{"txn_id":"CT-LIFE-0075","assessment_id":"ra_ed182b384fa04105","occurred_at":"2026-09-28T15:00:00+00:00","state":"CT","line_of_business":"life","stage":"underwriting","program_area":"Underwriting/Eligibility","ai_system":{"system_id":"rx-score","model_version":"3","vendor":"third_party","vendor_name":"RxData Labs (fictional)","high_risk_class":"underwriting"},"inputs":{"feature_classes":["rx_history","credit","consumer_report","application_data"],"protected_factors_used":[],"ecdis_present":false,"consumer_report_used":true,"credit_used":true,"data_source_refs":["vendor://rxdata/score","cra://demo-bureau/attributes"],"consumer_token":"tok_showcase_0075"},"output":{"decision":"decline","score":0.88,"reason_codes":["RX4"],"premium_delta_pct":null},"human_involvement":{"reviewed":true,"reviewer_role":"underwriter","overridden":false},"adverse_action":{"is_adverse":true,"notice_sent_at":"2026-09-30T15:00:00+00:00","reasons_provided":true,"specific_reasons":true,"ecdis_disclosed":false,"appeal_channel":null},"carrier_note":"Connecticut adopted the NAIC bulletin (MC-25, 26 February 2024), so the bulletin's third-party and testing expectations apply here and not in Texas.","input":{"revision":1,"current_revision":1,"input_digest":"672edbc0d611298b0ea84ab317979401a0290d9a3a5be80990fbcf03c16a9f0d","digest_ok":true,"note":"input_digest is SHA-256 over the canonical JSON of the transaction revision assessed; it is inside the assessment the ledger hashes."},"assessment":{"disposition":"FLAG","coverage":{"status":"supported","state_rules_applied":3,"general_rules_applied":2,"advisory_rules_applied":3,"rules_considered":30,"rules_applied":["doctrine.unreviewed-adverse-high-risk","doctrine.zip-credit-interaction-proxy","us.fcra.adverse-action-notice","us.fcra.permissible-purpose-undocumented","naic.ais-program.third-party-diligence","naic.ais-program.documentation","naic.adverse-outcome-testing","precedent.ai-flagged-cancellation-without-notice"],"statement":"3 state-specific and 2 general black-letter rule(s) applied to this CT life underwriting transaction. Only the configured checks were run; a result is not a legal opinion on compliance."},"evidence":{"status":"missing","asserted":["inputs.data_source_refs"],"missing":["ai_system.governance_attested","ai_system.model_doc_ref","ai_system.testing_report_ref"],"statement":"Missing evidence: ai_system.governance_attested, ai_system.model_doc_ref, ai_system.testing_report_ref. Supplied but unverified: inputs.data_source_refs."},"summary":"FLAG: 3 finding(s) under rules 2026.10+c4982313, corpus 2026-10-30-9c5dad5a. Routed to the carrier's compliance reviewer with cited findings.","narrative":"On 2026-09-28, rx-score v3 (a third-party system from RxData Labs (fictional)) produced 'decline' in a CT life underwriting transaction. Inputs included rx history, credit, consumer report, application data. A consumer report was used. A human reviewed the output by a underwriter. The outcome was adverse to the consumer; a notice was sent on 2026-09-30 with specific reasons. RegBench applied 8 rule(s) in force on 2026-09-28 and recorded 3 finding(s); the most serious is 'Adverse high-risk decision from a system with no adverse-outcome testing on record' (medium, L1).","findings":[{"rule_id":"naic.adverse-outcome-testing","layer":"L1","judgment_basis":"guidance","advisory":false,"severity":"medium","title":"Adverse high-risk decision from a system with no adverse-outcome testing on record","required_action":"Attach the system's latest testing report reference (errors, bias, unfair discrimination, drift).","exhibits":["C"],"content_status":"verified","citations":[{"provision_id":"naic-ai-bulletin-s3-1-ais-program","label":"NAIC Model Bulletin on the Use of AI Systems by Insurers (adopted 4 Dec 2023), Section 3, 1.0 General Guidelines — the written AIS Program","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true},{"provision_id":"naic-ai-bulletin-s4-oversight","label":"NAIC Model Bulletin (2023), Section 4 — Regulatory Oversight and Examination Considerations","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true}]},{"rule_id":"naic.ais-program.third-party-diligence","layer":"L1","judgment_basis":"guidance","advisory":false,"severity":"medium","title":"Third-party AI system without an attested due-diligence and contract record","required_action":"Attach the vendor due-diligence record and contract terms (audit rights, regulatory cooperation) to the system's inventory entry and attest governance coverage.","exhibits":["A","C"],"content_status":"verified","citations":[{"provision_id":"naic-ai-bulletin-s3-4-third-party","label":"NAIC Model Bulletin (2023), Section 3, 4.0 Third-Party AI Systems and Data","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true},{"provision_id":"naic-ai-bulletin-s4-oversight","label":"NAIC Model Bulletin (2023), Section 4 — Regulatory Oversight and Examination Considerations","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true}]},{"rule_id":"naic.ais-program.documentation","layer":"L1","judgment_basis":"guidance","advisory":false,"severity":"low","title":"High-risk AI system with no model documentation reference","required_action":"Link the system to its model documentation (purpose, inputs, validation, monitoring) in the inventory.","exhibits":["A","C"],"content_status":"verified","citations":[{"provision_id":"naic-ai-bulletin-s4-oversight","label":"NAIC Model Bulletin (2023), Section 4 — Regulatory Oversight and Examination Considerations","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true},{"provision_id":"naic-ai-bulletin-s3-1-ais-program","label":"NAIC Model Bulletin on the Use of AI Systems by Insurers (adopted 4 Dec 2023), Section 3, 1.0 General Guidelines — the written AIS Program","source_url":"https://content.naic.org/sites/default/files/inline-files/2023-12-4%20Model%20Bulletin_Adopted_0.pdf","verified":true}]}],"point_in_time":{"as_of":"2026-09-28","basis":"transaction_date","rules_version":"2026.10+c4982313","corpus_snapshot":"2026-10-30-9c5dad5a","engine_version":"regbench-engine/0.5.0","model_version":"deterministic-1"},"evaluated_at":"2026-10-31T05:42:56.131158+00:00","fingerprint":"e41045ad9448547af6f0bcf1"},"review":{"status":"resolved","outcome":"remediated","hours_to_resolve":15.3,"reviewer_role":"underwriter","resolved_at":"2026-09-29T06:21:34.973180+00:00"},"ledger":{"seq":6630,"hash":"4b58fc66c7b8cdd7cd3a3a92befc7eab6f65ae2a391a8bc0a87a06695c2e458e","prev_hash":"c955bbe3d0705a72649c16f6d1c258ec623a5956238ded75c2d132df354d5d9b","recorded_at":"2026-09-28T15:00:40+00:00"}}