02- 031 C.M.R. ch. 490, § 4 - Medical and lifestyle application questions and underwriting standards
A. No question shall be used on an
application for insurance which is designed to establish the sexual orientation
of the applicant. Specifically prohibited practices include, but are not
limited to, utilization of the marital status, "living arrangements,"
occupation, gender, medical history, beneficiary designation, or zip code or
other territorial classification of an applicant to establish or aid in
establishing the applicant's sexual orientation.
B. No question shall be used which requests
an applicant to reveal whether the person has obtained an HIV test or the
results of an HIV test taken prior to the application for insurance
coverage.
C. Questions relating to
medical and other factual matters intending to reveal the possible existence of
a medical condition are permissible if they are not used in order to establish
the sexual orientation of the applicant.
D. Questions relating to the applicant's
having or having been diagnosed as having or having been advised to seek
treatment for a sexually transmitted disease are permissible.
E. For purposes of rating an applicant for
health and life insurance, an insurer may impose territorial rates, but only if
the rates are based on sound actuarial principles and are related to actual or
reasonably anticipated experience.
F. No decisions concerning rates, rating
classification, limitations to coverage, or insurability of any person shall be
made because an applicant has demonstrated AIDS-related concerns by seeking
counseling from health care professionals.
G. No decisions concerning rates, rating
classification, limitations to coverage, or insurability of any person shall be
made on the basis of information concerning an applicant's sexual
orientation.
H. No insurer or
nonprofit entity may make any decision concerning rates, rating classification,
limitations to coverage, or insurability of any person on the basis of T-cell
tests. Insurers and nonprofit entities may utilize T-cell tests in order to
determine whether further diagnostic tests are necessary.
I. Any failure to comply with the terms of
this section shall be deemed an unfair trade practice within the meaning of
Chapter 23 of the Insurance Code (Title 24-A). The remedies provided in Chapter
23 shall not be exclusive but shall be in addition to any other remedies
available by law.
Notes
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