Consumer Reports: What Insurers Need to Know
As an insurer, you may use consumer reports to underwrite insurance
policies and to screen high-risk applicantsas long as you comply with the Fair Credit Reporting Act
(FCRA).
The Act
The FCRA is designed to protect the privacy of
consumer report information and to guarantee that the information supplied by credit
reporting agencies (CRAs) is as accurate as possible. Consumer reports may include
information on an applicants credit history, medical conditions, driving record,
criminal activity, and hazardous sports. Amendments to the FCRA, which went into effect
September 30, 1997, increase the legal obligations of insurers who use consumer reports.
The Adverse Action Notice
The following disclosure requirement applies to new
applicants as well as current policy holders. When an adverse action is takensuch as
a decision to deny insurance, increase rates, or terminate a policyand it is based
solely or partly on information in a consumer report, Section 615(a) of the FCRA requires
you to provide a notice of the adverse action to the consumer. The notice must include:
- the name, address, and telephone number of the CRA that
supplied the consumer report, including the toll-free telephone number for credit bureaus
that maintain files nationwide;
- a statement that the CRA that supplied the report did not
make the decision to take the adverse action and cannot give the specific reasons for it;
and
- a notice of the individuals right to dispute the
accuracy or completeness of any information the CRA furnished, and the consumers
right to a free report from the CRA upon request within 60 days.
Disclosure of this information is important because some
consumer reports may contain errors. The adverse action notice is required even if
information in the consumer report was not the main reason for the denial or rate
increase. Even if the information in the report played only a small part in the overall
decision, the applicant still must be notified.
While written adverse action notices are not required,
many insurers provide them and keep copies for two years to show compliance with the FCRA.
Examples
The following examples illustrate situations where the
adverse action notice must be given to insurance applicants.
A life insurance
company orders a consumer report from a CRA, such as the Medical Information Bureau (MIB).
Information contained in the MIB report leads to further investigation of the applicant.
The application for insurance is rated or declined in whole or in part because of
information obtained from the investigation.
Section 604(g) of the FCRA requires an insurance
company, or any other user of medical information, to get the consumers
consentorally, electronically, or in writingbefore obtaining medical
information. That means the life insurance company in this situation would have to get the
consumers consent before obtaining the consumer report from the MIB. In addition,
since the MIB report formed part of the basis for the adverse decision in this case, the
full Section 615(a) adverse action notice described above must be sent to the consumer.
A person with an unfavorable credit history, such as a
bankruptcy, is denied automobile insurance at standard rates. Although the credit history
was considered in the decision, the applicants limited driving experience was even
more important.
The applicant is entitled to the Section 615(a) adverse action notice because the
credit report played a part, however minor, in the insurers decision to charge a
higher premium.
Non-compliance
with the FCRA
There are legal consequences for insurers who fail to
get an applicants permission before requesting a consumer report containing medical
information or who fail to provide required disclosure notices. The FCRA allows
individuals to sue insurers for damages in federal court. A person who successfully sues
is entitled to recover court costs and reasonable legal fees. The law also allows
individuals to seek punitive damages for deliberate violations. In addition, the Federal
Trade Commission, other federal agencies, and the states may sue insurers for
non-compliance and obtain civil penalties.
For More Information
The FTC works for the consumer to
prevent fraudulent, deceptive and unfair business practices in the
marketplace and to provide information to help consumers spot, stop and
avoid them. To file a
complaint or to get free information
on consumer issues, visit
www.ftc.gov or
call toll-free, 1-877-FTC-HELP (1-877-382-4357); TTY: 1-866-653-4261. The
FTC enters Internet, telemarketing, identity theft and other fraud-related
complaints into
Consumer Sentinel, a
secure, online database available to hundreds of civil and criminal law
enforcement agencies in the U.S. and abroad.
|
FEDERAL TRADE COMMISSION |
FOR THE CONSUMER |
1-877-FTC-HELP |
www.ftc.gov |
|
October
1998 |