§ 20-1382 – Health care insurers; reporting requirements
20-1382. Health care insurers; reporting requirements A. On or before March 1 of each year, each health care insurer shall submit to the director a written report that contains the following information: 1. The number of eligible individuals covered by policies that were written by that health care insurer in the individual market during the […]
§ 20-1383 – Individual health insurance policies; mandatory coverage exemption; definitions
20-1383. Individual health insurance policies; mandatory coverage exemption; definitions A. A disability insurer may issue a policy to an uninsured individual that is not subject to the requirements of any of the following: 1. Section 20-461, subsection A, paragraph 17 and subsection B. 2. Section 20-1342, subsection A, paragraphs 11 and 12. 3. Section 20-1342, […]
§ 20-1384 – Short-term limited duration insurance; notice; definitions
20-1384. Short-term limited duration insurance; notice; definitions A. All policies or certificates issued, delivered or renewed in this state for short-term limited duration insurance shall display on the policy’s fact page and in any application materials provided in connection with enrollment in such coverage the following federal disclosure in at least fourteen-point type: Notice This […]
§ 20-1376.10 – Biomarker testing; coverage; definitions
20-1376.10. Biomarker testing; coverage; definitions A. A disability insurer that issues, amends, delivers or renews a policy on or after January 1, 2023 shall provide coverage for biomarker testing. B. A policy shall cover biomarker testing for the purposes of diagnosis, treatment, appropriate management or ongoing monitoring of an insured’s disease or condition to guide […]
§ 20-1377 – Continuation of coverage under individual policies; requirements; exceptions; renewability
20-1377. Continuation of coverage under individual policies; requirements; exceptions; renewability A. A policy of disability insurance delivered or issued for delivery in this state shall provide for the right of covered family members to continue coverage on the death of the named insured, the entry of a decree of dissolution of marriage of the named […]
§ 20-1372 – Effect of policy containing nonconforming provisions
20-1372. Effect of policy containing nonconforming provisions No policy provision which is not subject to this article shall cause a policy, or any portion thereof to be less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to this article. A policy delivered or issued for delivery […]
§ 20-1378 – Eligibility; prohibiting cancellation because of eligibility for certain benefits
20-1378. Eligibility; prohibiting cancellation because of eligibility for certain benefits A. Except as specifically provided in sections 20-1379 and 20-1380, with respect to the determination of whether a person is an eligible individual, an insurer issuing disability insurance contracts shall not consider the availability of or a person’s eligibility for medical assistance pursuant to title […]
§ 20-1373 – Age limit
20-1373. Age limit If any policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts a premium after such […]
§ 20-1379 – Guaranteed availability of individual health insurance coverage; prior group coverage; definitions
20-1379. Guaranteed availability of individual health insurance coverage; prior group coverage; definitions A. Every health care insurer that offers individual health insurance coverage in the individual market in this state shall provide guaranteed availability of coverage to an eligible individual who desires to enroll in individual health insurance coverage and shall not: 1. Decline to […]
§ 20-1374 – Effective date of provisions; moratorium
20-1374. Effective date of provisions; moratorium A policy, rider or endorsement which could have been lawfully used or delivered or issued for delivery to any person in this state immediately prior to January 1, 1955, may be used or delivered or issued for delivery to any such person until January 1, 1957, without being subject […]