Arizona § 20-2106 - Content of disclosure authorization forms
Full text of Arizona Arizona Revised Statutes § 20-2106 — Content of disclosure authorization forms, with citation guidance and answers to common questions.
§ 20-2106. Content of disclosure authorization forms
Notwithstanding any other statute no insurance institution, insurance producer or insurance support organization may utilize as its disclosure authorization form in connection with insurance transactions a form or statement which authorizes the disclosure of personal or privileged information about an individual to the insurance institution, insurance producer or insurance support organization unless the form or statement:
1. Is written in plain language.
2. Is dated.
3. Specifies the types of persons authorized to disclose information about the individual.
4. Specifies the nature of the information authorized to be disclosed.
5. Names the insurance institution or insurance producer and identifies by generic reference representatives of the insurance institution to whom the individual is authorizing information to be disclosed.
6. Specifies the purposes for which the information is collected.
7. In the case of authorizations signed for the purpose of collecting information in connection with an application for an insurance policy, a policy reinstatement or a request for change in policy benefits, specifies the length of time the authorization remains valid. The length of time shall be no longer than:
(a) Thirty months from the date the authorization is signed if the application or request involves life, health or disability insurance.
(b) One year from the date the authorization is signed if the application or request involves property or casualty insurance.
8. In the case of authorizations signed for the purpose of collecting information in connection with a claim for benefits under an insurance policy, specifies the length of time the authorization remains valid. The length of time shall be no longer than:
(a) The term of coverage of the policy if the claim is for a health insurance benefit.
(b) The duration of the claim if the claim is not for a health insurance benefit.
9. Advises the individual or a person authorized to act on behalf of the individual that the individual or the individual's authorized representative is entitled to receive a copy of the authorization form.
Source: official Arizona text · Last verified 2026-08-27
Frequently Asked Questions About Arizona § 20-2106
What does Arizona Revised Statutes § 20-2106 cover?
Section 20-2106 ("Content of disclosure authorization forms") is part of the Arizona Revised Statutes, the codified statutory law of Arizona. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Arizona § 20-2106?
A common citation format is "Arizona Revised Statutes § 20-2106" (Arizona). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Arizona law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Arizona official source linked on this page or consult a licensed Arizona attorney.
How does Arizona § 20-2106 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Arizona can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Arizona.