the ballot. In response to the measures qualification, the Legislature enacted the CCPA into law. The CCPA gives California consumers the right to learn what information a business has collected about them, to delete their personal information, to stop businesses from selling their personal information, including using it to target them with advertisements that follow them as they browse the internet from one internet website to another, and to hold businesses accountable if they do not take reasonable steps to safeguard their personal information.
(3)Even before the CCPA took effect, the Legislature considered many bills in 2019 to amend the law, some of which would have significantly weakened it. In response, the proponents of the CCPA qualified for the ballot Proposition 24, the California Privacy Rights Act of 2020, which expanded upon the rights granted under the CCPA, and expressly extended the application of the act to licensees. In November 2020, voters approved Proposition 24 by a significant margin, with nearly 9,400,000 votes cast in support.
(4)Despite the mention of insurance business in Proposition 24, Californias insurance privacy laws, last adopted in 1980 and 2002, continue to be decades out of date and lag behind the broadly applicable privacy laws. These legacy laws are not suited to protect insurance consumers, given the data-intensive nature of the insurance business, and the increasingly complex manner in which insurance businesses collect and use information about consumers.
(5)Privacy is vitally important in the context of the insurance business. More than almost any other industry, insurers require significant amounts of personal information from consumers to properly manage risks. Increasingly, insurance licensees are using sophisticated technologies to collect and process consumers personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. However, Californias outdated insurance privacy laws have not kept pace with the changing insurance marketplace. There is a significant lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
(6)The absence of effective oversight leaves consumers vulnerable. Currently, consumers are presented with privacy notices that are confusing and uninformative, and may also be subject to the overcollection of their personal information, proliferation of that information to recipients not contemplated by the consumer, unwanted marketing contacts, fraud arising from data breaches, underwriting based on data that is stale or unrepresentative, or retaliation for exercising privacy rights, among other risks.
(b)It is the intent of the Legislature that this act addresses the gaps in consumer protections and gives the Insurance Commissioner and the Department of Insurance powerful tools to protect consumer privacy, as follows:
(1)Data minimization: ensures that licensees are only collecting personal information related to the insurance transaction requested by the consumer.
(2)Record retention and destruction: ensures that licensees securely destroy personal information that is no longer needed.
(3)Oversight of third-party service provider arrangements: ensures that contractual arrangements between licensees and vendors provide for the security of consumers personal information, and that the information will only be used for the service provided by the licensee.
(4)Opt in: ensures that consumers personal information will primarily be used to provide the insurance product requested by the consumer, and will not be used for other purposes without the express consent of the consumer.
(5)Limitation on sensitive personal information: ensures that consumers sensitive personal information will only be used to provide the insurance product requested by the consumer.
(6)Notices to consumers: includes reasonable notice requirements to provide consumers with meaningful information about what information is collected, how it is used, to whom it is disclosed, and what rights the consumer has under the law.
(7)Transparency: ensures that consumers have the opportunity to control the use of their personal information for purposes other than the insurance transaction.
(8)Governance processes and procedures on data use: ensures that licensees establish and follow protocols to protect consumers personal information and provide data breach notifications.
(9)Access and nonretaliation: ensures that consumers have reasonable access to their privacy rights and are not penalized for exercising those rights.
(c)By enacting this act, the Legislature intends to provide consumers with reasonable privacy protections that address the demands of an information-intensive insurance business climate.
(d)The Legislature finds and declares that this act furthers the purpose and intent of the California Privacy Rights Act of 2020.
SEC. 2.Article 6.65 (commencing with Section 792) is added to Chapter 1 of Part 2 of Division 1 of the Insurance Code, to read:6.65.Insurance Consumer Privacy Protection Act of 2025792.The purpose of this article is to establish standards for the collection, processing, retaining, or sharing, collectively known as processing, of consumers personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the business of insurance and consumers need for fairness and protection in the processing of consumers personal information. These standards address the need to do all of the following:
(a)Protect consumers personal information processed by licensees or their third-party service providers.
(b)Inform consumers of the categories of personal information that are processed.
(c)Inform consumers of the categories of sources from which consumers personal information is collected, and identify recipients when that information is shared.
(d)Permit consumers to choose whether or not to opt in to the sharing of their personal information by licensees for purposes other than insurance transactions in certain circumstances.
(e)Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
(f)Inform consumers of the reasons for adverse underwriting decisions.
(g)Require data minimization practices for all licensees and their third-party service providers in the processing of consumers personal information.
(h)Provide accountability for the improper processing of consumers personal information by licensees and their third-party service providers in violation of this article.
792.100.(a)On and after the operative date of this article, the obligations imposed by this article shall apply to a licensee and their third-party service providers that do any of the following:
(1)Process consumers personal information in connection with the business of insurance.
(2)Engage in insurance transactions with consumers.
(3)Engage in activities not related to insurance transactions involving consumers personal information.
(b)The obligations imposed by this article shall not apply to depository institutions or affiliates of depository institutions that are subject to the Gramm-Leach-Bliley Act (Subchapter I (commencing with Section 6801) of Chapter 94 of Title 15 of the United States Code), unless the affiliates are licensees for purposes of this article.
792.105.The protections of this article shall extend to a consumer who meets any of the following criteria:
(a)Whose personal information is processed in connection with an insurance transaction.
(b)Who has previously engaged in insurance transactions with a licensee or third-party service provider involving the consumers personal information.
(c)Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
792.110.For purposes of this article:
(a)Address of record means either of the following:
(1)A consumers last known United States Postal Service (USPS) mailing address shown in the licensees records.
(2)A consumers last known email address as shown in the licensees records, if the consumer has consented to conducting business electronically pursuant to Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code.
(b)Adverse underwriting decision means any of the following actions by a licensee or producer in the business of insurance:
(1)A denial, in whole or in part, of insurance coverage requested by a consumer.
(2)A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
(3)A rescission of the insurance policy.
(4)Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
(5)Any of the following for property or casualty insurance coverage:
(A)Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
(B)Placement by an insurer or producer of a risk with an insurer not approved to conduct business in this state.
(C)Charging a higher rate based on information that differs from the information that the consumer furnished.
(6)For life, health, or disability insurance coverage, an offer to insure at higher than standard rates.
(c)Affiliate or affiliated means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with another person. For purposes of this definition, control means any of the following:
(1)Ownership of, or power to vote with an interest equaling 25 percent or more of the outstanding shares of a class of voting security of the company, directly or indirectly, or acting through one or more other persons.
(2)Control over the election of a majority of the directors, trustees, or general partners of the company, or individuals exercising similar functions of the company.
(3)The power to exercise, directly or indirectly, a controlling influence over the management or policies of the company, as the commissioner determines.
(d)Aggregated consumer information means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
(e)Applicant means a person who seeks to contract for insurance coverage, other than a person seeking group insurance that is not individually underwritten.
(f)Biometric information means an individuals physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumers identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, vein pattern, and voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
(g)Clear and conspicuous notice means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
(h)Collect or collecting means buying, renting, gathering, obtaining, receiving, or accessing a consumers personal information.
(i)Commissioner means the Insurance Commissioner.
(j)Consent means a method of capturing a consumers consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article.
(k)Consumer means an individual who is a resident of California whose personal information is processed, may be processed, or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. Consumer includes an individuals legal representative.
(1)A consumer is in an ongoing business relationship with a licensee if there is a continuing relationship between the consumer and the licensee based on one or more insurance transactions provided by the licensee. For title insurance, continuation of coverage under an existing policy does not constitute an ongoing business relationship unless or until there is a claim, renewal, or modification.
(2)A consumer is a resident of this state if the consumers last known mailing address, as shown in the records of the licensee, is in this state unless the last known address of record is deemed invalid pursuant to subdivision (h) of Section 792.175.
(l)Consumer report has the same meaning as defined in Section 603(d) of the federal Fair Credit Reporting Act (Section 1681a(d) of Title 15 of the United States Code).
(m)Consumer reporting agency has the same meaning as defined in Section 603(f) of the federal Fair Credit Reporting Act (Section 1681a(f) of Title 15 of the United States Code).
(n)Dark pattern means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
(o)Deidentified information means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee that uses deidentified information meets all the following criteria:
(1)Has implemented technical safeguards designed to prohibit reidentification of the consumer to whom the information may pertain.
(2)Has implemented reasonable business policies that specifically prohibit reidentification of the information.
(3)Has implemented business processes designed to prevent inadvertent release of deidentified information.
(4)Makes no attempt to reidentify the information.
(5)Does not retain any sensitive personal information.
(6)Other requirements pertaining to deidentification that the commissioner specifies in regulation.
(p)Delete and deleted means to remove or destroy personal information by permanently erasing the personal information on existing systems so that it is not maintained in human or machine-readable form and cannot be retrieved or utilized in that form.
(q)Digital application means an application that a consumer accesses and manipulates using a specialized electronic device, computer, mobile device, tablet, or other device with a display screen, including any add-ons or additional content for that application.
(r)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 that financial activity pursuant to Section 4(k) of the Bank Holding Company Act of 1956 (Section 1843(k) of Title 12 of the United States Code). Financial service includes a financial institutions 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.
(s)(1)Subject to paragraphs (2) and (3), genetic information means information about any of the following:
(A)An individuals genetic tests.
(B)The genetic tests of family members of an individual.
(C)The manifestation of a disease or disorder in family members of an individual.
(D)A request for, or receipt of, genetic services, or participation in clinical research that includes genetic services, by an individual or a family member of the individual.
(2)Genetic information concerning an individual or family member of an individual includes the genetic information of both of the following:
(A)A fetus carried by the individual or family member who is pregnant.
(B)An embryo legally held by an individual or family member utilizing an assisted reproductive technology.
(3)Genetic information does not include information about the sex or age of any individual.
(t)Health care means both of the following:
(1)Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, services, procedures, tests, or counseling that does either of the following:
(A)Relates to the physical, mental, or behavioral condition of an individual.
(B)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.
(2)Prescribing, dispensing, or furnishing drugs or biologicals, medical devices, or health care equipment and supplies to an individual.
(u)Health care provider means a health care provider, as defined by Section 160.103 of Title 45 of the Code of Federal Regulations, who meets the licensing, certification, or other accreditation required by state law to provide health care.
(v)Health information means a consumers information or data, except their age or gender, created by or derived from a health care provider or the consumer that relates to any of the following:
(1)The past, present, or future physical, mental, or behavioral health or condition of an individual.
(2)The genetic information of an individual.
(3)The provision of health care to an individual.
(4)Payment for the provision of health care to an individual.
(w)(1)Insurance support organization means a person who regularly engages in the processing of a consumers information for the primary purpose of providing insurers or producers with information in connection with the business of insurance, including any of the following actions:
(A)The furnishing of consumer reports or investigative consumer reports to licensees or other insurance support organizations for use in connection with the business of insurance.
(B)The processing of personal information from licensees or other insurance support organizations to detect or prevent insurance fraud and insurance crime, material misrepresentation, or material nondisclosure in connection with the business of insurance.
(C)The processing of personal information in connection with an insurance transaction that may have an application in transactions or activities other than insurance transactions.
(2)Insurance support organization does not include producers, government institutions, insurers, health care providers, reinsurers, and third-party service providers. However, insurance support organizations shall otherwise be subject to the requirements pertaining to third-party service providers pursuant to this article.
(x)(1)Insurance transaction means a transaction or service by or on behalf of a licensee and its affiliates related to any of the following:
(A)The underwriting or the determination of a consumers eligibility for or the amount of insurance coverage, rate, benefit, payment, or claim settlement.
(B)Licensees or third-party service providers performing services, including maintaining or servicing accounts, providing customer service, processing requests or transactions, verifying customer information, processing payments, providing financing, providing analytic services, providing storage, or any similar services.
(C)Provision of value-added services or benefits in connection with the business of insurance.
(D)Processing of personal information using algorithmic or automated decisionmaking means.
(E)An actuarial study related to rating, risk management, or exempt research activities conducted by or for the benefit of the licensee using consumers personal information.
(F)The short-term, transient use of a consumers personal information in connection with the consumers current interaction with the licensee, including nonpersonalized advertising shown as part of a consumers current interaction with the licensee, if the consumers personal information is not otherwise shared or sold and is not used to build a profile about the consumer or otherwise alter the consumers experience outside the current interaction with the licensee.
(G)Detection or prevention of insurance fraud, crime related to insurance claims, material misrepresentation, or material nondisclosure.
(H)Providing personal information to statistical agents, reinsurers, or insurance support organizations, provided that the personal information is only used for the purposes for which it is shared.
(2)Insurance transaction does not include processing related to marketing or research.
(y)(1)Insurer means any of the following:
(A)A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a nonprofit hospital, medical, or health care service organization, health maintenance organization, reciprocal exchange, interinsurer, Lloyds insurer, fraternal benefit society, or multiple-employer welfare arrangement.
(B)A self-funded plan subject to regulation by the commissioner.
(C)A preferred provider organization administrator.
(2)Insurer does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
(z)Investigative consumer report means a consumer report or portion of a consumer report in which information about an individuals character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the individuals neighbors, friends, associates, acquaintances, or others who may have knowledge concerning that information. However, that information does not include specific factual information on a consumers credit record obtained directly from a creditor of the consumer or from a consumer reporting agency when the information was obtained directly from a creditor of the consumer or from the consumer.
(aa)(1)Licensee means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to this code, including all of the following:
(A)An insurer.
(B)A producer.
(C)A nonadmitted insurer that accepts business placed through a licensed surplus line broker pursuant to Chapter 6 (commencing with Section 1760).
(D)A director, officer, employee, or agent of a licensee.
(2)Licensee does not include a purchasing group or a risk retention group chartered and licensed in a state other than this state or a licensee that is acting as an assuming insurer that is domiciled in another state or jurisdiction.
(ab)Neural data means information that is generated by measuring the activity of a consumers central or peripheral nervous system, and that is not inferred from nonneural information.
(ac)Nonadmitted insurer means an insurer that has not been granted a certificate of authority or is not otherwise authorized by the commissioner to transact the business of insurance in this state.
(ad)Person means an individual, corporation, association, partnership, or other legal entity.
(ae)Personal information means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
(1)Personal information includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
(A)Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, drivers license number, passport number, or other similar identifiers.
(B)Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
(C)Characteristics of protected classifications pursuant to state or federal law.
(D)Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
(E)Biometric information.
(F)Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumers interaction with an internet website application or advertisement.
(G)Geolocation data.
(H)Auditory, electronic, visual, thermal, olfactory, or other sensory information.
(I)Professional or employment-related information.
(J)Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (Section 1232g of Title 20 of the United States Code) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
(K)Inferences drawn from any of the information identified in this paragraph to create a profile about a consumer reflecting the consumers preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
(L)Sensitive personal information.
(2)Personal information does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
(A)For purposes of this paragraph, publicly available means any of the following:
(i)Information that is lawfully made available from federal, state, or local government records.
(ii)Information that a licensee, reinsurer, or third-party service provider has a reasonable basis to believe is lawfully made available to the general public by the consumer or from widely distributed media.
(iii)Information made available by a person to whom the consumer has disclosed the information if the consumer has not restricted the information to a specific audience.
(B)Publicly available does not mean biometric information collected about a consumer without the consumers knowledge.
(3)Personal information can exist in various formats, including all of the following:
(A)Physical formats, including paper documents, printed images, vinyl records, or video tapes.
(B)Digital formats, including text, image, audio, or video files.
(C)Abstract digital formats, including compressed or encrypted files, metadata, or artificial intelligence systems that are capable of outputting personal information.
(4)Personal information does not include aggregated consumer information, deidentified information, or publicly available information.
(af)Precise geolocation means data that is used or intended to be used to locate a consumer within a geographic area that is equal to or less than the area of a circle with a radius of 1,850 feet, including trip or routing information that might be used to predict the travel habits of a consumer, except as prescribed by regulations.
(ag)Privileged information means personal information that is collected in connection with or in reasonable anticipation of a claim for insurance benefits or a civil or criminal proceeding involving a consumer, until the claim or proceeding is finalized. However, information that otherwise meets the requirements of this article shall nevertheless be considered personal information if it is disclosed in violation of this article.
(ah)To process, processing, or a process means an operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
(ai)Producer means a person licensed pursuant to Chapter 5 (commencing with Section 1621), Chapter 5A (commencing with Section 1759), Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831).
(aj)Publicly available means information about a consumer that a licensee has a reasonable basis to believe is lawfully made available from any of the following:
(1)Federal, state, or local government records.
(2)Widely distributed media.
(3)Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
(ak)Reinsurer means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a retrocessionaire that accepts all or part of one or more reinsurance policies issued by a reinsurer.
(al)Research activities means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties. Research activities does not mean any of the following if part of an insurance transaction:
(1)Relating to rating or risk management.
(2)For actuarial studies.
(3)Disclosure to an insurance support organization.
(4)Subject to a research university internal review board or privacy board approval that requires use of a process that follows confidentiality best practices and if a contract agreeing to that protection has been executed.
(am)Residual market mechanism means the California FAIR Plan Association established pursuant to Chapter 9 (commencing with Section 10090) of Part 1 of Division 2, the assigned risk plan established pursuant to Chapter 1 (commencing with Section 11550) of Part 3 of Division 2, and the State Compensation Insurance Fund established pursuant to Chapter 4 (commencing with Section 11770) of Part 3 of Division 2.
(an)Retain, retention, or retaining means storing or archiving personal information that is in the continuous possession, use, or control of licensee or a licensees third-party service provider.
(ao)Sale, sell, or selling means the exchange of personal information to a third party for monetary or other valuable consideration. Sale of personal information does not include any of the following sharing of personal information:
(1)Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
(2)Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer.
(3)Providing information to an affiliate.
(4)Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensees assets.
(5)Disclosure pursuant to a consumers direction to the licensee to disclose personal information to, or interact with, one or more licensees or other financial institutions.
(ap)Sensitive personal information means personal information, including all of the following, of a consumer:
(1)Social security, drivers license, state identification card, or passport number.
(2)Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
(3)Precise geolocation.
(4)Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
(5)Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
(6)Genetic or neural data.
(7)Information about their sex life or sexual orientation.
(8)Health information.
(9)Biometric information.
(10)Additional items specified by the commissioner in regulation.
(aq)(1)Share, shared, or sharing means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumers personal information by a licensee or third-party service provider to a third party, whether or not for monetary or other valuable consideration, including transactions between a licensee or third-party service provider and a third party for the benefit of any person, in which no money is exchanged.
(2)A licensee or third-party service provider does not share personal information when any of the following occurs:
(A)A consumer uses or directs the licensee or third-party service provider to intentionally disclose personal information or intentionally interact with one or more third parties.
(B)The licensee or third-party service provider uses or shares an identifier for a consumer who has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information for the purposes of alerting persons that the consumer has opted out of the sharing of the consumers personal information or limited the use of the consumers sensitive personal information.
(C)The licensee or third-party service provider transfers to a third party the personal information of a consumer as an asset that is part of a merger, acquisition, bankruptcy, or other transaction in which the third party assumes control of all or part of the business, if that information is used or shared consistently with this article. If a third party materially alters how it uses or shares the personal information of a consumer in a manner that is materially inconsistent with the promises made at the time of collection, it shall provide prior notice of the new or changed practice to the consumer. The notice shall be sufficiently prominent and robust to ensure that existing consumers can easily exercise their consent consistently with this article. This subparagraph does not authorize a person to make material, retroactive privacy policy changes or make other changes in their privacy policy in a manner that would violate the Unfair Practices Act (Chapter 4 (commencing with Section 17000) of Part 2 of Division 7 of the Business and Professions Code).
(ar)Statistical agent means an entity that has been designated by the commissioner to collect statistics from licensees and provide reports developed from those statistics to the commissioner for the purpose of fulfilling the statistical reporting obligations of those licensees.
(as)Termination of insurance coverage or termination of an insurance policy means either a cancellation or nonrenewal of an insurance policy, in whole or in part, for any reason other than failing to pay a premium as required by the policy.
(at)Third-party service provider means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee. Third-party service provider includes insurance support organizations and a person with whom a licensee does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 792.115. Third-party service provider does not include governmental entities, licensees, affiliates of licensees, or reinsurers.
(au)Value-added service or benefit means a product or service that meets both of the following criteria:
(1)Relates to insurance coverage applied for or purchased by a consumer.
(2)Is primarily designed to satisfy one or more of the following:
(A)Provide loss mitigation or loss control services or products designed to mitigate risks related to the insurance requested by or offered to a consumer.
(B)Reduce claim costs or claim settlement costs.
(C)Provide education about liability risks or risk of loss to persons or property.
(D)Monitor or assess risk, identify sources of risk, or develop strategies for eliminating or reducing risk.
(E)Enhance the health of the consumer, including care coordination.
(F)Enhance financial wellness of the consumer through education or financial planning services.
(G)Provide post-loss services.
(H)Incentivize behavioral changes to improve the health or reduce the risk of death or disability of a policyholder, potential policyholder, certificate holder, potential certificate holder, insured, potential insured, or applicant.
(I)Assist in the administration of employee or retiree benefit insurance coverage.
(av)Verifiable request means a request that the licensee can reasonably verify, using commercially reasonable methods, made by the consumer whose personal information is the subject of the request or by a person authorized by the consumer to act on the consumers behalf.
(aw)Written or in writing includes a writing, including electronic communications subject to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code).
792.115.(a)A licensee shall exercise due diligence in selecting and overseeing its third-party service providers. A licensee shall develop written procedures for the selection and oversight of third-party service providers and shall make them available to the commissioner upon request. A licensees procedures developed pursuant to this section shall be confidential and not subject to public disclosure requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(b)A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. The contract shall contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of both parties. The contract shall also include requirements that the third-party service provider shall do all of the following:
(1)Ensure that each person processing personal information is subject to a duty of confidentiality with respect to the personal information, and only uses the personal information for legitimate duties as assigned.
(2)Develop and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of personal information provided by the licensee.
(3)Promptly report to the licensee and the commissioner any incident affecting the confidentiality, integrity, or availability of personal information, including an event constituting a breach pursuant to subdivision (g) of Section 1798.82 the Civil Code.
(4)Unless retention of the personal information is otherwise required by law, delete the personal information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(5)Upon the reasonable request of the licensee, make available to the licensee all information in its possession necessary to demonstrate the third-party service providers compliance with this article.
(6)Provide reasonable assistance to the commissioner with respect to an investigation or proceeding pursuant to this code, or to the licensee with respect to a consumer request pursuant to this article.
(7)Engage a subcontractor pursuant to a written contract that requires the subcontractor to comply with the same obligations as the third-party service provider with respect to the personal information.
(8)Not further process or disclose the personal information obtained from or on behalf of the licensee other than as specifically stated in the contract.
(9)Promptly notify the licensee if the third-party service provider is no longer able to comply with its obligations under the contract, in which case the licensee has the right to terminate the contract.
(c)Notwithstanding subdivision (b), in connection with an insurance transaction, a licensee may share a consumers personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the license has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
(d)The section applies to a contract between a licensee and a third-party service provider that is executed, amended, or renewed after the effective date of this article. If a licensee has an in-force contract with a third-party service provider that collects, processes, retains, or shares any consumers personal information, and the contract has not been renewed after the effective date of this article, the licensee shall notify the third-party service provider of the requirements of this article.
(e)This article applies only to a third-party service provider that processes personal information on behalf of a licensee, or in the business of insurance.
792.120.(a)A licensee shall not process a consumers personal information unless both of the following are true:
(1)The collection, processing, retention, or sharing of the consumers personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
(2)The processing and retention of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
(b)A licensee shall not permit an employee to collect, process, retain, or share a consumers personal information, except as relevant and necessary as part of that employees assigned duties.
(c)A licensee shall not process a consumers sensitive personal information, other than in relation to an insurance transaction.
(d)A reinsurer, third-party service provider, or domestic surplus line insurer shall not process a consumers personal information unless all of the following are true, as applicable:
(1)The processing is in compliance with this article.
(2)The processing of the consumers personal information is consistent with and complies with the most recent privacy notice provided by the reinsurer, third-party service provider, or domestic surplus line insurer on its internet website.
(3)With respect to reinsurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the reinsurance transaction and not further processed in a manner that is incompatible with those purposes.
(4)With respect to third-party service providers and domestic surplus line insurers, the processing of the consumers personal information is reasonably necessary and proportionate to achieve the purposes related to the purposes for which the third-party service provider or domestic surplus line insurer collected the information and not further processed in a manner that is incompatible with those purposes.
(e)Other than pursuant to a contract with a licensee pursuant to Section 792.115, a reinsurer, third-party service provider, or domestic surplus line insurer shall not process a consumers personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
792.125.(a)Consistent with this article, a licensee may process a consumers personal information as necessary for all of the following purposes:
(1)In connection with an insurance transaction.
(2)For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(3)When otherwise specifically required by state law.
(4)For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in an insurance policy, to protect that interest, if both of the following are true:
(A)Health information is not shared, unless the sharing would otherwise be permitted by this section.
(B)The information shared is limited to that which is reasonably necessary to protect the requestors legal interests in the policy.
(5)To permit a party or a representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of the licensee to review the information necessary for the transaction, if both of the following are true:
(A)Before the consummation of the sale, transfer, merger, or consolidation information is only shared as is reasonably necessary to enable the recipient to make business decisions about the purchase, transfer, merger, or consolidation.
(B)The recipient agrees not to share the acquired personal information for purposes other than the sale, transfer, merger, or consolidation.
(6)To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
(7)To permit a governmental authority to determine the consumers eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(8)In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumers information in connection with specific marketing activity to which the consumer has consented.
(9)In connection with research activity, after receiving affirmative consent from the consumer to use the consumers information in connection with specific research activity to which the consumer has consented.
(10)Additional purposes specified by the commissioner in regulation.
(b)A licensee may process consumers deidentified information.
(c)Processing of a consumers personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer pursuant to Section 792.135.
(d)Notwithstanding any other law, a licensee or third-party service provider shall not sell a consumers personal information for any type of consideration.
(e)This section does not prohibit the sharing of a consumers personal information with a licensees affiliates to the extent preempted by Section 1681t(b)(1)(H) or Section 1681t(b)(2) of Title 15 of the United States Code.
792.130.(a)Once the licensee provides the initial privacy notice pursuant to this article, the licensee may retain a consumers personal information as necessary for any of the following:
(1)Performance of an insurance transaction with a consumer who is in an ongoing business relationship with the licensee.
(2)Compliance with a legal obligation related to an insurance transaction involving a consumers personal information to which the licensee is subject, including state, federal, or international statute of limitation periods applicable to the licensee in connection with a consumers personal information.
(3)Compliance with a request or directive from a law enforcement agency or state, federal, or international regulatory authority, a warrant, subpoena, discovery request, judicial order, or other administrative, criminal, or civil legal process, or another legal requirement that is binding upon a licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act (Article 2.5 (commencing with Section 123460) of Chapter 2 of Part 2 of Division 106 of the Health and Safety Code).
(4)Protection of a legal or beneficial interest in an insurance policy, with respect to a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee as having a legal or beneficial interest in the insurance policy.
(5)Exempt research activities related to an insurance transaction involving a consumers personal information, or for rating or risk management purposes for or on behalf of the licensee in connection with an insurance product or service.
(6)Identification of beneficiaries of unclaimed insurance policy benefits.
(7)Other purposes that the commissioner specifies in regulation.
(b)Not less than annually, a licensee shall review its records containing personal information to determine whether any of the purposes specified in subdivision (a) permit the continuing retention of any consumers personal information.
(c)A licensee shall develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request. A licensees policy and schedule developed pursuant to this subdivision shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code). Not less than annually, a licensee shall review and update its records retention policy and records retention schedule to ensure compliance with this article.
(d)(1)Once a licensee has determined that a consumers personal information, or a specific element of a consumers personal information, is no longer needed pursuant to subdivision (b), the licensee shall destroy or delete the consumers personal information within 90 days after making the determination.
(2)Subject to the approval of the commissioner, a licensee that retains a consumers personal information on a system or systems in which targeted disposal is not possible shall deidentify all personal information to the extent possible. If personal information cannot be deidentified or deleted, the licensee shall do both of the following:
(A)Develop a written plan, in a manner and form specified by the commissioner, that provides for transitioning from the system or systems within a reasonable timeframe and the projected date for the transition.
(B)Report to the commissioner regarding the plan developed pursuant to subparagraph (A), and report annually thereafter on the licensees progress on implementing its plan pursuant to subparagraph (A).
(3)A licensees plan developed pursuant to this section shall be confidential and not subject to requests made pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)The commissioner may grant to an individual licensee an exception to this section for good cause.
(f)Unless retention of the personal information is otherwise required by law, a third-party service provider in possession of a consumers personal information provided by a licensee shall delete that information as of the date specified in the contract between the licensee and third-party service provider, or upon the conclusion of the provision of services, unless the licensee specifies an earlier destruction date.
(g)If a consumer requests a copy of the consumers personal information that has been deleted or deidentified pursuant to this article, the licensee shall inform the consumer that the licensee and the licensees third-party service providers in possession of the consumers personal information no longer retain any of the consumers personal information or that the information has been deidentified.
(h)A licensee shall develop written policies and procedures for compliance with this section and be able to demonstrate compliance with those policies and procedures. These policies and procedures may be combined with the policies and procedures required by subdivisions (c) and (d).
(i)This section does not permit or require the deletion of a record that is required to be retained by law.
792.135.(a)The consumer has a right to expect that the consumers personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer.
(b)A licensee or third-party service provider shall not process a consumers personal information in a manner inconsistent with the consent provided by the consumer.
(c)A licensee or third-party service provider shall not process a consumers personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
(d)A licensee or third-party service provider shall not process a consumers personal information or share a consumers personal information with a person outside of the United States or its territories without the prior consent of the consumer. This requirement does not apply if the only processing or sharing is either of the following:
(1)In connection with a reinsurance transaction.
(2)With an affiliate of the licensee.
(e)Before processing a consumers personal information for a purpose unrelated to the insurance transaction or sharing a consumers personal information with a person outside of the United States or its territories, a licensee shall provide a reasonable means for a consumer to provide consent, and maintain a written record of that consent.
(1)A licensee shall provide the consumer with a means to separately indicate the consumers consent with respect to use of personal information for any of the following reasons:
(A)Marketing the licensees products and services.
(B)Marketing products and services from affiliates of the licensee.
(C)Marketing products and services from unrelated companies.
(D)Research activities that are unrelated to the consumers insurance transaction.
(E)Processing the consumers personal information for any other purpose unrelated to the insurance transaction.
(F)Sharing the consumers personal information with a person who will process it in a jurisdiction outside of the United States or its territories.
(2)If two or more consumers jointly obtain an insurance or financial product or service from a licensee, the licensee may provide a single consent notice. Each of the joint consumers may indicate their own consent.
(3)When a consumer has a choice to provide prior consent pursuant to this article, the form used to obtain the consumers consent shall meet all of the following requirements:
(A)Be written in plain language.
(B)Be dated and, if the authorization related to the collection of personal information of a consumer with whom the licensee has no ongoing relationship pursuant to a claim under the licensees policy, contain a termination date for the consent.
(C)Specify the persons with whom the consumers personal or privileged information will be shared consistent with the provisions of this article.
(D)Specify the types of personal information the consumer is authorizing to be shared.
(E)Specify the purposes for which the consumer is authorizing the processing of the consumers personal information.
(F)Name the licensee that the consumer is authorizing to share the consumers personal information.
(G)Advise the consumer that they are entitled to receive a copy of the form containing the consumers consent.
(H)Explain that, pursuant to this article, the consumer will be protected from retaliation, discrimination, or disparate treatment, based on the consumers decision to provide or withhold consent.
(I)Include additional information or elements specified by the commissioner in regulation.
(f)A licensees processing of personal information shall comply with the consumers consent as soon as reasonably practicable after the licensee is notified of the consumers consent.
(g)A consumer who has consented to processing of personal information pursuant to this section may revoke their consent. A consumer shall be able to revoke consent in any manner by which the consumer is able to indicate consent. A licensee shall maintain a written record of the revocation.
(h)The consumers most recent consent shall take precedence over any prior consent.
(i)A consumers consent pursuant to this article is effective until it is revoked by the consumer, but consent provided by a consumer with whom a licensee has no ongoing customer relationship shall only be valid for the duration specified on the consent document.
(j)If a consumer later establishes a new relationship with the licensee, any consent that applied to the former relationship shall not apply to the new relationship. A new relationship occurs when the consumer who previously ended all business relationships with the licensee reestablishes a business relationship more than 30 days after the previous business relationship ended.
792.140.(a)A licensee shall provide easily accessible means for consumers to exercise their rights pursuant to this article, including both of the following:
(1)A mailing address and toll-free telephone number through which consumers may submit a request.
(2)A portion of the licensees internet website or digital application that permits consumers to exercise their rights pursuant to this article, if the licensee maintains an internet website or digital application.
(b)The requirements of this section are met if the licensee provides means for exercising consumer rights that are easy to locate, access, and understand.
(c)A licensee shall not require a consumer to take unreasonable steps to exercise the consumers rights pursuant to this article, and shall not require a consumer to pay fees or incur costs to exercise those rights.
(d)A licensee shall not use dark patterns or other means designed to prevent a consumer from exercising the consumers rights pursuant to this article.
(e)The commissioner may specify additional requirements pertaining to access in regulation.
792.145.A licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee.
792.150.A licensee or third-party service provider shall promptly, and in a manner and form specified by the commissioner, provide notice to the commissioner of an incident constituting a breach, as defined in subdivision (g) of Section 1798.82 of the Civil Code. Notice to the commissioner shall comply with Section 1798.82 of the Civil Code.
792.155.A licensee that, pursuant to an insurance transaction with a consumer, takes title to a device containing personal information of the consumer, shall delete the consumers personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner. This section does not require the deletion of privileged information.
792.160.(a)A licensee shall provide a clear and conspicuous privacy notice to a consumer that describes the licensees privacy practices. The privacy notice shall be provided within a reasonable time after the licensee, directly or through a third-party service provider, first collects, processes, or shares the consumers personal or publicly available information, except that a privacy notice shall not unreasonably be delayed if establishing the consumer relationship is not at the consumers election or upon agreement of the consumer in order to expedite the insurance transaction. Notwithstanding this requirement, a privacy notice shall not be required in any of the following circumstances:
(1)If a reinsurer, in connection with the provision of reinsurance, a third-party service provider, or a surplus line insurer, has posted a privacy notice on its internet website.
(2)To individual plan participants of an employee benefit plan, if a privacy notice has been provided to the employer.
(3)To a beneficiary of a life insurance policy, if the licensee does not use the beneficiarys personal information for purposes unrelated to the policy for which the person is a beneficiary.
(4)By an employee, representative, or designee of a licensee, who is also a licensee, to the extent that the processing of personal information is consistent with the privacy practices of the employer, represented, or designator licensee and that licensee provides the privacy notice required pursuant to this section.
(b)A privacy notice meeting the requirements of this article shall be provided to a consumer with whom a licensee has an ongoing business relationship and whose personal or publicly available information has been processed before the effective date of this article upon renewal or reinstatement of the consumers policy, or upon the processing of the consumers information for any other purpose, if the consumer has not already been provided a privacy notice meeting the requirements of this article.
(c)(1)A licensee shall provide an updated privacy notice to each consumer with whom the licensee has an ongoing business relationship when the privacy practices of the licensee change, or the substantive content of the preceding privacy notice is no longer accurate. The licensee shall do both of the following.
(A)Conspicuously identify in its updated privacy notice any changes in its privacy practices.
(B)Provide any third-party claimant or beneficiary an updated privacy notice if there are changes in the licensees privacy practices during a claim involving the claimant or beneficiary.
(2)Notwithstanding paragraph (1), a title insurer or title producer is not required to provide subsequent privacy notices once the initial privacy notice has been provided to the consumer if the title insurer or title producer has its privacy notice posted on its internet website.
(d)Each version of a licensees privacy notice shall contain a revision date that shall remain on the privacy notice until the licensee revises the privacy notice pursuant to subdivision (c). The updated privacy notice shall specify the date the privacy notice was revised.
(e)If the licensees privacy practices change, the licensee remains bound by the terms of the most recent privacy notice it has given a consumer, until a revised privacy notice has been given.
792.165.(a)A privacy notice required pursuant to Section 792.160 shall state in writing all of the following:
(1)If personal information has been or may be collected from sources other than the consumer, and if that information is collected by the licensee or by third-party service providers.
(2)The categories of the consumers personal information that the licensee or its third-party service providers have or may process, including examples of the information in each category.
(3)The sources that have been used or may be used by the licensee to collect the consumers personal information.
(4)The purposes for which the licensee processes the consumers personal information.
(5)That the licensee and its third-party service providers have not and will not sell the consumers personal information as that term is defined in this article. However, the licensee and its third-party service providers may share the consumers personal information for purposes of the insurance transaction, or with the consent of the consumer.
(6)The categories of persons with whom the licensee or its third-party service providers have shared, or may share, the consumers personal information.
(7)That the consumer may, upon request, annually obtain a list of persons with whom the licensee or its third-party service providers has shared the consumers personal information within the last 12 months.
(8)That the consumers prior consent is required for the licensee or its third-party service providers to process the consumers personal information for any purposes unrelated to the insurance transaction.
(9)A statement of the rights of the consumer to access, correct, amend, or delete personal or publicly available information about the consumer, and the instructions for exercising those rights.
(10)A statement of the rights of nonretaliation established pursuant to Section 792.195.
(11)A statement of the consumers right to provide consent before the consumers personal information may be processed in a jurisdiction outside of the United States or its territories.
(12)Additional items that the commissioner specifies in regulation.
(b)If the licensee shares a consumers personal information for purposes unrelated to the insurance transaction, in addition to the information required by subdivision (a), all of the following information shall be included in the privacy notice:
(1)A statement that the consumer may, but is not required to, provide consent to the sharing of the consumers personal information for purposes unrelated to the insurance transaction.
(2)A description of the reasonable means by which consumers may indicate their consent for any one or more of those purposes.
(3)That once the consumer consents to the sharing, the consumer may revoke the consent at any time and that the licensee will no longer share the consumers personal information for those purposes.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.170.(a)In addition to the privacy notice required pursuant to Section 792.160, a licensee shall provide to each consumer with whom the licensee has an ongoing business relationship a privacy rights notice describing the consumers rights pursuant to this article.
(b)The privacy rights notice required pursuant to this section shall do all of the following:
(1)Be clear and conspicuous and inform the consumer of the consumers right to all of the following:
(A)Access the consumers own personal information.
(B)Request correction or amendment of inaccurate or incomplete personal information about themselves.
(C)Request deletion of personal information that is not needed for completion of the insurance transaction requested by the consumer.
(D)Not to have the consumers personal information used for marketing or research purposes, unless the consumer has provided consent.
(E)Be informed that the consumer may consent to the processing of the consumers personal information by licensees. If the consumer chooses to consent, any use of the consumers personal information by the licensee shall be limited to the purposes of the consumers insurance transaction.
(F)Not to have the consumers personal information collected by a licensee, unless the personal information is necessary for an insurance transaction requested by the consumer.
(G)Request additional information about the licensees privacy practices, including identification of all persons who have received the consumers personal information within the last three years.
(H)Be free from retaliation by the licensee and not incur unreasonable expenses in connection with the consumers exercise of rights pursuant to this article.
(I)Be informed of how to find notice of the licensees privacy practices on the licensees internet website.
(2)Provide the consumer with information about how to exercise the consumers rights required pursuant to this article, including contact information for submitting requests pursuant to this article.
(3)Be provided to the consumer at least every 12 months.
(4)Be provided in addition to other notices required pursuant to this article.
(c)The privacy rights notice required pursuant to this section may be combined with other policy documents or communications between the licensee and the consumer if the privacy rights notice content required pursuant to this section remains clear and conspicuous and is readily distinguishable from other information being provided to the consumer.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee or third-party service provider authorized to act on its behalf.
792.175.(a)A licensee shall provide the notices required pursuant to this article so that the licensee reasonably expects a consumer to receive actual notice in writing.
(b)A licensee may reasonably expect that a consumer will receive actual notice if the licensee does one of the following:
(1)Hand delivers a printed copy of the notice to the consumer.
(2)Mails a printed copy of the notice to the address of record of the consumer separately, or in a policy, billing, or other written communication.
(3)With respect to a consumer who has agreed to conduct business electronically pursuant to the Uniform Electronic Transactions Act (Title 2.5 (commencing with Section 1633.1) of Part 2 of Division 3 of the Civil Code), and to use the licensees internet website or digital application to access insurance products and services, either of the following:
(A)Emails the notice to the consumers email address of record.
