PRIOR PRINTER'S NO. 4193                      PRINTER'S NO. 4304

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 3050 Session of 1994


        INTRODUCED BY COLAFELLA, DeWEESE, BLAUM, SCRIMENTI, CARONE,
           D. R. WRIGHT, STURLA, STABACK, JOSEPHS, LEVDANSKY, CAWLEY,
           PITTS, SAYLOR, TRELLO, YANDRISEVITS, RUDY, LAUB, TOMLINSON,
           PISTELLA, MELIO, SURRA, BELARDI, TRICH, BEBKO-JONES, BUXTON,
           MIHALICH, PLATTS, VAN HORNE, TULLI, KUKOVICH, HENNESSEY,
           LAUGHLIN, TIGUE, WILLIAMS, RAYMOND, BATTISTO, BELFANTI,
           JAROLIN, PETRARCA, SANTONI, RICHARDSON, J. TAYLOR, KASUNIC,
           CURRY AND YOUNGBLOOD, SEPTEMBER 28, 1994

        AS REPORTED FROM COMMITTEE ON INSURANCE, HOUSE OF
           REPRESENTATIVES, AS AMENDED, OCTOBER 5, 1994

                                     AN ACT

     1  Amending the act of July 22, 1974 (P.L.589, No.205), entitled
     2     "An act relating to unfair insurance practices; prohibiting
     3     unfair methods of competition and unfair or deceptive acts
     4     and practices; and prescribing remedies and penalties,"
     5     further providing for unfair methods and practices with
     6     respect to discrimination against victims of abuse.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9     Section 1.  Section 5(a) of the act of July 22, 1974
    10  (P.L.589, No.205), known as the Unfair Insurance Practices Act,
    11  is amended by adding a paragraph to read:
    12     Section 5.  Unfair Methods of Competition and Unfair or
    13  Deceptive Acts or Practices Defined.--(a)  "Unfair methods of
    14  competition" and "unfair or deceptive acts or practices" in the
    15  business of insurance means:
    16     * * *


     1     (14)  (i)  Denying; refusing to issue, renew or reissue; or
     2  cancelling or otherwise terminating an individual or group
     3  accident and health or life insurance policy or restricting such
     4  insurance coverage on any individual, solely because that         <--
     5  individual is, has been, or may be the subject of abuse, or
     6  seeks, or has sought, medical or psychological treatment for
     7  abuse, protection from abuse, or shelter from abuse; HOWEVER,     <--
     8  NOTHING IN THIS ACT SHALL PREVENT INSURERS FROM TAKING ANY OF
     9  THE ACTIONS LISTED IN THIS SUBPARAGRAPH ON THE BASIS OF CRITERIA
    10  NOT OTHERWISE MADE INVALID BY THIS OR ANY OTHER ACT, REGULATION
    11  OR RULE OF LAW, AND THE FACT THAT A PERSON IS, HAS BEEN OR MAY
    12  BE A VICTIM OF ABUSE SHALL BE AN INVALID CRITERION; OR
    13     (II)  ADDING ADDING any surcharge or rating factor to the      <--
    14  premium of an accident and health or life insurance policy
    15  because of an individual's history of status or potential to be
    16  subject to abuse; OR                                              <--
    17     (iii)  Excluding EXCLUDING or limiting individual or group     <--
    18  accident and health or life insurance coverage for losses or
    19  denying a claim incurred by an insured as a result of abuse or
    20  the potential for abuse; HOWEVER, NOTHING IN THIS ACT SHALL       <--
    21  MODIFY VALID EXCLUSIONS AS TO ANY PREEXISTING CONDITION PROVIDED
    22  THAT THE FACT THAT A PERSON IS, HAS BEEN OR MAY BE A VICTIM OF
    23  ABUSE SHALL NOT BE DEEMED A PREEXISTING CONDITION.
    24     (iv)  For purposes of this paragraph, the term "abuse" shall   <--
    25  be as defined in 23 Pa.C.S. § 6102 (relating to definitions).
    26     * * *
    27     SECTION 2.  AN INSURER THAT COMPLIES WITH SECTION 5(14) SHALL  <--
    28  NOT BE SUBJECT TO CIVIL LIABILITY AS A RESULT OF COMPLYING WITH
    29  THAT PARAGRAPH.
    30     Section 2 3.  This act shall take effect immediately.          <--
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