Pennsylvania Code Title 31 - INSURANCE

Here’s a detailed overview of Pennsylvania Code Title 31 – INSURANCE, current as of the March 29, 2025 update:

🧩 Title 31 – Insurance: Major Parts & Structure

Pennsylvania’s Title 31 is divided into ten parts, each covering a different insurance domain (regulations.justia.com):

Part I – General Provisions

Covers uniform expense classifications, securities, agent licensing, advertising rules, and departmental procedures (pacodeandbulletin.gov).

Part II – Automobile Insurance

Includes rules on policy cancellations, uninsured motorist coverage, and financial responsibility (law.cornell.edu).

Part III – Credit Insurance

Governs insurance tied to credit transactions (law.cornell.edu).

Part IV – Life Insurance

Deals with policy replacement, variable life, consumer disclosures, privacy, and valuation standards (pacodeandbulletin.gov).

Part V – Marine Insurance

Covers marine policy regulations (law.cornell.edu).

Part VI – Mutual Insurance

Addresses mutual insurance company assessments and policy provisions (regulations.justia.com).

Part VII – Property, Fire & Casualty Insurance

Governs P&C coverage standards, rate filings, and actuarial opinions (law.cornell.edu).

Part VIII – Miscellaneous Provisions

Includes provisions on quality health care, definitions, and miscellaneous regulatory requirements (law.cornell.edu, casetext.com).

Part IX – Medical Catastrophe Loss Fund

Establishes a fund to cover catastrophic medical claims (law.cornell.edu).

Part X – Health Maintenance Organizations (HMOs)

Regulates HMO filings, investments, and operations (pacodeandbulletin.gov).

📌 Notable Chapters & Provisions

Chapter 146 – Unfair Insurance Practices (Part VIII)
Defines minimum business standards; frequent violations are considered unfair, including delays in claim handling and misleading settlements (pacodeandbulletin.gov).

Chapter 244 – Professional Liability Insurance (Part IX? Actually within loss fund part)
Healthcare provider malpractice policies must include a risk-management participation clause and submit plans to the Insurance Commissioner (pacodeandbulletin.gov).

Chapter 87 – Limited Benefit Life Policies
These policies are disallowed as they mislead consumers by offering inadequate coverage during early years (pacodeandbulletin.gov).

Chapter 124 – Surplus Lines Insurance
Covers definitions, filings, diligent search requirements, and evidence of coverage for surplus lines policies (pacodeandbulletin.gov).

Chapter 89b – Filing Requirements for Life, Accident & Health Forms
Specifies submission procedures, form standards, and filing fees (pacodeandbulletin.gov).

Chapter 148a – Safeguarding Insurer Securities
Mandates written custodial agreements, reporting duties, and custody standards for insurer-held securities (pacodeandbulletin.gov).

Chapter 130 – Filing Rate Decreases for P&C
Insurers must file a 30-day notice for rate reductions up to 10% and maintain the rate for at least 3 months unless the reduction threatens solvency (pacodeandbulletin.gov).

📋 Summary Table

PartTitle
IGeneral Rules (expenses, agents, ads, procedures)
IIAuto Insurance
IIICredit Insurance
IVLife Insurance
VMarine Insurance
VIMutual Insurance
VIIProperty, Fire & Casualty
VIIIMiscellaneous (unfair practices, health fund, etc.)
IXMedical Catastrophe Loss Fund
XHealth Maintenance Organizations

✅ How to Dive Deeper

Tell me which part or specific chapter you’re interested in:

Want full text of unfair practices (Ch. 146) or limited-benefit prohibitions (Ch. 87)?

Looking for procedural forms under Chapter 89b?

Need details on surplus lines or custodial agreements?

 

LEAVE A COMMENT

0 comments