(B)With respect to the privacy notice required pursuant to Section 792.160, emails an initial copy to the consumers email address of record, and posts on its internet website in a clear and conspicuous manner its current notices required pursuant to Sections 792.160 and 792.170. If the licensee conducts business through a digital application, the current notices required pursuant to Sections 792.160 and 792.170 shall be easily accessible through the digital application.
(c)A licensee shall not reasonably expect that a consumer will receive actual notice of its privacy practices if it does any of the following:
(1)Only posts a sign in its office or generally publishes advertisements of its privacy practices.
(2)Sends the notice electronically to a consumer who has not agreed to conduct business electronically with the licensee.
(3)Provides a notice solely by oral means, either in person, or over the telephone or other electronic device.
(4)Does not provide the notices required pursuant to this article so that the consumer is able to retain them or obtain them later in writing, either electronically or on paper.
(d)A licensee may provide a joint notice from the licensee and one or more of its affiliates if the notice accurately reflects the licensees and the affiliates privacy practices with respect to the consumer.
(e)If two or more consumers jointly obtain a product or service in connection with an insurance transaction from a licensee, the licensee may satisfy the initial and updated notice requirements of Sections 792.160 and 792.170 by providing one notice to those consumers jointly.
(f)In addition to providing individual notices to consumers, a licensee shall prominently post and make available the notices required pursuant to this article on its internet website home page if the licensee maintains an internet website. The licensee shall design its internet website home page so that all of the following are true:
(1)The notices are clearly and conspicuously available.
(2)The text or visual cues encourage scrolling down the page, if necessary, to view the entire notice and ensure that other elements on the internet website home page, such as text, graphics, hyperlinks, or sound, do not distract attention from the notice.
(3)The notice is either of the following:
(A)Placed on a portion of the internet website home page that consumers frequently access.
(B)Accessible using a clear and conspicuous link in an area 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.
(g)Notices and communications to consumers shall be easy to read, understandable to consumers, and avoid technical or legal jargon.
(1)Notices required pursuant to this article shall meet all of the following criteria:
(A)Use a format that makes the notices readable, including on smaller screens, if applicable.
(B)Be available in the languages in which the licensee in its ordinary course of business provides contracts, disclaimers, sale announcements, and other information to consumers.
(C)Be accessible to consumers with disabilities. For notices provided online, the licensee shall follow current generally recognized industry standards, such as the Web Content Accessibility Guidelines, version 2.1, from the World Wide Web Consortium, or the most recent version. Licensees shall take reasonable steps to ensure that consumers with disabilities may access the notices in an alternative format.
(2)For digital applications, licensees shall include their notices in a clear and conspicuous manner on the digital applications platform page or download page. The notices may also be accessible through a link within the application, such as through the applications settings menu.
(h)An address of record is invalid for purposes of this article if either of the following is true:
(1)USPS mail sent to that address by the licensee has been returned as undeliverable and subsequent attempts by the licensee to obtain a current valid address for the consumer have been unsuccessful.
(2)The consumers email address in the licensees records is returned as undeliverable and subsequent attempts by the licensee to obtain a current valid email address for the consumer have been unsuccessful.
792.180.(a)A consumer may submit a verifiable request to a licensee for access to the consumers personal and publicly available information in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do all of the following:
(A)Disclose to the consumer the identity of those persons to whom the licensee or any third-party service provider has shared the consumers personal information within the current year and, at a minimum, the three calendar years before the date the consumers request is received.
(B)Provide the consumer with a copy of the information.
(C)If the consumer is not the source, identify the source of the consumers personal information provided to the consumer pursuant to this subdivision.
(c)Health information in the possession of a licensee and requested pursuant to subdivision (a), together with the identity of the source of the information, shall be supplied either directly to the consumer or to a health care provider as designated by the consumer. If the consumer elects for the licensee to disclose the information to a health care provider designated by the consumer, the licensee shall notify the consumer, at the time of the disclosure, that it has provided the information to the designated health care provider.
(d)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(e)The rights granted to a consumer pursuant to this section:
(1)Shall extend to an individual to the extent that personal or publicly available information about the individual is processed by a licensee or its third-party service provider.
(2)Shall not extend to privileged information or personal information about the consumer that is processed in connection with, or is in reasonable anticipation of, a claim or a civil or criminal proceeding involving the consumer, until the claim or proceeding is finalized.
(f)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(g)For purposes of this section, third-party service provider does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal laws.
792.185.(a)A consumer may submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
(b)The licensee or third-party service provider shall do both of the following:
(1)Acknowledge the request submitted pursuant to subdivision (a) within five business days from the date the request is received.
(2)Within 30 business days from the date the request submitted pursuant to subdivision (a) is received, do the following, as appropriate:
(A)Correct, amend, or delete the personal or publicly available information in dispute unless the publicly available information was part of a government record that can only be corrected, amended, or deleted upon request by the consumer to the applicable governmental agency.
(B)Refuse to make the correction, amendment, or deletion if there is no specific factual basis for correcting, amending, or deleting the personal or publicly available information in question, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the correction, amendment, or deletion.
(ii)The basis for the refusal to correct, amend, or delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(C)Refuse to make the deletion if it is not permitted by law, and provide all of the following information to the consumer:
(i)Written notice of the refusal to make the deletion.
(ii)The basis for the refusal to delete the information.
(iii)The contact information for filing a complaint with the commissioner.
(iv)The consumers right to file a statement pursuant to subdivision (d).
(D)If the consumer obtains a correction, amendment, or deletion to a government record that was incorrect, make the correction in its systems within a reasonable time and provide the correction to any third-party service provider with whom the licensee shared the information.
(c)(1)A licensee shall not refuse to correct, amend, or delete a consumers personal information without good cause, which shall be demonstrated to the commissioner upon request.
(2)If the licensee corrects, amends, or deletes personal or publicly available information in accordance with this section, the licensee shall notify the consumer in writing and furnish the correction, amendment, or deletion to all of the following:
(A)A person specifically designated by the consumer who may have received the personal or publicly available information within the preceding two years.
(B)An insurance support organization whose primary source of personal information is insurers, if the insurance support organization has systematically received personal information from the insurer within the preceding five years. The correction, amendment, or deletion does not need to be furnished if the insurance support organization no longer maintains personal information about the consumer.
(C)A third-party service provider or insurance support organization that furnished the personal or publicly available information.
(d)If a consumer disagrees with the refusal of a licensee to correct, amend, or delete personal or publicly available information, the consumer may file with the licensee a statement setting forth both of the following:
(1)The relevant and factual information demonstrating the errors in the information held by the licensee or third-party service provider.
(2)The reasons why the consumer disagrees with the refusal of the licensee to correct, amend, or delete the personal or publicly available information.
(e)If a consumer files a statement described in subdivision (d), the licensee shall do both of the following:
(1)Include the statement with the disputed personal or publicly available information and provide a copy of the consumers statement to anyone reviewing the disputed personal or publicly available information.
(2)Clearly identify, in a later disclosure of the personal or publicly available information that is the subject of disagreement, the matter or matters in dispute and include the consumers statement with the personal or publicly available information being disclosed.
(f)The rights granted to a consumer by this section shall not extend to personal or publicly available information about the consumer that is processed in connection with or in reasonable anticipation of a claim or a civil or criminal proceeding involving the consumer.
(g)A licensee shall provide reasonable means for a consumer to exercise their rights pursuant to this section. A licensee does not provide reasonable means if they are unduly burdensome or require the consumer to incur expenses.
(h)For purposes of this section, insurance support organization does not include a consumer reporting agency, except to the extent that this section imposes more stringent requirements on a consumer reporting agency than other state or federal law.
792.190.(a)In the event of an adverse underwriting decision, the licensee responsible for the decision shall provide all of the following in writing to the consumer at the consumers address of record:
(1)The specific reason or reasons for the adverse underwriting decision.
(2)The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the adverse underwriting decision.
(3)A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision.
(4)Notwithstanding paragraph (2):
(A)A licensee shall not be required to furnish specific privileged information if it has a reasonable suspicion, based upon specific information available for review by the commissioner, that the consumer has engaged in criminal activity, fraud, material misrepresentation, or a material nondisclosure, and the information withheld relates to the suspected criminal activity, fraud, material misrepresentation, or a material nondisclosure.
(B)Health information supplied by a health care provider shall be disclosed either directly to the consumer about whom the information relates, or to a health care provider designated by the individual consumer and licensed to provide health care with respect to the condition to which the information relates. The identity of any health care provider shall be disclosed either directly to the consumer or to the health care provider designated by the consumer.
(5)A summary of the rights established pursuant to this section and Sections 792.180 and 792.185.
(b)A licensee shall not base an adverse underwriting decision on any of the following:
(1)Solely the loss history of the previous owner of the property to be insured.
(2)Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
(3)A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
(4)Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
(5)The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability pursuant to Section 488.5 and subdivision (b) of Section 557.5.
(c)The obligations imposed by this section upon a licensee may be satisfied by another licensee authorized to act on its behalf.
(d)The commissioner may assist a consumer with obtaining information about an adverse underwriting decision affecting the consumer. The commissioner may request information regarding systems, processes, policies, or procedures responsible for generating information resulting in the adverse underwriting decision. Any information received about systems, processes, policies, or procedures shall be received pursuant to Section 12919 and shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(e)For purposes of this article, the following actions are not adverse underwriting decisions, but the licensee responsible for taking the action shall provide the consumer with the specific reason or reasons for the action in writing:
(1)The termination of an individual policy form on a classwide or statewide basis, except termination of a title insurance policy form.
(2)A denial of insurance coverage solely because the coverage is not available on a classwide or statewide basis.
(3)If requested by a consumer, any other insurer-initiated increase in premium on an insurance product purchased by a consumer.
792.195.A licensee or a third-party service provider shall not retaliate against a consumer because the consumer exercised or attempted to exercise their rights pursuant to this article. A licensee or a third-party service provider retaliates against a consumer if the licensee or third-party service provider, as a result of a consumers privacy choices, does any of the following:
(a)Infringes upon a right, or impairs or impedes a benefit or protection, that is afforded to consumers under this article.
(b)Requires the consumer to consent to sharing of the consumers personal information for a purpose unrelated to an insurance transaction to obtain a particular product, coverage, rate, or service, if the consumer has an option to consent to sharing pursuant to this article.
(c)Imposes a fee or charge for a consumer to exercise the rights pursuant to this article.
(d)Charges a different rate or premium to the consumer, provides a different insurance product, refuses to write insurance coverage for the consumer, or denies a claim under an insurance product purchased by the consumer.
792.200.(a)A licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction involving an application for insurance, policy renewal, policy reinstatement, or change in insurance benefits unless the licensee or third-party service provider informs the consumer in writing before the report preparation that the consumer:
(1)May request to be interviewed in connection with the preparation of the investigative consumer report and the licensee or third-party service provider shall conduct the interview.
(2)Is entitled to receive a written copy of the investigative consumer report.
(b)If a licensee uses a third-party service provider to obtain an investigative consumer report, the written contract between the licensee and the third-party service provider shall require the third-party service provider to do both of the following:
(1)Comply with the requirements of this section.
(2)Not use personal information provided to the third-party service provider by the licensee or obtained by the third-party service provider in its investigation of the consumer other than to fulfill the purpose of the contract with the licensee.
(c)If a licensee requests that a third-party service provider prepare an investigative consumer report, the licensee shall notify the third-party service provider in writing if a personal interview has been requested by the consumer. The third-party service provider shall conduct the interview requested.
(d)A licensee that prepares or requests an investigative consumer report in connection with an insurance claim shall notify the consumer that the consumer may request to be interviewed in connection with the preparation of the investigative consumer report. Neither the licensee nor the third-party service provider is required to provide a copy of an investigative report prepared in connection with an insurance claim, and that contains privileged information, unless compelled to do so by a state or federal court.
792.210.(a)To determine if a licensee or third-party service provider has been or is engaged in any conduct in violation of this article, the commissioner may examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state.
(b)(1)If the commissioner has reason to believe that a licensee or third-party service provider has been or is engaged in conduct that violates this article, in this state or outside this state that has an effect on a consumer residing in this state, the commissioner shall issue and serve upon the licensee or third-party service provider a statement of charges and notice of hearing to be held at a time and place fixed in the notice. The date for the hearing shall be not less than 30 days after the date of service.
(2)At the time and place fixed for the hearing, the licensee or third-party service provider charged shall have an opportunity to answer the charges against it and present evidence on its behalf. Upon good cause shown, the commissioner shall permit any adversely affected person to intervene, appear, and be heard at the hearing by counsel or in person.
(3)At a hearing conducted pursuant to this section, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. A stenographic record of the hearing shall be made upon the request of a party or at the discretion of the commissioner. If a stenographic record is not made and if judicial review is sought, the commissioner shall prepare a statement of the evidence for use on review. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
(4)Statements of charges, notice, orders, and other processes of the commissioner pursuant to this article may be served by anyone duly authorized to act on behalf of the commissioner. Service of process may be completed in the manner provided by law for service of process in civil actions or by registered mail or by a mailing service offered by a third-party mailing service with tracking capability. A copy of the statement of charges, notice, order, or other process shall be provided to the person or persons whose rights pursuant to this article have been allegedly violated. A verified return setting forth the manner of service, the return postcard receipt in the case of registered mail, or signed receipt documentation, shall be sufficient proof of service.
(5)A third-party service provider transacting business outside this state that has an effect on a person residing in this state shall be deemed to have appointed the commissioner to accept service of process on its behalf, if the commissioner causes a copy of the service to be mailed immediately by registered or certified mail, or by a mailing service offered by a third-party mailing service with tracking capability, to the third-party service provider at its last known principal place of business. The return postcard receipt or signed receipt documentation for the mailing shall be sufficient proof of proper mailing by the commissioner.
(c)(1)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation of this article, the commissioner shall reduce the commissioners findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation of this article.
(2)If, after a hearing pursuant to subdivision (b), the commissioner determines that the licensee or third-party service provider charged has not engaged in conduct or practices in violation of this article, the commissioner shall prepare a written report that sets forth findings of fact and conclusions of law. The report shall be served upon the licensee or third-party service provider charged and upon the person or persons, if any, whose rights pursuant to this article were allegedly violated.
(3)Until the expiration of the time allowed pursuant to this article for filing a petition for review or until the petition is actually filed, whichever occurs first, the commissioner may modify or set aside an order or report issued under this section. If a petition has not been duly filed after the expiration of the time allowed for filing a petition for review, the commissioner may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, an order or report issued under this section if conditions of fact or law warrant that action or if the public interest requires.
(d)A person subject to an order of the commissioner pursuant to subdivision (c) or a person whose rights pursuant to this article were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction pursuant to Section 1094.5 of the Code of Civil Procedure within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.
(e)An order or report issued by the commissioner pursuant to subdivision (c) shall become final upon either of the following:
(1)The expiration of the time allowed for the filing of a petition for review, if a petition has not been duly filed, except that the commissioner may modify or set aside an order or report pursuant to paragraph (3) of subdivision (c).
(2)A final decision of the court, if the court directs that the order or report of the commissioner be affirmed or the petition for review dismissed.
(f)An order or report of the commissioner pursuant to this article or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
(g)(1)If a hearing pursuant to subdivision (b) results in the finding of a knowing violation of this article, the commissioner may, in addition to the issuance of a cease and desist order pursuant to subdivision (c), order payment of a penalty of at least five thousand dollars ($5,000) for each violation, not to exceed a penalty of up to one million dollars ($1,000,000) in the aggregate for multiple violations.
(2)A person who violates a cease and desist order of the commissioner issued pursuant to subdivision (c) may, after notice and hearing and upon order of the commissioner, be subject to one or more of the following penalties, at the discretion of the commissioner:
(A)A fine of at least twenty-five thousand dollars ($25,000), but not more than ten million dollars ($10,000,000) for each violation.
(B)A fine of at least fifty thousand dollars ($50,000) for each violation, if the commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
(C)Suspension or revocation of the licensees license if the licensee knew or reasonably should have known it was in violation of this article.
792.215.(a)Any documents, materials, data, or information in the control or possession of the commissioner that are furnished by a licensee or third-party service provider, or an employee or agent thereof acting on behalf of the licensee or third-party service provider, pursuant to this article, or that are obtained by the commissioner in any investigation, or an examination pursuant to this article shall be confidential by law and privileged, shall not be subject to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in a private civil action. This article does not limit the commissioners authority to use and, if appropriate, to make public, a final or preliminary examination report, examiner or company work papers or other documents, or any other information discovered or developed during the course of any examination in the furtherance of a legal or regulatory action that the commissioner may, in the commissioners discretion, deem appropriate.
(b)The commissioner or a person who receives documents, data, materials, or information while acting pursuant to the authority of the commissioner shall not be permitted or required to testify in a private civil action concerning confidential documents, materials, or information subject to this article.
(c)To assist in the performance of the commissioners duties pursuant to this article, the commissioner:
(1)May share documents, data, materials, or information, including the confidential and privileged documents, data, materials, or information subject to this article, with other state, federal, and international regulatory agencies, the National Association of Insurance Commissioners, its affiliates, or subsidiaries, a third-party consultant or vendor, and with state, federal, and international law enforcement authorities, if the recipient agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information.
(2)May receive documents, data, materials, or information, including otherwise confidential and privileged documents, data, materials, or information, from the National Association of Insurance Commissioners, its affiliates, or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged the documents, data, materials, or information received with notice or the understanding that it is confidential or privileged pursuant to the laws of the jurisdiction that is the source of the documents, data, materials, or information.
(3)Shall enter into a written agreement with a third-party consultant or vendor governing sharing and use of documents, data, materials, or information provided pursuant to this article, consistent with this subdivision that shall do all of the following:
(A)Specify that the third-party consultant or vendor agrees in writing to maintain the confidentiality and privileged status of the documents, data, materials, or information subject to this article.
(B)Specify that the ownership of the documents, data, materials, or information shared pursuant to this article with the third-party consultant or vendor remains with the commissioner, and the third-party consultants or vendors use of the information is subject to the direction of the commissioner.
(C)Prohibit the third-party consultant or vendor from retaining the documents, data, materials, or information shared pursuant to this article after the purposes of the contract have been satisfied.
(D)Require prompt notice be given to the commissioner if confidential documents, data, materials, or information in possession of the third-party consultant or vendor pursuant to this article is subject to a request or subpoena to the third-party consultant or vendor for disclosure or production.
(E)Require the third-party consultant or vendor to consent to intervention by a licensee or third-party service provider in a judicial or administrative action in which the third-party consultant or vendor may be required to disclose confidential information about the licensee or third-party service provider shared with the third-party consultant or vendor pursuant to this article.
(d)A waiver of any applicable privilege or claim of confidentiality in the documents, data, materials, or information shall not occur due to disclosure to the commissioner pursuant to this section or due to sharing as authorized in this article.
(e)This article does not prohibit the commissioner from exercising discretion, pursuant to applicable laws, to release final, adjudicated actions that are open to public inspection to a database or other clearinghouse service maintained by the National Association of Insurance Commissioners, its affiliates, or subsidiaries.
792.220.(a)Notwithstanding any other law, a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance with this article for the calendar year in which the activities governed by this article occurred and the three calendar years thereafter.
(b)A licensee or third-party service provider shall maintain all records necessary for compliance with this article, including all of the following:
(1)Records related to the consumers rights of access, correction, and deletion pursuant to this article.
(2)Copies of any consent executed by a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
(3)Representative samples of a notice required to be provided to a consumer pursuant to this article, for as long as the consumer is in a continuing business relationship with the licensee.
792.225.(a)If a licensee or third-party service provider fails to comply with Section 792.125, 792.135, 792.140, 792.180, 792.185, 792.190, or 792.195, with respect to the rights granted pursuant to those sections, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider that discloses information in violation of Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135.
(b)In an action brought pursuant to this section, the court may award the cost of the action and reasonable attorneys fees to the prevailing party.
(c)Notwithstanding any other law, an action pursuant to this section shall be brought within two years from the date the alleged violation is or should have been discovered.
(d)Other than remedies pursuant to this section, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation of this article.
792.230.(a)A cause of action for defamation, invasion of privacy, or negligence shall not arise against either of the following:
(1)A person for disclosing personal or privileged information in accordance with this article.
(2)A person for furnishing personal or privileged information to a licensee or third-party service provider.
(b)This section does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
792.235.A person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to fifty thousand dollars ($50,000), imprisoned for not more than one year in a county jail, or both.
792.240.The provisions of this article are severable. If any provision of this article or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.
792.245.(a)This article preempts and supersedes all state laws and portions of state laws that are inconsistent with this article.
(b)This article does not preempt or supersede existing federal or state law related to protected health information.
(c)This article does not preempt or supersede the law as amended by the California Privacy Rights Act of 2020.
792.250.The commissioner may issue rules, regulations, and orders as the commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
792.255.A licensee has five years from the operative date of this article to implement Section 792.130, except that a licensee shall comply with subdivision (c) of Section 792.130 on the operative date of this article.
SEC. 3.The Legislature finds and declares that Section 2 of this act, which adds Sections 792.115, 792.130, 792.190, and 792.215 to the Insurance Code, imposes a limitation on the publics right of access to the meetings of public bodies or the writings of public officials and agencies within the meaning of Section 3 of Article I of the California Constitution. Pursuant to that constitutional provision, the Legislature makes the following findings to demonstrate the interest protected by this limitation and the need for protecting that interest:
(a)The documents protected from public disclosure pursuant to this act are not official records of the department. These documents contain confidential and sensitive information related to a licensee or third-party service providers personal information privacy compliance, internal operations, and proprietary and trade secret information that, if made public, could potentially cause the licensee or third-party service provider competitive harm or disadvantage, or expose a licensee or third-party service providers personal information practices to malicious external actors.
(b)The interests in protecting the internal operations and proprietary and trade secret information of the licensees and third-party services providers, in order to promote consumer choice and competition in the marketplace and prevent malicious actors from exploiting this information, strongly outweigh the public interest in having access to this information, and there are other means to obtain this information, such as a subpoena for the original source of the information.
SEC. 4.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SECTION 1.Section 791.07 of the Insurance Code is amended to read:791.07.(a)An insurance institution, agent, or insurance-support organization shall not prepare or request an investigative consumer report about an individual in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement, or a change in insurance benefits, unless the insurance institution or agent informs the individual of both of the following:(1)That the individual may request to be interviewed in connection with the preparation of the investigative consumer report.(2)That upon a request pursuant to Section 791.08, the individual is entitled to receive a copy of the investigative consumer report.(b)If an investigative consumer report is to be prepared by an insurance institution or agent, the insurance institution or agent shall institute reasonable procedures to conduct a personal interview requested by an individual.(c)If an investigative consumer report is to be prepared by an insurance-support organization, the insurance institution or agent desiring the report shall inform the insurance-support organization if a personal interview has been requested by the individual. The insurance-support organization shall institute reasonable procedures to conduct an interview, if requested.(a)No An insurance institution, agent agent, or insurance-support organization may shall not prepare or request an investigative consumer report about an individual in connection with an insurance transaction involving an application for insurance, a policy renewal, a policy reinstatement reinstatement, or a change in insurance benefits benefits, unless the insurance institution or agent informs the individual of both of the following:
(1)That he or she the individual may request to be interviewed in connection with the preparation of the investigative consumer report, and report.
(2)That upon a request pursuant to Section 791.08, he or she the individual is entitled to receive a copy of the investigative consumer report.
(b)If an investigative consumer report is to be prepared by an insurance institution or agent, the insurance institution or agent shall institute reasonable procedures to conduct a personal interview requested by an individual.
(c)If an investigative consumer report is to be prepared by an insurance-support organization, the insurance institution or agent desiring such the report shall inform the insurance-support organization whether if a personal interview has been requested by the individual. The insurance-support organization shall institute reasonable procedures to conduct such interviews, an interview, if requested.
|
Date
|
Status
|
|---|---|
| Sep 27, 2026 | Chaptered by Secretary of State. Chapter 481, Statutes of 2026. |
| Sep 27, 2026 | Approved by the Governor. |
| Sep 4, 2026 | Enrolled and presented to the Governor at 2 p.m. |
| Aug 28, 2026 | Assembly amendments concurred in. (Ayes 30. Noes 10.) Ordered to engrossing and enrolling. |
| Aug 28, 2026 | Assembly amendments concurred in. (Ayes 30. Noes 10. Page 6087.) Ordered to engrossing and enrolling. |
| Aug 28, 2026 | In Senate. Concurrence in Assembly amendments pending. |
| Aug 27, 2026 | Read third time. Passed. (Ayes 59. Noes 16. Page 6729.) Ordered to the Senate. |
| Aug 27, 2026 | Read third time. Passed. Ordered to the Senate. |
| Aug 21, 2026 | Assembly Rule 69(b)(1) suspended. (Ayes 55. Noes 17. Page 6296.) |
| Aug 21, 2026 | Assembly Rule 69(b)(1) suspended. |
| Aug 21, 2026 | Ordered to third reading. |
| Aug 21, 2026 | Read third time and amended. |
| Aug 17, 2026 | Read second time. Ordered to third reading. |
| Aug 13, 2026 | Read second time and amended. Ordered to second reading. |
| Aug 13, 2026 | From committee: Do pass as amended. (Ayes 11. Noes 4.) (August 13). |
| Aug 13, 2026 | Assembly Rule 63 suspended. |
| Aug 5, 2026 | August 5 set for first hearing. Placed on suspense file. |
| Jul 2, 2026 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 4.) (July 1). Re-referred to Com. on APPR. |
| Jun 26, 2026 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on P. & C.P. |
| Jun 17, 2026 | From committee: Do pass and re-refer to Com. on P. & C.P. (Ayes 11. Noes 3.) (June 17). Re-referred to Com. on P. & C.P. |
| Jun 11, 2026 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on INS. |
| May 27, 2026 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on INS. |
| Apr 15, 2026 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on INS. |
| Jun 16, 2025 | Referred to Coms. on INS. and P. & C.P. |
| Jun 5, 2025 | In Assembly. Read first time. Held at Desk. |
| Jun 4, 2025 | Read third time. Passed. (Ayes 28. Noes 10. Page 1502.) Ordered to the Assembly. |
| May 27, 2025 | Read second time. Ordered to third reading. |
| May 23, 2025 | Read second time and amended. Ordered to second reading. |
| May 23, 2025 | From committee: Do pass as amended. (Ayes 5. Noes 1. Page 1197.) (May 23). |
| May 16, 2025 | Set for hearing May 23. |
| May 12, 2025 | May 12 hearing: Placed on APPR. suspense file. |
| May 6, 2025 | Set for hearing May 12. |
| May 1, 2025 | Read second time and amended. Re-referred to Com. on APPR. |
| Apr 30, 2025 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 2. Page 939.) (April 29). |
| Apr 9, 2025 | Set for hearing April 29. |
| Apr 9, 2025 | From committee: Do pass and re-refer to Com. on JUD. (Ayes 5. Noes 2. Page 738.) (April 9). Re-referred to Com. on JUD. |
| Apr 3, 2025 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on INS. |
| Mar 28, 2025 | Set for hearing April 9. |
| Mar 26, 2025 | Re-referred to Coms. on INS. and JUD. |
| Mar 18, 2025 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS. |
| Feb 19, 2025 | Referred to Com. on RLS. |
| Feb 13, 2025 | From printer. May be acted upon on or after March 15. |
| Feb 12, 2025 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Aug 28, 2026 | Unfinished Business SB354 Limón Concurrence | Senate Floor |
Passed |
|
| Aug 27, 2026 | SB 354 Limón Senate Third Reading By Bauer-Kahan | Assembly Floor |
Passed |
|
| Aug 13, 2026 | Do pass as amended. | Assembly Standing Committee on Appropriations |
Passed |
|
| Jul 1, 2026 | Do pass and be re-referred to the Committee on [Appropriations] | Assembly Standing Committee on Privacy and Consumer Protection |
Passed |
|
| Jun 17, 2026 | Do pass and be re-referred to the Committee on [Privacy and Consumer Protection] | Assembly Standing Committee on Insurance |
Passed |
|
| Jun 4, 2025 | Senate 3rd Reading SB354 Limón | Senate Floor |
Passed |
|
| May 23, 2025 | Do pass as amended | Senate Standing Committee on Appropriations |
Passed |
|
| May 12, 2025 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Apr 29, 2025 | Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] | Senate Standing Committee on Judiciary |
Passed |
|
| Apr 9, 2025 | Do pass, but first be re-referred to the Committee on [Judiciary] | Senate Standing Committee on Insurance |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| Ahavahprem Software Corp | ** Support | |
| Ahavahprem Software Corp. | ** Support | |
| American Agents Alliance | ** Against | |
| American Council Of Life Insurers | ** Against | |
| American Property Casualty Insurance Association | ** Against | |
| Association Of California Life And Health Insurance Companies | ** Against | |
| Building Owners and Managers Association of California | ** Against | |
| California Agents And Health Insurance Professionals | ** Against | |
| California Association Of Realtors | ** Against | |
| California Bankers Association | ** Against | |
| California Building Industry Association | ** Against | |
| California Business Properties Association | ** Against | |
| California Chamber Of Commerce | ** Against | |
| California Credit Union League | ** Against | |
| California Escrow Association | ** Against | |
| California Hospital Association | ** Against | |
| California Insurance Wholesalers Association | ** Against | |
| California Land Title Association | ** Against | |
| California Mortgage Bankers Association | ** Against | |
| California Telecommunications Industry Association | ** Against | |
| California Western School of Law | ** Support | |
| Cellular Telecommunications and Internet Association | ** Against | |
| Civil Justice Association of California (CJAC) | ** Against | |
| coalition for sensible public records access | ** Against | |
| Commercial Real Estate Development Association, NAIOP of California | ** Against | |
| Consumer Credit Industry Association | ** Against | |
| Consumer Data Industry Association | ** Against | |
| Consumer Federation Of California | ** Support | |
| Copart Inc. | ** Against | |
| Council of Insurance Agents and Brokers | ** Against | |
| Cspra | ** Against | |
| CTIA | ** Against | |
| Department of Insurance | ** Support | |
| Healthcare Consumer Advocate | ** Support | |
| Independent Agents and Brokers of California | ** Against | |
| Independent Insurance Agents & Brokers of California, Inc. | ** Against | |
| Infortal Worldwide Strategic Corporate Investigations | ** Support | |
| Insurance Commissioner Ricardo Lara / California Department of Insurance | ** Support | |
| Insurance Services Office, Inc. | ** Against | |
| Insured Retirement Institute | ** Against | |
| Multicultural Business Alliance | ** Support | |
| National Association of Insurance & Financial Advisors of California | ** Against | |
| National Association Of Insurance And Financial Advisors - California | ** Against | |
| National Association of Mutual Insurance Companies | ** Against | |
| National Insurance Crime Bureau | ** Against | |
| Oakland Privacy | ** Support | |
| Pacific Association Of Domestic Insurance Companies | ** Against | |
| Poindexter Consulting Group | ** Support | |
| Privacy Defense Alliance | ** Support | |
| Privacy Rights Clearinghouse | ** Support | |
| Reinsurance Association Of America | ** Against | |
| RELX INC. | ** Against | |
| RELX INC. AND ITS SUBSIDIARIES | ** Against | |
| Responsible Data Alliance | ** Against | |
| Responsible Data Alliance (RDA) | ** Against | |
| Software And Information Industry Association | ** Against | |
| Software Information Industry Association | ** Against | |
| Techca | ** Against | |
| Technet | ** Against | |
| The Committee of Annuity Insurers | ** Against | |
| The Council of Insurance Agents & Brokers | ** Support | |
| The Western Insurance Agents Association | ** Against | |
| The Western Insurance Agents Association (WIAA) | ** Against | |
| Veterans in Business Network | ** Support | |
| Veterans in Business Network (VIB) | ** Support | |
| Wholesale and Specialty Insurance Association | ** Against | |
| Wicked Bionic Culturally Relevant Marketing | ** Support |
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-4171 | SB 354 |
UNFINISHED BUSINESS
Bill No: SB 354
Author: Limón (D)
Amended: 8/21/26
Vote: 21
SENATE INSURANCE COMMITTEE: 5-2, 4/9/25
AYES: Rubio, Becker, Caballero, Padilla, Wahab
NOES: Niello, Jones
SENATE JUDICIARY COMMITTEE: 11-2, 4/29/25
AYES: Umberg, Allen, Arreguín, Ashby, Caballero, Durazo, Laird, Stern, Wahab, Weber Pierson, Wiener
NOES: Niello, Valladares
SENATE APPROPRIATIONS COMMITTEE: 5-1, 5/23/25
AYES: Caballero, Cabaldon, Grayson, Richardson, Wahab
NOES: Seyarto
NO VOTE RECORDED: Dahle
SENATE FLOOR: 28-10, 6/4/25
AYES: Allen, Arreguín, Ashby, Becker, Blakespear, Cabaldon, Caballero, Cervantes, Cortese, Durazo, Gonzalez, Grayson, Hurtado, Laird, Limón, McGuire, McNerney, Menjivar, Padilla, Pérez, Richardson, Rubio, Smallwood-Cuevas, Stern, Umberg, Wahab, Weber Pierson, Wiener
NOES: Alvarado-Gil, Choi, Dahle, Grove, Jones, Niello, Ochoa Bogh, Seyarto, Strickland, Valladares
NO VOTE RECORDED: Archuleta, Reyes
ASSEMBLY FLOOR: 59-16, 8/27/26 - See last page for vote
SUBJECT: Insurance Information and Privacy Protection Act
SOURCE: Insurance Commissioner Ricardo Lara / California Department of Insurance
DIGEST:
This bill expands and updates related laws to establish standards for the collection, use, storage, disclosure, analysis, deletion, retention, or modification of personal information (PI), collectively known as “processing” and “sharing” of consumer PI by licensees, surplus line insurers, reinsurers, and their third-party service providers in the business of insurance.
Assembly Amendments
1) Create an effective date of July 1, 2028 for the bill’s provisions. 2) Revise the applicability and amounts of associated penalties. 3) Clarify that the bill’s provisions apply to licensees, surplus lines insurers, or reinsurers, as specified. 4) Provide additional specifications on protections related to the processing and sharing of a consumer’s PI. 5) Address chaptering issues with AB 1798.
ANALYSIS:
Existing law:
- The Insurance Information and Privacy Protection Act (IIPPA), provides protections for personally identifiable information, collected by an agent, broker, or insurance company in order for a consumer to apply for insurance or submit a claim. These entities must provide consumers with a notice that describes the entities' practices and policies regarding privacy, as well as the kind of information collected about a consumer in connection with an application for insurance, submission of a claim, or other insurance transaction. The notice also must include how and with whom a consumer’s personal information will be shared, and their rights to restrict the sharing of that information.
- The California Consumer Privacy Act (CCPA), among other rights, provides consumers the right to know what personal information is collected by a business, the right to access the personal information that is collected, the right to delete it, the right to know whether, and what personal information is being sold or disclosed, and the right to stop a business from selling their information.
- The California Privacy Rights Act (CPRA), approved by the voters as Proposition 24, expanded the protections of the CCPA. Among these changes were the right to limit the use of sensitive personal information, including limits on how long a company can retain personal information, as well as the right to correct the personal information a company possesses. The CPRA also created non-retaliation protections for individuals who exercise these privacy rights. Additionally, the CPRA created the California Privacy Protection Agency (CPPA) with the purpose of implementing and enforcing these laws, and educating the public on their rights and businesses’ obligations under the CCPA and CPRA.
This bill:
- Amends and expands the privacy notice required under IIPPA to include specified information and details the procedures for the provision of the notice.
- Prohibits a licensee, surplus line insurer, reinsurer or third-party service provider (TPSP) from selling a consumer's PI for any type of monetary or other valuable consideration.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from sharing a consumer's PI in a manner inconsistent with the consent provided by the consumer. Requires provision of a reasonable means for the consumer to give prior, opt-in consent or to opt out, and specifies purposes for which a consumer must opt-in or be provided the opportunity to opt-out of PI sharing.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing and sharing a consumer's sensitive PI, other than in connection with an insurance transaction or legal obligation, or for a disclosed purpose if the consumer has been provided the opportunity to opt out.
- Specifies that a licensee's processing and sharing of a consumer's PI must be reasonably necessary and proportionate to achieve the purposes for which the PI was collected or processed, for another disclosed purpose for which the PI was collected and not further processed in a manner that is incompatible with those protections or for one of various specified purposes.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule, and to review records containing PI at least once every three years to determine whether retention of the PI remains permissible.
- Clarifies a consumer's right to request access, amend, or delete the consumer's PI in possession of a licensee, surplus line insurer, reinsurer, or its TPSP, and requires the licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, as specified.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
Related/Prior Legislation
AB 375 (Chau, Chapter 55, Statutes of 2018). Enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
SB 1121 (Dodd, Chapter 735, Statutes of 2018). Further clarified the provisions of the California Consumer Privacy Act of 2018.
SB 793 (Glazer, Chapter 184, Statutes of 2023). Allowed an insurer to send privacy policy notices once initially, and subsequently when a change is made in the policy, in order to comply with the privacy notice requirements of the Insurance Information and Privacy Protection Act.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Assembly Appropriations Committee:
The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
The California Privacy Protection Agency reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed Insurance Commissioner regulations to identify conflicts and engages with CDI or the public on such matters.
SUPPORT: (Verified 8/25/26)
Insurance Commissioner Ricardo Lara / California Department of Insurance (source)
Ahavahprem Software Corp
California Western School of Law
Consumer Federation of California
Department of Insurance
Healthcare Consumer Advocate
Infortal Worldwide Strategic Corporate Investigations
Multicultural Business Alliance
Oakland Privacy
Poindexter Consulting Group
Privacy Defense Alliance
Privacy Rights Clearinghouse
Veterans in Business Network
Wicked Bionic Culturally Relevant Marketing
OPPOSITION: (Verified 8/25/26)
The Western Insurance Agents Association
California Chamber of Commerce
Consumer Data Industry Association
Council of Insurance Agents and Brokers
Coalition for Sensible Public Records Access
Cellular Telecommunications and Internet Association
Relx INC.
Responsible Data Alliance
Software and Information Industry Association
Software Information Industry Association
TechCA
Technet
Wholesale and Specialty Insurance Association
ARGUMENTS IN SUPPORT: Insurance Commissioner Ricardo Lara, sponsor of this bill, states:
“SB 354 will enhance the Insurance Information and Privacy Protection Act. This landmark legislation recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate. Under this bill, insurers would be required to follow clear standards for collecting and using personal data, ensuring that information is gathered for the purpose required by the consumer, unless otherwise specified. SB 354 would prohibit the sale of consumers’ personal information for any reason, and guarantee consumers the rights to access, verify, correct, or dispute the accuracy of information held about them. To reinforce these protections, this bill would mandate robust data minimization and retention limits to ensure only information necessary for underwriting, servicing, or claims handling is collected and retained, and establishes accountability and enforcement mechanisms to prevent improper processing or misuse of consumer data by insurers and their services providers.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance privacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws enable my Department – as the state’s insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.”
ARGUMENTS IN OPPOSITION: According to a coalition led by the California Chamber of Commerce in opposition to a prior version of the bill: “[SB 354] creates obligations that are not aligned with the California Consumer Privacy Act. As a result, entities that are subject to both the CCPA and the Insurance Code will be subject to obligations that in some cases will be duplicative and may actually conflict with each other. As a result, consumers that do business with a particular entity that is subject to both frameworks will not have one set of rights, but rather they will need to navigate between the regimes which will depend on the specific data at issue with regard to a specific transaction. Accordingly, for the same rights afforded in the Insurance Code, such as right to know and deletion, we urge you to align the requirements.
Of greatest concern are the additional requirements and expansion to entities that currently are not in scope for the Code’s requirements. In particular, terms such as “insurance support organization” and “licensee” have been expanded, and a new term, “third-party service provider”, will result in conflicting and duplicative consumer privacy obligations for companies already defined as “businesses” under the California Consumer Privacy Act and “data brokers” as defined under the California Delete Act. By expanding the law in this way, we are concerned that any entity that touches personal information could potentially be implicated, including cloud-computing companies, document management platforms, payment and wire service providers, communication platforms, customer relationship management providers, and similar vendors. Further, SB 354 would infringe upon longstanding constitutional protections for publicly available information and impose a punitive private right of action inconsistent with the treatment of personal information under California’s existing consumer privacy laws.”
