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REGULATORY CONSIDERATIONS FOR THE USE OF ARTIFICIAL INTELLIGENCE AND TECHNOLOGICAL ADVANCEMENTS IN THE TRANSACTION OF INSURANCE

General advancements in technology as well as artificial intelligence have the potential to greatly improve how insurance is transacted, allowing insurance companies and agents to be more accurate, efficient and timely in assisting consumers to identify, evaluate and purchase insurance.  Often, however, state insurance laws and regulations have failed to keep pace with these advancements.  Insurance regulators also need to balance allowing use of these resources against protecting consumers and ensuring the ability to fully and adequately examine and audit licensees.  As a result, an insurer’s or agent’s use of artificial intelligence or other technology may not comply with a state’s insurance laws.  Opportunities exist to modernize insurance laws to enhance the transaction of insurance while maintaining consumer protections and protecting insurance regulators’ audit and examination powers.  However, insurance licensees need to remain diligent in today’s ever-changing business landscape to ensure that their use of these technologies and resources does not inadvertently violate state insurance laws.  This article explores various state law requirements that may conflict with the use of technology and artificial intelligence in insurance transactions and potential amendments to state insurance codes to recognize and authorize the use of these technologies and artificial intelligence.

Recordkeeping Requirements

Every state’s insurance code requires insurers and agents to maintain records of insurance transactions, often requiring the maintenance of those “usual and customary” records pertaining to each insurance transaction for up to ten years after the completion of the transaction.[1] The use of technology and artificial intelligence may not fully align with these recordkeeping requirements in various ways.  First, several states’ insurance codes require insurance agents to maintain these records at their “principal place of business.”[2]  With the increased use of remote work arrangements, including some businesses moving to wholly remote operations without physical offices and the use of cloud-based document management systems, an insurance agency may not have a physical principal place of business at which it can maintain records.  Moreover, as explained in detail below, the use of technology may also result in insurance agents not having access to some of these “usual and customary” records.

Insurance licensees and software companies are regularly developing new and improved options for navigating the insurance application process.  No longer is it common for consumers to go to an insurance agent’s office to fill out a paper insurance application.  Rather, many insurance companies, third-party insurance brokers and even the federal and state governments offering Affordable Care Act-compliant health insurance coverage through health insurance exchanges have implemented technology that allows consumers to directly complete and submit insurance applications online, which may be submitted directly to an insurer’s underwriting department for evaluation.  As a result, an insurance agent may not see or receive a copy of its customer’s completed insurance application.  However, most - if not all - insurance regulators interpret their recordkeeping laws to include insurance applications.[3]  Notwithstanding the foregoing, a few states expressly allow insurance companies to maintain insurance transaction records on behalf of their insurance agents,[4] presumably avoiding potential noncompliance by the agent for failing to maintain copies of insurance applications.  In states where such a provision has not been adopted, insurance agents working with broker networks or insurance companies that have adopted online application systems may not be fully compliant with state insurance recordkeeping requirements.  Opportunities exist for industry representatives to work with state legislatures and insurance regulators to amend insurance recordkeeping statutes to eliminate recordkeeping requirements at a licensee’s principal place of business, to allow the use of cloud-based record retention systems, and to better reflect the changes in how insurance applications are prepared, submitted and maintained, thereby avoiding potential noncompliance by insurance agents.

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In this issue...

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Posted on 11/20/2025
This article explores various state law requirements that may conflict with the use of technology and artificial intelligence in insurance transactions and potential amendments to state insurance codes to recognize and authorize the use of these.

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Posted on 11/20/2025
This article explores a recent challenge to the confidentiality of these proceedings in Illinois state courts, the ruling on that challenge, and the impact of that ruling.

REGULATORY CONSIDERATIONS FOR THE USE OF AI & TECHNOLOGICAL ADVANCEMENTS IN INSURANCE TRANSACTIONS

Posted on 11/20/2025
This article explores various state law requirements that may conflict with the use of technology and artificial intelligence in insurance transactions and potential amendments to state insurance codes to recognize and authorize the use of these.

ARE GENETIC INFORMATION AND PRIVACY ACT (GIPA) LAWSUITS AGAINST LIFE INSURERS FATALLY FLAWED?

Posted on 11/20/2025
This article gives some background on GIPA, the issues facing insurers, and where things might stand with respect to life insurance in particular.

AN EMERGING REGULATORY FRAMEWORK FOR AI IN THE INSURANCE INDUSTRY

Posted on 11/20/2025
As AI platforms become commonplace, consumers may be increasingly likely to engage with AI for research.

