CLAIMS CORELEDGER

The operating record for policy, claims, and insurance change.

U.S. states that enact corresponding law · Model law

Insurance Data Security Model Law (#668)

The model law addresses information-security programs, cybersecurity-event investigation, and notice expectations for covered insurance licensees.

Adopted NAIC model law with state-by-state enactmentNot itself binding until enacted by a jurisdiction

What the authority record establishes

The model law addresses information-security programs, cybersecurity-event investigation, and notice expectations for covered insurance licensees.

Not itself binding until enacted by a jurisdiction

The exact official title, issuing body, jurisdiction, version or application record, and linked source define the scope of this page. Readers should not transfer the authority's status to a commercial product or infer transaction-, patient-, system-, site-, or organization-specific applicability from this summary.

Why it matters to this market

Core and claims buyers need to map sensitive policy and claim information, service providers, access, events, response, and evidence to each applicable state enactment.

Affected operating stages

  • Data Inventory
  • Security Program
  • Third-Party Oversight
  • Event Investigation
  • Notification
  • Records

Capabilities to examine

Identity Security Privacy And Operational Controls

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for identity security privacy and operational controls.

Insurance Data Model Quality And Governance

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for insurance data model quality and governance.

API Event And Ecosystem Integration

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for API event and ecosystem integration.

Documents Correspondence And Evidence Management

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for documents correspondence and evidence management.

Audit Trail Reason Code And Decision Reconstruction

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for audit trail reason code and decision reconstruction.

Affected buyer audiences

  • insurance security
  • legal and compliance
  • technology
  • claims and policy operations

Implementation questions

  • Which entities, products, populations, transactions, systems, sites, or jurisdictions are actually within scope?
  • What is binding, what is guidance, and what is a technical or consensus standard?
  • Which publication, adoption, effective, application, transition, and enforcement dates differ?
  • Who owns legal, clinical, quality, regulatory, policy, or operational interpretation?
  • How will a source revision affect open work and historical decisions?

Interpretation boundary

The NAIC model is not automatically law in every state; applicability and compliance require the enacted jurisdictional text and facts.