ASSEMBLY FLOOR: 59-16, 8/27/26
AYES: Addis, Aguiar-Curry, Ahrens, Alvarez, Arambula, Ávila Farías, Bains, Bauer-Kahan, Bennett, Berman, Boerner, Bonta, Bryan, Calderon, Caloza, Carrillo, Connolly, Elhawary, Fong, Gabriel, Garcia, Gipson, Mark González, Haney, Harabedian, Hart, Irwin, Jackson, Kalra, Krell, Lee, Lowenthal, Muratsuchi, Nguyen, Ortega, Pacheco, Papan, Patel, Pellerin, Petrie-Norris, Quirk-Silva, Ramos, Ransom, Celeste Rodriguez, Michelle Rodriguez, Rogers, Blanca Rubio, Schiavo, Schultz, Sharp-Collins, Solache, Soria, Stefani, Valencia, Ward, Wicks, Wilson, Zbur, Rivas
NOES: Alanis, Castillo, Davies, DeMaio, Dixon, Ellis, Jeff Gonzalez, Hadwick, Hoover, Johnson, Lackey, Macedo, Patterson, Sanchez, Ta, Tangipa
NO VOTE RECORDED: Chen, Flora, McKinnor, Wallis
Prepared by: Brandon Seto / INS. / (916) 651-4110
11/5/26 15:08:21
**** END ****
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-4171 | SB 354 |
UNFINISHED BUSINESS
Bill No: SB 354
Author: Limón (D)
Amended: 8/21/26
Vote: 21
SENATE INSURANCE COMMITTEE: 5-2, 4/9/25
AYES: Rubio, Becker, Caballero, Padilla, Wahab
NOES: Niello, Jones
SENATE JUDICIARY COMMITTEE: 11-2, 4/29/25
AYES: Umberg, Allen, Arreguín, Ashby, Caballero, Durazo, Laird, Stern, Wahab, Weber Pierson, Wiener
NOES: Niello, Valladares
SENATE APPROPRIATIONS COMMITTEE: 5-1, 5/23/25
AYES: Caballero, Cabaldon, Grayson, Richardson, Wahab
NOES: Seyarto
NO VOTE RECORDED: Dahle
SENATE FLOOR: 28-10, 6/4/25
AYES: Allen, Arreguín, Ashby, Becker, Blakespear, Cabaldon, Caballero, Cervantes, Cortese, Durazo, Gonzalez, Grayson, Hurtado, Laird, Limón, McGuire, McNerney, Menjivar, Padilla, Pérez, Richardson, Rubio, Smallwood-Cuevas, Stern, Umberg, Wahab, Weber Pierson, Wiener
NOES: Alvarado-Gil, Choi, Dahle, Grove, Jones, Niello, Ochoa Bogh, Seyarto, Strickland, Valladares
NO VOTE RECORDED: Archuleta, Reyes
ASSEMBLY FLOOR: Passed, 8/27/26
SUBJECT: Insurance Information and Privacy Protection Act
SOURCE: Insurance Commissioner Ricardo Lara / California Department of Insurance
DIGEST:
This bill expands and updates related laws to establish standards for the collection, use, storage, disclosure, analysis, deletion, retention, or modification of personal information (PI), collectively known as “processing” and “sharing” of consumer PI by licensees, surplus line insurers, reinsurers, and their third-party service providers in the business of insurance.
Assembly Amendments
1) Create an effective date of July 1, 2028 for the bill’s provisions. 2) Revise the applicability and amounts of associated penalties. 3) Clarify that the bill’s provisions apply to licensees, surplus lines insurers, or reinsurers, as specified. 4) Provide additional specifications on protections related to the processing and sharing of a consumer’s PI. 5) Address chaptering issues with AB 1798.
ANALYSIS:
Existing law:
- The Insurance Information and Privacy Protection Act (IIPPA), provides protections for personally identifiable information, collected by an agent, broker, or insurance company in order for a consumer to apply for insurance or submit a claim. These entities must provide consumers with a notice that describes the entities' practices and policies regarding privacy, as well as the kind of information collected about a consumer in connection with an application for insurance, submission of a claim, or other insurance transaction. The notice also must include how and with whom a consumer’s personal information will be shared, and their rights to restrict the sharing of that information.
- The California Consumer Privacy Act (CCPA), among other rights, provides consumers the right to know what personal information is collected by a business, the right to access the personal information that is collected, the right to delete it, the right to know whether, and what personal information is being sold or disclosed, and the right to stop a business from selling their information.
- The California Privacy Rights Act (CPRA), approved by the voters as Proposition 24, expanded the protections of the CCPA. Among these changes were the right to limit the use of sensitive personal information, including limits on how long a company can retain personal information, as well as the right to correct the personal information a company possesses. The CPRA also created non-retaliation protections for individuals who exercise these privacy rights. Additionally, the CPRA created the California Privacy Protection Agency (CPPA) with the purpose of implementing and enforcing these laws, and educating the public on their rights and businesses’ obligations under the CCPA and CPRA.
This bill:
- Amends and expands the privacy notice required under IIPPA to include specified information and details the procedures for the provision of the notice.
- Prohibits a licensee, surplus line insurer, reinsurer or third-party service provider (TPSP) from selling a consumer's PI for any type of monetary or other valuable consideration.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from sharing a consumer's PI in a manner inconsistent with the consent provided by the consumer. Requires provision of a reasonable means for the consumer to give prior, opt-in consent or to opt out, and specifies purposes for which a consumer must opt-in or be provided the opportunity to opt-out of PI sharing.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing and sharing a consumer's sensitive PI, other than in connection with an insurance transaction or legal obligation, or for a disclosed purpose if the consumer has been provided the opportunity to opt out.
- Specifies that a licensee's processing and sharing of a consumer's PI must be reasonably necessary and proportionate to achieve the purposes for which the PI was collected or processed, for another disclosed purpose for which the PI was collected and not further processed in a manner that is incompatible with those protections or for one of various specified purposes.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule, and to review records containing PI at least once every three years to determine whether retention of the PI remains permissible.
- Clarifies a consumer's right to request access, amend, or delete the consumer's PI in possession of a licensee, surplus line insurer, reinsurer, or its TPSP, and requires the licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, as specified.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
Related/Prior Legislation
AB 375 (Chau, Chapter 55, Statutes of 2018). Enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
SB 1121 (Dodd, Chapter 735, Statutes of 2018). Further clarified the provisions of the California Consumer Privacy Act of 2018.
SB 793 (Glazer, Chapter 184, Statutes of 2023). Allowed an insurer to send privacy policy notices once initially, and subsequently when a change is made in the policy, in order to comply with the privacy notice requirements of the Insurance Information and Privacy Protection Act.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Assembly Appropriations Committee:
The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
The California Privacy Protection Agency reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed Insurance Commissioner regulations to identify conflicts and engages with CDI or the public on such matters.
SUPPORT: (Verified 8/25/26)
Insurance Commissioner Ricardo Lara / California Department of Insurance (source)
Ahavahprem Software Corp
California Western School of Law
Consumer Federation of California
Department of Insurance
Healthcare Consumer Advocate
Infortal Worldwide Strategic Corporate Investigations
Multicultural Business Alliance
Oakland Privacy
Poindexter Consulting Group
Privacy Defense Alliance
Privacy Rights Clearinghouse
Veterans in Business Network
Wicked Bionic Culturally Relevant Marketing
OPPOSITION: (Verified 8/25/26)
The Western Insurance Agents Association
California Chamber of Commerce
Consumer Data Industry Association
Council of Insurance Agents and Brokers
Coalition for Sensible Public Records Access
Cellular Telecommunications and Internet Association
Relx INC.
Responsible Data Alliance
Software and Information Industry Association
Software Information Industry Association
TechCA
Technet
Wholesale and Specialty Insurance Association
ARGUMENTS IN SUPPORT: Insurance Commissioner Ricardo Lara, sponsor of this bill, states:
“SB 354 will enhance the Insurance Information and Privacy Protection Act. This landmark legislation recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate. Under this bill, insurers would be required to follow clear standards for collecting and using personal data, ensuring that information is gathered for the purpose required by the consumer, unless otherwise specified. SB 354 would prohibit the sale of consumers’ personal information for any reason, and guarantee consumers the rights to access, verify, correct, or dispute the accuracy of information held about them. To reinforce these protections, this bill would mandate robust data minimization and retention limits to ensure only information necessary for underwriting, servicing, or claims handling is collected and retained, and establishes accountability and enforcement mechanisms to prevent improper processing or misuse of consumer data by insurers and their services providers.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance privacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws enable my Department – as the state’s insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.”
ARGUMENTS IN OPPOSITION: According to a coalition led by the California Chamber of Commerce in opposition to a prior version of the bill:
“[SB 354] creates obligations that are not aligned with the California Consumer Privacy Act. As a result, entities that are subject to both the CCPA and the Insurance Code will be subject to obligations that in some cases will be duplicative and may actually conflict with each other. As a result, consumers that do business with a particular entity that is subject to both frameworks will not have one set of rights, but rather they will need to navigate between the regimes which will depend on the specific data at issue with regard to a specific transaction. Accordingly, for the same rights afforded in the Insurance Code, such as right to know and deletion, we urge you to align the requirements.
Of greatest concern are the additional requirements and expansion to entities that currently are not in scope for the Code’s requirements. In particular, terms such as “insurance support organization” and “licensee” have been expanded, and a new term, “third-party service provider”, will result in conflicting and duplicative consumer privacy obligations for companies already defined as “businesses” under the California Consumer Privacy Act and “data brokers” as defined under the California Delete Act. By expanding the law in this way, we are concerned that any entity that touches personal information could potentially be implicated, including cloud-computing companies, document management platforms, payment and wire service providers, communication platforms, customer relationship management providers, and similar vendors. Further, SB 354 would infringe upon longstanding constitutional protections for publicly available information and impose a punitive private right of action inconsistent with the treatment of personal information under California’s existing consumer privacy laws.”
Prepared by: Brandon Seto / INS. / (916) 651-4110
8/27/26 16:28:56
**** END ****
SENATE THIRD READING
STR Bill Id:SB 354
Author:(Limón)
As Amended Ver:August 21, 2026
Majority vote
SUMMARY
Effective July 1, 2028, modernizes and expands laws pertaining to the processing and sharing of personal information (PI) in the business of insurance.
Major Provisions
- Amends and expands the privacy notice required under the Insurance Information and Privacy Protection Act (IIPPA) to include specified information and specifies the procedures for the provision of the notice.
- Prohibits a licensee, surplus line insurer, reinsurer or third-party service provider (TPSP) from selling a consumer's PI for any type of monetary or other valuable consideration.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from sharing a consumer's PI in a manner inconsistent with the consent provided by the consumer; requires them to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out; and specifies purposes for which a consumer must opt-in or be provided the opportunity to opt-out of PI sharing, respectively.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing and sharing a consumer's sensitive PI, other than in connection with an insurance transaction or legal obligation, or for a disclosed purpose if the consumer has been provided the opportunity to opt out.
- Specifies that a licensee's processing and sharing of a consumer's PI shall be reasonably necessary and proportionate to achieve the purposes for which the PI was collected or processed, for another disclosed purpose for which the PI was collected and not further processed in a manner that is incompatible with those purposes, or for one of various specified purposes.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule; and to review records containing PI at least once every three years to determine whether retention of the PI remains permissible.
- Makes clarifications to a consumer's right to request access to, amendment of, or deletion of the consumer's PI in possession of a licensee, surplus line insurer, reinsurer, or its TPSP; and requires the licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, as specified.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
COMMENTS
- IIPPA, California Consumer Privacy Act (CCPA), and Proposition 24. Since 1981, the privacy of PI collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA). The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete PI about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, and limits the reasons for which and adverse underwriting decision can be issued.
The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing personal or privileged information about an individual collected or received in connection with an insurance transaction, unless the disclosure is: subject to the written authorization of the individual; reasonably necessary to perform a business, professional, or insurance function and is not further disclosed; reasonably necessary to prevent fraud or criminal activity; permitted or required by law; made for the purpose of conducting actuarial or research studies, as specified; only used in connection with the marketing of a product or service provided the opportunity to opt out of that use and has given no such indication; or used for another of a small number of specified purposes. The IIPPA also gives the Insurance Commissioner (IC) the authority to prosecute violations of these provisions, and specifies the process for bringing such an action, including associated penalties.
In 2018, the Legislature passed, and Governor Newsom signed into law, the CCPA, which provides baseline privacy rights for consumer PI maintained or transacted by businesses. The CCPA was the result of extensive negotiation among stakeholders, and was developed in part to provide a legislative path as an alternative to a ballot measure that would have otherwise moved forward. The CCPA was the first general data privacy law of its kind in the nation. In 2020, voters passed Proposition 24, the California Privacy Rights Act, which expanded and amended CCPA, and created the California Privacy Protection Agency (CPPA) as a regulatory authority to oversee its implementation and enforcement. Proposition 24 was purportedly proposed in part in response to various legislative attempts to weaken the privacy protections pursuant to CCPA.
CCPA, as amended by Proposition 24, requires businesses to provide information in their privacy policies pertaining to categories of PI they collect, use and disclose. It also provides consumers with the right to opt out of the sale of their PI, and to direct a business to limit the collection and use of their sensitive PI to that which is reasonably necessary and proportionate to what an average consumer would expect in the course of the business transaction. CCPA similarly provides rights to request access, amendment, or deletion of consumer information maintained by businesses.
Section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly-created CPPA, with promulgating regulations for a number of specified reasons critical to the implementation of the CCPA. Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [CPPA] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the [IC] shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that regulatory authority be transferred to CPPA once the agency was prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the IC maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the IC, and compliance is exceedingly complex.
This bill seeks to more clearly establish the jurisdiction of the IC over data privacy rights of insurance consumers. Toward this end, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill's provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for PI processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA.
- Sensitivity and complexity of the insurance industry. This bill raises two fundamental questions with respect to the insurance industry: 1) is PI exchanged in the business of insurance inherently more sensitive than information exchanged in more general contexts? And 2) can the mechanics of the insurance industry tolerate robust constraints on the collection, use, and sharing of PI?
With several enumerated exceptions, CCPA provides data privacy protections intended to span consumer-facing industries. This includes everything ranging from online shopping to social media. Still, California law recognizes various circumstances in which the exchange of PI is considered more sensitive, either by virtue of the specific information exchanged, or by virtue of the context in which that information exchange occurs. For instance, California provides more stringent protections for PI in medical contexts pursuant to the Confidentiality of Medical Information Act (CMIA), in financial contexts pursuant to the California Financial Information Privacy Act (CalFIPA), and in online educational contexts pursuant to the Student Online Personal Information Protection Act (SOPIPA). While these laws generally preceded CCPA, CCPA did not seek to supersede them, instead maintaining baseline privacy protections for consumer PI through CCPA and guaranteeing more robust protections in these more sensitive contexts.
California also provides privacy protections beyond those offered by CCPA for certain consumer industries, including laws regulating data collected by in-vehicle cameras in motor vehicles and laws limiting the processing of genetic information by direct-to-consumer genetic testing companies. These laws came into effect after the passage of CCPA, indicating the continued intent of the Legislature to impose more restrictive privacy protections on consumer-facing industries considered particularly sensitive.
In many cases, such as home, auto, and health insurance, insurance is either legally required or effectively essential for consumers, meaning the exchange of PI is not elective. Insurance also tends to cover the things most dear, and therefore worthy of additional security, to the consumer, such as their life, livelihood, health, home, and valuable property. Accordingly, the process of transacting insurance can reveal intimate details of the daily lives of consumers, and the context of insurance inherently relies on a level of trust between the consumer and the licensee that instills greater sensitivity than a typical consumer transaction.
On the other hand, the insurance industry relies heavily on the collection and evaluation of PI to accurately price risk. This means constraints on the collection, use, and sharing of PI have the potential to materially impact the functioning of the insurance market. The practical realities of an insurance transaction, from the consumer seeking coverage to the insurer writing a policy to the filing of claims, require PI to be shared between various parties with relative efficiency. A typical insurance transaction from the solicitation of coverage to the processing of a claim can include the consumer, the insurance company, the agent or broker, a wholesaler, one or many claims adjusters, third-party service providers who process information on behalf of any of these parties, and regulatory agencies that broadly oversee the entire process. Disruptions to the transfer of information in this process can delay the placement of coverage, increase frictional costs (thereby increasing premiums), and impede timely handling of claims, which, if unduly delayed, can significantly burden the consumer.
Many consumers also work with a preferred agent or broker over several years when seeking insurance, and the ability of that agent or broker to meet their insurance needs depends on the maintenance of PI about the consumer for the duration of their ongoing business relationship. Insurance frequently tends to be associated with ancillary products, such as financial products that may appropriately bundle with life insurance products to better support the needs of the consumer. Agents and brokers may direct consumers toward these products based on the PI they maintain, as appropriate, which can often be provided by affiliates or partnering entities of insurers.
The data-rich nature of the insurance industry creates conditions that are arguably more sensitive than a typical consumer transaction, while the complexity of insurance products and the associated transactions means disruptions to the efficient flow of information can be costly in both time and money. A law broadly governing the processing of PI in the insurance industry must acknowledge and balance both of these realities.
According to the Author
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers' compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
Arguments in Support
Insurance Commissioner Ricardo Lara, who sponsors the bill, argues:
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California's decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers' personal information. The latest string of data breach incidents involving insurers continues to demonstrate how consumers' sensitive personal information is a prime target, especially among data-rich industries such as insurance.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California's insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state's constitutional values by furthering the purposes and intent of CPRA to ensure California's insurance laws enable my Department – as the state's insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.
Arguments in Opposition
A coalition of trade organizations representing business and technology industry interests, including the California Chamber of Commerce, TechNet, the California Telecommunications Industry Association, TechCA, the Software Information Industry Association, and the American Council of Life Insurers argues in opposition:
[SB 354] creates obligations that are not aligned with the California Consumer Privacy Act. As a result, entities that are subject to both the CCPA and the Insurance Code will be subject to obligations that in some cases will be duplicative and may actually conflict with each other. As a result, consumers that do business with a particular entity that is subject to both frameworks will not have one set of rights, but rather they will need to navigate between the regimes which will depend on the specific data at issue with regard to a specific transaction. Accordingly, for the same rights afforded in the Insurance Code, such as right to know and deletion, we urge you to align the requirements.
[A]s drafted, we are concerned that SB 354 raises significant concerns regarding overlapping regulatory jurisdiction, constitutional protections for publicly available information, and the creation of a private right of action that departs from California's established privacy enforcement framework. […] SB 354 risks creating uncertainty for businesses already subject to comprehensive privacy regulation under the CCPA and Delete Act without providing corresponding benefits to consumers.
Staff notes that this coalition's opposition was submitted in response to an earlier version of SB 354, and several amendments have since been taken that impact the specific issues raised in the coalition's letter. It is unclear whether these amendments have effectively addressed the coalition's concerns, but the coalition has not yet formally withdrawn their opposition.
FISCAL COMMENTS
According to the Assembly Appropriations Committee:
- The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
- The CPPA reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed IC regulations to identify conflicts and engages with CDI or the public on such matters.
VOTES
SENATE FLOOR: 28-10-2
YES: Allen, Arreguín, Ashby, Becker, Blakespear, Cabaldon, Caballero, Cervantes, Cortese, Durazo, Gonzalez, Grayson, Hurtado, Laird, Limón, McGuire, McNerney, Menjivar, Padilla, Pérez, Richardson, Rubio, Smallwood-Cuevas, Stern, Umberg, Wahab, Weber Pierson, Wiener
NO: Alvarado-Gil, Choi, Dahle, Grove, Jones, Niello, Ochoa Bogh, Seyarto, Strickland, Valladares
ABS, ABST OR NV: Archuleta, Reyes
ASM INSURANCE: 11-3-3
YES: Calderon, Addis, Papan, Berman, Gipson, Harabedian, Krell, Nguyen, Ortega, Michelle Rodriguez, Valencia
NO: Wallis, Ellis, Hadwick
ABS, ABST OR NV: Ávila Farías, Chen, Petrie-Norris
ASM PRIVACY AND CONSUMER PROTECTION: 11-4-0
YES: Bauer-Kahan, Bryan, Irwin, Lowenthal, McKinnor, Ortega, Pellerin, Petrie-Norris, Ward, Bennett, Wilson
NO: Macedo, DeMaio, Hoover, Patterson
ASM APPROPRIATIONS: 11-4-0
YES: Wicks, Arambula, Calderon, Caloza, Fong, Mark González, Krell, Pacheco, Pellerin, Sharp-Collins, Solache
NO: Hoover, Dixon, Ta, Tangipa
UPDATED
VERSION: August 21, 2026
CONSULTANT: Landon Klein / INS. / (916) 319-2086 FN: 0003988
SENATE THIRD READING
STR Bill Id:SB 354
Author:(Limón)
As Amended Ver:August 21, 2026
Majority vote
SUMMARY
Effective July 1, 2028, modernizes and expands laws pertaining to the processing and sharing of personal information (PI) in the business of insurance.
Major Provisions
- Amends and expands the privacy notice required under the Insurance Information and Privacy Protection Act (IIPPA) to include specified information and specifies the procedures for the provision of the notice.
- Prohibits a licensee, surplus line insurer, reinsurer or third-party service provider (TPSP) from selling a consumer's PI for any type of monetary or other valuable consideration.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from sharing a consumer's PI in a manner inconsistent with the consent provided by the consumer; requires them to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out; and specifies purposes for which a consumer must opt-in or be provided the opportunity to opt-out of PI sharing, respectively.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing and sharing a consumer's sensitive PI, other than in connection with an insurance transaction or legal obligation, or for a disclosed purpose if the consumer has been provided the opportunity to opt out.
- Specifies that a licensee's processing and sharing of a consumer's PI shall be reasonably necessary and proportionate to achieve the purposes for which the PI was collected or processed, for another disclosed purpose for which the PI was collected and not further processed in a manner that is incompatible with those purposes, or for one of various specified purposes.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule; and to review records containing PI at least once every three years to determine whether retention of the PI remains permissible.
- Makes clarifications to a consumer's right to request access to, amendment of, or deletion of the consumer's PI in possession of a licensee, surplus line insurer, reinsurer, or its TPSP; and requires the licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, as specified.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
COMMENTS
- IIPPA, California Consumer Privacy Act (CCPA), and Proposition 24. Since 1981, the privacy of PI collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA). The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete PI about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, and limits the reasons for which and adverse underwriting decision can be issued.
The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing personal or privileged information about an individual collected or received in connection with an insurance transaction, unless the disclosure is: subject to the written authorization of the individual; reasonably necessary to perform a business, professional, or insurance function and is not further disclosed; reasonably necessary to prevent fraud or criminal activity; permitted or required by law; made for the purpose of conducting actuarial or research studies, as specified; only used in connection with the marketing of a product or service provided the opportunity to opt out of that use and has given no such indication; or used for another of a small number of specified purposes. The IIPPA also gives the Insurance Commissioner (IC) the authority to prosecute violations of these provisions, and specifies the process for bringing such an action, including associated penalties.
In 2018, the Legislature passed, and Governor Newsom signed into law, the CCPA, which provides baseline privacy rights for consumer PI maintained or transacted by businesses. The CCPA was the result of extensive negotiation among stakeholders, and was developed in part to provide a legislative path as an alternative to a ballot measure that would have otherwise moved forward. The CCPA was the first general data privacy law of its kind in the nation. In 2020, voters passed Proposition 24, the California Privacy Rights Act, which expanded and amended CCPA, and created the California Privacy Protection Agency (CPPA) as a regulatory authority to oversee its implementation and enforcement. Proposition 24 was purportedly proposed in part in response to various legislative attempts to weaken the privacy protections pursuant to CCPA.
CCPA, as amended by Proposition 24, requires businesses to provide information in their privacy policies pertaining to categories of PI they collect, use and disclose. It also provides consumers with the right to opt out of the sale of their PI, and to direct a business to limit the collection and use of their sensitive PI to that which is reasonably necessary and proportionate to what an average consumer would expect in the course of the business transaction. CCPA similarly provides rights to request access, amendment, or deletion of consumer information maintained by businesses.
Section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly-created CPPA, with promulgating regulations for a number of specified reasons critical to the implementation of the CCPA. Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [CPPA] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the [IC] shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that regulatory authority be transferred to CPPA once the agency was prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the IC maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the IC, and compliance is exceedingly complex.
This bill seeks to more clearly establish the jurisdiction of the IC over data privacy rights of insurance consumers. Toward this end, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill's provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for PI processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA.
- Sensitivity and complexity of the insurance industry. This bill raises two fundamental questions with respect to the insurance industry: 1) is PI exchanged in the business of insurance inherently more sensitive than information exchanged in more general contexts? And 2) can the mechanics of the insurance industry tolerate robust constraints on the collection, use, and sharing of PI?
With several enumerated exceptions, CCPA provides data privacy protections intended to span consumer-facing industries. This includes everything ranging from online shopping to social media. Still, California law recognizes various circumstances in which the exchange of PI is considered more sensitive, either by virtue of the specific information exchanged, or by virtue of the context in which that information exchange occurs. For instance, California provides more stringent protections for PI in medical contexts pursuant to the Confidentiality of Medical Information Act (CMIA), in financial contexts pursuant to the California Financial Information Privacy Act (CalFIPA), and in online educational contexts pursuant to the Student Online Personal Information Protection Act (SOPIPA). While these laws generally preceded CCPA, CCPA did not seek to supersede them, instead maintaining baseline privacy protections for consumer PI through CCPA and guaranteeing more robust protections in these more sensitive contexts.
California also provides privacy protections beyond those offered by CCPA for certain consumer industries, including laws regulating data collected by in-vehicle cameras in motor vehicles and laws limiting the processing of genetic information by direct-to-consumer genetic testing companies. These laws came into effect after the passage of CCPA, indicating the continued intent of the Legislature to impose more restrictive privacy protections on consumer-facing industries considered particularly sensitive.
In many cases, such as home, auto, and health insurance, insurance is either legally required or effectively essential for consumers, meaning the exchange of PI is not elective. Insurance also tends to cover the things most dear, and therefore worthy of additional security, to the consumer, such as their life, livelihood, health, home, and valuable property. Accordingly, the process of transacting insurance can reveal intimate details of the daily lives of consumers, and the context of insurance inherently relies on a level of trust between the consumer and the licensee that instills greater sensitivity than a typical consumer transaction.
On the other hand, the insurance industry relies heavily on the collection and evaluation of PI to accurately price risk. This means constraints on the collection, use, and sharing of PI have the potential to materially impact the functioning of the insurance market. The practical realities of an insurance transaction, from the consumer seeking coverage to the insurer writing a policy to the filing of claims, require PI to be shared between various parties with relative efficiency. A typical insurance transaction from the solicitation of coverage to the processing of a claim can include the consumer, the insurance company, the agent or broker, a wholesaler, one or many claims adjusters, third-party service providers who process information on behalf of any of these parties, and regulatory agencies that broadly oversee the entire process. Disruptions to the transfer of information in this process can delay the placement of coverage, increase frictional costs (thereby increasing premiums), and impede timely handling of claims, which, if unduly delayed, can significantly burden the consumer.
Many consumers also work with a preferred agent or broker over several years when seeking insurance, and the ability of that agent or broker to meet their insurance needs depends on the maintenance of PI about the consumer for the duration of their ongoing business relationship. Insurance frequently tends to be associated with ancillary products, such as financial products that may appropriately bundle with life insurance products to better support the needs of the consumer. Agents and brokers may direct consumers toward these products based on the PI they maintain, as appropriate, which can often be provided by affiliates or partnering entities of insurers.
The data-rich nature of the insurance industry creates conditions that are arguably more sensitive than a typical consumer transaction, while the complexity of insurance products and the associated transactions means disruptions to the efficient flow of information can be costly in both time and money. A law broadly governing the processing of PI in the insurance industry must acknowledge and balance both of these realities.
According to the Author
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers' compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
Arguments in Support
Insurance Commissioner Ricardo Lara, who sponsors the bill, argues:
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California's decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers' personal information. The latest string of data breach incidents involving insurers continues to demonstrate how consumers' sensitive personal information is a prime target, especially among data-rich industries such as insurance.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California's insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state's constitutional values by furthering the purposes and intent of CPRA to ensure California's insurance laws enable my Department – as the state's insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.
Arguments in Opposition
The California Credit Union League, who is oppose unless amended states, "The League is particularly concerned that the bill could be interpreted to sweep in credit unions or [the Credit Union Service Organizations] (CUSOs) that hold a credit insurance agent license. A credit insurance agent license is a distinct category of authority that allows employees of financial institutions to offer credit-related insurance products in connection with lending activities. Unlike traditional insurance producer licenses, it does not reflect engagement in broader life, property, casualty, or other substantive insurance operations. Nevertheless, because the term "licensee" is not clearly defined for purposes of this article, and because agents are included among those holding a license under the Insurance Code, the bill could be interpreted to subject any credit union or affiliate holding credit insurance agent authority to the requirements of IIPPA."
FISCAL COMMENTS
According to the Assembly Appropriations Committee:
- The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
- The CPPA reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed IC regulations to identify conflicts and engages with CDI or the public on such matters.
VOTES
SENATE FLOOR: 28-10-2
YES: Allen, Arreguín, Ashby, Becker, Blakespear, Cabaldon, Caballero, Cervantes, Cortese, Durazo, Gonzalez, Grayson, Hurtado, Laird, Limón, McGuire, McNerney, Menjivar, Padilla, Pérez, Richardson, Rubio, Smallwood-Cuevas, Stern, Umberg, Wahab, Weber Pierson, Wiener
NO: Alvarado-Gil, Choi, Dahle, Grove, Jones, Niello, Ochoa Bogh, Seyarto, Strickland, Valladares
ABS, ABST OR NV: Archuleta, Reyes
ASM INSURANCE: 11-3-3
YES: Calderon, Addis, Papan, Berman, Gipson, Harabedian, Krell, Nguyen, Ortega, Michelle Rodriguez, Valencia
NO: Wallis, Ellis, Hadwick
ABS, ABST OR NV: Ávila Farías, Chen, Petrie-Norris
ASM PRIVACY AND CONSUMER PROTECTION: 11-4-0
YES: Bauer-Kahan, Bryan, Irwin, Lowenthal, McKinnor, Ortega, Pellerin, Petrie-Norris, Ward, Bennett, Wilson
NO: Macedo, DeMaio, Hoover, Patterson
ASM APPROPRIATIONS: 11-4-0
YES: Wicks, Arambula, Calderon, Caloza, Fong, Mark González, Krell, Pacheco, Pellerin, Sharp-Collins, Solache
NO: Hoover, Dixon, Ta, Tangipa
UPDATED
VERSION: August 21, 2026
CONSULTANT: Landon Klein / INS. / (916) 319-2086 FN: 0003988
SENATE THIRD READING
STR Bill Id:SB 354
Author:(Limón)
As Amended Ver:August 13, 2026
Majority vote
SUMMARY
Effective July 1, 2028, modernizes and expands laws pertaining to the collection, use, and sharing of personal information (PI) in the business of insurance.
Major Provisions
- Amends and expands the privacy notice required under the Insurance Information and Privacy Protection Act (IIPPA) to include specified information, and specifies the procedures for the provision of the notice.
- Prohibits a licensee, surplus line insurer, reinsurer or third-party service provider (TPSP) from selling a consumer's PI for any type of monetary or other valuable consideration.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from sharing a consumer's PI in a manner inconsistent with the consent provided by the consumer; requires them to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out; and specifies purposes for which a consumer must opt-in or be provided the opportunity to opt-out of PI sharing, respectively.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer's sensitive PI, other than in connection with an insurance transaction or legal obligation, or for a disclosed purpose if the consumer has been provided the opportunity to opt out.
- Specifies that a licensee's processing and retention of a consumer's PI shall be reasonably necessary and proportionate to achieve the purposes for which the PI was collected or processed, for another disclosed purpose for which the PI was collected and not further processed in a manner that is incompatible with those purposes, or for one of various specified purposes.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule; and to review records containing PI at least once every three years to determine whether retention of the PI remains permissible.
- Makes clarifications to a consumer's right to request access to, amendment of, or deletion of the consumer's PI in possession of a licensee, surplus line insurer, reinsurer, or its TPSP; and requires the licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, as specified.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
COMMENTS
- IIPPA, California Consumer Privacy Act (CCPA), and Proposition 24. Since 1981, the privacy of PI collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA). The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete PI about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, and limits the reasons for which and adverse underwriting decision can be issued.
The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing personal or privileged information about an individual collected or received in connection with an insurance transaction, unless the disclosure is: subject to the written authorization of the individual; reasonably necessary to perform a business, professional, or insurance function and is not further disclosed; reasonably necessary to prevent fraud or criminal activity; permitted or required by law; made for the purpose of conducting actuarial or research studies, as specified; only used in connection with the marketing of a product or service provided the opportunity to opt out of that use and has given no such indication; or used for another of a small number of specified purposes. The IIPPA also gives the Insurance Commissioner (IC) the authority to prosecute violations of these provisions, and specifies the process for bringing such an action, including associated penalties.
In 2018, the Legislature passed, and Governor Newsom signed into law, the CCPA, which provides baseline privacy rights for consumer PI maintained or transacted by businesses. The CCPA was the result of extensive negotiation among stakeholders, and was developed in part to provide a legislative path as an alternative to a ballot measure that would have otherwise moved forward. The CCPA was the first general data privacy law of its kind in the nation. In 2020, voters passed Proposition 24, the California Privacy Rights Act, which expanded and amended CCPA, and created the California Privacy Protection Agency (CPPA) as a regulatory authority to oversee its implementation and enforcement. Proposition 24 was purportedly proposed in part in response to various legislative attempts to weaken the privacy protections pursuant to CCPA.
CCPA, as amended by Proposition 24, requires businesses to provide information in their privacy policies pertaining to categories of PI they collect, use and disclose. It also provides consumers with the right to opt out of the sale of their PI, and to direct a business to limit the collection and use of their sensitive PI to that which is reasonably necessary and proportionate to what an average consumer would expect in the course of the business transaction. CCPA similarly provides rights to request access, amendment, or deletion of consumer information maintained by businesses.
Section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly-created CPPA, with promulgating regulations for a number of specified reasons critical to the implementation of the CCPA. Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [CPPA] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the [IC] shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that regulatory authority be transferred to CPPA once the agency was prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the IC maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the IC, and compliance is exceedingly complex.
This bill seeks to more clearly establish the jurisdiction of the IC over data privacy rights of insurance consumers. Toward this end, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill's provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for PI processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA.
- Sensitivity and complexity of the insurance industry. This bill raises two fundamental questions with respect to the insurance industry: 1) is PI exchanged in the business of insurance inherently more sensitive than information exchanged in more general contexts? And 2) can the mechanics of the insurance industry tolerate robust constraints on the collection, use, and sharing of PI?
With several enumerated exceptions, CCPA provides data privacy protections intended to span consumer-facing industries. This includes everything ranging from online shopping to social media. Still, California law recognizes various circumstances in which the exchange of PI is considered more sensitive, either by virtue of the specific information exchanged, or by virtue of the context in which that information exchange occurs. For instance, California provides more stringent protections for PI in medical contexts pursuant to the Confidentiality of Medical Information Act (CMIA), in financial contexts pursuant to the California Financial Information Privacy Act (CalFIPA), and in online educational contexts pursuant to the Student Online Personal Information Protection Act (SOPIPA). While these laws generally preceded CCPA, CCPA did not seek to supersede them, instead maintaining baseline privacy protections for consumer PI through CCPA and guaranteeing more robust protections in these more sensitive contexts.
California also provides privacy protections beyond those offered by CCPA for certain consumer industries, including laws regulating data collected by in-vehicle cameras in motor vehicles and laws limiting the processing of genetic information by direct-to-consumer genetic testing companies. These laws came into effect after the passage of CCPA, indicating the continued intent of the Legislature to impose more restrictive privacy protections on consumer-facing industries considered particularly sensitive.
In many cases, such as home, auto, and health insurance, insurance is either legally required or effectively essential for consumers, meaning the exchange of PI is not elective. Insurance also tends to cover the things most dear, and therefore worthy of additional security, to the consumer, such as their life, livelihood, health, home, and valuable property. Accordingly, the process of transacting insurance can reveal intimate details of the daily lives of consumers, and the context of insurance inherently relies on a level of trust between the consumer and the licensee that instills greater sensitivity than a typical consumer transaction.
On the other hand, the insurance industry relies heavily on the collection and evaluation of PI to accurately price risk. This means constraints on the collection, use, and sharing of PI have the potential to materially impact the functioning of the insurance market. The practical realities of an insurance transaction, from the consumer seeking coverage to the insurer writing a policy to the filing of claims, require PI to be shared between various parties with relative efficiency. A typical insurance transaction from the solicitation of coverage to the processing of a claim can include the consumer, the insurance company, the agent or broker, a wholesaler, one or many claims adjusters, third-party service providers who process information on behalf of any of these parties, and regulatory agencies that broadly oversee the entire process. Disruptions to the transfer of information in this process can delay the placement of coverage, increase frictional costs (thereby increasing premiums), and impede timely handling of claims, which, if unduly delayed, can significantly burden the consumer.
Many consumers also work with a preferred agent or broker over several years when seeking insurance, and the ability of that agent or broker to meet their insurance needs depends on the maintenance of PI about the consumer for the duration of their ongoing business relationship. Insurance frequently tends to be associated with ancillary products, such as financial products that may appropriately bundle with life insurance products to better support the needs of the consumer. Agents and brokers may direct consumers toward these products based on the PI they maintain, as appropriate, which can often be provided by affiliates or partnering entities of insurers.
The data-rich nature of the insurance industry creates conditions that are arguably more sensitive than a typical consumer transaction, while the complexity of insurance products and the associated transactions means disruptions to the efficient flow of information can be costly in both time and money. A law broadly governing the processing of PI in the insurance industry must acknowledge and balance both of these realities.
According to the Author
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers' compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
Arguments in Support
Insurance Commissioner Ricardo Lara, who sponsors the bill, argues:
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California's decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers' personal information. The latest string of data breach incidents involving insurers continues to demonstrate how consumers' sensitive personal information is a prime target, especially among data-rich industries such as insurance.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California's insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state's constitutional values by furthering the purposes and intent of CPRA to ensure California's insurance laws enable my Department – as the state's insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.
Arguments in Opposition
A coalition of organizations representing producers comprised of the Independent Agents and Brokers of California, the California Insurance Wholesalers Association, the National Association of Insurance & Financial Advisors of California, American Agents Alliance, and California Agents and Health Insurance Professionals, argues in opposition to the bill:
The CCPA was designed to address business models that monetize personal information or use it to target consumers through extensive data collection and tracking. Independent insurance agents, brokers, and wholesalers (collectively referred to as "producers") operate very differently. They do not sell or broadly share the personal information that clients provide except when necessary to complete the insurance transactions the consumer requests. They also have strong incentives to safeguard client information because those relationships are central to the value of their businesses.
The central problem with SB 354 for independent producers is that it is aimed primarily at the information practices of large multistate and multinational insurance companies. By placing both insurers and producers within the same definition of "Licensee," the bill imposes the same obligations and costs on a small local agency as on a global insurance enterprise. […] Applied to independent producers, these requirements would make every client relationship significantly more burdensome by requiring layered notices, documented consent, annual rights reminders, data inventories, vendor oversight, and audit trails. […]
Independent insurance producers do not sell customer information or solicit clients for purposes unrelated to the insurance products and services that meet their needs. They do not process, share, or sell personal information except to the extent necessary to carry out insurance transactions and fulfill their duty to protect their clients' financial interests.
FISCAL COMMENTS
According to the Assembly Appropriations Committee:
- The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
- The CPPA reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed IC regulations to identify conflicts and engages with CDI or the public on such matters.
