California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 5.9 - Privacy of Nonpublic Personal Information › Article 5 - Additional Provisions › Appendix A - Sample Clauses

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
If applicable, a licensee may use the following sample
					 clauses in its notices. A group of financial holding company affiliates using a
					 common privacy notice may use these clauses if accurate for each company. These
					 clauses are not exclusive. (Note that disclosure of certain information, such
					 as assets, income and information from a consumer reporting agency, may result
					 in obligations under the federal Fair Credit Reporting Act.)
Categories of information collected
The following language may be used to describe the
					 categories of personal information collected.
We collect personal information about you from:
* Applications or other forms you complete;
* Your business dealings with us and other companies;
					 and
* Consumer reporting agencies.
Categories of information disclosed
The following language may be used to describe the
					 categories of personal information disclosed.
Alternative 1:
We may disclose the following personal information about
					 you:
* Information from your application or other forms, such as
					 your name, address, social security number, assets, income, and
					 beneficiaries;
* Information about your transactions with us, our
					 affiliates or others, such as your policy coverage, premiums, and payment
					 history; and
* Information from consumer reporting agencies, such as
					 your credit history.
Alternative 2:
We may disclose all the information that we collect about
					 you.
To whom information is disclosed
The following language may be used to describe the persons
					 to whom the licensee discloses information.
Alternative 1:
We do not disclose any personal information about you to
					 anyone unless allowed by law. The law allows us to share your financial
					 information with our affiliates to market products or services to you. You
					 cannot prevent those disclosures.
Alternative 2:
We may disclose personal information about you to:
* Financial companies, such as life insurers, automobile
					 insurers, mortgage bankers, securities broker-dealers, and insurance
					 agents;
* Companies, such as retailers, direct marketers, airlines,
					 and publishers; and
* Others, such as non-profit organizations.
Alternative 3:
We may also disclose personal information about you as
					 allowed by law. The law allows us to share your financial information with our
					 affiliates to market products or services to you. You cannot prevent those
					 disclosures.
Explanation of opt out right
The following language may be used to explain the
					 consumer's right to opt out of the disclosure of personal financial information
					 to nonaffiliated third parties and how the consumer may exercise that right,
					 when the licensee discloses personal information as permitted by California
					 Insurance Code Section
					 791.13(k)(2).
If you don't want us to disclose personal information about
					 you to nonaffiliated companies, you may tell us so. This is known as "opting
					 out". If you wish to opt out, call us at 1-800___-__________ or complete and
					 return the enclosed form. We may share information about you if we do not hear
					 from you within 30 days. However, you may opt-out at any time. Just call or
					 write us. Even if you opt-out, we may still disclose information as allowed by
					 law. This includes disclosing information to our affiliates to market other
					 products or services to you.
Confidentiality and security
The following language may be used to describe how a
					 licensee protects the confidentiality and security of personal
					 information.
We protect your nonpublic personal information. The only
					 employees who have access to that information are those who must have it to
					 provide products or services to you.