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61 B.C. L. Rev. 2031 (2020)
The New Regulatory Imperative for Insurance

handle is hein.journals/bclr61 and id is 2062 raw text is: 







     THE NEW REGULATORY IMPERATIVE

                        FOR INSURANCE




                               RICK  SWEDLOFF


INTRODUCTION.......................................................................................................................... 2033

I. THE HOWS AND WHYS OF INSURANCE REGULATION ............................................................ 2037
  A. Regulation of Pricing and Pooling................................................................................... 2041
     1. Limits on Risk Classification....................................................................................... 2041
     2. Traditional Rate                   Regulation.........................................................................................2045
  B. Regulation of Coverage and Forms ................................................................................. 2047
     1. Policy Forms ...............................................................................................................2048
     2. Mandated or Minimum Coverage ................................................................................ 2049
     3. Judicial Regulation ......................................................................................................2051
   C. General Oversight ofInsurers and M arkets..................................................................... 2052

     1. Solvency......................................................................................................................2052
     2. Insurance Intermediaries..............................................................................................2053
     3. Market Conduct...........................................................................................................2055

II. INDIVIDUATED PRICES ..........................................................................................................2057
  A. AI Stretches Consumer Protections in Risk Classification ............................................... 2057
     1. Protecting Vulnerable Groups and the Limits of Risk Classification...........................2058
     2. Privacy.........................................................................................................................2061
     3. Ow       nership        of D     ata.......................................................................................................2063
  B. Price Discrimination........................................................................................................ 2064
     1. Insurers and Price Discrimination................................................................................ 2065
     2. Price D iscrim ination and Regulatory Puzzles..............................................................2067
III. INDIVIDUATED                     POLICIES......................................................................................................2070

IV. Al IN THE MARKETPLACE .................................................................................................... 2072
  A. Robo-Advisers.................................................................................................................. 2072
  B. Fraud           Investigations ........................................................................................................2075

     1. Post-Claim               U  nderwriting.............................................................................................2076
     2. Al and Policyholder Claim s.........................................................................................2080

CONCLUSION ............................................................................................................................. 2083














                                       2031

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