§ 20-3555 – Travel protection plans
20-3555. Travel protection plans Travel protection plans may be offered for one price for the combined features that the travel protection plan offers in this state if both: 1. The travel protection plan clearly discloses to the consumer, at or before the time of purchase, that it includes travel insurance, travel assistance services and cancellation […]
§ 20-3556 – Sales practices; definition
20-3556. Sales practices; definition A. All persons offering travel insurance to residents of this state are subject to chapter 2, article 6 of this title relating to unfair trade practices and frauds, except as otherwise provided in this section. If a conflict exists between this chapter and another provision of this title regarding the sale […]
§ 20-3557 – Travel administrators
20-3557. Travel administrators A. Notwithstanding any other provision of this title, a person may not act or represent itself as travel administrator for travel insurance in this state unless that person either: 1. Is a licensed property and casualty insurance producer in this state for activities allowed under that producer license. 2. Holds a valid […]
§ 20-3558 – Travel insurance classification and filing
20-3558. Travel insurance classification and filing A. Notwithstanding any other provision of this title, travel insurance is classified and filed for purposes of rates and forms under an inland marine line of insurance, except that travel insurance that provides coverage for sickness, accident, disability or death occurring during travel, either exclusively or in conjunction with […]
§ 20-3601 – Definitions of qualified United States financial institution
20-3601. Definitions of qualified United States financial institution A. For the purposes of section 20-3603, subsection B, paragraph 3, " qualified United States financial institution" means an institution that both: 1. Is: (a) Organized or, in the case of a United States office of a foreign banking organization, is licensed under the laws of the […]
§ 20-3602 – Credit allowed a domestic ceding insurer; definition
20-3602. Credit allowed a domestic ceding insurer; definition A. A domestic ceding insurer shall be allowed a credit for reinsurance as either an asset or a reduction from liability on account of reinsurance ceded only when the reinsurer meets the requirements of subsection C, D, E, F, G, H or M of this section. The […]
§ 20-3603 – Asset or reduction from liability for reinsurance ceded by a domestic insurer to an assuming insurer
20-3603. Asset or reduction from liability for reinsurance ceded by a domestic insurer to an assuming insurer A. An asset or a reduction from liability for the reinsurance ceded by a domestic insurer to an assuming insurer that does not meet the requirements of section 20-3602 shall be allowed in an amount not exceeding the […]
§ 20-3501 – Definitions
20-3501. Definitions In this chapter, unless the context otherwise requires: 1. " Classification of benefits" means the following classifications of benefits provided by a health plan: (a) Inpatient, in-network. (b) Inpatient, out-of-network. (c) Outpatient, in-network. (d) Outpatient, out-of-network. (e) Emergency care. (f) Prescription benefits. 2. " Health care insurer" means a disability insurer, group disability […]
§ 20-3401 – Definitions
20-3401. Definitions In this article, unless the context otherwise requires: 1. " Adverse determination" : (a) Means a decision by a health care services plan or its utilization review agent that the health care services furnished or proposed to be furnished to an enrollee are not medically necessary and plan coverage is therefore denied, reduced […]
§ 20-3502 – Compliance with federal law; report
20-3502. Compliance with federal law; report A. Each health care insurer that issues a health plan in this state shall comply with the mental health parity and addiction equity act. B. After January 1, 2022, on a date specified by the director, each health care insurer that issues a health plan in this state shall […]