VOTES
SENATE FLOOR: 28-10-2
YES: Allen, Arreguín, Ashby, Becker, Blakespear, Cabaldon, Caballero, Cervantes, Cortese, Durazo, Gonzalez, Grayson, Hurtado, Laird, Limón, McGuire, McNerney, Menjivar, Padilla, Pérez, Richardson, Rubio, Smallwood-Cuevas, Stern, Umberg, Wahab, Weber Pierson, Wiener
NO: Alvarado-Gil, Choi, Dahle, Grove, Jones, Niello, Ochoa Bogh, Seyarto, Strickland, Valladares
ABS, ABST OR NV: Archuleta, Reyes
ASM INSURANCE: 11-3-3
YES: Calderon, Addis, Papan, Berman, Gipson, Harabedian, Krell, Nguyen, Ortega, Michelle Rodriguez, Valencia
NO: Wallis, Ellis, Hadwick
ABS, ABST OR NV: Ávila Farías, Chen, Petrie-Norris
ASM PRIVACY AND CONSUMER PROTECTION: 11-4-0
YES: Bauer-Kahan, Bryan, Irwin, Lowenthal, McKinnor, Ortega, Pellerin, Petrie-Norris, Ward, Bennett, Wilson
NO: Macedo, DeMaio, Hoover, Patterson
ASM APPROPRIATIONS: 11-4-0
YES: Wicks, Arambula, Calderon, Caloza, Fong, Mark González, Krell, Pacheco, Pellerin, Sharp-Collins, Solache
NO: Hoover, Dixon, Ta, Tangipa
UPDATED
VERSION: August 13, 2026
CONSULTANT: Landon Klein / INS. / (916) 319-2086 FN: 0003537
Date of Hearing: August 5, 2026
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Buffy Wicks, Chair
SBPCA Bill Id:SB 354
Author:(Limón) – As Amended Ver:June 26, 2026
Policy Committee: | Insurance | Vote: | 11 - 3 |
Privacy and Consumer Protection | 11 - 4 | ||
|
|
Urgency: No State Mandated Local Program: Yes Reimbursable: No
SUMMARY:
This bill updates the Insurance Information and Privacy Protection Act (IIPPA) to establish new, modern standards for the collection, processing, retention, and sharing of a consumer’s personal information by an insurer.
Specifically, this bill:
- Establishes standards for the collection, processing, retaining, or sharing of a consumer’s personal information by a licensee, surplus line insurer, or reinsurer (“insurer”) or their third-party service providers (TPSPs), such as requiring the provision of a clear and conspicuous privacy notice in a standalone document to a consumer and allowing the sharing of a consumer’s personal information as is reasonably necessary and proportionate for certain purposes related to an insurance transaction or for certain other purposes fully disclosed to the consumer, to which the consumer has provided opt-in consent.
- Requires an insurer to develop a written records retention policy and schedule, as well as written procedures for the selection and oversight of a TPSP, both of which must be made available to the Insurance Commissioner (IC) upon request.
- Requires an insurer or TPSP to promptly provide notice to the IC of a data breach that compromises the security, confidentiality, or integrity of personal information.
- Authorizes the IC, if a hearing results in a finding that an insurer or TPSP knowingly violated the IIPPA, to order a penalty of at least $5,000 for each violation, not to exceed $1 million in the aggregate for multiple violations; increases the amount of monetary fines the IC may order against a person who violates a related cease and desist order; and increases the fine and decreases the jail term for an existing crime under the IIPPA.
- Prohibits an insurer from retaliating against a consumer who exercises their IIPPA rights.
- Requires any documents or data in the possession of the IC furnished by an insurer or TPSP pursuant to the IIPPA or obtained during an investigation or examination be confidential and privileged, and outlines permissions and requirements of the IC regarding such information.
- Provides that the IIPPA preempts and supersedes all inconsistent state laws relating to consumer privacy, except existing federal or state laws about protected health information.
- Requires the IC to ensure, to the extent reasonably possible, that regulations adopted by the IC to implement these provisions do not conflict with similar California Privacy Protection Agency (CPPA) regulations, and requires the IC to adopt regulations providing model policies, forms, and contracts that licensees may use for IIPPA compliance.
FISCAL EFFECT:
- The California Department of Insurance (CDI) reports costs of approximately $34,500 in each fiscal year 2026-27 and 2027-28 to implement this bill, including adopting specified regulations (Insurance Fund). However, it is possible for this bill to result in significant costs, in excess of $150,000, partially offset by penalties and fines, depending on the total number of insurers and TPSPs subject to the new privacy requirements, the volume of related consumer complaints received, and the complexity of any subsequent investigations and hearings. Given the breadth of the proposed IIPPA updates, CDI may require more resources, especially in the first few years, for additional specialized staff to support administrative, examination, investigatory, and enforcement activities.
- The CPPA reports no costs related to this bill. However, the CPPA may incur minor workload costs to the extent the CPPA reviews any proposed IC regulations to identify conflicts and engages with CDI or the public on such matters.
COMMENTS:
- Purpose. According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared with.
- Background. IIPPA. The IIPPA has regulated the privacy of personal information collected, used, and shared in the business of insurance since 1981. Key provisions of the IIPPA include: (a) requiring an insurance institution or agent (“insurer”) to provide specified notices of information practices to applicants and policyholders; (b) providing an individual the right to access, amend or correct, and delete personal information in the possession of the insurer or insurance-support organization; and (c) prohibiting an insurer or insurance-support organization from disclosing an individual’s personal information unless certain conditions exist, such as written authorization from the individual, the disclosure is reasonably necessary to perform a business function or prevent fraud, or the disclosure is used to market a product or service and the individual had the opportunity to opt out of such use.
CCPA. As an alternative to a ballot measure that would have otherwise moved forward, AB 375 (Chau), Chapter 55, Statutes of 2018, enacted the CCPA, which took effect on January 1, 2020, to provide baseline privacy rights for consumer personal information maintained or transacted by a business. Proposition 24 (2020) expanded provisions of the CCPA and created the CPPA as a regulatory authority to oversee implementation and enforcement of the CCPA. As amended by Proposition 24, the CCPA tasks the Attorney General (and shifts such responsibility to the CCPA upon creation) with reviewing existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether the Insurance Code provisions provide greater protection to consumers than the CCPA provisions. Upon completion of such review, Proposition 24 requires the CPPA to adopt a regulation that applies only the CCPA’s more protective provisions to an insurance company.
Effective January 1, 2026, CPPA regulations require an insurance company that meets the definition of a “business” under the CCPA to comply with the CCPA for any personal information not subject to the Insurance Code and related regulations. As noted in the Assembly Insurance Committee’s analysis of this bill:
The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the [IC] maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the [IC], and compliance is exceedingly complex.
Scope of This Bill. This bill updates IIPPA provisions to exceed the more general privacy protections provided under the CCPA. This bill also explicitly establishes that the IIPPA provisions preempt and supersede other inconsistent state consumer privacy laws, thus centralizing the IC’s regulatory and enforcement authority over insurer privacy matters.
Although this bill and the CCPA share many similar provisions, this bill imposes more robust constraints on personal information processed in the business of insurance. For example, the CCPA defaults to generally allowing the sale or sharing of personal information, with the opportunity for a consumer to opt-out. This bill prohibits the sale of personal information entirely and allows the sharing of personal information only as reasonably necessary and proportionate for specified insurance-related transactions, with options for a consumer to opt-out and opt-in to certain other types of sharing. Additionally, the CCPA provides a limited private right of action that applies only to those whose personal information was subject to a data breach. The existing IIPPA provides a private right of action with respect to a consumer’s right to access, amend/correct, and delete personal information, and with respect to requirements pertaining to notice of adverse underwriting decisions, which this bill generally maintains with conforming updates. And, notably, as summarized by the Assembly Privacy and Consumer Protection Committee’s analysis of this bill:
Small business exemption: The CCPA exempts from its provision any business that had annual gross revenues of less than $25 million in the preceding calendar year, annually buys, sells, or shares personal information of fewer than 100,000 consumers or households, and derives less than 50% of its annual revenues from the selling or sharing of consumers’ personal information.
This bill does not provide a similar exemption for small businesses, which, in the context of this bill, are primarily independent agents and brokers.
- Support and Opposition. This bill is sponsored by IC Ricardo Lara, who argues this bill “would establish the strongest-in-the-nation privacy protections for consumers” and uphold “our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws enable my Department – as the state’s insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.” This bill is also supported by consumer and privacy rights groups.
This bill is opposed by a coalition of insurer associations, unless amended “to address the serious operational issues in the bill” related to definitions, notices, data minimization and sharing, and the private right of action. The June 26, 2026, amendments to this bill appear to address these issues, but it is unclear whether the changes are sufficient for the coalition to update its position. This bill is also opposed by a coalition of associations representing independent insurance agents, brokers, and wholesalers, unless amended to include a “small-business exemption” similar to the approach taken under the CCPA, as this bill “is aimed primarily at the information practices of large multistate and multinational insurance companies” but “imposes the same obligations and costs on a small local agency.”
Analysis Prepared by: Irene Ho / APPR. / (916) 319-2081
Date of Hearing: July 1, 2026
Fiscal:
ASSEMBLY COMMITTEE ON PRIVACY AND CONSUMER PROTECTION
Rebecca Bauer-Kahan, Chair
SBPCA Bill Id:SB 354
Author:(Limón) – As Amended Ver:June 26, 2026
SENATE VOTE: 28-10
SUBJECT: Insurance Information and Privacy Protection Act
SYNOPSIS
Among the provisions of the California Consumer Privacy Act (CCPA), section 1798.185 of the Civil Code, updated by Proposition 24, tasks the Attorney General, and later the newly created California Privacy Protection Agency (Privacy Agency), with promulgating regulations for several specified reasons critical to the implementation of the CCPA. As it relates to the Insurance Information and Privacy Protection Act (IIPPA), Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [Privacy Agency] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that this regulatory authority be transferred to the Privacy Agency once the agency was established and prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the Insurance Commissioner maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the Privacy Agency maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are stronger than their counterparts in the Insurance Code. As a result, regulatory and enforcement authority are split between the Privacy Agency and the Insurance Commissioner, and compliance is exceedingly complex.
This bill seeks to establish an updated privacy framework for insurance consumers to reflect advances in technology since the passage of the IIPPA in 1981, and to ensure that the IIPPA is more privacy protective than the CCPA in order to make it clear that the Insurance Commissioner has sole responsibility for regulating insurance.
This bill is sponsored by Insurance Commissioner Ricardo Lara and is supported by Privacy Rights Clearinghouse, Oakland Privacy, and the Consumer Federation of California, among others. The previous version of the bill was opposed by several insurance industry associations, the California Chamber of Commerce, and the Consumer Data Industry Association, among others. However, the June 26th amendments addressed concerns raised by some of the opposition and may move some groups to a neutral position.
This bill was previously heard by the Insurance Committee, where it passed on an 11-3 vote.
EXISTING LAW:
- Provides, pursuant to the California Constitution, that all people have inalienable rights, including the right to pursue and obtain privacy. (Cal. Const., art. I, § 1.)
- Establishes the Insurance Information and Privacy Protection Act (IIPPA), to establish standards for the collection, use, and disclosure of information gathered in connection with insurance transactions and to maintain a balance between the need for information by those conducting the business of insurance and the public’s need for fairness in insurance information practices. (Ins. Code § 791.)
- Requires an insurance institution or agent to provide a notice of information practices to all applicants or policyholders in connection with insurance transactions at the time of delivery or initial data collection and at the point of renewal, reinstatement, and change in benefits, as provided. (Ins. Code § 791.04.)
- Authorizes an insurer to disclose personal or privileged information about an individual, which is collected or received in connection with an insurance transaction, as provided. This includes the authority to share personal or privileged information about an individual with an unaffiliated third party whose only use of the information will be in connection with the marketing of a product or service, as long as the individual is given an opportunity to opt out of this information-sharing. (Ins. Code § 791.13.)
- Establishes the California Consumer Privacy Act (CCPA). (Civ. Code §§ 1798.100-1798.199.100.)
- Provides a consumer, subject to exemptions and qualifications, various rights, including the following:
- The right to know the business or commercial purpose for collecting, selling, or sharing personal information and the categories of persons to whom the business discloses personal information. (Civ. Code § 1798.110.)
- The right to request that a business disclose the specific pieces of information the business has collected about the consumer, and the categories of third parties to whom the personal information was disclosed. (Civ. Code § 1798.110.)
- The right to request deletion of personal information that a business has collected from the consumer. (Civ. Code § 1798.105.)
- The right to opt-out of the sale of the consumer’s personal information if the consumer is over 16 years of age. (Civ. Code § 1798.12.)
- The right to direct a business that collects sensitive personal information about the consumer to limit its use of that information to specified necessary uses. (Civ. Code § 1798.121.)
- The right to equal service and price, despite the consumer’s exercise of any of these rights, unless the difference in price is reasonably related to the value of the customer’s data. (Civ. Code § 1798.125.)
- Establishes the California Privacy Protection Agency (Privacy Agency), vested with full administrative power, authority, and jurisdiction to implement and enforce the CCPA. The Privacy Agency is governed by a five-member board, with the chairperson and one member appointed by the Governor, and the three remaining members are appointed by the Attorney General, the Senate Rules Committee, and the Speaker of the Assembly. (Civ. Code § 1798.199.10.)
- Directs the Privacy Agency to review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of this title. Upon completing its review, the agency shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing. (Civ. Code § 1798.185(a)(20).)
- Establishes the Data Broker Registration Law (DBRL). (Civ. Code §§ 1798.99.80-1798.99.88.)
- Defines a “data broker” as a business that knowingly collects and sells the personal information of a consumer to a third party that the business does not have a direct relationship with. (Civ. Code § 1798.99.80.)
- Requires data brokers to register annually with the Privacy Agency and provide specified information. (Civ. Code § 1798.99.82.)
- Requires the Privacy Agency, by January 1, 2026, to develop an accessible deletion mechanism that allows a consumer to request that every registered data broker delete any personal information held by the broker. (Civ. Code § 1798.99.86.)
- Permits amendment of the CPRA by a majority vote of each house of the Legislature and the signature of the Governor, provided such amendments are consistent with and further the purpose and intent of this act as set forth therein. (Proposition 24 § 25 (2020).)
THIS BILL:
- Establishes standards for the collection, processing, retaining, or sharing (collectively referred to as “processing”) of a consumer’s personal information by licensees, surplus line insurers, reinsurers and their third-party service providers.
- Requires the standards to address all of the following:
- Protect consumers’ personal information processed by licensees, surplus line insurers, reinsurers, or their third-party service providers.
- Inform consumers of the categories of personal information being processed.
- Inform consumers of the categories of sources from which consumers’ personal information is collected and identify recipients when the information is shared.
- Permit consumers to choose whether to opt in to the sharing of their personal information for purposes other than insurance transactions.
- Permit individual consumers to request access to their personal information to verify or dispute the accuracy of the information.
- Inform consumers of the reasons for adverse underwriting decisions.
- Require data minimization practices for all licensees, surplus line insurers, reinsurers, and their third-party service providers in the processing of consumers’ personal information.
- Provide accountability for the improper processing of consumers’ personal information by licensees, surplus line insurers, reinsurers, and their third-party service providers in violation of the bill.
- Provides consumers with the following rights and protections:
- The right to correct, amend, or delete any personal or publicly available information about the consumer.
- The right to request any personal and publicly available information that is in possession of the licensee, surplus line insurer, reinsurer, or third party service provider (TPSP).
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer’s personal information for a purpose that the consumer did not consent to.
- States that consent is not established by any of the following means:
- Acceptance of a general or broad terms of use or similar document that contains descriptions of personal information processing, along with other unrelated information.
- Hovering over, muting, pausing, or closing a given piece of content.
- Agreement obtained through the use of dark patterns.
- Requires the licensee, surplus line insurer, reinsurer, or TPSP obtain prior, opt-in consent from the consumer before sharing their personal information for the marketing of a product or service, or for a research activity.
- Requires the licensee, surplus line insurer, reinsurer, or TPSP to offer an opt-out option to consumers before sharing their personal information for certain purposes, including:
- The joint marketing of cobranded financial products or services.
- Limits the personal information to name; address or email address; financial institution affiliation and account type; and age.
- The cross-marketing of insurance or financial products or services.
- In connection with FAIR Plan clearinghouse activities.
- The joint marketing of cobranded financial products or services.
- Strictly prohibits the sale of consumers’ personal information.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to provide the notices required pursuant to the bill.
- Provides that the notice obligations imposed upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or TPSP, as specified.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer’s personal information in a manner inconsistent with the consent provided by the consumer; requires the licensee, surplus line insurer, reinsurer, or TPSP to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out, as applicable, and to maintain a written record of the consent election; and specifies the manner in which consent must be requested, or the opportunity to opt-out must be provided, as applicable, including information that must be provided in the request for consent or the opportunity to opt out.
- Clarifies that a consumer does not have the ability to opt-out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required.
- Requires a licensee, surplus line insurer, reinsurer that uses a TPSP to prepare an investigative consumer report about a consumer in connection with an insurance transaction to include in the contract with the TPSP that the TPSP must comply with the requirements of the specified law, and may not process personal information provided to the TPSP by the licensee, surplus line insurer, or reinsurer other than to fulfill the purpose of the contract.
- Makes several procedural clarifications to a consumer’s right to request access to, amendment of, or deletion of the consumer’s personal information in possession of a licensee, surplus line insurer, reinsurer, or insurance support organization, or its TPSPs, and includes publicly available information concerning the consumer in the possession of that entity in the information to which the consumer has access, or may request to amend or delete.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, and specifies means to do so, as well as prohibited practices in the provision of access to rights; and specifies that these obligations may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or TPSP.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information as is reasonably necessary and proportionate for the following purposes:
- In connection with an insurance transaction, as defined, or provision of “value added services or benefits” in connection with an insurance transaction, as defined.
- For compliance with legal requirements.
- For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, as specified.
- To permit a party or representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of a licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, as specified.
- To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
- To permit a governmental authority to determine the consumer’s eligibility for health care benefits for which the governmental authority may be liable, as specified.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for the following purposes:
- In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific marketing activity to which the consumer has consented.
- In connection with research activity, as defined, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific research activity to which the consumer has consented.
- For any other purpose not enumerated, provided that the purpose has been clearly and fully disclosed to the consumer and processing is limited to the specific activity which has been disclosed and to which the consumer has consented.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information on an opt-out basis as is reasonably necessary and proportionate for the following purposes, provided that the consumer has been provided with notice of the processing and the consumer’s ability to opt-out of the processing, a reasonable opportunity for the consumer to opt-out of the processing, and the consumer has not done so:
- In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, as specified.
- In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship, if the consumer is provided with notice and the ability to opt out of the cross-marketing activity and has not done so.
- In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified as permissive pursuant to 9), provided that the consumer is given notice and the ability to opt out of the affiliate sharing activity.
- In connection with FAIR Plan clearinghouse activities, as specified.
- For additional purposes specified by the commissioner in regulation.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer’s sensitive personal information, other than in connection with an insurance transaction.
- Prohibits a licensee, surplus line insurer, reinsurer or TPSP from selling a consumer’s personal information for any type of monetary or other valuable consideration.
- Specifies that a licensee’s, surplus line insurer’s, or reinsurer’s retention of a consumer’s personal information shall be reasonably necessary and proportionate in connection with the specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request.
- Requires a licensee to review and update its records retention policy and records retention schedule not less than once every three years to ensure compliance; requires a licensee to review its records containing personal information to determine whether any specified purposes permit the continuing retention of any consumer’s personal information; and requires them to take reasonable steps to securely destroy, delete, or deidentify the consumer’s personal information in a timely manner in accordance with its records retention schedule once they have determined that a consumer’s personal information, or a specific element of the consumer’s personal information, is no longer needed pursuant to the specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to exercise due diligence in selecting and overseeing its TPSPs; and requires them to develop written procedures for the selection and oversight of TPSPs that are to be made available to the commissioner upon request.
- Requires that a contract between a licensee, surplus line insurer, or reinsurer, and a TPSP govern the processing of personal information performed on their behalf, and that the contract contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties, as specified.
- Requires a licensee, surplus line insurer, or reinsurer to develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to promptly provide notice to the commissioner of an incident constituting a breach, as specified.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP that, pursuant to an insurance transaction, takes title to a device storing personal information of a consumer, to use commercially reasonable efforts to delete the consumer’s personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner, as specified.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP that, pursuant to an insurance transaction, takes title to a vehicle storing personal information of a consumer, shall restore the vehicle to its factory default setting thereby removing a consumer’s personal information before selling or transferring the vehicle.
- States that the requirements related to a vehicle are satisfied if any of the following apply:
- The licensee, surplus line insurer, reinsurer, or TPSP determines that the damage to the vehicle’s electrical system prevents any access to the components storing personal information.
- The licensee, surplus line insurer, reinsurer, or TPSP makes all reasonable attempts to power on the vehicle and the vehicle is not able to be powered on.
- The vehicle is determined to contain a biohazard or other hazardous conditions that would make access unsafe.
- Accessing the components could create a reasonable risk to the health and safety of an employee.
- The licensee, surplus line insurer, reinsurer, or TPSP destroys or renders unreadable the personal information stored on the vehicle.
- Prohibits retaliation against a consumer for the exercise of rights pursuant to the IIPPA.
- Increases penalties for knowing and willful violations of the provisions of the IIPPA.
- Provides several rights and authorities to the commissioner to enforce, and clarify through regulations and rulemaking, the provisions of the bill.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
- Makes conforming and technical changes to existing provisions of the IIPPA.
- Defines various terms, among them:
- “Aggregated consumer information” means information that relates to a group or category of consumers, that is deidentified, and that is not linked or reasonably linkable to a consumer, household, or specific electronic device.
- “Biometric information” means an individual’s physiological, biological, or behavioral characteristics that can be used, singly or in combination with other identifying information, to establish a consumer’s identity. Biometric information may include an iris or retina scan, fingerprint, face, hand, palm, ear, or vein pattern, or voiceprint, from which an identifier template, such as a faceprint, a minutiae template, or a voiceprint, can be extracted, and keystroke patterns or rhythms, gait patterns or rhythms, or any other means to identify an individual.
- “Clear and conspicuous notice” means a notice that is reasonably understandable and designed to call attention to the nature and significance of its contents.
- “Collect” or “collecting” means buying, renting, licensing, gathering, obtaining, receiving, or accessing a consumer’s personal information.
- “Consent” means a freely given, specific, informed, and unambiguous indication of the consumer’s wishes by which the consumer, or the consumer’s legal guardian, a person who has power of attorney, or a person acting as a conservator for the consumer, including by a statement or by a clear affirmative action, signifies agreement to the processing of personal information relating to the consumer for a narrowly defined particular purpose.
- “Consumer” means an individual who is a resident of California whose personal information is processed or has been processed in the business of insurance, including a current or former applicant, claimant, beneficiary, policyholder, insured, participant, annuitant, employee, or certificate holder. “Consumer” includes an individual’s legal representative.
- A consumer is in an ongoing business relationship with a licensee, surplus line insurer, or reinsurer if there is a continuing relationship between the consumer and the licensee, surplus line insurer, or reinsurer based on one or more insurance transactions provided by the licensee, surplus line insurer, or reinsurer.
- A consumer is a resident of this state if the consumer’s last known mailing address, as shown in the records of the licensee, surplus line insurer, or reinsurer, is in this state unless the last known address of record is deemed invalid.
- “Consumer” does not include an individual in the course of the individual acting as a job applicant to, or an employee, director, officer, or independent contractor of, a licensee, surplus line insurer, reinsurer, or third-party service provider, to the extent that the individual’s personal information is processed by the licensee, surplus line insurer, reinsurer, or third-party service provider solely within the context of the individual’s role or former role as a job applicant to, or an employee, director, officer, or an independent contractor of, that licensee, surplus line insurer, reinsurer, or third-party service provider.
- “Cross marketing” means marketing of insurance or financial products or services by or on behalf of a licensee, to a consumer with which the licensee has an ongoing business relationship. Cross marketing includes an insurance or financial product or service, whether offered by the licensee or by a third party.
- “Dark pattern” means a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.
- “Deidentified information” means information that cannot reasonably identify, relate to, describe, be capable of being associated with, or be linked, directly or indirectly, to a particular consumer, provided that a licensee, surplus line insurer, or reinsurer that processes deidentified information meets all the following criteria:
- (A) Has implemented reasonable technical safeguards and policies designed to prohibit reidentification of the consumer to whom the information may pertain.
- Has implemented reasonable business policies that specifically prohibit reidentification of the information.
- Has implemented business processes designed to prevent inadvertent release of deidentified information.
- Makes no attempt to reidentify the information.
- Does not retain any sensitive personal information.
- Other requirements pertaining to deidentification that the commissioner specifies in regulation.
- Deidentified information is not personal information.
- “Insurer” means any of the following:
- A corporation, association, or partnership required to be licensed by the commissioner to assume risk or otherwise authorized to assume risk, including a reciprocal exchange, interinsurer, fraternal benefit society, or multiple-employer welfare arrangement.
- A self-funded plan subject to regulation by the commissioner.
- A preferred provider organization administrator.
- The servicing of an insurance application, policy, contract, or certificate. “Insurer” does not include producers, insurance support organizations, foreign-domiciled risk retention groups, reinsurers, or surplus line insurers.
- “Personal information” means information processed in the business of insurance that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.
- “Personal information” includes any of the following if it identifies, relates to, describes, is reasonably capable of being associated with, or could be reasonably linked, directly or indirectly, with a particular consumer or household:
- Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, driver’s license number, passport number, or other similar identifiers.
- Personal information described in subdivision (e) of Section 1798.80 of the Civil Code.
- Characteristics of protected classifications pursuant to state or federal law.
- Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
- Biometric information.
- Internet or other electronic network activity information, including browsing history, search history, and information regarding a consumer’s interaction with an internet website, online platform, digital application, or advertisement.
- Geolocation data.
- Auditory, electronic, visual, thermal, olfactory, or other sensory information.
- Professional or employment-related information.
- Education information that is not publicly available, personally identifiable information as defined in the Family Educational Rights and Privacy Act (20 U.S.C. Sec. 1232g) and related regulations (Part 99 (commencing with Section 99.1) of Title 34 of the Code of Federal Regulations).
- Sensitive personal information.
- “Personal information” means any individually identifiable information gathered in connection with an insurance transaction from which judgments can be made about an individual’s Inferences drawn from any of the information identified in this subdivision to create a profile about a consumer reflecting the consumer’s preferences, characteristics, character, habits, avocations, finances, occupation, general reputation, credit, health, or any other personal characteristics. “Personal information” includes an individual’s name and address and “medical record information” but does not include “privileged information,” psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
- “Personal information” does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern.
- “Process,” “processing,” or a “process” means any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.
- “Publicly available” means information about a consumer that a licensee, surplus line insurer, reinsurer, insurance support organization, or third-party service provider has a reasonable basis to believe is lawfully made available from any of the following:
- Federal, state, or local government records.
- Widely distributed media.
- Disclosures to the general public that are required to be made pursuant to federal, state, or local law.
- “Publicly available” does not mean biometric information collected about a consumer without the consumer’s knowledge.
- “Reinsurer” means a legal entity primarily engaged in assuming all or part of the risk associated with existing insurance policies originally underwritten by insurers, or a legal entity known as a “retrocessionaire” that accepts all or part of one or more reinsurance policies issued by a reinsurer.
- “Research activities” means systemic investigation, including development, testing, and evaluation, designed to develop or contribute to generalizable knowledge if there is sharing of personal information with nonaffiliated third parties.
- “Retain,” “retention,” or “retaining” means storing or archiving personal information that is in the continuous possession, use, or control of a licensee, surplus line insurer, reinsurer, or third-party service provider.
- “Sale,” “sell,” or “selling” means the exchange of personal information to a third party for monetary or other valuable consideration. “Sale” of personal information does not include any of the following sharing of personal information:
- Disclosing information to a third-party service provider for the purpose of or in support of providing an insurance or financial product or service requested by the consumer.
- Sharing with or receiving information from an insurance support organization, statistical agent, or reinsurer in connection with an insurance transaction.
- Providing or disclosing information to an affiliate or in connection with joint marketing activity as permitted by this article.
- Transferring personal information to a third party as an asset pursuant to a merger, acquisition, bankruptcy, or other transaction, or a proposed merger, acquisition, bankruptcy, or other transaction in which the party assumes control of all or part of the licensee’s, surplus line insurer’s, or reinsurer’s assets.
- Disclosure pursuant to a consumer’s direction to the licensee, surplus line insurer, reinsurer, or third-party service provider to disclose personal information to, or interact with, one or more third parties.
- “Sensitive personal information” means personal information that reveals any of the following information about a consumer:
- Social security, driver’s license, state identification card, or passport number.
- Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
- Precise geolocation.
- Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
- Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
- Genetic or neural data.
- Information about the consumer’s sex life or sexual orientation.
- Health information.
- Biometric information.
- Additional items specified by the commissioner in regulation.
- Sensitive personal information that is publicly available shall not be considered sensitive personal information or personal information.
- “Share,” “shared,” or “sharing” means sharing, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a consumer’s personal information by a licensee, surplus line insurer, reinsurer, or third-party service provider to a third party.
- “Third-party service provider” means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee, surplus line insurer, or reinsurer to provide services to the licensee, surplus line insurer, or reinsurer, to the extent that it processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee, surplus line insurer, or reinsurer. “Third-party service provider” includes insurance support organizations and a person with whom a licensee, surplus line insurer, or reinsurer does not have a continuing business relationship and does not have a contract, but may have to share personal or publicly available information in connection with an insurance transaction pursuant to subdivision (c) of Section 791.24.
- “Third-party service provider” does not include governmental entities, licensees, affiliates of licensees, surplus line insurers, reinsurers, or data brokers registered pursuant to Section 1798.99.82 of the Civil Code.
COMMENTS:
1) Author’s statement. According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared with.
2) Historical perspective. To fully understand how completely people in California and throughout the country have ceded the right to live their lives in private, free from both government and private surveillance, privacy experts reflect on the concerns raised by federal and state lawmakers 50 years ago when debating the creation of the FBI’s National Crime Information Center’s computerized data collection system (NCIC). This database that was so controversial at the time simply allowed local, state, and federal law enforcement agencies to share personal data related to suspected criminal activities. Congress held “days and days” of hearings over two years. Members warned of the “threat of the dictatorship of dossiers.”[1]
During the debates, Senator Barry Goldwater of Arizona lamented, “Where will it end? . . . Will we permit all computerized systems to interlink nationwide so that every detail of our personal lives can be assembled instantly for use by a single bureaucrat or institution?”[2] Senator Charles H. Percy of Illinois in foreshadowing of what would come to pass in the 21st century warned:
I hope that we never see the day when a bureaucrat in Washington or Chicago or Los Angeles can use his organization’s computer facilities to assemble a complete dossier of all known information about an individual. But, I fear that is the trend. . . . Federal agencies have become omnivorous fact collectors—gathering, combining, using, and trading information about persons without regard for his or her rights of privacy. Simultaneously, numerous private institutions have also amassed huge files . . . of unprotected information on millions of Americans.[3]
During the same period when Congress was expressing concern about the erosion of individuals’ privacy protections, the people of California used the initiative process to add “privacy” to the list of “inalienable rights” in the state constitution in 1972.[4] Proponents noted the initiative was specifically designed to preserve Californians’ private lives and fundamental rights in the face of technological advances. They argued: “The right of privacy is the right to be left alone. . . . It prevents government and business interests from collecting and stockpiling unnecessary information about us and from misusing information gathered for one purpose in order to serve other purposes. . . .”[5]
Presently, California voters face an even greater “dictatorship of dossiers”[6] than their predecessors, with not only global governments’ ability to monitor individuals’ private lives, but also the near ubiquitous access to these dossiers afforded to private businesses and individuals willing to pay for them. There are more than 4,000 data brokers with dossiers on 98% of the people in the United States.[7] The largest data broker, Acxiom, has more than 10,000 data attributes on over 2.5 billion people in more than 60 countries.[8] The amount of data being collected on people has increased dramatically over the last decade as businesses have figured out how to monetize this natural resource.[9]
3) California’s Consumer Privacy Laws. Since 1981, the privacy of personal information collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA). The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; provides the rights to access, amend/correct, and delete personal information about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, as specified, and limits the reason for which an adverse underwriting decision can be issued. The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing any personal or privileged information about an individual collected or received in connection with an insurance transaction, except under certain circumstances.
In 2018, the Legislature enacted the CCPA (AB 375; Chau, Chap. 55, Stats. 2018), which gave consumers certain rights regarding their personal information,[10] such as the right to: (1) know what personal categories of information about them are collected and sold; (2) request the deletion of personal information; and (3) opt-out of the sale of their personal information, or opt-in, in the case of minors under 16 years of age. The CCPA was the first general data privacy law of its kind in the nation.
In 2020, California voters passed Proposition 24, the California Privacy Rights Act (CPRA), which both established additional privacy rights for Californians and arguably weakened other privacy rights. Chief among these additional rights was the right of a consumer to limit a business’s use of sensitive personal information.[11] Importantly, as it pertains to the interaction between the IIPPA reforms included in this bill and the CCPA, one of the most important components of Proposition 24 was establishing that the CCPA, as amended, was a floor and not a ceiling for privacy protection. Essentially, to protect Californians from any future legislative efforts to weaken statutory protections in the CPRA, Proposition 24 provided that the CPRA’s contents may be amended by a majority vote of the Legislature if the amendments are consistent with and further the purpose and intent of the CPRA, which is to further protect consumers’ rights, including the constitutional right of privacy.
Among the provisions, section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly created Privacy Agency with promulgating regulations for several specified reasons critical to the implementation of the CCPA. As it relates to the IIPPA, Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [Privacy Agency] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that this regulatory authority be transferred to the Privacy Agency once the agency was established and prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the Insurance Commissioner maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the Privacy Agency maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are stronger than their counterparts in the Insurance Code. As a result, regulatory and enforcement authority are split between the Privacy Agency and the Insurance Commissioner, and compliance is exceedingly complex.
4) The need for this bill. The IIPPA was enacted in 1980, well before the internet and computer technology transformed how data is collected, stored, and shared. The law does not adequately address modern challenges like algorithmic decision-making, big data analytics, cloud storage, or online data collection methods used by relevant parties. Furthermore, the act's consent mechanisms and disclosure requirements were not designed for digital interfaces in today's data-driven insurance industry.
This bill seeks to establish an updated privacy framework for insurance consumers to reflect advances in technology and to ensure that the IIPPA is more privacy protective than the CCPA in order to make it clear that the Insurance Commissioner has sole responsibility for regulating insurance.
The author explains the need for the bill in this way:
The Insurance Information and Privacy Protection Act (IIPPA), provides protections for personally identifiable information, generally provided to insurance professionals like agents, brokers or insurance companies in order to apply for insurance or submit a claim. Many of the provisions were enacted in the 1980’s and do not address all of the advancements in technology and the ways consumer data can be used.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. Increasingly, licensees are using sophisticated technologies to collect and process consumers’ personal information, which has increased the volume and sensitivity of personal information that licensees collect about consumers. Developments in insurance business structures have led to increasingly complex contracting arrangements between licensees and service providers, with the attendant risk in supply chain data breaches. There is a lack of oversight into how much data licensees collect, what purposes it can be used for, who it can be shared with, and how long it can be retained.
Additionally, the California Consumer Privacy Act (CCPA) was later expanded by the California voters with the passage of Proposition 24. These existing privacy laws mandate the Consumer Privacy Protection Agency to adopt regulations applying privacy protections to insurance licensees if California’s Insurance Code and regulations do not provide stronger privacy protections. This bill is intended to provide stronger protections that support the intent of CCPA.
The Insurance Commissioner, sponsor of the bill, further explains:
Existing California insurance privacy laws are more than 40 years old and consumer privacy protections have been outpaced by modern insurance industry business practices, exposing consumers to considerable risk. The original drafters of these legacy laws could not have anticipated the fluidity with which PI is currently collected, the many new purposes for which PI is processed and exchanged, or the scale and speed at which these transactions take place.
Institutionalized hacking is a reality and data-rich entities like insurance businesses are targeted by bad actors. Between 2017 – 2021, California led the nation in data breaches, with 325,291 victims losing more than $3.7 billion. In 2025, the global average cost of a data breach reached $4.88 million per Incident.
5) What this bill would do. This bill seeks to more clearly establish the general jurisdiction of the Insurance Commissioner over data privacy rights of insurance consumers. Specifically, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill’s provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for personal information processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA. Toward that end:
- Strengthens consumer rights by doing the following –
- Providing the right for consumers to opt in to the sharing of personal information by licensees for purposes unrelated to insurance transactions; provides limited opt-out for specified marketing purposes.
- Providing the right to review, correct, and delete personal and publicly available data that licensees have about consumers.
- Providing the right for consumers to access the personal information that is processed, the sources from where the information is collected, and to identify recipients when information is shared, as well as disclosing the reasons for adverse underwriting decisions.
- Providing opt-in and opt-out rights for the use of personal information for marketing purposes.
- Providing the right to exercise these rights without retaliation from their insurer.
- Providing the right to delete inaccurate or unnecessary personal information.
- Prohibiting the sale of consumers’ personal information for any consideration.
- Increases obligations for insurance licensees –
- Requires that contractual arrangements between insurers and vendors protect personal consumer data and that the information is only used for the reason it was requested.
- Requires insurance companies to develop policies and procedures related to records retention and deletion, including securely destroying personal information that is no longer needed.
- Requires licensees to establish and follow protocols to protect consumers’ personal information and provide data breach notifications to the California Department of Insurance.
- Requires licensees properly vet and oversee service providers they engage, including requiring the third-party provider to ensure that those accessing the personal information are subject to a duty of confidentiality, to maintain appropriate safeguards to ensure protection of any personal information, and to not further process or disclose the personal information obtained from, or on behalf of, the licensee other than as specifically stated in the contract.
- Limits when and how a licensee can process a consumer’s personal information.
- Requires that collection, processing, retention, or sharing of the consumer’s personal information comply with the most recent privacy notice provided.
- Requires the processing and retention of the information must be reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized and not further processed in a manner that is incompatible with those purposes.
- Prohibits licensees from processing sensitive personal information other than in relation to an insurance transaction.
6) Significant distinctions between the IIPPA and the CCPA. Both this bill and CCPA require specified privacy notices, provide rights to access, correct or amend, and delete personal information maintained by a business, and prohibit retaliation for exercise of rights, among other things. However, this bill would provide more robust constraints on the collection, use, and disclosure of personal information that is processed in the business of insurance. As discussed in the detailed Insurance Committee analysis, major distinctions between the privacy rights provided by CCPA and this bill include the following:
Processing: The CCPA does not place specific restrictions on the collection and use of personal information, but provides consumers with the right to direct a business that collects sensitive personal information, as defined, to limit its use of the consumer’s sensitive personal information “to that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services,” and as otherwise specified.
The provisions of this bill almost entirely pertain to the processing of personal information, which is defined to mean “any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.”[12]
Data minimization and opt-in default: The CCPA does not explicitly require minimization of data collected, used, or shared, apart from the opportunity to opt out of the sale and sharing of personal information, subject to specified exceptions. However, CCPA does provide the right for a consumer to direct a business that collects sensitive personal information about the consumer to limit its use of the consumer’s sensitive personal information to “that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services.”
This bill places similar limitations on all personal information processed in the business of insurance, but limits the “necessary and proportionate” standard to only specified purposes, some of which are permissible use, and some of which are subject to opt-out standards. For any purpose that is not specifically enumerated, this bill would require opt-in consent for collection, use, and sharing of that information. In other words, while CCPA defaults to permitting the sale or sharing of personal information subject to the opportunity to opt-out, this bill would default to prohibiting the processing of personal information, and would require affirmative consent to do so, except as specified. This bill also prohibits the sale of personal information entirely, and addresses the sharing of personal information in largely the same manner as it addresses processing generally.
Small business exemption: The CCPA exempts from its provision any business that had annual gross revenues of less than $25 million in the preceding calendar year, annually buys, sells, or shares personal information of fewer than 100,000 consumers or households, and derives less than 50% of its annual revenues from the selling or sharing of consumers’ personal information.
This bill does not provide a similar exemption for small businesses, which, in the context of this bill, are primarily independent agents and brokers.
Private right of action: The CCPA provides a limited private right of action that applies only to those whose personal information was subject to a data breach.
The existing IIPPA provides a private right of action with respect to the rights to access, amend/correct, and delete personal information held by an insurer, agent, or insurance support organization, and with respect to requirements pertaining to notice of adverse underwriting decisions. The bill in print expands this private right of action to include violations of restrictions on the processing of personal information including consent procedures, prohibitions on sale of personal information, retention and deletion requirements including development and reporting of a record retention policy and schedule, existing provisions pertaining to adverse underwriting decisions not currently covered by the existing private right of action, existing procedures for health insurers to protect the confidentiality of medical information that are not currently covered by the existing private right of action, and prohibitions against retaliation for exercising rights, as specified.
