§ 3703. Death master file comparison.
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§ 3703. Death master file comparison.
(a)Comparison.-- An insurer shall implement procedures for performing a comparison of its insureds' in-force life insurance policies, contracts and retained asset accounts against the same death master file, on at least a semiannual basis, by using the full death master file once and thereafter using the death master file update files for future comparison to identify potential matches of its insureds. For a potential match identified as a result of a death master file match, all of the following shall apply:
(1)Within 90 days of a death master file match the insurer shall:
(i)complete a good faith effort to confirm the death of the insured or retained asset account holder against other available records and information. The effort shall be documented by the insurer; and
(ii)determine whether benefits are due in accordance with the applicable policy or contract, and if benefits are due:
(A)use good faith efforts to locate the beneficiary or beneficiaries, which shall be documented by the insurer; and
(B)provide the appropriate claims forms or instructions to the beneficiary or beneficiaries to make a claim, including instructions on the need to provide an official death certificate, if applicable under the policy or contract.
(2)The insurer shall implement procedures to account for:
(i)common nicknames, initials used in lieu of a first or middle name, use of a middle name, compound first and middle names and interchanged first and middle names;
(ii)compound last names, maiden or married names and hyphens, blank spaces or apostrophes in last names;
(iii)transposition of the month and date portions of the date of birth; and
(iv)incomplete Social Security numbers.
(3)To the extent permitted by law, the insurer may disclose minimum necessary personal information about the insured or beneficiary to a person who the insurer reasonably believes may be able to assist the insurer with locating the beneficiary or a person otherwise entitled to payment of the claims proceeds.
(b)Costs.-- An insurer or its service provider may not charge an insured, a retained asset account holder, a beneficiary or other authorized representative for costs associated with a search or verification conducted in accordance with subsection (a).
(c)Payment.--
(1)The benefits from a policy, contract or retained asset account, plus applicable accrued contractual interest, shall first be paid to the designated beneficiaries or owners.
(2)If the beneficiary cannot be found, the benefits shall escheat to the Commonwealth as unclaimed property pursuant to Article XIII.1 of the act of April 9, 1929 (P.L.343, No.176), known as The Fiscal Code, and, notwithstanding the provisions of section 1301.4(a)1 of The Fiscal Code, shall be due and reportable to the Commonwealth three years after knowledge of death of the insured.
(d)Group life insurance.-- An insurer shall confirm the possible death of an insured if the insurer maintains at least the following information regarding those covered under a policy or certificate:
(1)Social Security number or name and date of birth;
(2)beneficiary designation information;
(3)coverage eligibility;
(4)benefit amount; and
(5)premium payment status.
(e)Exceptions and exemptions.-- At the written request of an insurer, the commissioner may make an order to:
(1)limit the insurer's death master file comparisons required under this section to the insurer's electronic searchable files or approve a plan and timeline for conversion of the insurer's files to searchable electronic files, upon a demonstration of hardship by the insurer;
(2)exempt the insurer from the death master file comparisons required under this section or permit the insurer to perform the comparisons less frequently than annually, upon a demonstration of hardship by the insurer; or
(3)phase in compliance with this section according to a plan and timeline submitted by the insured and approved by the commissioner.
40c3703v
Cross References. Section 3703 is referred to in section 3702 of this title.
40c3704s