Models that calculate premiums, accept or decline risks or adjust coverage based on personal data. For life and health insurance it is high-risk in the EU, and several US regulators require governance and discrimination testing.
Examples
Model-calculated life insurance premium
Automated health insurance underwriting
Telematics-based auto insurance pricing
Automatic application declines
By country
We only list countries where an obligation in force or adopted mentions this use case.
Model risk with inventory and materiality, adverse-decision explanation letters, human review, a decision log, technical model documentation and the EU AI Act Art. 26 checklist for high-risk systems.