ARGUMENTS IN SUPPORT: California Insurance Commissioner Ricardo Lara, the sponsor, writes in support of a previous version of this bill:
SB 354 will enhance the Insurance Information and Privacy Protection Act. This landmark legislation recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate. Under this bill, insurers would be required to follow clear standards for collecting and using personal data, ensuring that information is gathered for the purpose required by the consumer, unless otherwise specified. SB 354 would prohibit the sale of consumers’ personal information for any reason, and guarantee consumers the rights to access, verify, correct, or dispute the accuracy of information held about them. To reinforce these protections, this bill would mandate robust data minimization and retention limits to ensure only information necessary for underwriting, servicing, or claims handling is collected and retained, and establishes accountability and enforcement mechanisms to prevent improper processing or misuse of consumer data by insurers and their services providers.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance privacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information.
The latest string of data breach incidents involving insurers continue to demonstrate how consumers’ sensitive personal information is a prime target, especially among data-rich industries such as insurance.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded consumer privacy rights and expressly extended the application of CPRA’s requirements to insurance licensees when California’s insurance statutes and regulations do not provide stronger privacy protections than what are found in the CPRA. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws enable my Department – as the state’s insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.
I remain committed to creating long-term policy solutions for consumers so that we can build a stable and sustainable insurance market that works for all Californians. In order to do that, we need to ensure that California’s insurance privacy laws are both responsive to protecting consumers and reflect modern business practices in the insurance market.
I remain committed to creating long-term policy solutions for consumers so that we can build a stable and sustainable insurance market that works for all Californians. In order to do that, we need to ensure that California’s insurance privacy laws are both responsive to protecting consumers and reflect modern business practices in the insurance market.
Arguing in support of a previous version of this bill, Oakland Privacy notes:
Technology has significantly revolutionized many aspects of people’s lives and businesses across most industries. Insurance is no exception. California’s insurance privacy regulations were last updated several decades ago, leaving large gaps given the innovations in the insurance industry. The industry has embraced the benefits of technology – in particular the ability to collect vast amounts of data. Insurance companies heavily use artificial intelligence processing and data analytics, chatbots for customer communications, connected devices and telematics, and drones for inspection.
As an example, the “newfangled” insurance company Lemonade is said to collect 1,500 data points on each customer. State Farm has filed many patents to manage risk and aid in pricing. This has become very lucrative for insurance – in 2024, over 13,000 patents were filed for insurance data analytics. In the previous year (2023) there were just under 2,000 patents. According to research, the insurtech market is estimated to surpass $52 billion in 2025.
The insurance industry is benefiting from the troves of data they are collecting including reducing their risk exposure – but those benefits aren’t necessarily translating to an improved consumer experience. State Farm dropped the insurance policies of 72,000 Californians in 2024. Instead, customers are increasingly seeing their privacy being put at risk. Particularly disturbing is the push to collect continuous streams or “real-time data” to adjust a consumer’s premiums based on dynamic changes in their behavior.
One of these pervasive practices is telematics when vehicles collect troves of data such as locational coordinates which track a vehicle’s whereabouts, navigation destinations from GPS networks, and remote control information. A recent report researching 25 car brands found that vehicles were the worst privacy offenders of various technological devices across various industries and product categories that had been reviewed. Vehicles were found to collect vast amounts of information on drivers (and passengers) including sexual activity, immigration status, race, facial expressions, weight, health and genetic information to facilitate the automobile insurance industry, The report shows that car manufacturers and their vendors collect far too much personal data despite their “Consumer Protection Principles” which included assurances that they protect people’s private information.
Moreover, most manufacturers did not provide consumers meaningful control over their data. Chevy collected information relating to driving habits, and shared that data with insurance providers, leading to increased rates or policy cancellations. GM has also been found to share data with LexisNexis Risk Solutions with negative impacts on consumer’s insurance policies.
It is apparent that consumers are being encouraged, incentivized and in some cases required, to give up excessive amounts of data. The insurance industry has reasonable needs for customer information to assess risk, but in return customers can and should demand that information be properly used, secure, and not weaponized against them.
[. . .]
Because insurance-related information is often intrinsically sensitive, we wanted to highlight a few of the protections in Senate Bill 354 that need to remain robust to protect consumers:
- Third party contractor requirements in section 791.24 which are explicit about written agreements with contractors and place accountability with insurance companies for the behavior of their third party contractors.
- Clear data retention and deletion standards and justifications in section 791.30
- An explicit ban on “dark pattern” obscured consent mechanisms in section 791.31
- Robust rights of correction, amendment and deletion in section 791.09
- Investigation and enforcement functions as defined in sections 791.14 to section 791.19
- We know that the companies want broad permissions, including an opt-out rather than an opt-in, for marketing purposes and to share information within their “families of companies”. We want to emphasize that many insurance companies are company-family with data broker companies and that there needs to be a very robust consent process for these kinds of marketing relationships. As a result of the data broker industry, we have data that demonstrates that family members of insurers are data brokers that are selling children’s data, repro data, and location info, In our opinion, it should be opt-in, but if it must be opt-out it needs to be clear, conspicuous and stand-alone.
- The CA Department of Insurance should track and publish known data breaches in the insurance field, as the Cal Privacy currently does for the business sectors they oversee.
ARGUMENTS IN OPPOSITION: In opposition to a previous version of the bill, a coalition of insurance associations argues:
We have had continued fruitful negotiations with the Pro Tem’s office and the Department of Insurance. While we have not yet fully solidified the necessary amendments to address the serious operational issues in the bill there have been indications from the author and the sponsor that they intend to address them.
Our industry has always supported robust, insurance specific regulations to protect our customers, and we remain actively engaged with regulators, including CDI, through the National Association of Insurance Commissioners (NAIC) effort to craft an updated privacy model. The NAIC Privacy Protections (H) Working Group’s work to update Model 672 is expected to be completed in 2027 and would not only modernize the provisions that SB 354 aims to address,
but would allow for an adoptable, more uniform Model. This uniformity helps consumers, regulators, and insurers and allows for more cost-efficient compliance.
While the goal of SB 354 has been to set the heightened privacy standard, it has established standards that are fundamentally unachievable, create confusion about who is subject to the Act, and compromise the ability of insurers and agents to offer insurance to consumers desperate for a functional market.
The joint trades listed above are committed to finding a functional solution to the bill and have provided amendments to the author and the CDI, which would establish the highest insurance consumer privacy protection standards in the nation and exceed CCPA, without crippling the business of insurance.
It is absolutely critical that SB 354 adopt our proposed language to do the following:
1.Definitions: Specifically, address issues within “insurance transaction” and “research activity” to ensure that backend processing and product development are not so hindered that California consumers are left with products decades behind consumers in other states.
2.Notices: Address scope issues which would result in notices going to beneficiaries and named insureds rather than to the policyholder, as well as clarify that the disclosures remain meaningful by changing the disclosed purposes to “categories” of purposes. The change regarding disclosures was also addressed throughout other provisions of the bill for conformity.
3.Data Minimization and Sharing: This section of the bill remains the most problematic. By treating “processing” as one and the same with “sharing” it creates hurdles to the processing of consumer data for functionality of the policy. The heightened opt-in standard for certain forms of processing would exceed even the EU's Global Data Protection Regulation. There has been no justification for why insurers, whom consumers actively seek out, should be the test subjects for the world's most stringent data-processing rule. Particularly at a time when market stabilization has been a primary priority.
4.Private Right of Action: SB 354 expands the PRA in IIPPA to cover not only a consumer’s rights, but also the notices provisions of the bill. Management of notices has always been done through administrative oversight within the CDI. Subjecting errors on a disclosure form to a private right of action opens up the risk of increased litigation, which is costly to the insurer as well as the courts. We have requested that the PRA provision be returned to the existing scope of rights protected under the Act.
It is our hope that these operational issues will be addressed in forthcoming amendments. However, as of this writing, they remain at issue. As you are well aware, many lines of insurance are struggling within the current economic climate, and the property casualty insurance industry in particular is currently in crisis and needs to focus its efforts on effectively serving Californians and maintaining a stable and diverse insurance marketplace within the state.
In addition, a coalition of independent agents, led by the Independent Insurance Agents & Brokers of California, writes in opposition to a previous version of the bill:
Independent insurance agents, brokers, and wholesalers (collectively referred to as “producers”) operate very differently. They do not sell or broadly share the personal information that clients provide except when necessary to complete the insurance transactions the consumer requests. They also have strong incentives to safeguard client information because those relationships are central to the value of their businesses.
The central problem with SB 354 for independent producers is that it is aimed primarily at the information practices of large multistate and multinational insurance companies. By placing both insurers and producers within the same definition of “Licensee," the bill imposes the same obligations and costs on a small local agency as on a global insurance enterprise.
The CCPA recognized that this result is impractical and unnecessary for small businesses that do not engage in the same data practices as the entities the law principally targeted. It therefore included a small-business exemption. SB 354 should take a similar approach. Without that change, the bill would impose costly and expansive compliance obligations on independent producers that are disproportionate to their role in the insurance delivery system and beyond the capacity of many small business members to implement.
For example, in an abbreviated form, SB 354 would require all “Licensees” to implement measures such as the following:
- Provide detailed privacy notices at the start of each consumer relationship, including categories of data collected, sources, purposes, sharing practices, and consumer rights, in prescribed formats and accessible languages.
- Obtain affirmative consumer consent before using personal information outside the core insurance transaction and maintain written records of each consent and revocation.
- Establish written procedures for selecting and overseeing third-party vendors and incorporate extensive data protection requirements into vendor contracts.
- Create systems to acknowledge and respond to consumer access requests, notify third parties when required, and maintain a toll-free response channel.
- Provide written explanations for adverse underwriting decisions, including specific reasons and data elements involved, even though producers do not make those decisions.
- Adopt written records-retention schedules and conduct annual reviews of consumer records to determine whether data must still be retained.
- Implement and maintain administrative, technical, and physical information security programs, including prompt breach reporting to the Insurance Commissioner.
- Retain compliance records for the current year and preserve consumer consent records throughout the duration of the relationship.
Applied to independent producers, these requirements would make every client relationship significantly more burdensome by requiring layered notices, documented consent, annual rights reminders, data inventories, vendor oversight, and audit trails. Those compliance structures are designed for large institutions, not individual producers and small agencies operating without a size-based exemption.
Independent insurance producers do not sell customer information or solicit clients for purposes unrelated to the insurance products and services that meet their needs. They do not process, share, or sell personal information except to the extent necessary to carry out insurance transactions and fulfill their duty to protect their clients' financial interests.
REGISTERED SUPPORT / OPPOSITION:
Support
Insurance Commissioner Ricardo Lara / California Department of Insurance (Sponsor)
Ahavahprem Software Corp
Consumer Federation of California
Department of Insurance
Oakland Privacy
Poindexter Consulting Group
Privacy Defense Alliance
Privacy Rights Clearinghouse
Veterans in Business Network (VIB)
Opposition
The Western Insurance Agents Association (WIAA)
Oppose Unless Amended
American Agents Alliance
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
California Agents and Health Insurance Professionals
California Chamber of Commerce
California Credit Union League
California Insurance Wholesalers Association
Civil Justice Association of California (CJAC)
Consumer Credit Industry Association
Consumer Data Industry Association
Cspra
CTIA
Independent Insurance Agents & Brokers of California, INC.
Insurance Services Office, INC.
Insured Retirement Institute
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
National Insurance Crime Bureau
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
Reinsurance Association of America
Relx INC. and its Subsidiaries
Responsible Data Alliance (RDA)
Software and Information Industry Association
Software Information Industry Association
Techca
TechNet
The Committee of Annuity Insurers
Analysis Prepared by: Julie Salley / P. & C.P. / (916) 319-2200
Citron, Danielle Keats, A More Perfect Privacy, 104 Boston University Law Review, 1073–1086 (2024). ↑
Ibid. ↑
Ibid. ↑
California Proposition 11 (1972), “Constitutional Right to Privacy Amendment.” ↑
Right of Privacy California Proposition 11, UC L. SF SCHOLARSHIP REPOSITORY (1972), pp. 26–27, https://repository.uclawsf.edu/cgi/viewcontent.cgi?article=1761&context=ca_ballot_props. ↑
Clarke, Laurie. “Interview - Law professor Danielle Citron: ‘Privacy is essential to human flourishing,’” The Guardian (Oct. 2, 2022) https://www.theguardian.com/technology/2022/oct/02/danielle-citron-privacy-is-essential-to-human-flourishing. ↑
Solove, Daniel J. Privacy in Authoritarian Times: Surveillance Capitalism and Government Surveillance, George Washington University Law School (Jan. 19, 2025). https://papers.ssrn.com/sol3/papers.cfm?abstract_id=5103271. ↑
Ibid. ↑
Ibid. ↑
Civ. Code § 1798.140(v). ↑
Civ. Code § 1798.140(ae). ↑
The June 26, 2026 amendments making several new distinctions between “processing” and “sharing,” particularly when it comes to opting in or out of the sharing of personal information. ↑
Date of Hearing: June 17, 2026
ASSEMBLY COMMITTEE ON INSURANCE
Lisa Calderon, Chair
SBPCA Bill Id:SB 354
Author:(Limón) – As Amended Ver:June 11, 2026
SENATE VOTE: 28-10
SUBJECT: Insurance Information and Privacy Protection Act
SUMMARY: Modernizes, expands, and strengthens laws pertaining to the collection, use, and sharing of personal information in the business of insurance. Specifically, this bill:
- Amends and expands the privacy notice required under the Insurance Information and Privacy Protection Act (IIPPA) to include, among other things, information concerning the purposes for which the consumer’s personal information will be processed, the categories of persons with whom the information may be shared, whether and where the information may be shared outside of the United States, the consumer’s consent rights with respect to the processing and sharing of their personal information, the consumer’s right to nonretaliation for exercising privacy rights, that the consumer has a right to receive notice of an adverse underwriting decision and for the decision, and additional items specified by the Insurance Commissioner (“commissioner”); and specifies the procedures for the provision of the notice.
- Requires a licensee, surplus line insurer, reinsurer, or third-party-service-provider (TPSP) to provide the notices required pursuant to the bill so that the licensee, surplus line insurer, reinsurer, or TPSP reasonably expects the consumer to receive actual notice in writing, as specified.
- Provides that the notice obligations imposed upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or TPSP, as specified.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer’s personal information in a manner inconsistent with the consent provided by the consumer; requires the licensee, surplus line insurer, reinsurer, or TPSP to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out, as applicable, and to maintain a written record of the consent election; and specifies the manner in which consent must be requested, or the opportunity to opt-out must be provided, as applicable, including information that must be provided in the request for consent or the opportunity to opt out.
- Clarifies that a consumer does not have the ability to opt-out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required.
- Requires a licensee, surplus line insurer, reinsurer that uses a TPSP to prepare an investigative consumer report about a consumer in connection with an insurance transaction to include in the contract with the TPSP that the TPSP must comply with the requirements of the specified law, and may not process personal information provided to the TPSP by the licensee, surplus line insurer, or reinsurer other than to fulfill the purpose of the contract.
- Makes several procedural clarification to a consumer’s right to request access to, amendment of, or deletion of the consumer’s personal information in possession of a licensee, surplus line insurer, reinsurer, or insurance support organization, or its TPSPs, and includes publicly available information concerning the consumer in the possession of that entity in the information to which the consumer has access, or may request to amend or delete.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, and specifies means to do so, as well as prohibited practices in the provision of access to rights; and specifies that these obligations may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or TPSP.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information as is reasonably necessary and proportionate for the following purposes:
- In connection with an insurance transaction, as defined, or provision of “value added services or benefits” in connection with an insurance transaction, as defined.
- For compliance with legal requirements.
- For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, as specified.
- To permit a party or representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of a licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, as specified.
- To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
- To permit a governmental authority to determine the consumer’s eligibility for health care benefits for which the governmental authority may be liable, as specified.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for the following purposes:
- In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific marketing activity to which the consumer has consented.
- In connection with research activity, as defined, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific research activity to which the consumer has consented.
- For any other purpose not enumerated, provided that the purpose has been clearly and fully disclosed to the consumer and processing is limited to the specific activity which has been disclosed and to which the consumer has consented.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information on an opt-out basis as is reasonably necessary and proportionate for the following purposes, provided that the consumer has been provided with notice of the processing and the consumer’s ability to opt-out of the processing, a reasonable opportunity for the consumer to opt-out of the processing, and the consumer has not done so:
- In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, as specified.
- In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship, if the consumer is provided with notice and the ability to opt out of the cross-marketing activity and has not done so.
- In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified as permissive pursuant to 9), provided that the consumer is given notice and the ability to opt out of the affiliate sharing activity.
- In connection with FAIR Plan clearinghouse activities, as specified.
- For additional purposes specified by the commissioner in regulation.
- Prohibits a licensee, surplus line insurer, reinsurer, or third party service provider from processing a consumer’s sensitive personal information, other than in connection with an insurance transaction.
- Prohibits a licensee, surplus line insurer, reinsurer or TPSP from selling a consumer’s personal information for any type of monetary or other valuable consideration.
- Specifies that a licensee’s, surplus line insurer’s, or reinsurer’s retention of a consumer’s personal information shall be reasonably necessary and proportionate in connection with te specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request.
- Requires a licensee to review and update its records retention policy and records retention schedule not less than once every three years to ensure compliance; requires a licensee to review its records containing personal information to determine whether any specified purposes permit the continuing retention of any consumer’s personal information; and requires them to take reasonable steps to securely destroy, delete, or deidentify the consumer’s personal information in a timely manner in accordance with its records retention schedule once they have determined that a consumer’s personal information, or a specific element of the consumer’s personal information, is no longer needed pursuant to the specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to exercise due diligence in selecting and overseeing its TPSPs; and requires them to develop written procedures for the selection and oversight of TPSPs that are to be made available to the commissioner upon request.
- Requires that a contract between a licensee, surplus line insurer, or reinsurer, and a TPSP govern the processing of personal information performed on their behalf, and that the contract contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties, as specified.
- Requires a licensee, surplus line insurer, or reinsurer to develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to promptly provide notice to the commissioner of an incident constituting a breach, as specified.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP that, pursuant to an insurance transaction, takes title to a device storing personal information of a consumer, to use commercially reasonable efforts to delete the consumer’s personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner, as specified.
- Prohibits retaliation against a consumer for the exercise of rights pursuant to the IIPPA.
- Increases penalties for knowing and willful violations of the provisions of the IIPPA.
- Provides several rights and authorities to the commissioner to enforce, and clarify through regulations and rulemaking, the provisions of the bill.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
- Makes conforming and technical changes to existing provisions of the IIPPA.
- Defines various terms.
EXISTING LAW:
- Establishes the IIPPA, which, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete personal information about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, as specified, and limits the reason for which and adverse underwriting decision can be issued. (Insurance (Ins.) Code Sec. 791, et seq.)
- Establishes the California Consumer Privacy Act (CCPA), which grants consumers certain rights with regard to their personal information collected by businesses, including enhanced notice, access, and disclosure; the right to deletion; the right to opt out of the sale of personal information; and protection from discrimination for exercising these rights. (Civil (Civ.) Code Section 1798.100, et seq.)
- Establishes the California Privacy Protection Agency (CPPA) with the authority to oversee the implementation and enforcement of the CCPA. (Civ. Code Sec. 1798.199.10(a))
- Directs the CPPA to adopt regulations to further the purposes of the CCPA, including, but not limited to reviewing existing Insurance Code provisions and regulations relating to consumer privacy to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of the CCPA; and, upon completing its review, requires the CPPA to adopt regulations that apply only the more protective provisions of the CCPA to insurance companies.(Civ. Code Sec. 1798.185(a)(20).)
- Permits amendment of the CCPA by a majority vote of each house of the Legislature and the signature of the Governor, provided such amendments are consistent with and further the purpose and intent of this act as set forth therein. (Proposition 24 Sec. 25 (2020))
FISCAL EFFECT: Unknown.
COMMENTS:
- Purpose. According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Moder-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
This bill is sponsored by Insurance Commissioner Ricardo Lara.
- Double referral. This bill is double-referred to the Assembly Committee on Privacy & Consumer Protection. Should it pass out of this committee, the privacy implications of the bill will be evaluated in detail by that committee pursuant to its jurisdiction.
- IIPPA, CCPA, and Proposition 24. Since 1981, the privacy of personal information collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA).
The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete personal information about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, as specified, and limits the reason for which and adverse underwriting decision can be issued.
The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing any personal or privileged information about an individual collected or received in connection with an insurance transaction, unless the disclosure is subject to the written authorization of the individual, is reasonably necessary to perform a business, professional, or insurance function and is not further disclosed, is reasonably necessary to prevent fraud or criminal activity, is permitted or required by law, is made for the purpose of conducting actuarial or research studies, as specified, is only used in connection with the marketing of a product or service provided the opportunity to opt out of that use and has given no such indication, or is used for another of a small number of specified purposes. The IIPPA also gives the commissioner the authority to prosecute violations of these provisions, and specifies the process for bringing such an action, including associated penalties.
In 2018, the Legislature passed, and Governor Newsom signed into law, the CCPA, which provides baseline privacy rights for consumer personal information maintained or transacted by businesses. The CCPA was the result of extensive negotiation among stakeholders, and was developed in part to provide a legislative path as an alternative to a ballot measure that would have otherwise moved forward. The CCPA was the first general data privacy law of its kind in the nation. In 2020, voters passed Proposition 24, the California Privacy Rights Act, which expanded and amended CCPA, and created the California Privacy Protection Agency (CPPA) as a regulatory authority to oversee its implementation and enforcement. Proposition 24 was purportedly proposed in part in response to various legislative attempts to weaken the privacy protections pursuant to CCPA. (Note: for purposes of clarity and concision, all provisions of the California Privacy Rights Act will be included in references to CCPA, unless otherwise specified.)
CCPA, as amended by Proposition 24, requires businesses to provide certain information in their privacy policies pertaining to the categories of personal information they collect, use and disclose. It also provides consumers with the right to opt out of the sale of their personal information, and to direct a business to limit the collection and use of their sensitive personal information to that which is reasonably necessary and proportionate to what an average consumer would expect in the course of the business transaction. CCPA similarly provides rights to request access, amendment, or deletion of consumer information maintained by businesses.
Section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly created CPPA, with promulgating regulations for a number of specified reasons critical to the implementation of the CCPA. Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [CPPA] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that this regulatory authority be transferred to CPPA once the agency was established and prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the Insurance Commissioner maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the Insurance Commissioner, and compliance is exceedingly complex.
This bill seeks to more clearly establish the general jurisdiction of the Insurance Commissioner over data privacy rights of insurance consumers. Toward this end, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill’s provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for personal information processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA.
- Sensitivity and complexity of the insurance industry. This bill raises two fundamental questions with respect to the insurance industry: 1) is personal information exchanged in the business of insurance inherently more sensitive than information exchanged in more general contexts? And 2) can the mechanics of the insurance industry tolerate robust constraints on the collection, use, and sharing of personal information?
With several enumerated exceptions, CCPA provides data privacy protections intended to span consumer-facing industries. This includes everything ranging from online shopping to social media. Still, California law recognizes various circumstances in which the exchange of personal information is considered more sensitive, either by virtue of the specific information exchanged, or by virtue of the context in which that information exchange occurs. For instance, California provides more stringent protections for personal information in medical contexts pursuant to the Confidentiality of Medical Information Act (CMIA), in financial contexts pursuant to the California Financial Information Privacy Act (CalFIPA), and in online educational contexts pursuant to the Student Online Personal Information Protection Act (SOPIPA). While these laws generally preceded CCPA, CCPA did not seek to supersede them, instead maintaining baseline privacy protections for consumer personal information through CCPA and guaranteeing more robust protections in these more sensitive contexts.
California also provides privacy protections beyond those offered by CCPA for certain consumer industries, including laws regulating data collected by in-vehicle cameras in motor vehicles and laws limiting the processing of genetic information by direct-to-consumer genetic testing companies. These laws came into effect after the passage of CCPA, indicating the continued intent of the Legislature to impose more restrictive privacy protections on consumer-facing industries considered particularly sensitive.
Insurance Commissioner Ricardo Lara, who sponsors the bill, argues:
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information. The latest string of data breach incidents involving insurers continues to demonstrate how consumers’ sensitive personal information is a prime target, especially among data-rich industries such as insurance.
In many cases, such as home, auto, and health insurance, insurance is either legally required or effectively essential for consumers, meaning the exchange of personal information is not elective. Insurance also tends to cover the things most dear, and therefore worthy of additional security, to the consumer, such as their life, livelihood, health, home, and valuable property. Accordingly, the process of transacting insurance can reveal intimate details of the daily lives of consumers, and the context of insurance inherently relies on a level of trust between the consumer and the licensee that arguably instills greater sensitivity than a typical consumer transaction.
On the other hand, as the Insurance Commissioner points out, the insurance industry relies heavily on the collection and evaluation of personal information to accurately price risk. This means constraints on the collection, use, and sharing of personal information have the potential to materially impact the functioning of the insurance market. The practical realities of an insurance transaction, from the consumer seeking coverage to the insurer writing a policy to the filing of claims, require personal information to be shared between various parties with relative efficiency. A typical insurance transaction from the solicitation of coverage to the processing of a claim can include the consumer, the insurance company, the agent or broker, a potential wholesaler, one or many claims adjusters, third-party service providers who process information on behalf of any of these parties, and regulatory agencies that broadly oversee the entire process. Disruptions to the transfer of information in this process can delay the placement of coverage, increase frictional costs (thereby increasing premiums), and impede timely handling of claims, which, if unduly delayed, can significantly burden the consumer.
Many consumers also work with a preferred agent or broker over several years when seeking insurance, and the ability of that agent or broker to meet their insurance needs depends on the maintenance of personal information about the consumer for the duration of their ongoing business relationship. Insurance frequently tends to be associated with ancillary products, such as financial products that may appropriately bundle with life insurance products to better support the needs of the consumer. Agents and brokers may direct consumers toward these products based on the personal information they maintain, as appropriate, which can often be provided by affiliates or partnering entities of insurers.
The data-rich nature of the insurance industry creates conditions that are arguably more sensitive than a typical consumer transaction, while the complexity of insurance products and the associated transactions means disruptions to the efficient flow of information for purposes desired by the consumer can be costly in both time and money. A law broadly governing the processing of personal information in the insurance industry must acknowledge and balance both of these realities.
- Major distinctions between this bill and CCPA. Both this bill and CCPA require specified privacy notices, provide rights to access, correct or amend, and delete personal information maintained by a business, and prohibit retaliation for exercise of rights, among other things. However, this bill would provide more robust constraints on the collection, use, and disclosure of personal information that is processed in the business of insurance. Major distinctions between the privacy rights provided by CCPA and this bill include the following:
Processing: The CCPA does not place specific restrictions on the collection and use of personal information, but provides consumers with the right to direct a business that collects sensitive personal information, as defined, to limit its use of the consumer’s sensitive personal information “to that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services,” and as otherwise specified.
The provisions of this bill almost entirely pertain to the processing of personal information, which is defined to mean “any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.” In other words, collection, use, and sharing are all largely regulated in the same manner in this bill, as further discussed below.
Data minimization and opt-in default: The CCPA does not explicitly require minimization of data collected, used, or shared, apart from the opportunity to opt out of the sale and sharing of personal information, subject to specified exceptions. However, CCPA does provide the right for a consumer to direct a business that collects sensitive personal information about the consumer to limit its use of the consumer’s sensitive personal information to “that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services.”
This bill places similar limitations on all personal information processed in the business of insurance, but limits the “necessary and proportionate” standard to only specified purposes, some of which are permissible use, and some of which are subject to opt-out standards. For any purpose that is not specifically enumerated, this bill would require opt-in consent for collection, use, and sharing of that information. In other words, while CCPA defaults to permitting the sale or sharing of personal information subject to the opportunity to opt-out, this bill would default to prohibiting the processing of personal information, and would require affirmative consent to do so, except as specified. This bill also prohibits the sale of personal information entirely, and addresses the sharing of personal information in largely the same manner as it addresses processing generally.
Small business exemption: The CCPA exempts from its provision any business that had annual gross revenues of less than $25 million in the preceding calendar year, annually buys, sells, or shares personal information of fewer than 100,000 consumers or households, and derives less than 50% of its annual revenues from the selling or sharing of consumers’ personal information.
This bill does not provide a similar exemption for small businesses, which, in the context of this bill, are primarily independent agents and brokers.
Private right of action: The CCPA provides a limited private right of action that applies only to those whose personal information was subject to a data breach.
The existing IIPPA provides a private right of action with respect to the rights to access, amend/correct, and delete personal information held by an insurer, agent, or insurance support organization, and with respect to requirements pertaining to notice of adverse underwriting decisions. The bill in print expands this private right of action to include violations of restrictions on the processing of personal information including consent procedures, prohibitions on sale of personal information, retention and deletion requirements including development and reporting of a record retention policy and schedule, existing provisions pertaining to adverse underwriting decisions not currently covered by the existing private right of action, existing procedures for health insurers to protect the confidentiality of medical information that are not currently covered by the existing private right of action, and prohibitions against retaliation for exercising rights, as specified.
- Significant outstanding issues. The bill in print poses several practical and technical issues for the business of insurance that could impact the efficient operation of the market. Key remaining issues that the author may wish to address should this bill move forward include the following:
Burden on producers: The major provisions of this bill as it is currently in print apply to all licensees, among others, which includes both insurers and producers. Producers, as defined in the bill, include several types of agents and brokers, who serve as intermediaries with the objective of connecting consumers with appropriate insurance products. Even among agents and brokers, several unique models exist; for instance, captive agents are compensated by an insurer to sell products only from that insurer, independent agents receive commission from several companies to sell products from multiple insurers, and brokers generally work on behalf of the consumer to find the optimal price and coverage among several insurers.
A coalition of organizations representing producers comprised of the Independent Agents and Brokers of California, the California Insurance Wholesalers Association, the National Association of Insurance & Financial Advisors of California, American Agents Alliance, and California Agents and Health Insurance Professionals, argues in opposition to the bill:
The CCPA was designed to address business models that monetize personal information or use it to target consumers through extensive data collection and tracking. Independent insurance agents, brokers, and wholesalers (collectively referred to as “producers”) operate very differently. They do not sell or broadly share the personal information that clients provide except when necessary to complete the insurance transactions the consumer requests. They also have strong incentives to safeguard client information because those relationships are central to the value of their businesses.
The central problem with SB 354 for independent producers is that it is aimed primarily at the information practices of large multistate and multinational insurance companies. By placing both insurers and producers within the same definition of “Licensee,” the bill imposes the same obligations and costs on a small local agency as on a global insurance enterprise. […] Applied to independent producers, these requirements would make every client relationship significantly more burdensome by requiring layered notices, documented consent, annual rights reminders, data inventories, vendor oversight, and audit trails. […]
Independent insurance producers do not sell customer information or solicit clients for purposes unrelated to the insurance products and services that meet their needs. They do not process, share, or sell personal information except to the extent necessary to carry out insurance transactions and fulfill their duty to protect their clients’ financial interests.
Should this bill move forward, the author may wish to consider steps to reduce the burden on producers to the extent they do not process personal information outside of a consumer’s request to solicit, obtain, or place insurance coverage.
Compliance obligations of TPSPs: The IIPPA currently applies to insurers, agents, and insurance support organizations, which are a fairly circumscribed set of organizations that collect personal information primarily to provide that information to insurance institutions or agents for insurance transactions. This typically takes the form of the compilation and/or furnishing of consumer reports, or the collection of personal information for detecting and preventing fraud and other malfeasance. This bill introduces to insurance privacy laws the concept of a TPSP, which generally includes any person that contracts with a licensee, surplus line insurer, or reinsurer, that provides services to that entity, and processes, shares, or otherwise is permitted access to personal information through its provision of services to that entity, and includes insurance support organizations. Under the bill, TPSPs that process consumer personal information are obligated to comply with the obligations it imposes, and licensees, surplus line insurers, and reinsurers are required to oversee that compliance through contractual obligations.
A coalition of business and technology aligned organizations consisting of the California Chamber of Commerce (CalChamber), CTIA, the Software Information Industry Association, TechCA, TechNet, and the American Council of Life Insurers, argues in opposition to the bill:
While our members take no issue with efforts to update existing laws to bring them into alignment with privacy rights obligations under CCPA as amended by the voters in Proposition 24 of 22020, SB 354 fails to recognize the practical reality that businesses provide information services across industries simultaneously including the banking, healthcare, and government sectors – in addition to the insurance industry. Given the broad scoping changes sought by SB 354 to amend the IIPPA to include data elements that overlap with those already defined as personal information outside of the IIPPA, it is critical that SB 354 incorporate clear delineations regarding statutory jurisdiction within the IIPPA itself to ensure that the bill is enforceable in a manner that protects consumer privacy while avoiding undue compliance risk arising from conflicting obligations for businesses subject to regulation by the California Consumer Privacy Protection Agency (CPPA), the agency created and charged with implementing the CCPA under Prop 24.
The bill in print provides some clarity here in Section 791.39, where it specifies that “[t]his article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.” It also clarifies that “[t]his article does not preempt or supersede existing federal or state law related to protected health information.” However, because this bill’s applicability is based on the nature of the entity rather than the information it is handling, it is unclear in the bill in print whether a TPSP that handles personal information from a variety of sources, including licensees, is required to comply with the bill’s provisions with respect to information that did not originate from a licensee subject to the bill.
Potential conflicts between parallel regulations for CCPA and IIPPA: Related to the concern raised by the aforementioned opponents is that entities governed by both CCPA and IIPPA for different information could be forced to comply with regulations governing identical terms and concepts, but with differing definitions or procedures. This can create significant confusion and hinder effective compliance.
For example, both CCPA and this bill define the term “dark pattern” to mean “a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.” However, CCPA appends to the end of that definition “as further defined by regulation.” Regulations promulgated by CPPA in accordance with that provision are critical to laying out the contours of the definition, but would not be applicable to the identical definition of the term used in this bill, since the bill expressly indicates that “the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices” (Sec. 791.39(c)) and assigns the Commissioner the authority to “issue rules, regulations, and orders as the commissioner deems necessary to carry out” the bill’s provision. (Sec. 791.40)
To avoid conflicting regulations with respect to overlapping terms and concepts between CCPA and this bill, should this bill move forward, the author may wish to consider clarifying the need for compatibility between CCPA and IIPPA regulations pertaining to overlapping concepts and terms.
Scope of the private right of action: Existing law pursuant to the IIPPA provides a limited private right of action to allow any person whose rights have been violated by a violation of its provisions to seek equitable relief in any court of competent jurisdiction. This private right of action extends to the provisions of the IIPPA that pertain to the rights to access, correct/amend, and delete personal information held by an insurer, agent, or insurance support organization.
This bill, as it is currently in print, would significantly expand the scope of the private right of action to include violations of restrictions on the processing of personal information including consent procedures, prohibitions on sale of personal information, retention and deletion requirements including development and reporting of a record retention policy and schedule, existing provisions pertaining to adverse underwriting decisions not currently covered by the existing private right of action, existing procedures for health insurers to protect the confidentiality of medical information that are not currently covered by the existing private right of action, and prohibitions against retaliation for exercising rights, as specified.
A coalition of organizations representing insurers, reinsurers, legal advocates argues in opposition to the bill:
SB 354 expands the PRA in IIPPA to cover not only a consumer’s rights, but also the notices provisions of the bill. Management of notices has always been done through administrative oversight within the CDI. Subjecting errors on a disclosure form to a private right of action opens up the risk of increased litigation, which is costly to the insurer as well as the courts.
Given the complexity and broadened scope of the IIPPA as it is proposed to be amended by this bill, this expansion of the private right of action has the potential to expose a wide range of parties to liability for minor, procedural violations even when the rights of consumers are not meaningfully infringed. While larger insurers may have the capacity to challenge these lawsuits, smaller licensees such as independent brokerages may face increased litigation costs and be forced to settle potential lawsuits rather than withstand the ballooning costs of an extended legal battle.
Where a private right of action is not available, provisions of the Insurance Code have nonetheless been robustly enforced by the Insurance Commissioner where the rights of consumers have been egregiously violated. Should this bill move forward, the author may wish to consider narrowing the scope of the private right of action in the bill to ensure consumers who have had their rights violated by a licensee or TPSP have access to legal recourse without expanding frictional costs associated with litigation.
Exemption of regulations from the Administrative Procedure Act: The California Administrative Procedure Act governs the development and implementation of rules and regulations by state agencies, ensuring the opportunity for public engagement and clarity and legal validity in the resulting rules and regulations. This bill provides the Insurance Commissioner with the authority to issue rules, regulations, and orders as necessary to carry out the bill’s provisions, but exempts this process from the requirements of the Administrative Procedure Act.
No compelling policy justification has been provided for this exemption, and public participation and clarity in the rulemaking process are critical for ensuring that this consumer-focused bill is implemented in accordance with the goal of protecting the privacy and agency of consumers while allowing for a robust insurance market that affordably meets consumer needs.
Categories of marketing subject to opt-out are undefined: The bill in print explicitly specifies processing of consumer personal information “in connection with cross-marketing of insurance or financial products […] to a consumer with which the licensee has an ongoing business relationship” and “in connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution,” as specified, are subject to an opt-out structure rather than opt-in affirmative consent.
However, the terms “cross-marketing” and “joint marketing” are not defined in the bill, and more general marketing purposes require opt-in consent, so the scope of marketing encompassed by these provisions is not clear. Depending on how these terms are defined, it is possible that the consent required for insurers to market their own insurance products may be more robust than the consent required for insurers to market another entity’s products or products cobranded with another entity. Ambiguity of these terms may pose compliance complications.
REGISTERED SUPPORT / OPPOSITION:
Support
Ahavahprem Software Corp
Consumer Federation of California
Department of Insurance
Insurance Commissioner Ricardo Lara / California Department of Insurance
Oakland Privacy
Poindexter Consulting Group
Privacy Defense Alliance
Privacy Rights Clearinghouse
Veterans in Business Network (VIB)
Support If Amended
California Insurance Wholesalers Association
The Council of Insurance Agents & Brokers
Wholesale and Specialty Insurance Association
Oppose
Copart INC.
The Western Insurance Agents Association (WIAA)
Oppose Unless Amended
American Agents Alliance
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
Building Owners and Managers Association of California
California Agents and Health Insurance Professionals
California Association of Realtors
California Bankers Association
California Building Industry Association
California Business Properties Association
California Chamber of Commerce
California Credit Union League
California Escrow Association
California Land Title Association
California Mortgage Bankers Association
Civil Justice Association of California (CJAC)
Commercial Real Estate Development Association, Naiop of California
Consumer Credit Industry Association
Consumer Data Industry Association
Cspra
CTIA
Independent Insurance Agents & Brokers of California, INC.
Insurance Services Office, INC.
Insured Retirement Institute
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
Reinsurance Association of America
Relx INC. and its Subsidiaries
Responsible Data Alliance (RDA)
Software Information Industry Association
Techca
Technet
The Committee of Annuity Insurers
Analysis Prepared by: Landon Klein / INS. / (916) 319-2086
Date of Hearing: June 17, 2026
ASSEMBLY COMMITTEE ON INSURANCE
Lisa Calderon, Chair
SBPCA Bill Id:SB 354
Author:(Limón) – As Amended Ver:June 11, 2026
SENATE VOTE: 28-10
SUBJECT: Insurance Information and Privacy Protection Act
SUMMARY: Modernizes, expands, and strengthens laws pertaining to the collection, use, and sharing of personal information in the business of insurance. Specifically, this bill:
- Amends and expands the privacy notice required under the Insurance Information and Privacy Protection Act (IIPPA) to include, among other things, information concerning the purposes for which the consumer’s personal information will be processed, the categories of persons with whom the information may be shared, whether and where the information may be shared outside of the United States, the consumer’s consent rights with respect to the processing and sharing of their personal information, the consumer’s right to nonretaliation for exercising privacy rights, that the consumer has a right to receive notice of an adverse underwriting decision and for the decision, and additional items specified by the Insurance Commissioner (“commissioner”); and specifies the procedures for the provision of the notice.
- Requires a licensee, surplus line insurer, reinsurer, or third-party-service-provider (TPSP) to provide the notices required pursuant to the bill so that the licensee, surplus line insurer, reinsurer, or TPSP reasonably expects the consumer to receive actual notice in writing, as specified.
