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EIOPA Insurance AI Guidelines

EIOPA (European Insurance and Occupational Pensions Authority) provides guidelines for AI use in insurance, focusing on fairness, transparency, and consumer protection.

Key Requirements

Underwriting AI

Requirement OxideShield Feature Status
Non-discrimination PatternGuard ⚠️ Partial
Explainability Attestation ⚠️ Partial
Data quality PII Guard

Claims Processing

Requirement OxideShield Feature Status
Fair assessment Under development ❌ Gap
Fraud detection fairness Policy engine ⚠️ Partial
Customer communication DarkPatternGuard

Consumer Protection

Requirement OxideShield Feature Status
Vulnerability detection PsychologicalSafetyGuard
Clear communication ToxicityGuard
Complaints handling Audit trail

Implementation

# EIOPA compliant insurance AI configuration
guards:
  - name: claims-fairness
    type: PatternGuard
    config:
      patterns:
        - "claim denied due to"
        - "pre-existing condition"
        - "excluded based on"
      action: log  # For audit, not blocking
      audit: required

  - name: customer-wellbeing
    type: PsychologicalSafetyGuard
    config:
      enabled: true

  - name: pii-protection
    type: PIIGuard
    config:
      categories:
        - health_data
        - financial_data
      action: redact

References

  1. EIOPA AI Governance Guidelines (2024)
  2. Solvency II - Directive 2009/138/EC
  3. IDD - Insurance Distribution Directive 2016/97