Insurance Agent Appointment and Designated Responsible Licensed Producer Requirements

A majority of states require insurance companies to appoint insurance agents to market and sell insurance on their behalf and require agent appointments to be reported to state insurance departments.[5]  These laws contemplate human beings working independently or as employees or independent contractors of insurance agencies that have been appointed by the insurer to market and sell the insurer’s policies.  More specifically, as part of the appointment process, the insurer typically represents to the state’s insurance commissioner that the agent being appointed is competent, fiscally responsible and suitable to represent the insurer.[6]  With the invention of, and improvements to, artificial intelligence, it is not clear whether a consumer’s use of an “AI agency” to source and purchase insurance coverage in a state that requires appointment would require the AI agency to be appointed.  

Moreover, all states require insurance agencies to appoint or designate an individual licensed insurance agent, typically referred to as a “DRLP”, who is responsible for overseeing the insurance agency’s operations and its insurance agents to ensure that the agency’s transaction of insurance complies with the state’s insurance code.[7]  Presumably, an AI agency has to have a DRLP.  However, it is not clear the extent to which the DRLP is responsible for ensuring the AI agency’s insurance transactions comply with state insurance laws.  Stated another way, would an individual insurance agent acting as the DRLP of an AI agency face regulatory action if the AI agency made an error in explaining an insurance policy’s coverage and exclusions?  Would the answer change if the DRLP did not have any direct involvement in preparing, or the ability to review and approve, the information provided to the consumer?  Opportunities exist for industry representatives to work with state legislatures and insurance regulators to identify potential amendments to DRLP and agent appointment statutes to reflect the existence of AI agencies, the extent to which human being DRLPs should be held responsible for the actions taken by AI agencies in overseeing the AI agency’s insurance business.

Insurance Trade Practice Laws

The National Association of Insurance Commissioners promulgated the Unfair Trade Practices Model Act (the “NAIC Model”) to define and prohibit insurance companies and agents from engaging in identified unfair methods of competition and deceptive acts and practices.[8]  All states have either codified the NAIC Model or adopted its own unfair trade practice laws to protect insurance consumers from unethical and deceptive practices by insurance companies and agents.[9]  Among other things, these laws typically prohibit misrepresenting the benefits, advantages, conditions or terms of any insurance policy or the premium to be charged for an insurance policy.[10]  A consumer’s use of an AI agency, or an insurance agent’s use of artificial intelligence, to explain an insurance policy’s coverage, exclusions and premiums may not be fully accurate, which could lead to the AI agency or insurance agent engaging in misrepresentation in violation of a state’s insurance trade practice laws.  While insurance regulators can pursue administrative and other relief against human agents and insurance agencies with human DRLPs who are found to have committed such misrepresentations, a consumer’s use of an AI agency may not currently allow for such relief.  Opportunities exist for industry representatives to work with state legislatures and insurance regulators to consider amendment of insurance unfair trade practice laws to reflect the existence of AI agencies and to define the extent to which an AI agency can be held responsible for violation of a state’s insurance unfair trade practice laws.

Conclusion

            While not exhaustive, existing insurance recordkeeping, appointment, DRLP and unfair trade practice laws do not currently reflect or contemplate the use of artificial intelligence and other technologies that are currently being used by consumers and insurance licensees in the transaction of insurance.  Existing laws should not operate as a bar to technological advancement, provided consumer protections and insurance regulatory oversight remain effective.  Opportunities exist to modernize state insurance laws to eliminate outdated requirements that no longer align with how insurance is currently being transacted without diminishing consumer protections or regulatory oversight.  Further exploration and discussion with regulators are necessary to evaluate whether state insurance laws can or should be amended to reflect the emergence of AI agencies and technological advancements in the transaction of insurance.

References

[1] See, e.g., Or. Rev. Stat. § 744.638.

[2] See, e.g., Ariz. Rev. Stat. § 20-290(A).

[3] See, e.g., New York Office of General Counsel Opinion No. 05-03-32.

[4] See, e.g., Minn. Stat. § 72A.2035(1).

[5] See, e.g., Ohio Rev. Stat. § 3905.20.

[6] Id.

[7] See, e.g., Or. Rev. Stat. § 744.059(2)(b).

[8] See NAIC Model 880, available at https://content.naic.org/sites/default/files/model-law-880.pdf.

[9] See NAIC Model 880 State Adoption Chart, available at https://content.naic.org/sites/default/files/model-law-state-page-880.pdf.

[10] See, e.g., Fl. Stat. § 626.9541(1)(a).