- Provides that the notice obligations imposed upon a licensee, surplus line insurer, or reinsurer may be satisfied by another licensee, surplus line insurer, reinsurer, or TPSP, as specified.
- Prohibits a licensee, surplus line insurer, reinsurer, or TPSP from processing a consumer’s personal information in a manner inconsistent with the consent provided by the consumer; requires the licensee, surplus line insurer, reinsurer, or TPSP to provide a reasonable means for the consumer to provide prior, opt-in consent or to opt out, as applicable, and to maintain a written record of the consent election; and specifies the manner in which consent must be requested, or the opportunity to opt-out must be provided, as applicable, including information that must be provided in the request for consent or the opportunity to opt out.
- Clarifies that a consumer does not have the ability to opt-out of processing or sharing of personal information that is reasonably necessary for the execution of an insurance transaction or when the processing is legally required.
- Requires a licensee, surplus line insurer, reinsurer that uses a TPSP to prepare an investigative consumer report about a consumer in connection with an insurance transaction to include in the contract with the TPSP that the TPSP must comply with the requirements of the specified law, and may not process personal information provided to the TPSP by the licensee, surplus line insurer, or reinsurer other than to fulfill the purpose of the contract.
- Makes several procedural clarification to a consumer’s right to request access to, amendment of, or deletion of the consumer’s personal information in possession of a licensee, surplus line insurer, reinsurer, or insurance support organization, or its TPSPs, and includes publicly available information concerning the consumer in the possession of that entity in the information to which the consumer has access, or may request to amend or delete.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to provide easily accessible means for consumers to exercise their rights, and specifies means to do so, as well as prohibited practices in the provision of access to rights; and specifies that these obligations may be satisfied through substitute performance by another licensee, surplus line insurer, reinsurer, or TPSP.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information as is reasonably necessary and proportionate for the following purposes:
- In connection with an insurance transaction, as defined, or provision of “value added services or benefits” in connection with an insurance transaction, as defined.
- For compliance with legal requirements.
- For a lienholder, mortgagee, assignee, lessor, or other person shown on the records of a licensee, surplus line insurer, or reinsurer as having a legal or beneficial interest in an insurance policy, to protect that interest, as specified.
- To permit a party or representative of a party to a proposed or consummated sale, transfer, merger, or consolidation of all or part of the business of a licensee, surplus line insurer, or reinsurer to review the information necessary for the transaction, as specified.
- To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, surplus line insurer, or reinsurer, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
- To permit a governmental authority to determine the consumer’s eligibility for health care benefits for which the governmental authority may be liable, as specified.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information upon obtaining prior, opt-in consent from the consumer, as is reasonably necessary and proportionate for the following purposes:
- In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific marketing activity to which the consumer has consented.
- In connection with research activity, as defined, after receiving affirmative consent from the consumer to process the consumer’s information in connection with specific research activity to which the consumer has consented.
- For any other purpose not enumerated, provided that the purpose has been clearly and fully disclosed to the consumer and processing is limited to the specific activity which has been disclosed and to which the consumer has consented.
- Authorizes a licensee, surplus line insurer, reinsurer, or TPSP to process a consumer’s personal information on an opt-out basis as is reasonably necessary and proportionate for the following purposes, provided that the consumer has been provided with notice of the processing and the consumer’s ability to opt-out of the processing, a reasonable opportunity for the consumer to opt-out of the processing, and the consumer has not done so:
- In connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution, as specified.
- In connection with cross-marketing of insurance or financial products or services, provided by either the licensee or a third party, to a consumer with which the licensee has an ongoing business relationship, if the consumer is provided with notice and the ability to opt out of the cross-marketing activity and has not done so.
- In connection with the sharing of personal information, other than a consumer report, with an affiliate of the licensee for any purpose not specified as permissive pursuant to 9), provided that the consumer is given notice and the ability to opt out of the affiliate sharing activity.
- In connection with FAIR Plan clearinghouse activities, as specified.
- For additional purposes specified by the commissioner in regulation.
- Prohibits a licensee, surplus line insurer, reinsurer, or third party service provider from processing a consumer’s sensitive personal information, other than in connection with an insurance transaction.
- Prohibits a licensee, surplus line insurer, reinsurer or TPSP from selling a consumer’s personal information for any type of monetary or other valuable consideration.
- Specifies that a licensee’s, surplus line insurer’s, or reinsurer’s retention of a consumer’s personal information shall be reasonably necessary and proportionate in connection with te specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to develop a written records retention policy and records retention schedule and shall make it available to the commissioner upon request.
- Requires a licensee to review and update its records retention policy and records retention schedule not less than once every three years to ensure compliance; requires a licensee to review its records containing personal information to determine whether any specified purposes permit the continuing retention of any consumer’s personal information; and requires them to take reasonable steps to securely destroy, delete, or deidentify the consumer’s personal information in a timely manner in accordance with its records retention schedule once they have determined that a consumer’s personal information, or a specific element of the consumer’s personal information, is no longer needed pursuant to the specified purpose.
- Requires a licensee, surplus line insurer, or reinsurer to exercise due diligence in selecting and overseeing its TPSPs; and requires them to develop written procedures for the selection and oversight of TPSPs that are to be made available to the commissioner upon request.
- Requires that a contract between a licensee, surplus line insurer, or reinsurer, and a TPSP govern the processing of personal information performed on their behalf, and that the contract contain clear instructions for processing personal information, the nature and purpose of processing, the types of personal information subject to processing, the duration of processing, and the rights and obligations of all parties, as specified.
- Requires a licensee, surplus line insurer, or reinsurer to develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee, surplus line insurer, or reinsurer.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP to promptly provide notice to the commissioner of an incident constituting a breach, as specified.
- Requires a licensee, surplus line insurer, reinsurer, or TPSP that, pursuant to an insurance transaction, takes title to a device storing personal information of a consumer, to use commercially reasonable efforts to delete the consumer’s personal information within a reasonable period of time, and shall not further process or share personal information obtained in this manner, as specified.
- Prohibits retaliation against a consumer for the exercise of rights pursuant to the IIPPA.
- Increases penalties for knowing and willful violations of the provisions of the IIPPA.
- Provides several rights and authorities to the commissioner to enforce, and clarify through regulations and rulemaking, the provisions of the bill.
- Provides that the provisions of the IIPPA as amended preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill.
- Makes conforming and technical changes to existing provisions of the IIPPA.
- Defines various terms.
EXISTING LAW:
- Establishes the IIPPA, which, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete personal information about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, as specified, and limits the reason for which and adverse underwriting decision can be issued. (Insurance (Ins.) Code Sec. 791, et seq.)
- Establishes the California Consumer Privacy Act (CCPA), which grants consumers certain rights with regard to their personal information collected by businesses, including enhanced notice, access, and disclosure; the right to deletion; the right to opt out of the sale of personal information; and protection from discrimination for exercising these rights. (Civil (Civ.) Code Section 1798.100, et seq.)
- Establishes the California Privacy Protection Agency (CPPA) with the authority to oversee the implementation and enforcement of the CCPA. (Civ. Code Sec. 1798.199.10(a))
- Directs the CPPA to adopt regulations to further the purposes of the CCPA, including, but not limited to reviewing existing Insurance Code provisions and regulations relating to consumer privacy to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of the CCPA; and, upon completing its review, requires the CPPA to adopt regulations that apply only the more protective provisions of the CCPA to insurance companies.(Civ. Code Sec. 1798.185(a)(20).)
- Permits amendment of the CCPA by a majority vote of each house of the Legislature and the signature of the Governor, provided such amendments are consistent with and further the purpose and intent of this act as set forth therein. (Proposition 24 Sec. 25 (2020))
FISCAL EFFECT: Unknown.
COMMENTS:
- Purpose. According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Moder-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
This bill is sponsored by Insurance Commissioner Ricardo Lara.
- Double referral. This bill is double-referred to the Assembly Committee on Privacy & Consumer Protection. Should it pass out of this committee, the privacy implications of the bill will be evaluated in detail by that committee pursuant to its jurisdiction.
- IIPPA, CCPA, and Proposition 24. Since 1981, the privacy of personal information collected, used, and shared in the business of insurance has been regulated by the Insurance Information and Privacy Protection Act (IIPPA).
The IIPPA, among other things: requires insurance institutions and agents in the business of insurance to provide specified notices of information practices to all applicants and policyholders in connection with an insurance transaction; requires a disclosure authorization form meeting certain specifications to authorize the disclosure of personal or privileged information about an individual to an insurance institution, agent, or insurance-support organization; provides the rights to access, amend/correct, and delete personal information about the individual in the possession of an insurance institution, agent, or insurance support organization, pursuant to a written request, as specified; and requires insurers to provide notice of an adverse underwriting decision to an individual that includes the reason for the decision, including the specific items of personal or privileged information that support those reasons, as specified, and limits the reason for which and adverse underwriting decision can be issued.
The IIPPA also prohibits an insurance institution, agent, or insurance-support organization from disclosing any personal or privileged information about an individual collected or received in connection with an insurance transaction, unless the disclosure is subject to the written authorization of the individual, is reasonably necessary to perform a business, professional, or insurance function and is not further disclosed, is reasonably necessary to prevent fraud or criminal activity, is permitted or required by law, is made for the purpose of conducting actuarial or research studies, as specified, is only used in connection with the marketing of a product or service provided the opportunity to opt out of that use and has given no such indication, or is used for another of a small number of specified purposes. The IIPPA also gives the commissioner the authority to prosecute violations of these provisions, and specifies the process for bringing such an action, including associated penalties.
In 2018, the Legislature passed, and Governor Newsom signed into law, the CCPA, which provides baseline privacy rights for consumer personal information maintained or transacted by businesses. The CCPA was the result of extensive negotiation among stakeholders, and was developed in part to provide a legislative path as an alternative to a ballot measure that would have otherwise moved forward. The CCPA was the first general data privacy law of its kind in the nation. In 2020, voters passed Proposition 24, the California Privacy Rights Act, which expanded and amended CCPA, and created the California Privacy Protection Agency (CPPA) as a regulatory authority to oversee its implementation and enforcement. Proposition 24 was purportedly proposed in part in response to various legislative attempts to weaken the privacy protections pursuant to CCPA. (Note: for purposes of clarity and concision, all provisions of the California Privacy Rights Act will be included in references to CCPA, unless otherwise specified.)
CCPA, as amended by Proposition 24, requires businesses to provide certain information in their privacy policies pertaining to the categories of personal information they collect, use and disclose. It also provides consumers with the right to opt out of the sale of their personal information, and to direct a business to limit the collection and use of their sensitive personal information to that which is reasonably necessary and proportionate to what an average consumer would expect in the course of the business transaction. CCPA similarly provides rights to request access, amendment, or deletion of consumer information maintained by businesses.
Section 1798.185 of the Civil Code, enacted by Proposition 24, tasks the Attorney General, and later the newly created CPPA, with promulgating regulations for a number of specified reasons critical to the implementation of the CCPA. Section 1798.185(a)(21) reads:
[On or before July 1, 2020, the Attorney General shall solicit broad public participation and adopt regulations to further the purposes of this title, including, but not limited to] review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of [the CCPA]. Upon completing its review, the [CPPA] shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing.
Proposition 24 also provided that this regulatory authority be transferred to CPPA once the agency was established and prepared to take on regulatory responsibilities. The result of the directive in Section 1798.185(a)(21), however, is an inevitable patchwork of jurisdiction, whereby the Insurance Commissioner maintains jurisdiction over data privacy in the insurance industry for circumstances where the Insurance Code provides stronger protections for consumers, while the CPPA maintains jurisdiction over other aspects of data privacy in the insurance industry to the extent provisions of CCPA are adopted as stronger than their counterparts in the Insurance Code. Regulatory and enforcement authority are consequently split between the CPPA and the Insurance Commissioner, and compliance is exceedingly complex.
This bill seeks to more clearly establish the general jurisdiction of the Insurance Commissioner over data privacy rights of insurance consumers. Toward this end, the bill explicitly establishes that its provisions preempt and supersede all state laws and portions of state laws relating to consumer privacy that are inconsistent with the bill’s provisions, except with respect to protected health information. Consistent with the intent of Proposition 24 and Section 1798.185(a)(21), the bill also establishes privacy protections for personal information processed in the business of insurance that uniformly exceed the more general privacy protections provided by CCPA.
- Sensitivity and complexity of the insurance industry. This bill raises two fundamental questions with respect to the insurance industry: 1) is personal information exchanged in the business of insurance inherently more sensitive than information exchanged in more general contexts? And 2) can the mechanics of the insurance industry tolerate robust constraints on the collection, use, and sharing of personal information?
With several enumerated exceptions, CCPA provides data privacy protections intended to span consumer-facing industries. This includes everything ranging from online shopping to social media. Still, California law recognizes various circumstances in which the exchange of personal information is considered more sensitive, either by virtue of the specific information exchanged, or by virtue of the context in which that information exchange occurs. For instance, California provides more stringent protections for personal information in medical contexts pursuant to the Confidentiality of Medical Information Act (CMIA), in financial contexts pursuant to the California Financial Information Privacy Act (CalFIPA), and in online educational contexts pursuant to the Student Online Personal Information Protection Act (SOPIPA). While these laws generally preceded CCPA, CCPA did not seek to supersede them, instead maintaining baseline privacy protections for consumer personal information through CCPA and guaranteeing more robust protections in these more sensitive contexts.
California also provides privacy protections beyond those offered by CCPA for certain consumer industries, including laws regulating data collected by in-vehicle cameras in motor vehicles and laws limiting the processing of genetic information by direct-to-consumer genetic testing companies. These laws came into effect after the passage of CCPA, indicating the continued intent of the Legislature to impose more restrictive privacy protections on consumer-facing industries considered particularly sensitive.
Insurance Commissioner Ricardo Lara, who sponsors the bill, argues:
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information. The latest string of data breach incidents involving insurers continues to demonstrate how consumers’ sensitive personal information is a prime target, especially among data-rich industries such as insurance.
In many cases, such as home, auto, and health insurance, insurance is either legally required or effectively essential for consumers, meaning the exchange of personal information is not elective. Insurance also tends to cover the things most dear, and therefore worthy of additional security, to the consumer, such as their life, livelihood, health, home, and valuable property. Accordingly, the process of transacting insurance can reveal intimate details of the daily lives of consumers, and the context of insurance inherently relies on a level of trust between the consumer and the licensee that arguably instills greater sensitivity than a typical consumer transaction.
On the other hand, as the Insurance Commissioner points out, the insurance industry relies heavily on the collection and evaluation of personal information to accurately price risk. This means constraints on the collection, use, and sharing of personal information have the potential to materially impact the functioning of the insurance market. The practical realities of an insurance transaction, from the consumer seeking coverage to the insurer writing a policy to the filing of claims, require personal information to be shared between various parties with relative efficiency. A typical insurance transaction from the solicitation of coverage to the processing of a claim can include the consumer, the insurance company, the agent or broker, a potential wholesaler, one or many claims adjusters, third-party service providers who process information on behalf of any of these parties, and regulatory agencies that broadly oversee the entire process. Disruptions to the transfer of information in this process can delay the placement of coverage, increase frictional costs (thereby increasing premiums), and impede timely handling of claims, which, if unduly delayed, can significantly burden the consumer.
Many consumers also work with a preferred agent or broker over several years when seeking insurance, and the ability of that agent or broker to meet their insurance needs depends on the maintenance of personal information about the consumer for the duration of their ongoing business relationship. Insurance frequently tends to be associated with ancillary products, such as financial products that may appropriately bundle with life insurance products to better support the needs of the consumer. Agents and brokers may direct consumers toward these products based on the personal information they maintain, as appropriate, which can often be provided by affiliates or partnering entities of insurers.
The data-rich nature of the insurance industry creates conditions that are arguably more sensitive than a typical consumer transaction, while the complexity of insurance products and the associated transactions means disruptions to the efficient flow of information for purposes desired by the consumer can be costly in both time and money. A law broadly governing the processing of personal information in the insurance industry must acknowledge and balance both of these realities.
- Major distinctions between this bill and CCPA. Both this bill and CCPA require specified privacy notices, provide rights to access, correct or amend, and delete personal information maintained by a business, and prohibit retaliation for exercise of rights, among other things. However, this bill would provide more robust constraints on the collection, use, and disclosure of personal information that is processed in the business of insurance. Major distinctions between the privacy rights provided by CCPA and this bill include the following:
Processing: The CCPA does not place specific restrictions on the collection and use of personal information, but provides consumers with the right to direct a business that collects sensitive personal information, as defined, to limit its use of the consumer’s sensitive personal information “to that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services,” and as otherwise specified.
The provisions of this bill almost entirely pertain to the processing of personal information, which is defined to mean “any operation or set of operations performed by a licensee, reinsurer, surplus line insurer, or third-party service provider, by manual or automated means, on the personal information or sets of personal information of a consumer, including the collection, use, sharing, storage, disclosure, analysis, deletion, retention, or modification of personal information.” In other words, collection, use, and sharing are all largely regulated in the same manner in this bill, as further discussed below.
Data minimization and opt-in default: The CCPA does not explicitly require minimization of data collected, used, or shared, apart from the opportunity to opt out of the sale and sharing of personal information, subject to specified exceptions. However, CCPA does provide the consumer to direct a business that collects sensitive personal information about the consumer to limit its use of the consumer’s sensitive personal information to “that use which is necessary to perform the services or provide the goods reasonably expected by an average consumer who requests those goods or services.”
This bill places similar limitations on all personal information processed in the business of insurance, but limits the “necessary and proportionate” standard to only specified purposes, some of which are permissible use, and some of which are subject to opt-out standards. For any purpose that is not specifically enumerated, this bill would require opt-in consent for collection, use, and sharing of that information. In other words, while CCPA defaults to permitting the sale or sharing of personal information subject to the opportunity to opt-out, this bill would default to prohibiting the processing of personal information, and would require affirmative consent to do so, except as specified. This bill also prohibits the sale of personal information entirely, and addresses the sharing of personal information in largely the same manner as it addresses processing generally.
Small business exemption: The CCPA exempts from its provision any business that had annual gross revenues of less than $25 million in the preceding calendar year, annually buys, sells, or shares personal information of fewer than 100,000 consumers or households, and derives less than 50% of its annual revenues from the selling or sharing of consumers’ personal information.
This bill does not provide a similar exemption for small businesses. That said, most small business that would fall under this bill are independent agencies, which may be covered by amendments recommended by the committee to address the application of the bill to producers. (See Comment #6).
Private right of action: The CCPA provides a limited private right of action that applies only to those whose personal information was subject to a data breach.
The existing IIPPA provides a private right of action with respect to the rights to access, amend/correct, and delete personal information held by an insurer, agent, or insurance support organization, and with respect to requirements pertaining to notice of adverse underwriting decisions. The bill in print expands this private right of action to include violations of restrictions on the processing of personal information including consent procedures, prohibitions on sale of personal information, retention and deletion requirements including development and reporting of a record retention policy and schedule, existing provisions pertaining to adverse underwriting decisions not currently covered by the existing private right of action, existing procedures for health insurers to protect the confidentiality of medical information that are not currently covered by the existing private right of action, and prohibitions against retaliation for exercising rights, as specified.
- Significant outstanding issues. The bill in print poses several practical and technical issues for the business of insurance that could impact the efficient operation of the market. Key remaining issues that the author may wish to address should this bill move forward include the following:
Burden on producers: The major provisions of this bill as it is currently in print apply to all licensees, among others, which includes both insurers and producers. Producers, as defined in the bill, include several types of agents and brokers, who serve as intermediaries with the objective of connecting consumers with appropriate insurance products. Even among agents and brokers, several unique models exist; for instance, captive agents are compensated by an insurer to sell products only from that insurer, independent agents receive commission from several companies to sell products from multiple insurers, and brokers generally work on behalf of the consumer to find the optimal price and coverage among several insurers.
A coalition of organizations representing producers comprised of the Independent Agents and Brokers of California, the California Insurance Wholesalers Association, the National Association of Insurance & Financial Advisors of California, American Agents Alliance, and California Agents and Health Insurance Professionals, argues in opposition to the bill:
The CCPA was designed to address business models that monetize personal information or use it to target consumers through extensive data collection and tracking. Independent insurance agents, brokers, and wholesalers (collectively referred to as “producers”) operate very differently. They do not sell or broadly share the personal information that clients provide except when necessary to complete the insurance transactions the consumer requests. They also have strong incentives to safeguard client information because those relationships are central to the value of their businesses.
The central problem with SB 354 for independent producers is that it is aimed primarily at the information practices of large multistate and multinational insurance companies. By placing both insurers and producers within the same definition of “Licensee,” the bill imposes the same obligations and costs on a small local agency as on a global insurance enterprise. […] Applied to independent producers, these requirements would make every client relationship significantly more burdensome by requiring layered notices, documented consent, annual rights reminders, data inventories, vendor oversight, and audit trails. […]
Independent insurance producers do not sell customer information or solicit clients for purposes unrelated to the insurance products and services that meet their needs. They do not process, share, or sell personal information except to the extent necessary to carry out insurance transactions and fulfill their duty to protect their clients’ financial interests.
Should this bill move forward, the author may wish to consider steps to reduce the burden on producers to the extent they do not process personal information outside of a consumer’s request to solicit, obtain, or place insurance coverage.
Compliance obligations of TPSPs: The IIPPA currently applies to insurers, agents, and insurance support organizations, which are a fairly circumscribed set of organizations that collect personal information primarily to provide that information to insurance institutions or agents for insurance transactions. This typically takes the form of the compilation and/or furnishing of consumer reports, or the collection of personal information for detecting and preventing fraud and other malfeasance. This bill introduces to insurance privacy laws the concept of a TPSP, which generally includes any person that contracts with a licensee, surplus line insurer, or reinsurer, that provides services to that entity, and processes, shares, or otherwise is permitted access to personal information through its provision of services to that entity, and includes insurance support organizations. Under the bill, TPSPs that process consumer personal information are obligated to comply with the obligations it imposes, and licensees, surplus line insurers, and reinsurers are required to oversee that compliance through contractual obligations.
A coalition of business and technology aligned organizations consisting of the California Chamber of Commerce (CalChamber), CTIA, the Software Information Industry Association, TechCA, TechNet, and the American Council of Life Insurers, argues in opposition to the bill:
While our members take no issue with efforts to update existing laws to bring them into alignment with privacy rights obligations under CCPA as amended by the voters in Proposition 24 of 22020, SB 354 fails to recognize the practical reality that businesses provide information services across industries simultaneously including the banking, healthcare, and government sectors – in addition to the insurance industry. Given the broad scoping changes sought by SB 354 to amend the IIPPA to include data elements that overlap with those already defined as personal information outside of the IIPPA, it is critical that SB 354 incorporate clear delineations regarding statutory jurisdiction within the IIPPA itself to ensure that the bill is enforceable in a manner that protects consumer privacy while avoiding undue compliance risk arising from conflicting obligations for businesses subject to regulation by the California Consumer Privacy Protection Agency (CPPA), the agency created and charged with implementing the CCPA under Prop 24.
The bill in print provides some clarity here in Section 791.39, where it specifies that “[t]his article preempts and supersedes all state laws and portions of state laws relating to consumer privacy that are inconsistent with this article.” It also clarifies that “[t]his article does not preempt or supersede existing federal or state law related to protected health information.” However, because this bill’s applicability is based on the nature of the entity rather than the information it is handling, it is unclear in the bill in print whether a TPSP that handles personal information from a variety of sources, including licensees, is required to comply with the bill’s provisions with respect to information that did not originate from a licensee subject to the bill.
Potential conflicts between parallel regulations for CCPA and IIPPA: Related to the concern raised by the aforementioned opponents is that entities governed by both CCPA and IIPPA for different information could be forced to comply with regulations governing identical terms and concepts, but with differing definitions or procedures. This can create significant confusion and hinder effective compliance.
For example, both CCPA and this bill define the term “dark pattern” to mean “a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decisionmaking, or choice.” However, CCPA appends to the end of that definition “as further defined by regulation.” Regulations promulgated by CPPA in accordance with that provision are critical to laying out the contours of the definition, but would not be applicable to the identical definition of the term used in this bill, since the bill expressly indicates that “the Insurance Commissioner shall retain primary responsibility for regulation of insurance privacy practices” (Sec. 791.39(c)) and assigns the Commissioner the authority to “issue rules, regulations, and orders as the commissioner deems necessary to carry out” the bill’s provision. (Sec. 791.40)
To avoid conflicting regulations with respect to overlapping terms and concepts between CCPA and this bill, should this bill move forward, the author may wish to consider clarifying the need for compatibility between CCPA and IIPPA regulations pertaining to overlapping concepts and terms.
Scope of the private right of action: Existing law pursuant to the IIPPA provides a limited private right of action to allow any person whose rights have been violated by a violation of its provisions to seek equitable relief in any court of competent jurisdiction. This private right of action extends to the provisions of the IIPPA that pertain to the rights to access, correct/amend, and delete personal information held by an insurer, agent, or insurance support organization.
This bill, as it is currently in print, would significantly expand the scope of the private right of action to include violations of restrictions on the processing of personal information including consent procedures, prohibitions on sale of personal information, retention and deletion requirements including development and reporting of a record retention policy and schedule, existing provisions pertaining to adverse underwriting decisions not currently covered by the existing private right of action, existing procedures for health insurers to protect the confidentiality of medical information that are not currently covered by the existing private right of action, and prohibitions against retaliation for exercising rights, as specified.
A coalition of organizations representing insurers, reinsurers, legal advocates argues in opposition to the bill:
SB 354 expands the PRA in IIPPA to cover not only a consumer’s rights, but also the notices provisions of the bill. Management of notices has always been done through administrative oversight within the CDI. Subjecting errors on a disclosure form to a private right of action opens up the risk of increased litigation, which is costly to the insurer as well as the courts.
Given the complexity and broadened scope of the IIPPA as it is proposed to be amended by this bill, this expansion of the private right of action has the potential to expose a wide range of parties to liability for minor, procedural violations even when the rights of consumers are not meaningfully infringed. While larger insurers may have the capacity to challenge these lawsuits, smaller licensees such as independent brokerages may face increased litigation costs and be forced to settle potential lawsuits rather than withstand the ballooning costs of an extended legal battle.
Where a private right of action is not available, provisions of the Insurance Code have nonetheless been robustly enforced by the Insurance Commissioner where the rights of consumers have been egregiously violated. Should this bill move forward, the author may wish to consider narrowing the scope of the private right of action in the bill to ensure consumers who have had their rights violated by a licensee or TPSP have access to legal recourse without expanding frictional costs associated with litigation.
Exemption of regulations from the Administrative Procedure Act: The California Administrative Procedure Act governs the development and implementation of rules and regulations by state agencies, ensuring the opportunity for public engagement and clarity and legal validity in the resulting rules and regulations. This bill provides the Insurance Commissioner with the authority to issue rules, regulations, and orders as necessary to carry out the bill’s provisions, but exempts this process from the requirements of the Administrative Procedure Act.
No compelling policy justification has been provided for this exemption, and public participation and clarity in the rulemaking process are critical for ensuring that this consumer-focused bill is implemented in accordance with the goal of protecting the privacy and agency of consumers while allowing for a robust insurance market that affordably meets consumer needs.
Categories of marketing subject to opt-out are undefined: The bill in print explicitly specifies processing of consumer personal information “in connection with cross-marketing of insurance or financial products […] to a consumer with which the licensee has an ongoing business relationship” and “in connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution,” as specified, are subject to an opt-out structure rather than opt-in affirmative consent.
However, the terms “cross-marketing” and “joint marketing” are not defined in the bill, and more general marketing purposes require opt-in consent, so the scope of marketing encompassed by these provisions is not clear. Depending on how these terms are defined, it is possible that the consent required for insurers to market their own insurance products may be more robust than the consent required for insurers to market another entity’s products or products cobranded with another entity. Ambiguity of these terms may pose compliance complications.
REGISTERED SUPPORT / OPPOSITION:
Support
Ahavahprem Software Corp
Consumer Federation of California
Department of Insurance
Insurance Commissioner Ricardo Lara / California Department of Insurance
Oakland Privacy
Poindexter Consulting Group
Privacy Defense Alliance
Privacy Rights Clearinghouse
Veterans in Business Network (VIB)
Support If Amended
California Insurance Wholesalers Association
The Council of Insurance Agents & Brokers
Wholesale and Specialty Insurance Association
Oppose
Copart INC.
The Western Insurance Agents Association (WIAA)
Oppose Unless Amended
American Agents Alliance
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
Building Owners and Managers Association of California
California Agents and Health Insurance Professionals
California Association of Realtors
California Bankers Association
California Building Industry Association
California Business Properties Association
California Chamber of Commerce
California Credit Union League
California Escrow Association
California Land Title Association
California Mortgage Bankers Association
Civil Justice Association of California (CJAC)
Commercial Real Estate Development Association, Naiop of California
Consumer Credit Industry Association
Consumer Data Industry Association
Cspra
CTIA
Independent Insurance Agents & Brokers of California, INC.
Insurance Services Office, INC.
Insured Retirement Institute
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
Reinsurance Association of America
Relx INC. and its Subsidiaries
Responsible Data Alliance (RDA)
Software Information Industry Association
Techca
Technet
The Committee of Annuity Insurers
Analysis Prepared by: Landon Klein / INS. / (916) 319-2086
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | SB 354 |
THIRD READING
Bill No: SB 354
Author: Limón (D)
Amended: 5/23/25
Vote: 21
SENATE INSURANCE COMMITTEE: 5-2, 4/9/25
AYES: Rubio, Becker, Caballero, Padilla, Wahab
NOES: Niello, Jones
SENATE JUDICIARY COMMITTEE: 11-2, 4/29/25
AYES: Umberg, Allen, Arreguín, Ashby, Caballero, Durazo, Laird, Stern, Wahab, Weber Pierson, Wiener
NOES: Niello, Valladares
SENATE APPROPRIATIONS COMMITTEE: 5-1, 5/23/25
AYES: Caballero, Cabaldon, Grayson, Richardson, Wahab
NOES: Seyarto
NO VOTE RECORDED: Dahle
SUBJECT: Insurance Consumer Privacy Protection Act of 2025
SOURCE: Insurance Commissioner Ricardo Lara/California Department of Insurance
DIGEST:
This bill (1) creates standards, protections, and duties regarding the processing of consumers’ personal information by insurances licensees and their third-party service providers. (2) Outlines specific requirements regarding consumers’ rights to know what personal information is being processed, how it is collected, stored, and shared, and how consumers can correct, amend, or delete such information. (3) Creates a right for consumers to consent to the sharing of their personal information by licensees for various purposes. (4) Provides that consumers have a right to be made aware of the reasons for adverse underwriting decisions relating to insurance coverage.
ANALYSIS:
Existing law:
1) The Insurance Information and Privacy Protection Act, provides protections for personally identifiable information, collected by an agent, broker, or insurance company in order for a consumer to apply for insurance or submit a claim. These entities must provide consumers with a notice that describes the entities' practices and policies regarding privacy, as well as the kind of information collected about a consumer in connection with an application for insurance, submission of a claim, or other insurance transaction. The notice also must include how and with whom a consumer’s personal information will be shared, and their rights to restrict the sharing of that information.
2) The California Consumer Privacy Act (CCPA), among other rights, provides consumers the right to know what personal information is collected by a business, the right to access the personal information that is collected, the right to delete it, the right to know whether, and what personal information is being sold or disclosed, and the right to stop a business from selling their information.
3) The California Privacy Rights Act (CPRA), approved by the voters as Proposition 24, expanded the protections of the CCPA. Among these changes were the right to limit the use of sensitive personal information, including limits on how long a company can retain personal information, as well as the right to correct the personal information a company possesses. The CPRA also created non-retaliation protections for individuals who exercise these privacy rights. Additionally, the CPRA created the California Privacy Protection Agency with the purpose of implementing and enforcing these laws, and educating the public on their rights and businesses’ obligations under the CCPA and CPRA.
This bill:
1) Establishes the Insurance Consumer Privacy Protection Act of 2025 with the stated goal of creating and updating standards for the collection, processing, retaining, or sharing, collectively known as “processing”, of consumers’ personal information by licensees and their third-party service providers (TPSPs).
2) Defines “personal information” to include:
- Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, driver’s license number, and passport number.
- Characteristics of protected classifications pursuant to state or federal law.
- Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
- Biometric information.
- Internet or other electronic network activity information, including browser history, search history, and information regarding a consumer’s interaction with an internet website, application or advertisement.
- Geolocation data.
- Professional or employment-related information.
- “Sensitive personal information”, including:
- Social security, driver’s license, state identification card, or passport number.
- Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
- Precise geolocation.
- Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
- Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
- Genetic or neural data.
- Information about the consumer’s sex life or sexual orientation.
- Health or additional biometric information.
3) Applies its provisions to insurance licensees, who are entities authorized to operate and offer insurance, and their third-party service providers, as specified. As defined in this bill, licensees include insurers, producers such as agents or brokers, surplus line insurers, and additional individuals employed by licensees.
4) Applies its protections to consumers who meet the following criteria:
- Whose personal information is processed in connection with an insurance transaction.
- Who has previously engaged in insurance transactions with a licensee or third-party service provider (TPSP) involving the consumers’ personal information.
- Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
5) Creates other definitions relevant to this bill’s provisions.
6) States that licensees must exercise due diligence in selecting and overseeing third-party service providers and must have readily available processes for their management of consumers’ personal information with the goal of protecting the confidentiality of that information. This also includes coordination with the Insurance Commissioner to maintain the integrity of personal information.
7) Places limitations on licensees’ and their employees’, processing, sharing, and retaining of consumer data unless doing so is reasonably necessary and proportionate to achieve a stated purpose related to the business of the licensee or a specific insurance transaction. These limitations would also apply to licensee affiliates, reinsurers, third-party service providers, and surplus line insurers.
8) Stipulates when a licensee or third-party service provider may process consumers’ personal information. These situations include when such processing is in connection with an insurance transaction, requests from law enforcement, and when otherwise specified by state law, among other circumstances. Such personal information processing, with certain specific exceptions including the joint marketing of cobranded financial products or services between a licensee and a financial institution, must be conducted with the consent of the consumer or at their request.
9) Identifies circumstances when a licensee may retain a consumer’s personal information. These circumstances include retaining personal information insofar as it is necessary to complete activities related to insurance transactions and compliance with requests from law enforcement or other regulatory authorities.
10) Requires licensees to develop and make available, a records retention policy and annually determine whether there remains a justifiable purposes, as described in this bill, for them to retain a consumer’s personal information. If a licensee determines that retaining personal information is no longer justifiable, then they have 90 days upon making this determination to destroy, delete, or de-identify that consumer’s personal information. De-identification is the removal or generalization of information that would allow an individual to be personally identified. Third-party service providers must retain this information no longer than the length of a contract with a licensee, or once their shared provision of services concludes.
11) Specifies that the licensee record retention requirements do not require the deletion of information related to tracking or fraud detection, or if such information is related to an individual’s claims history.
12) Provides that consumers have a right to expect that their personal information will be used primarily for the purposes of an insurance transaction requested by the consumer.
13) Restricts licensees and third-party service providers from processing a consumer’s personal information that does not conform to the consent the consumer provided. This consent must be obtained from the consumer by the licensee in manner that can be recorded or maintained for at least the length of their business relationship.
14) Specifies that consent cannot be established by including a provision amongst other broad or lengthy terms, through a dismissal or disregarding of such terms, or through the use of dark patterns.
15) Defines a “dark pattern” as a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decision-making, or choice.
16) States that licensees or third-party service providers may not share a consumer’s personal information with a person outside the United States without their consent except if such sharing is with an affiliate or in connection with a reinsurance transaction.
17) Stipulates, with limited exceptions, that licensees must provide consumers with a way to indicate consent for their personal information to be shared under each of the following circumstances:
- Marketing a licensee’s products and services.
- Marketing an affiliate’s products and services.
- Marketing products and services from unrelated companies.
- Research activities that are unrelated to the consumer’s insurance transaction.
- Processing the consumer’s personal information for any other purpose unrelated to the insurance transaction.
- Sharing the consumer’s personal information with a person who will process it in a jurisdiction outside of the United States.
18) Creates standards for the form, and the information conveyed therein, and the manner used by the licensee to obtain, document, and maintain such consent from the consumer. Consumers also must be advised that there can be no retaliation for withholding consent.
19) Requires licensees and TPSPs to provide various means to enable consumers to exercise the privacy rights described in this bill, and prohibits efforts to obstruct the exercise of those rights, including the use of dark patterns.
20) Requires licensees and TPSPs to notify the Insurance Commissioner of information breaches, as specified.
21) States that licensees must provide a detailed and current notice, as specified, to consumers, outlining the licensee’s privacy practices. Consumers who have an existing business relationship prior to the passage of this bill must be given such a privacy notice when their policy is renewed, reinstated, or when other related changes or additional personal information is collected.
22) Details the information to be included in privacy notices provided to the consumer. This includes the type and manner in which a consumer’s personal information is collected, as well as protections against processing or sharing information not relevant to an insurance transaction, without the consent of the consumer.
23) Defines an “Adverse Underwriting Decision” as any of the following actions by a licensee or producer in the business of insurance:
- A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage.
- A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
- A rescinding of the insurance policy.
- Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
- Any of the following for property or casualty insurance coverage:
- Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
- Placement by an insurer or producer of a risk with an insurer not approved to conduct business in California.
- Charging a higher rate based on information that differs from the information that the consumer furnished.
- For life, health, or disability insurance coverage, an offer to insure at higher rates.
24) States that consumers must be made aware that they have a right to receive notices regarding adverse underwriting decisions, as defined, including the reasons for the adverse underwriting decisions, and the information used to make that determination.
25) Requires licensees send an annual consumer privacy rights notice, as specified, to consumers which outlines their overall privacy rights under this bill.
26) Specifies the way in which licensees must provide the privacy notices required under this bill. These notices must be delivered in paper hard copy, unless a consumer agrees to conduct business electronically, then notices may delivered through email, or made available through a website, or digital application. These notices cannot be made through general signage, orally, or by providing a notice that in any part requires a consumer to click links, scan codes, or take any such secondary action to access the required information.
27) Grants consumers the right to submit a request to access their personal and publically available information possessed by the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- Any items of personal information related to the consumer.
- An explanation of any information possessed that was not acquired from the consumer, as well as an identification of the source of such information.
- An itemized disclosure of anyone with whom the licensee or TPSP has shared the consumer’s information within the current year, and at least the previous three calendar years preceding the request.
28) Allows consumers to request to correct, amend, or delete any personal or publicly available data in possession of the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- To the extent licensees and TPSPs are able, a correction, amendment, or deletion of the information. Additionally, a notice to the consumer that these actions have been taken and a written transmission of the correction, amendment, or deletion to relevant parties who may have received that information.
- If such a request is denied, a written refusal to correct, amend, or delete the information which must be accompanied by an explanation and justification of the refusal, and a notice of a consumer’s rights to file a complaint with the Insurance Commissioner.
29) Specifies that a consumer may appeal a refusal to correct, amend, or delete their personal information to the licensee. If this occurs, a licensee must provide an accompanying statement regarding the disputed nature of the personal information to anyone who may review or receive that information.
30) Stipulates that when a licensee makes an adverse underwriting decision (AUD), as defined, they must provide the following information in writing to the affected consumer, with certain conditions:
- The specific reason or reasons for the AUD.
- The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the AUD.
- A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the AUD.
31) Prohibits a licensee from basing an AUD on the following:
- Solely on the loss history of the previous owner of the property to be insured.
- Personal information received from a TPSP whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
- Information that the consumer inquired about regarding the nature or scope of coverage under a policy, and when such an inquiry did not later result in the filing of a claim.
32) Allows the Insurance Commissioner to assist the consumer in obtaining information about an AUD affecting the consumer.
33) Prevents a licensee or TPSP from retaliating against a consumer for exercising the rights granted by this bill’s provisions.
34) Empowers the Insurance Commissioner to examine and investigate the affairs of a licensee or TPSP transacting business in California or transacting business outside the state that has an effect on a consumer residing in California.
35) Allows the Insurance Commissioner to make rules and regulations to carry out the provisions of this bill.
36) Specifies that licensees have five years from this bill’s operative date of January 1, 2026 to comply with the retention and deletion provisions section of this bill, with the exception of the requirement that licensees develop a written records retention policy and schedule that is made available to the Insurance Commissioner upon request.
37) Provides that if there is reason to believe a violation of this act has taken place, the Insurance Commissioner must issue a statement of charges and carry out a hearing, as provided. At such a hearing, the Commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The Commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing.
