Role of Insurance Companies Regarding Personal Health Data
By Pedro Córdova Balda, María Paula Arellano & Gabriela Holguín, Robalino

The Superintendence for the Protection of Personal Data (SPDP) issued a response to a citizen inquiry about the role of insurance companies when accessing patients' medical information provided by healthcare providers—specifically in situations where such information is transferred at the explicit request of the patient, without any contractual relationship between the healthcare provider and the insurer.
Inquiry:
Should insurance companies be considered data processors under Article 34 of the Personal Data Protection Law (LOPDP) when they access patient data collected and transmitted by a healthcare provider, if this transmission is carried out on behalf of and at the request of the insured patient—that is, without a contractual relationship existing between the healthcare provider and the insurer?
The SPDP clarifies that healthcare providers are data controllers of the personal data they collect and process in the provision of medical services.
Insurance companies that receive this information at the direct request of the data subject (the patient) and without a contractual relationship with the healthcare provider, initially act as recipients of the data.
However, once these insurers process the data for their own purposes related to their business activities, they assume the role of data controllers, as they determine the purposes and means of processing the personal data.
For more details, the full inquiry can be viewed here.