An insurer shall maintain a record of all disclosures of confidential abuse information, except those disclosures permitted by paragraph 4A(3) of the Domestic Abuse Insurance Protection Act, made to any person who is not an employee or agent of the insurer. The record shall include:

1. A. the name and address or location of the person to whom the information is disclosed; if the information is disclosed to an institution, a contact person shall be named;
2. B. the date and purpose of the disclosure;
3. C. a description of the information disclosed;

4. D. the authorization or release form allowing the disclosure of the information, if required.

   [1/1/99; Recompiled 11/30/01]