38) States that, if after a hearing the Insurance Commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation hereto, the Commissioner shall reduce their findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices. Review of such decisions is authorized in a court of competent jurisdiction within 30 days.
39) Provides that an order or report of the Insurance Commissioner or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
40) Authorizes the Insurance Commissioner to order payment of a penalty of at least $5,000 for each knowing violation not to exceed a penalty of up to $1 million for multiple violations. A person who violates a cease and desist order of the Commissioner may, after notice and hearing and upon order of the Commissioner, be subject to one or more of the following penalties, at the discretion of the Commissioner:
- A fine of at least $25,000, but not more than $10 million for each violation.
- A fine of at least $50,000 for each violation, if the Commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
- Suspension or revocation of the licensee’s license if the licensee knew or reasonably should have known it was in violation.
41) Authorizes a person whose rights are violated to apply to a court of competent jurisdiction for appropriate equitable relief, within two years of the alleged violation. A licensee or third-party service provider that discloses information in violation of certain sections of this act shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of certain sections of this act. The court may award the cost of the action and reasonable attorney’s fees to the prevailing party.
42) Provides that a cause of action for defamation, invasion of privacy, or negligence shall not arise against a person for disclosing personal or privileged information in accordance herewith or for furnishing personal or privileged information to a licensee or third-party service provider. This does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
43) Provides that a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance for the calendar year in which the governed activities occurred and the three calendar years thereafter.
44) Provides that a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to $50,000, imprisoned for up to six months in a county jail, or both.
45) Includes a severability clause.
46) Preempts and supersedes all state laws and portions of state laws that are inconsistent herewith except laws related to protected health information and the CPRA.
Related/Prior Legislation
AB 375 (Chau, Chapter 55, Statutes of 2018). Enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
SB 1121 (Dodd, Chapter 735, Statutes of 2018). Further clarified the provisions of the California Consumer Privacy Act of 2018.
SB 793 (Glazer, Chapter 184, Statutes of 2023). Allowed an insurer to send privacy policy notices once initially, and subsequently when a change is made in the policy, in order to comply with the privacy notice requirements of the Insurance Information and Privacy Protection Act.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Senate Appropriations Committee:
“The California Department of Insurance (CDI) reports costs of approximately $275,000 in Fiscal Year (FY) 2025-26 for 3.06 positions, $573,000 in FY 2026-27 for 3.14 positions, and $570,000 in FY 2027-28 and ongoing for 3.61 positions (Insurance Fund).
Staff notes the ongoing fiscal impact to CDI will depend on, among other things, the number of licensees subject to the Act’s requirements, the volume of complaints received specific to a licensee’s mishandling of consumers’ personal information, and complexity of any subsequent investigations. For context, CDI’s website indicates the department oversees more than 1,600 insurance companies and licenses more than 495,000 agents, brokers, adjusters, bail agents, and business entities. CDI annually receives more than 200,000 consumer assistance calls, and investigates more than 56,000 consumer complaints. It is unknown if or to what extent this bill may result in additional complaint intake and investigations for CDI.
For comparison, the California Privacy Protection Agency (CPPA) is similar in related mission as the responsibilities and duties for CDI detailed in the Act. The CPPA’s 2024 Annual Report notes it registered 543 data brokers, received 3,797 complaints since July 2023, and conducted two enforcement sweeps on data broker compliance. The CPPA’s 2024 Annual Report noted that it had an initial budget of $5 million and one employee in 2020, which has since grown to over 40 staff across seven divisions and a total operating budget of approximately $12.8 million for the 2024-25 fiscal year.
CDI will not require the same stand-up costs as the CPPA, as it is not a new agency and has existing infrastructure, equipment, support functions, IT, facilities, and other staff resources. However, CDI will still likely require additional resources to carry out the mandates of this bill, including specialized staff for administrative, investigatory, examination, and enforcement activities specific to the insurance industry. As CDI operation costs are supported by fees, to the extent the department cannot absorb additional workload in its current resources, there may be cost pressures impacting its operating costs that necessitate the increase of license fees or General Fund support to implement the Act.
Unknown, potentially significant reimbursable annual costs (General Fund, local funds) to counties in the hundreds of thousands of dollars to low millions of dollars to counties for increased incarceration costs.
Unknown, potentially significant cost pressure to the state funded trial court system (Trial Court Trust Fund, General Fund) to adjudicate the crime created by this bill.”
SUPPORT: (Verified 5/23/25)
Ricardo Lara, Insurance Commissioner/California Department of Insurance (Source)
Ahavahprem Software Corp.
California Western School of Law
Healthcare Consumer Advocate
Infortal Worldwide Strategic Corporate Investigations
Multicultural Business Alliance
Oakland Privacy
Privacy Rights Clearinghouse
Wicked Bionic Culturally Relevant Marketing
OPPOSITION: (Verified 5/23/25)
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
California Bankers Association
California Chamber of Commerce
California Credit Union League
California Insurance Wholesalers Association
California Land Title Association
Civil Justice Association of California
Independent Insurance Agents & Brokers of California, INC.
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
The Committee of Annuity Insurers
Wholesale and Specialty Insurance Association
ARGUMENTS IN SUPPORT:
Insurance Commissioner Ricardo Lara, sponsor of this bill, states:
“SB 354 will provide California consumers with the strongest-in-the-nation privacy protections by establishing a modern privacy rights framework for insurance licensees and their third-party service providers that collect, process, retain, and share consumer personal information. SB 354 recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed.
The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold and shared with entities not contemplated by the consumer; fraud arising from data breaches has proliferated; unwanted marketing bombards consumers, and underwriting is based on data which is stale or unrepresentative, among other risks.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California’s insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws adequately and fairly regulate the insurance industry.”
ARGUMENTS IN OPPOSITION:
Opponents from the insurance industry state:
“Industry is committed to strong consumer protections and the safeguarding of sensitive personal information. We appreciate the proactive steps taken by the California Department of Insurance (CDI) in addressing privacy regulation and believe that state insurance departments, such as CDI, are best suited to serve as the primary regulators for the industry.
However, as currently drafted, SB 354 requires significant revisions to become a workable framework for industry. The bill introduces several provisions that pose significant challenges for insurers and, in some instances, could have unintended negative consequences for consumers. These provisions would impose excessive regulatory burdens on insurers and businesses, creating operational inefficiencies, potential privacy risks, and confusion among consumers.
Our industry has always supported robust, insurance-specific regulations to protect our customers, and we remain actively engaged with regulators, including CDI, through the National Association of Insurance Commissioners’ (NAIC) effort to craft an updated privacy model. The NAIC Privacy Protections Working Group’s work to update Model 672 is expected to be completed by the end of 2025 and would not only modernize the provisions that SB 354 aims to address, but would allow for an adoptable, more uniform Model. This uniformity helps consumers as well as regulators and allows for more cost-efficient compliance.
Many lines of insurance are struggling within the current economic climate, and the property casualty insurance industry in particular is currently in crisis and needs to focus its efforts on effectively serving Californians and maintaining a stable and diverse insurance marketplace within the state.”
Prepared by: Brandon Seto / INS. / (916) 651-4110
6/2/25 9:51:19
**** END ****
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | SB 354 |
THIRD READING
Bill No: SB 354
Author: Limón (D)
Amended: 5/23/25
Vote: 21
SENATE INSURANCE COMMITTEE: 5-2, 4/9/25
AYES: Rubio, Becker, Caballero, Padilla, Wahab
NOES: Niello, Jones
SENATE JUDICIARY COMMITTEE: 11-2, 4/29/25
AYES: Umberg, Allen, Arreguín, Ashby, Caballero, Durazo, Laird, Stern, Wahab, Weber Pierson, Wiener
NOES: Niello, Valladares
SENATE APPROPRIATIONS COMMITTEE: 5-1, 5/23/25
AYES: Caballero, Cabaldon, Grayson, Richardson, Wahab
NOES: Seyarto
NO VOTE RECORDED: Dahle
SUBJECT: Insurance Consumer Privacy Protection Act of 2025
SOURCE: Insurance Commissioner Ricardo Lara/California Department of Insurance
DIGEST:
This bill (1) creates standards, protections, and duties regarding the processing of consumers’ personal information by insurances licensees and their third-party service providers. (2) Outlines specific requirements regarding consumers’ rights to know what personal information is being processed, how it is collected, stored, and shared, and how consumers can correct, amend, or delete such information. (3) Creates a right for consumers to consent to the sharing of their personal information by licensees for various purposes. (4) Provides that consumers have a right to be made aware of the reasons for adverse underwriting decisions relating to insurance coverage.
ANALYSIS:
Existing law:
1) The Insurance Information and Privacy Protection Act, provides protections for personally identifiable information, collected by an agent, broker, or insurance company in order for a consumer to apply for insurance or submit a claim. These entities must provide consumers with a notice that describes the entities' practices and policies regarding privacy, as well as the kind of information collected about a consumer in connection with an application for insurance, submission of a claim, or other insurance transaction. The notice also must include how and with whom a consumer’s personal information will be shared, and their rights to restrict the sharing of that information.
2) The California Consumer Privacy Act (CCPA), among other rights, provides consumers the right to know what personal information is collected by a business, the right to access the personal information that is collected, the right to delete it, the right to know whether, and what personal information is being sold or disclosed, and the right to stop a business from selling their information.
3) The California Privacy Rights Act (CPRA), approved by the voters as Proposition 24, expanded the protections of the CCPA. Among these changes were the right to limit the use of sensitive personal information, including limits on how long a company can retain personal information, as well as the right to correct the personal information a company possesses. The CPRA also created non-retaliation protections for individuals who exercise these privacy rights. Additionally, the CPRA created the California Privacy Protection Agency with the purpose of implementing and enforcing these laws, and educating the public on their rights and businesses’ obligations under the CCPA and CPRA.
This bill:
1) Establishes the Insurance Consumer Privacy Protection Act of 2025 with the stated goal of creating and updating standards for the collection, processing, retaining, or sharing, collectively known as “processing”, of consumers’ personal information by licensees and their third-party service providers (TPSPs).
2) Defines “personal information” to include:
- Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, driver’s license number, and passport number.
- Characteristics of protected classifications pursuant to state or federal law.
- Commercial information, including records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.
- Biometric information.
- Internet or other electronic network activity information, including browser history, search history, and information regarding a consumer’s interaction with an internet website, application or advertisement.
- Geolocation data.
- Professional or employment-related information.
- “Sensitive personal information”, including:
- Social security, driver’s license, state identification card, or passport number.
- Account login, financial account, debit card, or credit card number in combination with any required security or access code, password, or credentials allowing access to an account.
- Precise geolocation.
- Racial or ethnic origin, citizenship or immigration status, religious or philosophical beliefs, or union membership.
- Content of personal mail, personal email, personal text messages, or personal voice or video communications, unless the person in possession is the intended recipient of the communication.
- Genetic or neural data.
- Information about the consumer’s sex life or sexual orientation.
- Health or additional biometric information.
3) Applies its provisions to insurance licensees, who are entities authorized to operate and offer insurance, and their third-party service providers, as specified. As defined in this bill, licensees include insurers, producers such as agents or brokers, surplus line insurers, and additional individuals employed by licensees.
4) Applies its protections to consumers who meet the following criteria:
- Whose personal information is processed in connection with an insurance transaction.
- Who has previously engaged in insurance transactions with a licensee or third-party service provider (TPSP) involving the consumers’ personal information.
- Whose personal information is used for purposes other than insurance transactions by licensees and third-party service providers.
5) Creates other definitions relevant to this bill’s provisions.
6) States that licensees must exercise due diligence in selecting and overseeing third-party service providers and must have readily available processes for their management of consumers’ personal information with the goal of protecting the confidentiality of that information. This also includes coordination with the Insurance Commissioner to maintain the integrity of personal information.
7) Places limitations on licensees’ and their employees’, processing, sharing, and retaining of consumer data unless doing so is reasonably necessary and proportionate to achieve a stated purpose related to the business of the licensee or a specific insurance transaction. These limitations would also apply to licensee affiliates, reinsurers, third-party service providers, and surplus line insurers.
8) Stipulates when a licensee or third-party service provider may process consumers’ personal information. These situations include when such processing is in connection with an insurance transaction, requests from law enforcement, and when otherwise specified by state law, among other circumstances. Such personal information processing, with certain specific exceptions including the joint marketing of cobranded financial products or services between a licensee and a financial institution, must be conducted with the consent of the consumer or at their request.
9) Identifies circumstances when a licensee may retain a consumer’s personal information. These circumstances include retaining personal information insofar as it is necessary to complete activities related to insurance transactions and compliance with requests from law enforcement or other regulatory authorities.
10) Requires licensees to develop and make available, a records retention policy and annually determine whether there remains a justifiable purposes, as described in this bill, for them to retain a consumer’s personal information. If a licensee determines that retaining personal information is no longer justifiable, then they have 90 days upon making this determination to destroy, delete, or de-identify that consumer’s personal information. De-identification is the removal or generalization of information that would allow an individual to be personally identified. Third-party service providers must retain this information no longer than the length of a contract with a licensee, or once their shared provision of services concludes.
11) Specifies that the licensee record retention requirements do not require the deletion of information related to tracking or fraud detection, or if such information is related to an individual’s claims history.
12) Provides that consumers have a right to expect that their personal information will be used primarily for the purposes of an insurance transaction requested by the consumer.
13) Restricts licensees and third-party service providers from processing a consumer’s personal information that does not conform to the consent the consumer provided. This consent must be obtained from the consumer by the licensee in manner that can be recorded or maintained for at least the length of their business relationship.
14) Specifies that consent cannot be established by including a provision amongst other broad or lengthy terms, through a dismissal or disregarding of such terms, or through the use of dark patterns.
15) Defines a “dark pattern” as a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decision-making, or choice.
16) States that licensees or third-party service providers may not share a consumer’s personal information with a person outside the United States without their consent except if such sharing is with an affiliate or in connection with a reinsurance transaction.
17) Stipulates, with limited exceptions, that licensees must provide consumers with a way to indicate consent for their personal information to be shared under each of the following circumstances:
- Marketing a licensee’s products and services.
- Marketing an affiliate’s products and services.
- Marketing products and services from unrelated companies.
- Research activities that are unrelated to the consumer’s insurance transaction.
- Processing the consumer’s personal information for any other purpose unrelated to the insurance transaction.
- Sharing the consumer’s personal information with a person who will process it in a jurisdiction outside of the United States.
18) Creates standards for the form, and the information conveyed therein, and the manner used by the licensee to obtain, document, and maintain such consent from the consumer. Consumers also must be advised that there can be no retaliation for withholding consent.
19) Requires licensees and TPSPs to provide various means to enable consumers to exercise the privacy rights described in this bill, and prohibits efforts to obstruct the exercise of those rights, including the use of dark patterns.
20) Requires licensees and TPSPs to notify the Insurance Commissioner of information breaches, as specified.
21) States that licensees must provide a detailed and current notice, as specified, to consumers, outlining the licensee’s privacy practices. Consumers who have an existing business relationship prior to the passage of this bill must be given such a privacy notice when their policy is renewed, reinstated, or when other related changes or additional personal information is collected.
22) Details the information to be included in privacy notices provided to the consumer. This includes the type and manner in which a consumer’s personal information is collected, as well as protections against processing or sharing information not relevant to an insurance transaction, without the consent of the consumer.
23) Defines an “Adverse Underwriting Decision” as any of the following actions by a licensee or producer in the business of insurance:
- A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage.
- A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest.
- A rescinding of the insurance policy.
- Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates.
- Any of the following for property or casualty insurance coverage:
- Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks.
- Placement by an insurer or producer of a risk with an insurer not approved to conduct business in California.
- Charging a higher rate based on information that differs from the information that the consumer furnished.
- For life, health, or disability insurance coverage, an offer to insure at higher rates.
24) States that consumers must be made aware that they have a right to receive notices regarding adverse underwriting decisions, as defined, including the reasons for the adverse underwriting decisions, and the information used to make that determination.
25) Requires licensees send an annual consumer privacy rights notice, as specified, to consumers which outlines their overall privacy rights under this bill.
26) Specifies the way in which licensees must provide the privacy notices required under this bill. These notices must be delivered in paper hard copy, unless a consumer agrees to conduct business electronically, then notices may delivered through email, or made available through a website, or digital application. These notices cannot be made through general signage, orally, or by providing a notice that in any part requires a consumer to click links, scan codes, or take any such secondary action to access the required information.
27) Grants consumers the right to submit a request to access their personal and publically available information possessed by the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- Any items of personal information related to the consumer.
- An explanation of any information possessed that was not acquired from the consumer, as well as an identification of the source of such information.
- An itemized disclosure of anyone with whom the licensee or TPSP has shared the consumer’s information within the current year, and at least the previous three calendar years preceding the request.
28) Allows consumers to request to correct, amend, or delete any personal or publicly available data in possession of the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- To the extent licensees and TPSPs are able, a correction, amendment, or deletion of the information. Additionally, a notice to the consumer that these actions have been taken and a written transmission of the correction, amendment, or deletion to relevant parties who may have received that information.
- If such a request is denied, a written refusal to correct, amend, or delete the information which must be accompanied by an explanation and justification of the refusal, and a notice of a consumer’s rights to file a complaint with the Insurance Commissioner.
29) Specifies that a consumer may appeal a refusal to correct, amend, or delete their personal information to the licensee. If this occurs, a licensee must provide an accompanying statement regarding the disputed nature of the personal information to anyone who may review or receive that information.
30) Stipulates that when a licensee makes an adverse underwriting decision (AUD), as defined, they must provide the following information in writing to the affected consumer, with certain conditions:
- The specific reason or reasons for the AUD.
- The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the AUD.
- A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the AUD.
31) Prohibits a licensee from basing an AUD on the following:
- Solely on the loss history of the previous owner of the property to be insured.
- Personal information received from a TPSP whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
- Information that the consumer inquired about regarding the nature or scope of coverage under a policy, and when such an inquiry did not later result in the filing of a claim.
32) Allows the Insurance Commissioner to assist the consumer in obtaining information about an AUD affecting the consumer.
33) Prevents a licensee or TPSP from retaliating against a consumer for exercising the rights granted by this bill’s provisions.
34) Empowers the Insurance Commissioner to examine and investigate the affairs of a licensee or TPSP transacting business in California or transacting business outside the state that has an effect on a consumer residing in California.
35) Allows the Insurance Commissioner to make rules and regulations to carry out the provisions of this bill.
36) Specifies that licensees have five years from this bill’s operative date of January 1, 2026 to comply with the retention and deletion provisions section of this bill, with the exception of the requirement that licensees develop a written records retention policy and schedule that is made available to the Insurance Commissioner upon request.
37) Provides that if there is reason to believe a violation of this act has taken place, the Insurance Commissioner must issue a statement of charges and carry out a hearing, as provided. At such a hearing, the Commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The Commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing.
38) States that, if after a hearing the Insurance Commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation hereto, the Commissioner shall reduce their findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices. Review of such decisions is authorized in a court of competent jurisdiction within 30 days.
39) Provides that an order or report of the Insurance Commissioner or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
40) Authorizes the Insurance Commissioner to order payment of a penalty of at least $5,000 for each knowing violation not to exceed a penalty of up to $1 million for multiple violations. A person who violates a cease and desist order of the Commissioner may, after notice and hearing and upon order of the Commissioner, be subject to one or more of the following penalties, at the discretion of the Commissioner:
- A fine of at least $25,000, but not more than $10 million for each violation.
- A fine of at least $50,000 for each violation, if the Commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
- Suspension or revocation of the licensee’s license if the licensee knew or reasonably should have known it was in violation.
41) Authorizes a person whose rights are violated to apply to a court of competent jurisdiction for appropriate equitable relief, within two years of the alleged violation. A licensee or third-party service provider that discloses information in violation of certain sections of this act shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of certain sections of this act. The court may award the cost of the action and reasonable attorney’s fees to the prevailing party.
42) Provides that a cause of action for defamation, invasion of privacy, or negligence shall not arise against a person for disclosing personal or privileged information in accordance herewith or for furnishing personal or privileged information to a licensee or third-party service provider. This does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
43) Provides that a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance for the calendar year in which the governed activities occurred and the three calendar years thereafter.
44) Provides that a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to $50,000, imprisoned for up to six months in a county jail, or both.
45) Includes a severability clause.
46) Preempts and supersedes all state laws and portions of state laws that are inconsistent herewith except laws related to protected health information and the CPRA.
Related/Prior Legislation
AB 375 (Chau, Chapter 55, Statutes of 2018). Enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
SB 1121 (Dodd, Chapter 735, Statutes of 2018). Further clarified the provisions of the California Consumer Privacy Act of 2018.
SB 793 (Glazer, Chapter 184, Statutes of 2023). Allowed an insurer to send privacy policy notices once initially, and subsequently when a change is made in the policy, in order to comply with the privacy notice requirements of the Insurance Information and Privacy Protection Act.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Senate Appropriations Committee:
“The California Department of Insurance (CDI) reports costs of approximately $275,000 in Fiscal Year (FY) 2025-26 for 3.06 positions, $573,000 in FY 2026-27 for 3.14 positions, and $570,000 in FY 2027-28 and ongoing for 3.61 positions (Insurance Fund).
Staff notes the ongoing fiscal impact to CDI will depend on, among other things, the number of licensees subject to the Act’s requirements, the volume of complaints received specific to a licensee’s mishandling of consumers’ personal information, and complexity of any subsequent investigations. For context, CDI’s website indicates the department oversees more than 1,600 insurance companies and licenses more than 495,000 agents, brokers, adjusters, bail agents, and business entities. CDI annually receives more than 200,000 consumer assistance calls, and investigates more than 56,000 consumer complaints. It is unknown if or to what extent this bill may result in additional complaint intake and investigations for CDI.
For comparison, the California Privacy Protection Agency (CPPA) is similar in related mission as the responsibilities and duties for CDI detailed in the Act. The CPPA’s 2024 Annual Report notes it registered 543 data brokers, received 3,797 complaints since July 2023, and conducted two enforcement sweeps on data broker compliance. The CPPA’s 2024 Annual Report noted that it had an initial budget of $5 million and one employee in 2020, which has since grown to over 40 staff across seven divisions and a total operating budget of approximately $12.8 million for the 2024-25 fiscal year.
CDI will not require the same stand-up costs as the CPPA, as it is not a new agency and has existing infrastructure, equipment, support functions, IT, facilities, and other staff resources. However, CDI will still likely require additional resources to carry out the mandates of this bill, including specialized staff for administrative, investigatory, examination, and enforcement activities specific to the insurance industry. As CDI operation costs are supported by fees, to the extent the department cannot absorb additional workload in its current resources, there may be cost pressures impacting its operating costs that necessitate the increase of license fees or General Fund support to implement the Act.
Unknown, potentially significant reimbursable annual costs (General Fund, local funds) to counties in the hundreds of thousands of dollars to low millions of dollars to counties for increased incarceration costs.
Unknown, potentially significant cost pressure to the state funded trial court system (Trial Court Trust Fund, General Fund) to adjudicate the crime created by this bill.”
SUPPORT: (Verified 5/23/25)
Ricardo Lara, Insurance Commissioner/California Department of Insurance (Source)
Ahavahprem Software Corp.
California Western School of Law
Healthcare Consumer Advocate
Infortal Worldwide Strategic Corporate Investigations
Multicultural Business Alliance
Oakland Privacy
Privacy Rights Clearinghouse
Wicked Bionic Culturally Relevant Marketing
OPPOSITION: (Verified 5/23/25)
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
California Bankers Association
California Chamber of Commerce
California Credit Union League
California Hospital Association
California Insurance Wholesalers Association
California Land Title Association
Civil Justice Association of California
Independent Insurance Agents & Brokers of California, INC.
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
The Committee of Annuity Insurers
Wholesale and Specialty Insurance Association
ARGUMENTS IN SUPPORT:
Insurance Commissioner Ricardo Lara, sponsor of this bill, states:
“SB 354 will provide California consumers with the strongest-in-the-nation privacy protections by establishing a modern privacy rights framework for insurance licensees and their third-party service providers that collect, process, retain, and share consumer personal information. SB 354 recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed.
The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold and shared with entities not contemplated by the consumer; fraud arising from data breaches has proliferated; unwanted marketing bombards consumers, and underwriting is based on data which is stale or unrepresentative, among other risks.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California’s insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws adequately and fairly regulate the insurance industry.”
ARGUMENTS IN OPPOSITION:
Opponents from the insurance industry state:
“Industry is committed to strong consumer protections and the safeguarding of sensitive personal information. We appreciate the proactive steps taken by the California Department of Insurance (CDI) in addressing privacy regulation and believe that state insurance departments, such as CDI, are best suited to serve as the primary regulators for the industry.
However, as currently drafted, SB 354 requires significant revisions to become a workable framework for industry. The bill introduces several provisions that pose significant challenges for insurers and, in some instances, could have unintended negative consequences for consumers. These provisions would impose excessive regulatory burdens on insurers and businesses, creating operational inefficiencies, potential privacy risks, and confusion among consumers.
Our industry has always supported robust, insurance-specific regulations to protect our customers, and we remain actively engaged with regulators, including CDI, through the National Association of Insurance Commissioners’ (NAIC) effort to craft an updated privacy model. The NAIC Privacy Protections Working Group’s work to update Model 672 is expected to be completed by the end of 2025 and would not only modernize the provisions that SB 354 aims to address, but would allow for an adoptable, more uniform Model. This uniformity helps consumers as well as regulators and allows for more cost-efficient compliance.
Many lines of insurance are struggling within the current economic climate, and the property casualty insurance industry in particular is currently in crisis and needs to focus its efforts on effectively serving Californians and maintaining a stable and diverse insurance marketplace within the state.”
Prepared by: Brandon Seto / INS. / (916) 651-4110
5/27/25 11:56:04
**** END ****
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2025 - 2026 Regular Session
SB 354 (Limón) - Insurance Consumer Privacy Protection Act of 2025
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
SB 354 establishes the Insurance Consumer Privacy Protection Act of 2025 (Act), with the goal of providing an updated and comprehensive privacy framework for insurance licensees and their third-party service providers.
*********** ANALYSIS ADDENDUM – SUSPENSE FILE ***********
The following information is revised to reflect amendments
adopted by the committee on May 23, 2025
Fiscal Impact:
- The California Department of Insurance (CDI) reports costs of approximately $275,000 in Fiscal Year (FY) 2025-26 for 3.06 positions, $573,000 in FY 2026-27 for 3.14 positions, and $570,000 in FY 2027-28 and ongoing for 3.61 positions (Insurance Fund).
Staff notes the ongoing fiscal impact to CDI will depend on, among other things, the number of licensees subject to the Act’s requirements, the volume of complaints received specific to a licensee’s mishandling of consumers’ personal information, and complexity of any subsequent investigations. For context, CDI’s website indicates the department oversees more than 1,600 insurance companies and licenses more than 495,000 agents, brokers, adjusters, bail agents, and business entities. CDI annually receives more than 200,000 consumer assistance calls, and investigates more than 56,000 consumer complaints. It is unknown if or to what extent this bill may result in additional complaint intake and investigations for CDI.
For comparison, the California Privacy Protection Agency (CPPA) is similar in related mission as the responsibilities and duties for CDI detailed in the Act. The CPPA’s 2024 Annual Report notes it registered 543 data brokers, received 3,797 complaints since July 2023, and conducted two enforcement sweeps on data broker compliance. The CPPA’s 2024 Annual Report noted that it had an initial budget of $5 million and one employee in 2020, which has since grown to over 40 staff across seven divisions and a total operating budget of approximately $12.8 million for the 2024-25 fiscal year.
CDI will not require the same stand-up costs as the CPPA, as it is not a new agency and has existing infrastructure, equipment, support functions, IT, facilities, and other staff resources. However, CDI will still likely require additional resources to carry out the mandates of this bill, including specialized staff for administrative, investigatory, examination, and enforcement activities specific to the insurance industry. As CDI operation costs are supported by fees, to the extent the department cannot absorb additional workload in its current resources, there may be cost pressures impacting its operating costs that necessitate the increase of license fees or General Fund support to implement the Act.
- Unknown, potentially significant reimbursable annual costs (General Fund, local funds) to counties in the hundreds of thousands of dollars to low millions of dollars to counties for increased incarceration costs.
- Unknown, potentially significant cost pressure to the state funded trial court system (Trial Court Trust Fund, General Fund) to adjudicate the crime created by this bill.
Author Amendments:
- Provide the obligations imposed by the Act do not apply to health care providers governed by the Confidentiality of Medical Information Act or a covered entity or business associate governed by the privacy, security, and break notification rules issued by the U.S. Department of Health and Human Services.
- Provide the Act does apply to a disability insurer not regulated as a health care service plan pursuant to the Knox-Keene Health Care Services Plan Act of 1975.
- Modify the definition of “insurer” by removing a nonprofit hospital, medical, or health care service organization, and health maintenance organization.
- Add records evidencing interest in real property that have been accurately transcribed from a county recorder’s records into a title plant owned by an insurer licensed to transact title insurer to the list of information considered “publicly available.”
- Additionally allow a licensee to process a consumer’s personal information in connection with the joint marketing of cobranded financial products or services between a licensee and a financial institution under certain conditions.
- Specify the licensee record retention requirements do not require the deletion of information related to tracking or fraud detection, or if information is related to an individual’s claims history.
- Authorize a licensee to process a consumer’s personal information for joint marketing purposes if certain conditions are met, and if a licensee gives a consumer notice and opportunity to opt-out and the consumer has not opted out.
- Make other technical and conforming changes.
-- END --
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2025 - 2026 Regular Session
SB 354 (Limón) - Insurance Consumer Privacy Protection Act of 2025
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
SB 354 establishes the Insurance Consumer Privacy Protection Act of 2025 (Act), with the goal of providing an updated and comprehensive privacy framework for insurance licensees and their third-party service providers.
Fiscal Impact:
- Unknown ongoing significant fiscal impact, ranging in the millions of dollars, to CDI to administer and enforce the Act (General Fund and Insurance Fund). Penalty revenue may offset CDI’s enforcement costs to some extent.
- Unknown, potentially significant reimbursable annual costs (General Fund, local funds) to counties in the hundreds of thousands of dollars to low millions of dollars to counties for increased incarceration costs.
- Unknown, potentially significant cost pressure to the state funded trial court system (Trial Court Trust Fund, General Fund) to adjudicate the crime created by this bill.
Background:
The Insurance Information and Privacy Protection Act (IIPPA), provides protections for a consumer’s personally identifiable information, which is generally provided to an agent, broker, or insurance company in order to apply for insurance or submit a claim. These entities must provide consumers with a privacy notice that describes the entities' practices and policies regarding privacy, the kind of information collected about consumers in connection with the application for insurance, submission of a claim or other insurance transaction; how and with whom consumers’ personally identifiable information will be shared, and consumers’ rights to restrict that sharing.
Similarly, the California Consumer Privacy Act (CCPA) grants consumers certain rights with regard to their personal information in the hands of businesses, including enhanced notice, access, and disclosure; the right to deletion; the right to restrict the sale of information; and protection from discrimination for exercising these rights. It places attendant obligations on businesses to respect those rights. The California Privacy Rights Act of 2020 (CPRA) amended the CCPA and limited further amendment.
Proposed Law:
- Establishes the Insurance Consumer Privacy Protection Act of 2025 to establish standards for the processing of consumers’ personal information by licensees and their third-party service providers to maintain a balance between the need for information by those in the insurance business and consumers’ need for fairness and protection in the processing of consumers’ personal information.
- Applies the Act to a licensee and the licensee’s third-party services providers that process consumers’ personal information in connection with the business of insurance, engage in insurance transactions with consumers, or engage in activities not related to insurance transactions involving consumers’ personal information.
- Defines the relevant terms, which largely track with the definitions laid out in the CCPA.
- Requires licensees to exercise due diligence in selecting and overseeing third-party service providers, as provided. A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. It shall include a series of requirements on the third-party service provider, including a requirement to develop and maintain adequate safeguards, establish retention limits, and assist in any relevant investigations by the Insurance Commissioner.
- Authorizes, notwithstanding the previous provision, a licensee to share a consumer’s personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
- Prohibits a licensee from processing a consumer’s personal information unless both of the following are true:
- The collection, processing, retention, or sharing of the consumer’s personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
- The processing and retention of the consumer’s personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
- Prohibits a licensee from permitting an employee to collect, process, retain, or share a consumer’s personal information, except as relevant and necessary as part of that employee’s assigned duties.
- Provides that a licensee shall not process a consumer’s sensitive personal information, other than in relation to an insurance transaction.
- Places conditions on the ability of a reinsurer, third-party service provider, or surplus line insurer to process a consumer’s personal information. Prohibits, except as provided, a reinsurer, third-party service provider, or surplus line insurer from processing a consumer’s personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
- Provides that an affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
- Authorizes a licensee to process a consumer’s personal information as necessary for specified purposes, including:
- In connection with an insurance transaction.
- For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act.
- When otherwise specifically required by state law.
- To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
- To permit a governmental authority to determine the consumer’s eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law.
- In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumer’s information in connection with specific marketing activity to which the consumer has consented.
- In connection with research activity, after receiving affirmative consent from the consumer to use the consumer’s information in connection with specific research activity to which the consumer has consented.
- Additional purposes specified by the commissioner in regulation.
- Authorizes a licensee to process consumers’ deidentified information.
- Provides that the processing of a consumer’s personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer.
- Prohibits, notwithstanding any other law, a licensee or third-party service provider from selling a consumer’s personal information for any type of consideration.
- Clarifies that the above does not prohibit the sharing of a consumer’s personal information with a licensee’s affiliates to the extent preempted by the Fair Credit Reporting Act.
- Provides specific retention limits and protections for consumers’ personal information, applying to licensees and third-party service providers. Authorizes the Insurance Commissioner (Commissioner) to grant individual licensees exceptions to the retention limits for good cause.
- Grants a consumer the right to expect that the consumer’s personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer. A licensee or third-party service provider shall not process a consumer’s personal information in a manner inconsistent with the consent provided by the consumer, which may be revoked.
- Provides that, to comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumer’s consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article. The bill identifies specific methods that do not establish consent for these purposes.
- Requires a licensee or third-party service provider to provide easily accessible means for consumers to exercise their rights pursuant hereto.
- Provides that a licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee and requires data breach notifications.
- Requires the provision of privacy notices to consumers describing relevant privacy practices, as provided, except as specified.
- Grants consumers the right to submit a verifiable request to a licensee for access to the consumer’s personal and publicly available information in the possession of the licensee or its third-party service providers.
- Grants consumers the right to submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
- Provides, in the event of an adverse underwriting decision, the licensee responsible for the decision shall provide specified information in writing to the consumer at the consumer’s address of record, including the specific reason or reasons for the adverse underwriting decision and the specific items of personal, publicly available, or privileged information that support those reasons.
- Prohibits a licensee from basing an adverse underwriting decision on specified factors, including:
- Solely the loss history of the previous owner of the property to be insured.
- Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
- A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
- Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
- The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability, as provided.
- Prohibits retaliation by a licensee or a third-party service provider against a consumer because the consumer exercised or attempted to exercise the consumer’s rights pursuant hereto.
- Provides that a licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction unless the licensee or third-party service provider informs the consumer in writing before the report preparation of their rights.
- Authorizes the Commissioner to examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state to determine if they have been or are engaged in any conduct in violation hereof.
- Provides that if there is reason to believe a violation has taken place, the Commissioner must issue a statement of charges and carry out a hearing, as provided. At such a hearing, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
- Provides that, if after a hearing the Commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation hereto, the Commissioner shall reduce their findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices. Review of such decisions is authorized in a court of competent jurisdiction within 30 days.
- Provides that an order or report of the Commissioner or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
- Authorizes the Commissioner to order payment of a penalty of at least $5,000 for each knowing violation not to exceed a penalty of up to $1 million for multiple violations. A person who violates a cease and desist order of the Commissioner may, after notice and hearing and upon order of the Commissioner, be subject to one or more of the following penalties, at the discretion of the Commissioner:
- A fine of at least $25,000, but not more than $10 million for each violation.
- A fine of at least $50,000 for each violation, if the Commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
- Suspension or revocation of the licensee’s license if the licensee knew or reasonably should have known it was in violation.
- Authorizes a person whose rights are violated to apply to a court of competent jurisdiction for appropriate equitable relief, within two years of the alleged violation. A licensee or third-party service provider that discloses information in violation Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135. The court may award the cost of the action and reasonable attorney’s fees to the prevailing party.
- Provides that a cause of action for defamation, invasion of privacy, or negligence shall not arise against a person for disclosing personal or privileged information in accordance herewith or for furnishing personal or privileged information to a licensee or third-party service provider. This does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
- Provides that a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance for the calendar year in which the governed activities occurred and the three calendar years thereafter.
- Provides that a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to $50,000, imprisoned for up to six months in a county jail, or both.
- Includes a severability clause.
- Preempts and supersedes all state laws and portions of state laws that are inconsistent herewith except laws related to protected health information and the CPRA.
- Authorizes the Commissioner to issue rules, regulations, and orders as the Commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act
- States legislative findings and declarations.
Related Legislation: AB 375 (Chau, Chapter 55, Statutes of 2018) enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
Staff Comments:
The framework of the Act is largely modeled off the CPRA, which is administered by the California Privacy Protection Agency (CPPA). CPPA is similar in related mission as the responsibilities and duties for CDI detailed in the Act. For comparison, the CPPA’s 2024 Annual Report noted that it had an initial budget of $5 million and one employee in 2020, which has since grown to over 40 staff across seven divisions and a total operating budget of approximately $12.8 million for the 2024-25 fiscal year.
CDI will not require the same stand-up costs as the CPPA, as it is not a new agency and has existing infrastructure, equipment, support functions, IT, facilities, and other staff resources. However, CDI will still likely require additional resources to carry out the mandates of this bill, including specialized staff for administrative, investigatory, examination, and enforcement activities specific to the insurance industry.
Enforcement costs to CDI from this bill will depend on, among other things, the number of licensees subject to the Act’s requirements, the volume of complaints received specific to a licensee’s mishandling of consumers’ personal information, and complexity of any subsequent investigations. For context, CDI’s website indicates the department oversees more than 1,600 insurance companies and licenses more than 495,000 agents, brokers, adjusters, bail agents, and business entities. CDI annually receives more than 200,000 consumer assistance calls, and investigates more than 56,000 consumer complaints. It is unknown if or to what extent this bill may result in additional complaint intake and investigations for CDI. For comparison, CPPA’s 2024 Annual Report notes it registered 543 data brokers, received 3,797 complaints since July 2023, and conducted two enforcement sweeps on data broker compliance.
While CDI may not need the same level of resources as the CPPA, CDI’s resource needs to administer and enforce the Act may be similar and range in the millions of dollars. As CDI operation costs are supported by fees, the department will likely require General Fund support to implement the Act.
-- END --
Senator Thomas Umberg, Chair
2025-2026 Regular Session
Bill No: SB 354 (Author:Limón)
Version: April 3, 2025
Hearing Date: April 29, 2025
Fiscal: Yes
Urgency: No
Consultant: CK
SUBJECT
Insurance Consumer Privacy Protection Act of 2025
DIGEST
This bill establishes an updated and comprehensive privacy framework for insurance licensees and their third-party service providers.
EXECUTIVE SUMMARY
The Insurance Information and Privacy Protection Act (IIPPA), provide protections for a consumer’s personally identifiable information, which is generally provided to an agent, broker, or insurance company in order to apply for insurance or submit a claim. These entities must provide consumers with a privacy notice that describes the entities' practices and policies regarding privacy, the kind of information collected about consumers in connection with the application for insurance, submission of a claim or other insurance transaction; how and with whom consumers’ personally identifiable information will be shared, and consumers’ rights to restrict that sharing.[1]
The California Consumer Privacy Act (CCPA) grants consumers certain rights with regard to their personal information in the hands of businesses, including enhanced notice, access, and disclosure; the right to deletion; the right to restrict the sale of information; and protection from discrimination for exercising these rights. It places attendant obligations on businesses to respect those rights. The California Privacy Rights Act of 2020 (CPRA) amended the CCPA and limited further amendment.
This bill creates a modernized privacy rights framework that establishes data privacy standards for insurance licensees and their third-party service providers. The bill is sponsored by the California Department of Insurance. It is supported by Privacy Rights Clearinghouse. It is opposed by a number of industry associations, including the Personal Insurance Federation of California and the California Credit Union League. This bill passed out of the Banking and Financial Institutions Committee on a 5 to 2 vote.
PROPOSED CHANGES TO THE LAW
Existing law:
- Establishes the CCPA, which grants consumers certain rights with regard to their personal information, including enhanced notice, access, and disclosure; the right to deletion; the right to restrict the sale of information; and protection from discrimination for exercising these rights. It places attendant obligations on businesses to respect those rights. (Civ. Code § 1798.100 et seq.)
- Establishes the CPRA, which amends the CCPA. (Civ. Code § 798.100 et seq.; Proposition 24 (2020).)
- Provides consumers the right to request that a business delete any personal information about the consumer which the business has collected from the consumer. (Civ. Code § 1798.105(a).)
- Requires a business that collects a consumer’s personal information to, at or before the point of collection, inform consumers of the following:
- the categories of personal information to be collected and the purposes for which the categories of personal information are collected or used and whether that information is sold or shared. A business shall not collect additional categories of personal information or use personal information collected for additional purposes that are incompatible with the disclosed purpose for which the personal information was collected without providing the consumer with notice consistent with this section;
- if the business collects sensitive personal information, the categories of sensitive personal information to be collected and the purposes for which the categories of sensitive personal information are collected or used, and whether that information is sold or shared. A business shall not collect additional categories of sensitive personal information or use sensitive personal information collected for additional purposes that are incompatible with the disclosed purpose for which the sensitive personal information was collected without providing the consumer with notice consistent with this section; and
- the length of time the business intends to retain each category of personal information, including sensitive personal information, or if that is not possible, the criteria used to determine that period, provided that a business shall not retain a consumer’s personal information or sensitive personal information for each disclosed purpose for which the personal information was collected for longer than is reasonably necessary for that disclosed purpose. (Civ. Code § 1798.100(a).)
- Grants a consumer the right to request that a business that collects personal information about the consumer disclose to the consumer the following:
- the categories of personal information it has collected about that consumer;
- the categories of sources from which the personal information is collected;
- the business or commercial purpose for collecting, selling, or sharing personal information;
- the categories of third parties with whom the business shares personal information; and
- the specific pieces of personal information it has collected about that consumer. (Civ. Code § 1798.110.)
- Provides consumers the right to request that a business that sells or shares the consumer’s personal information, or that discloses it for a business purpose, disclose to the consumer specified information, including the categories of personal information collected, shared, sold, and disclosed and the categories of third parties receiving the information. (Civ. Code § 1798.115.)
- Provides a consumer the right, at any time, to direct a business that sells or shares personal information about the consumer to third parties not to sell or share the consumer’s personal information. It requires such a business to provide notice to consumers, as specified, that this information may be sold or shared and that consumers have the right to opt out of the sale or sharing of their personal information. (Civ. Code § 1798.120.)
- Defines “personal information” as information that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household. The CCPA provides a nonexclusive series of categories of information deemed to be personal information, including biometric information, geolocation data, and “sensitive personal information.” It does not include publicly available information or lawfully obtained, truthful information that is a matter of public concern. (Civ. Code § 1798.140(v).)
- Extends additional protections to “sensitive personal information,” which is defined as personal information that reveals particularly sensitive information such as “neural data,” which means information that is generated by measuring the activity of a consumer’s central or peripheral nervous system, and that is not inferred from nonneural information. (Civ. Code § 1798.140(ae).)
- Provides various exemptions from the obligations imposed by the CCPA, including where they would restrict a business’ ability to comply with federal, state, or local laws. (Civ. Code § 1798.145.)
- Directs the PPA to review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of this title. Upon completing its review, the agency shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing. (Civ. Code § 1798.185(a)(20).)
- Permits amendment of the CPRA by a majority vote of each house of the Legislature and the signature of the Governor, provided such amendments are consistent with and further the purpose and intent of this act as set forth therein. (Proposition 24 § 25 (2020).)
- Establishes the Insurance Information and Privacy Protection Act (IIPPA), to establish standards for the collection, use, and disclosure of information gathered in connection with insurance transactions and to maintain a balance between the need for information by those conducting the business of insurance and the public’s need for fairness in insurance information practices. (Ins. Code § 791.)
- Requires an insurance institution or agent to provide a notice of information practices to all applicants or policyholders in connection with insurance transactions at the time of delivery or initial data collection and at the point of renewal, reinstatement, and change in benefits, as provided. (Ins. Code § 791.04.)
- Authorizes an insurer to disclose personal or privileged information about an individual, which is collected or received in connection with an insurance transaction, as provided. This includes the authority to share personal or privileged information about an individual with an unaffiliated third party whose only use of the information will be in connection with the marketing of a product or service, as long as the individual is given an opportunity to opt out of this information-sharing. (Ins. Code § 791.13.)
This bill:
- Establishes the Insurance Consumer Privacy Protection Act of 2025, which imposes obligations on licensees and their third-party service providers that do any of the following:
- Process consumers’ personal information in connection with the business of insurance.
- Engage in insurance transactions with consumers.
- Engage in activities not related to insurance transactions involving consumers’ personal information
- Defines the relevant terms, which largely track with the definitions laid out in the CCPA.
- Requires licensees to exercise due diligence in selecting and overseeing third-party service providers, as provided. A contract between a licensee and a third-party service provider shall govern the processing of personal information performed on behalf of the licensee. It shall include a series of requirements on the third-party service provider, including a requirement to develop and maintain adequate safeguards, establish retention limits, and assist in any relevant investigations by the Insurance Commissioner.
- Authorizes, notwithstanding the previous provision, a licensee to share a consumer’s personal information with a third-party service provider with whom the licensee has no ongoing business relationship and with whom the licensee has no written contract with the consent of the consumer and only to the extent necessary to provide the temporary service requested by the licensee on behalf of the consumer.
- Prohibits a licensee from processing a consumer’s personal information unless both of the following are true:
- The collection, processing, retention, or sharing of the consumer’s personal information is consistent with and complies with the most recent privacy notice provided to the consumer by the licensee.
- The processing and retention of the consumer’s personal information is reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes.
- Prohibits a licensee from permitting an employee to collect, process, retain, or share a consumer’s personal information, except as relevant and necessary as part of that employee’s assigned duties.
- Provides that a licensee shall not process a consumer’s sensitive personal information, other than in relation to an insurance transaction.
- Places conditions on the ability of a reinsurer, third-party service provider, or surplus line insurer to process a consumer’s personal information. Prohibits, except as provided, a reinsurer, third-party service provider, or surplus line insurer from processing a consumer’s personal information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
- Provides that an affiliate that processes information received from, or on behalf of, a licensee shall be subject to the same requirements under this article as are applicable to the licensee.
- Authorizes a licensee to process a consumer’s personal information as necessary for specified purposes, including:
- In connection with an insurance transaction.
- For compliance with a request or directive from a law enforcement or insurance regulatory authority or an administrative, criminal, or civil legal process, arbitration, or any other legal requirement or order that is binding upon the licensee, so long as that law does not interfere with state law, including the Reproductive Privacy Act.
- When otherwise specifically required by state law.
- To permit a group policyholder to report claims experience or conduct an audit of the operations or services of a licensee, if the information shared is reasonably necessary for the group policyholder to make the report or conduct the audit and is not otherwise shared.
- To permit a governmental authority to determine the consumer’s eligibility for health care benefits for which the governmental authority may be liable, so long as any disclosure does not interfere with state law.
- In connection with the marketing of a product or service, after receiving affirmative consent from the consumer to use the consumer’s information in connection with specific marketing activity to which the consumer has consented.
- In connection with research activity, after receiving affirmative consent from the consumer to use the consumer’s information in connection with specific research activity to which the consumer has consented.
- Additional purposes specified by the commissioner in regulation.
- Authorizes a licensee to process consumers’ deidentified information.
- Provides that the processing of a consumer’s personal information by a licensee or third-party service provider shall, at all times, be consistent with the consent obtained from the consumer.
- Prohibits, notwithstanding any other law, a licensee or third-party service provider from selling a consumer’s personal information for any type of consideration.
- Clarifies that the above does not prohibit the sharing of a consumer’s personal information with a licensee’s affiliates to the extent preempted by the Fair Credit Reporting Act.
- Provides specific retention limits and protections for consumers’ personal information, applying to licensees and third-party service providers. Authorizes the Insurance Commissioner (Commissioner) to grant individual licensees exceptions to the retention limits for good cause.
- Grants a consumer the right to expect that the consumer’s personal information shall be processed primarily for the purposes of the insurance transaction requested by the consumer. A licensee or third-party service provider shall not process a consumer’s personal information in a manner inconsistent with the consent provided by the consumer, which may be revoked.
- Provides that, to comply with the consent requirements of this article, a licensee or third-party service provider shall use a method of capturing a consumer’s consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information pursuant to this article. The bill identifies specific methods that do not establish consent for these purposes.
- Requires a licensee or third-party service provider to provide easily accessible means for consumers to exercise their rights pursuant hereto.
- Provides that a licensee shall develop, implement, and maintain a program of administrative, technical, and physical safeguards sufficient to ensure the confidentiality, integrity, and availability of nonpublic information in the possession of the licensee and requires data breach notifications.
- Requires the provision of privacy notices to consumers describing relevant privacy practices, as provided, except as specified.
- Grants consumers the right to submit a verifiable request to a licensee for access to the consumer’s personal and publicly available information in the possession of the licensee or its third-party service providers.
- Grants consumers the right to submit a verifiable request to a licensee to correct, amend, or delete any personal or publicly available information about the consumer in the possession of the licensee or its third-party service providers.
- Provides, in the event of an adverse underwriting decision, the licensee responsible for the decision shall provide specified information in writing to the consumer at the consumer’s address of record, including the specific reason or reasons for the adverse underwriting decision and the specific items of personal, publicly available, or privileged information that support those reasons.
- Prohibits a licensee from basing an adverse underwriting decision on specified factors, including:
- Solely the loss history of the previous owner of the property to be insured.
- Personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
- A previous adverse underwriting decision affecting the consumer, unless the licensee bases its underwriting decision on the underlying basis of the previous decision.
- Information that the consumer inquired about the nature or scope of coverage under a policy and the inquiry did not result in the filing of a claim.
- The fact that an accident involving a peace officer, member of the Department of the California Highway Patrol, or firefighter has been reported and the licensee retains no liability, as provided.
- Prohibits retaliation by a licensee or a third-party service provider against a consumer because the consumer exercised or attempted to exercise the consumer’s rights pursuant hereto.
- Provides that a licensee or third-party service provider shall not prepare or request an investigative consumer report about a consumer in connection with an insurance transaction unless the licensee or third-party service provider informs the consumer in writing before the report preparation of their rights.
- Authorizes the Commissioner to examine and investigate the affairs of a licensee or third-party service provider transacting business in this state or transacting business outside this state that has an effect on a consumer residing in this state to determine if they have been or are engaged in any conduct in violation hereof.
- Provides that if there is reason to believe a violation has taken place, the Commissioner must issue a statement of charges and carry out a hearing, as provided. At such a hearing, the commissioner may administer oaths, examine and cross-examine witnesses, and receive oral and documentary evidence. The commissioner may subpoena witnesses, compel their attendance, and require the production of books, papers, records, correspondence, and other documents that are relevant to the hearing. Hearings conducted pursuant to this section shall be governed by the same rules of evidence and procedure applicable to administrative proceedings conducted pursuant to the laws of this state.
- Provides that, if after a hearing the Commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation hereto, the Commissioner shall reduce their findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices. Review of such decisions is authorized in a court of competent jurisdiction within 30 days.
- Provides that an order or report of the Commissioner or order of a court to enforce the order shall not relieve or absolve a person affected by the order or report from liability pursuant to the laws of this state.
- Authorizes the Commissioner to order payment of a penalty of at least $5,000 for each knowing violation not to exceed a penalty of up to $1 million for multiple violations. A person who violates a cease and desist order of the Commissioner may, after notice and hearing and upon order of the Commissioner, be subject to one or more of the following penalties, at the discretion of the Commissioner:
- A fine of at least $25,000, but not more than $10 million for each violation.
- A fine of at least $50,000 for each violation, if the Commissioner finds that violations have occurred with such frequency as to constitute a general business practice.
- Suspension or revocation of the licensee’s license if the licensee knew or reasonably should have known it was in violation.
- Authorizes a person whose rights are violated to apply to a court of competent jurisdiction for appropriate equitable relief, within two years of the alleged violation. A licensee or third-party service provider that discloses information in violation Section 792.125 shall be liable for damages sustained by the consumer about whom the information relates. A consumer is not entitled to a monetary award that exceeds the actual damages sustained by the consumer as a result of a violation of Sections 792.125 and 792.135. The court may award the cost of the action and reasonable attorney’s fees to the prevailing party.
- Provides that a cause of action for defamation, invasion of privacy, or negligence shall not arise against a person for disclosing personal or privileged information in accordance herewith or for furnishing personal or privileged information to a licensee or third-party service provider. This does not provide immunity for disclosing or furnishing false information with malice or willful intent to injure a person.
- Provides that a licensee or third-party service provider shall maintain sufficient evidence in its records of compliance for the calendar year in which the governed activities occurred and the three calendar years thereafter.
- Provides that a person who knowingly and willfully obtains information about a consumer from a licensee or third-party service provider under false pretenses is guilty of a misdemeanor and shall be assessed a fine of up to $50,000, imprisoned for not more than one year in a county jail, or both.[2]
- Includes a severability clause.
- Preempts and supersedes all state laws and portions of state laws that are inconsistent herewith except laws related to protected health information and the CPRA.
- Authorizes the Commissioner to issue rules, regulations, and orders as the Commissioner deems convenient to carry out this article. The rules or regulations promulgated pursuant to this article shall not be subject to the Administrative Procedure Act
COMMENTS
- Privacy regimes in California
The IIPPA establishes standards for the collection, use, and disclosure of information gathered in connection with insurance transactions and seeks to maintain a balance between the need for information by those conducting the business of insurance and the public’s need for fairness in insurance information practices. To this end, the IIPPA requires certain consumer protections be afforded in connection with information exchanged between insurance companies and their policyholders. The IIPPA and its attendant regulations outline requirements for insurance companies and agents to provide consumers privacy notices at various points during the customer relationship.
As stated, the CCPA grants consumers certain rights with regard to their personal information, as defined, and imposes obligations on businesses to facilitate those rights. With passage of the CPRA in 2020, the CCPA got an overhaul. Consumers are afforded the right to receive notice from businesses at the point of collection of personal information and the right to access that information at any time. The CCPA also grants a consumer the right to request that a business delete any personal information about the consumer the business has collected from the consumer.
The CCPA provides adult consumers the right, at any time, to direct a business not to sell or share personal information about the consumer to third parties. A business that sells personal information to third parties is required to notify consumers that this information may be sold and that they have the right to opt out of such sales.
The CPRA added a new category of information, sensitive information, which includes data such as precise geolocation and genetic information. Consumers are additionally empowered to limit businesses’ use of such information.
The CCPA directs the California Privacy Protection Agency (PPA) to adopt a series of regulations. Relevant here, it directs the PPA to:
Review existing Insurance Code provisions and regulations relating to consumer privacy, except those relating to insurance rates or pricing, to determine whether any provisions of the Insurance Code provide greater protection to consumers than the provisions of this title. Upon completing its review, the agency shall adopt a regulation that applies only the more protective provisions of this title to insurance companies. For the purpose of clarity, the Insurance Commissioner shall have jurisdiction over insurance rates and pricing.
A relevant regulation is currently being promulgated.
- Revamping the privacy framework around consumer information in the insurance context
The IIPPA was enacted in 1980, well before the digital revolution transformed how data is collected, stored, and shared. The law does not adequately address modern challenges like algorithmic decision-making, big data analytics, cloud storage, or online data collection methods used by relevant parties. Furthermore, the act's consent mechanisms and disclosure requirements were not designed for digital interfaces in today's data-driven insurance industry.
This bill seeks to establish a much more robust privacy framework for insurance licensees and their third-party service providers that suits the modern era.
According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
The bill imposes obligations on licensees and their third-party service providers. “Licensee” means a person licensed, authorized to operate, or registered, or required to be licensed, authorized, or registered pursuant to the Insurance code. “Third-party service provider” means a person, including directors, officers, employees, and agents thereof, that contracts with a licensee that provides services to the licensee, and processes, shares, or otherwise is permitted access to personal information through its provision of services to the licensee.
The bill imposes protections to insure licensees are properly vetting and overseeing service providers they engage, including contractual obligations governing the processing of personal information. This includes requiring the third-party provider to ensure that those accessing the personal information are subject to a duty of confidentiality, to maintain appropriate safeguards to ensure protection of any personal information, and to not further process or disclose the personal information obtained from, or on behalf of, the licensee other than as specifically stated in the contract.
The bill places clear limitations on when and how a licensee can process a consumer’s personal information. The collection, processing, retention, or sharing of the consumer’s personal information must comply with the most recent privacy notice provided and the processing and retention of the information must be reasonably necessary and proportionate to achieve the purposes related to an insurance transaction or other purpose the consumer requested or authorized, and not further processed in a manner that is incompatible with those purposes. Licensees are prohibited from processing sensitive personal information other than in relation to an insurance transaction.
The bill places conditions on the ability of a reinsurer, third-party service provider, or surplus line insurer to process a consumer’s personal information, including limitations on processing such information obtained in the business of insurance for a purpose unrelated to an insurance transaction.
The bill identifies a series of purposes for which licensees may process consumers’ information. This includes where required by law, and to permit a governmental entity to determine a consumer’s eligibility for health care benefits. Processing is further authorized in connection with marketing or research activity to which the consumer has affirmatively consented. The Commissioner is granted regulatory authority to identify additional purposes. Processing should at all times be consistent with the consent obtained from the consumer.
One major consumer privacy protection is a prohibition on a licensee or third-party service provider selling the consumer’s personal information for any type of consideration. However, the bill is clear that sharing is not prohibited where preempted by the Fair Credit Reporting Act, including for solicitations for marketing, as provided.
Licensees are subject to clear retention guidelines and limitations. The bill requires a written records retention policy and schedule.
To ensure some level of consumer control, the bill makes clear that a licensee or third-party service provider cannot process a consumer’s personal information in a manner inconsistent with the consent provided by the consumer. To comply with the consent requirements, a licensee or third-party service provider is required to use a method of capturing a consumer’s consent that is capable of being recorded or maintained for as long as the licensee has a business relationship with a consumer, or that the licensee or its third-party service provider is required to maintain the information, as specified. In order to ensure meaningful consent, the bill makes clear consent is not established through acceptance of a general or broad terms of use, or similar document, that contains descriptions of personal information processing along with other, unrelated information; hovering over, muting, pausing, or closing a given piece of content; or agreement obtained through use of dark patterns. Ultimately, a licensee or third-party service provider shall not process a consumer’s personal information for a purpose unrelated to the insurance transaction, without the prior consent of the consumer.
The bill also grants consumers the right to submit verifiable requests to a licensee for access to the consumer’s personal and publicly available information in the possession of the licensee or its third-party service providers, and to correct, amend, or delete that information. This is modeled after such rights in the CCPA. Such requests must be acknowledged and responded to, as provided.
In the event of an adverse underwriting decision, to provide some measure of transparency, the licensee responsible for the decision must provide specified information in writing to the consumer at the consumer’s address of record, including the specific reason or reasons for the adverse underwriting decision; the specific items of personal, publicly available, or privileged information that support those reasons; and a list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the adverse underwriting decision. A licensee is prohibited from basing an adverse underwriting decision on specified factors, including personal information received from a third-party service provider whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision.
To effectuate these rights, the bill prohibits retaliation against consumers for exercising the rights provided by this bill.
The bill provides for investigations and scaled enforcement measures. The Commissioner is granted investigatory power and the ability to call an administrative hearing at which the alleged licensee in violation shall be afforded the chance to answer to the charges against it. The hearing is to be governed by the same rules of evidence and procedure applicable to administrative proceeding under current law.
If, after a hearing, the Commissioner determines that the licensee or third-party service provider charged has engaged in conduct or practices in violation, the Commissioner shall reduce their findings to writing and shall issue and cause to be served upon the licensee or third-party service provider a copy of the findings and an order requiring the licensee or third-party service provider to cease and desist from the conduct or practices constituting a violation. The bill authorizes the Commissioner to impose monetary penalties for knowing violations and escalating penalties for violating the Commissioner’s cease and desist order.
A person subject to an order of the commissioner or a person whose rights were allegedly violated may obtain a review of an order or report of the commissioner by submitting a filing in a court of competent jurisdiction within 30 days from the date of the service of the order or report. The court shall have jurisdiction to make and enter a decree modifying, affirming, or reversing an order or report of the commissioner, in whole or in part.
In addition, a person whose rights are violated may apply to a court of competent jurisdiction for appropriate equitable relief. A licensee or third-party service provider may be liable for damages sustained by the consumer about whom the information relates. The court may award the cost of the action and reasonable attorney’s fees to the prevailing party. A two-year limitations period is applied. Other than remedies pursuant hereto, a remedy or recovery shall not be available to consumers, in law or in equity, for occurrences constituting a violation.
The bill provides that it preempts and supersedes all inconsistent state laws, except laws related to protected health information and the CPRA.
- Stakeholder positions
California Insurance Commissioner Ricardo Lara, the sponsor of this bill, writes:
SB 354 will enact the Insurance Consumer Privacy Protection Act. This landmark legislation will provide California consumers with the strongest-in-the-nation privacy protections by establishing a modern privacy rights framework for insurance licensees and their third-party service providers that collect, process, retain, and share consumer personal information. SB 354 recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed. The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold, and shared with entities not contemplated by the consumer, and fraud arising from data breaches has proliferated with the unauthorized exposure of consumers’ personal information.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California’s insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws enable my Department – as the state’s insurance regulatory entity – with the necessary authority to adequately and fairly regulate the insurance industry.
The California Hospital Association writes in an oppose-unless-amended position: “Given the existing comprehensive regulatory framework of health information privacy laws, the California Hospital Association (CHA) requests that hospitals be removed from the definition of ‘insurer,’ and that all entities subject to HIPAA and/or CMIA be exempted from the bill.”
Writing in opposition, the California Credit Union League asserts that the bill infringes upon its ability to engage in joint marketing:
We understand that SB 354 would subject joint marketing to an opt-in standard, effectively prohibiting joint marketing agreements between credit unions and insurance licensees through prior consent requirements. In joint marketing with credit unions, an insurer such as TruStage lacks the primary member relationship and any opportunity to provide an opt-in to consumers. A required opt-in for joint marketing would run counter to public policy objectives at the forefront in California today as we share the goal of providing opportunities to make insurance protections more accessible and affordable.
The author responds to some of these concerns by asserting: “Consumers have a right to expect that their personal information will be processed for its intended purpose as it relates to processing that insurance business transaction, but outside of this, consumers must consent by opting-in to the unrelated activity (i.e. marketing of licensee’s products or services).”
SUPPORT
California Department of Insurance (sponsor)
Privacy Rights Clearinghouse
OPPOSITION
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
California Chamber of Commerce
California Credit Union League
California Hospital Association
California Insurance Wholesalers Association
California Land Title Association
Civil Justice Association of California (CJAC)
Independent Insurance Agents & Brokers of California, INC.
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
Wholesale and Specialty Insurance Association
RELATED LEGISLATION
Pending Legislation: SB 44 (Umberg, 2025) amends the CCPA to require a “covered business” to use neural data collected through a brain-computer interface only for the purpose for which it was collected. It requires the covered business to delete the data when the purpose for which it is collected is accomplished. SB 44 is currently in the Senate Appropriations Committee.
Prior Legislation: SB 793 (Glazer, Ch. 184, Stats. 2023) codified a Gramm-Leach-Bliley Act regulation requiring insurers to provide annual privacy notices to customers. However, it eliminated this requirement for insurers meeting certain conditions.
PRIOR VOTES:
Senate Insurance Committee (Ayes 5, Noes 2)
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Privacy Information, California Department of Insurance (CDI), https://www.insurance.ca.gov/privacy-policy/Privacy.cfm. ↑
The author has agreed to an amendment to this provision that reduces the potential jail term to “up to six months.” ↑
SENATE COMMITTEE ON INSURANCE
Senator Susan Rubio, Chair
2025 - 2026 Regular
Bill No: SB 354 Hearing Date: April 9, 2025
Author: | Limón | ||
Version: | April 3, 2025 Amended | ||
Urgency: | No | Fiscal: | Yes |
Consultant: | Brandon Seto | ||
SUBJECT: Insurance Consumer Privacy Protection Act of 2025
DIGEST:
Creates standards, protections, and duties regarding the processing of consumers’ personal information by insurances licensees and their third-party service providers. Outlines specific requirements regarding consumers’ rights to know what personal information is being processed, how it is collected, stored, and shared, and how consumers can correct, amend, or delete such information. Creates a right for consumers to consent to the sharing of their personal information by licensees for various purposes. Provides that consumers have a right to be made aware of the reasons for adverse underwriting decisions relating to insurance coverage.
ANALYSIS:
Existing law:
- The Insurance Information and Privacy Protection Act (IIPPA), provides protections for personally identifiable information, collected by an agent, broker, or insurance company in order for a consumer to apply for insurance or submit a claim. These entities must provide consumers with a notice that describes the entities' practices and policies regarding privacy, as well as the kind of information collected about a consumer in connection with an application for insurance, submission of a claim, or other insurance transaction. The notice also must include how and with whom a consumer’s personal information will be shared, and their rights to restrict the sharing of that information.
- The California Consumer Privacy Act (CCPA), among other rights, provides consumers the right to know what personal information is collected by a business, the right to access the personal information that is collected, the right to delete it, the right to know whether, and what personal information is being sold or disclosed, and the right to stop a business from selling their information.
- The California Privacy Rights Act (CPRA), approved by the voters as Proposition 24, expanded the protections of the CCPA. Among these changes were the right to limit the use of sensitive personal information, including limits on how long a company can retain personal information, as well as the right to correct the personal information a company possesses. The CPRA also created non-retaliation protections for individuals who exercise these privacy rights. Additionally, the CPRA created the California Privacy Protection Agency with the purpose of implementing and enforcing these laws, and educating the public on their rights and businesses’ obligations under the CCPA and CPRA.
This bill:
- Establishes the Insurance Consumer Privacy Protection Act of 2025 with the stated goal of creating and updating standards for the collection, processing, retaining, or sharing, collectively known as “processing”, of consumers’ personal information by licensees and their third-party service providers (TPSPs).
- Defines “personal information” to include:
(a) Identifiers such as a real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, social security number, driver’s license number, and passport number
(b) Characteristics of protected classifications pursuant to state or federal law
(c) Commercial information, including records of personal property, products or
services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies
(d) Biometric information
(e) Internet or other electronic network activity information, including browser history,
search history, and information regarding a consumer’s interaction with an internet website, application or advertisement
(f) Geolocation data
(g) Professional or employment-related information
(h) “Sensitive personal information”, including:
(i) Social security, driver’s license, state identification card, or passport number
(ii) Account login, financial account, debit card, or credit card number in
combination with any required security or access code, password, or credentials allowing access to an account
(iii) Precise geolocation
(iv) Racial or ethnic origin, citizenship or immigration status, religious or
philosophical beliefs, or union membership
(v) Content of personal mail, personal email, personal text messages, or
personal voice or video communications, unless the person in possession is
the intended recipient of the communication
(vii) Genetic or neural data
(viii) Information about the consumer’s sex life or sexual orientation
(ix) Health or additional biometric information
- Applies its provisions to insurance licensees, who are entities authorized to operate and offer insurance, and their third-party service providers, as specified. As defined in the bill, licensees include insurers, producers such as agents or brokers, surplus line insurers, and additional individuals employed by licensees.
- Applies its protections to consumers who meet the following criteria:
(a) Whose personal information is processed in connection with an insurance
transaction
(b) Who has previously engaged in insurance transactions with a licensee or third-
party service provider (TPSP) involving the consumers’ personal information
(c) Whose personal information is used for purposes other than insurance
transactions by licensees and third-party service providers
- Creates other definitions relevant to the bill’s provisions.
- States that licensees must exercise due diligence in selecting and overseeing third-party service providers and must have readily available processes for their management of consumers’ personal information with the goal of protecting the confidentiality of that information. This also includes coordination with the Insurance Commissioner to maintain the integrity of personal information.
- Places limitations on licensees’ and their employees’, processing, sharing, and retaining of consumer data unless doing so is reasonably necessary and proportionate to achieve a stated purpose related to the business of the licensee or a specific insurance transaction. These limitations would also apply to licensee affiliates, reinsurers, third-party service providers, and surplus line insurers.
- Stipulates when a licensee or third-party service provider may process consumers’ personal information. These situations include when such processing is in connection with an insurance transaction, requests from law enforcement, and when otherwise specified by state law, among other circumstances. Such personal information processing, with certain exceptions, must be conducted with the consent of the consumer or at their request.
- Identifies circumstances when a licensee may retain a consumer’s personal information. These circumstances include retaining personal information insofar as it is necessary to complete activities related to insurance transactions and compliance with requests from law enforcement or other regulatory authorities.
- Licensees must develop and make available, a records retention policy and annually determine whether there remains a justifiable purposes, as described in this bill, for them to retain a consumer’s personal information. If a licensee determines that retaining personal information is no longer justifiable, then they have 90 days upon making this determination to destroy, delete, or de-identify that consumer’s personal information. De-identification is the removal or generalization of information that would allow an individual to be personally identified. Third-party service providers must retain this information no longer than the length of a contract with a licensee, or once their shared provision of services concludes.
- Provides that consumers have a right to expect that their personal information will be used primarily for the purposes of an insurance transaction requested by the consumer.
- Restricts licensees and third-party service providers from processing a consumer’s personal information that does not conform to the consent the consumer provided. This consent must be obtained from the consumer by the licensee in manner that can be recorded or maintained for at least the length of their business relationship.
- Specifies that consent cannot be established by including a provision amongst other broad or lengthy terms, through a dismissal or disregarding of such terms, or through the use of dark patterns.
- Defines a “dark pattern” as a user interface designed or manipulated with the substantial effect of subverting or impairing user autonomy, decision-making, or choice.
- States that licensees or third-party service providers may not share a consumer’s personal information with a person outside the United States without their consent except if such sharing is with an affiliate or in connection with a reinsurance transaction.
- Stipulates that licensees must provide consumers with a way to indicate consent for their personal information to be shared under each of the following circumstances:
- Marketing a licensee’s products and services
- Marketing an affiliate’s products and services
- Marketing products and services from unrelated companies
- Research activities that are unrelated to the consumer’s insurance transaction
- Processing the consumer’s personal information for any other purpose unrelated to the insurance transaction
- Sharing the consumer’s personal information with a person who will process it in a jurisdiction outside of the United States
- Creates standards for the form, and the information conveyed therein, and the manner used by the licensee to obtain, document, and maintain such consent from the consumer. Consumers also must be advised that there can be no retaliation for withholding consent.
- Requires licensees and TPSPs to provide various means to enable consumers to exercise the privacy rights described in this bill, and prohibits efforts to obstruct the exercise of those rights, including the use of dark patterns.
- Requires licensees and TPSPs to notify the Insurance Commissioner of information breaches, as specified.
- States that licensees must provide a detailed and current notice, as specified, to consumers, outlining the licensee’s privacy practices. Consumers who have an existing business relationship prior to the passage of this bill must be given such a privacy notice when their policy is renewed, reinstated, or when other related changes or additional personal information is collected.
- Details the information to be included in privacy notices provided to the consumer. This includes the type and manner in which a consumer’s personal information is collected, as well as protections against processing or sharing information not relevant to an insurance transaction, without the consent of the consumer.
- Defines an “Adverse Underwriting Decision” as any of the following actions by a licensee or producer in the business of insurance:
- A denial, in whole or in part, of insurance coverage requested by a consumer, including a reduction in coverage limits or scope of coverage
- A termination of insurance coverage for reasons other than nonpayment of premium or, for title insurance coverage, for reasons other than transfer of title to the insured property or satisfaction or release of the insured lien interest
- A rescinding of the insurance policy
- Refusing to renew an existing insurance policy or offering to renew an existing insurance policy at higher than standard rates
- Any of the following for property or casualty insurance coverage:
- Placement by a licensee of a risk with a residual market mechanism or an insurer that specializes in substandard risks
- Placement by an insurer or producer of a risk with an insurer not approved to conduct business in California
- Charging a higher rate based on information that differs from the information that the consumer furnished
- For life, health, or disability insurance coverage, an offer to insure at higher rates
- States that consumers must be made aware that they have a right to receive notices regarding adverse underwriting decisions, as defined, including the reasons for the adverse underwriting decisions, and the information used to make that determination.
- Requires licensees send an annual consumer privacy rights notice, as specified, to consumers which outlines their overall privacy rights under this bill.
- Specifies the way in which licensees must provide the privacy notices required under the bill. These notices must be delivered in paper hard copy, unless a consumer agrees to conduct business electronically, then notices may delivered through email, or made available through a website, or digital application. These notices cannot be made through general signage, orally, or by providing a notice that in any part requires a consumer to click links, scan codes, or take any such secondary action to access the required information.
- Grants consumers the right to submit a request to access their personal and publically available information possessed by the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- Any items of personal information related to the consumer
- An explanation of any information possessed that was not acquired from the consumer, as well as an identification of the source of such information
- An itemized disclosure of anyone with whom the licensee or TPSP has shared the consumer’s information within the current year, and at least the previous three calendar years preceding the request
- Allows consumers to request to correct, amend, or delete any personal or publicly available data in possession of the licensee or TPSP. Licensees and TPSPs must acknowledge the request within five business days and reply within 30 business days with the following, with certain exceptions:
- To the extent licensees and TPSPs are able, a correction, amendment, or deletion of the information. Additionally, a notice to the consumer that these actions have been taken and a written transmission of the correction, amendment, or deletion to relevant parties who may have received that information
- If such a request is denied, a written refusal to correct, amend, or delete the information which must be accompanied by an explanation and justification of the refusal, and a notice of a consumer’s rights to file a complaint with the Insurance Commissioner
- Specifies that a consumer may appeal a refusal to correct, amend, or delete their personal information to the licensee. If this occurs, a licensee must provide an accompanying statement regarding the disputed nature of the personal information to anyone who may review or receive that information.
- Stipulates that when a licensee makes an adverse underwriting decision (AUD), as defined, they must provide the following information in writing to the affected consumer, with certain conditions:
- The specific reason or reasons for the AUD
- The specific items of personal, publicly available, or privileged information that support those reasons, including the names and addresses of the sources that supplied the information resulting in the AUD
- A list identifying with reasonable specificity any systems, processes, policies, or procedures involved in generating information resulting in the AUD
- Prohibits a licensee from basing an AUD on the following:
- Solely on the loss history of the previous owner of the property to be insured
- Personal information received from a TPSP whose primary source of information is licensees, unless the licensee obtains further information independently supporting the adverse underwriting decision
- Information that the consumer inquired about regarding the nature or scope of coverage under a policy, and when such an inquiry did not later result in the filing of a claim
- Allows the Insurance Commissioner to assist the consumer in obtaining information about an AUD affecting the consumer.
- Prevents a licensee or TPSP from retaliating against a consumer for exercising the
rights granted by the bill’s provisions.
- Empowers the Insurance Commissioner to examine and investigate the affairs of a licensee or TPSP transacting business in California or transacting business outside the state that has an effect on a consumer residing in California.
- Allows the Insurance Commissioner to make rules and regulations to carry out the provisions of the bill.
- Specifies that licensees have five years from the bill’s operative date of January 1, 2026 to comply with the retention and deletion provisions section of the bill, with the exception of the requirement that licensees develop a written records retention policy and schedule that is made available to the Insurance Commissioner upon request.
Background
According to the author:
Californians are required by law to purchase many types of insurance, such as automobile, health, and workers’ compensation insurance. As such, insurance companies collect significant amounts of consumer personal information. Modern-day innovations and the evolving business landscape of the insurance industry has outpaced existing insurance privacy laws. SB 354 strengthens privacy protections and ensures insurers operate under standards that protect consumer privacy from situations such as institutionalized hacking or bad actors. This bill will also give consumers information on the categories of personal information being processed, how it is collected, and with whom it is shared.
Related/Prior Legislation
AB 375 (Chau, Chapter 55, Statutes of 2018) enacted the California Consumer Privacy Act which specified rights of consumers regarding their personal information and its collection and use by businesses.
SB 1121 (Dodd, Chapter 735, Statutes of 2018) further clarified the provisions of the California Consumer Privacy Act of 2018.
SB 793 (Glazer, Chapter 184, Statutes of 2023) allowed an insurer to send privacy policy notices once initially, and subsequently when a change is made in the policy, in order to comply with the privacy notice requirements of the Insurance Information and Privacy Protection Act.
Double Referral
Should this bill pass out of this committee, it will be heard in Senate Judiciary Committee, which will analyze the issues in this bill under its purview.
ARGUMENTS IN SUPPORT:
Supporters state:
SB 354 will provide California consumers with the strongest-in-the-nation privacy protections by establishing a modern privacy rights framework for insurance licensees and their third-party service providers that collect, process, retain, and share consumer personal information. SB 354 recognizes that California consumers have the right to reasonable privacy protections that address the demands of an information-intensive insurance business climate.
More than almost any industry, insurance companies require significant amounts of personal information from consumers in order to properly manage risks. As innovative technologies and business practices continue to redefine the insurance market, California’s decades-old insurance legacy laws have been outpaced by the scale, speed, and manner in which consumer personal information is processed.
The significant gap in oversight concerning the use of sophisticated technologies and increasingly complex contractual arrangements between insurers and service providers leaves consumers vulnerable. Personal information is over collected, sold and shared with entities not contemplated by the consumer; fraud arising from data breaches has proliferated; unwanted marketing bombards consumers, and underwriting is based on data which is stale or unrepresentative, among other risks.
Voters passed Proposition 24, the California Privacy Rights Act (CPRA) of 2020, which expanded privacy rights and expressly extended the application of CPRA to insurance licensees, if California’s insurance statutes and regulations do not provide stronger privacy protections. SB 354 upholds our state’s constitutional values by furthering the purposes and intent of CPRA to ensure California’s insurance laws adequately and fairly regulate the insurance industry.
ARGUMENTS IN OPPOSITION:
Opponents from the insurance industry state:
Industry is committed to strong consumer protections and the safeguarding of sensitive personal information. We appreciate the proactive steps taken by the California Department of Insurance (CDI) in addressing privacy regulation and believe that state insurance departments, such as CDI, are best suited to serve as the primary regulators for the industry.
However, as currently drafted, SB 354 requires significant revisions to become a workable framework for industry. The bill introduces several provisions that pose significant challenges for insurers and, in some instances, could have unintended negative consequences for consumers. These provisions would impose excessive regulatory burdens on insurers and businesses, creating operational inefficiencies, potential privacy risks, and confusion among consumers.
Our industry has always supported robust, insurance-specific regulations to protect our customers, and we remain actively engaged with regulators, including CDI, through the National Association of Insurance Commissioners’ (NAIC) effort to craft an updated privacy model. The NAIC Privacy Protections Working Group’s work to update Model 672 is expected to be completed by the end of 2025 and would not only modernize the provisions that SB 354 aims to address, but would allow for an adoptable, more uniform Model. This uniformity helps consumers as well as regulators and allows for more cost-efficient compliance.
Many lines of insurance are struggling within the current economic climate, and the property casualty insurance industry in particular is currently in crisis and needs to focus its efforts on effectively serving Californians and maintaining a stable and diverse insurance marketplace within the state.
SUPPORT:
Ahavahprem Software Corp.
Department of Insurance
Infortal Worldwide Strategic Corporate Investigations
Multicultural Business Alliance
Wicked Bionic Culturally Relevant Marketing
OPPOSITION:
American Council of Life Insurers
American Property Casualty Insurance Association
Association of California Life and Health Insurance Companies
California Hospital Association
California Land Title Association
Independent Insurance Agents & Brokers of California, Inc.
National Association of Insurance and Financial Advisors - California
National Association of Mutual Insurance Companies
Pacific Association of Domestic Insurance Companies
Personal Insurance Federation of California
-- END --
Discussed in Hearing
Senate Floor
Assembly Floor
Assembly Standing Committee on Privacy and Consumer Protection
Assembly Standing Committee on Insurance
Senate Floor
Senate Standing Committee on Judiciary
Senate Standing Committee on Insurance
Bill Author
Bill Co-Author(s):