514D.1 Purpose. The purpose of this chapter is to provide reasonable standardization, simplification, and disclosure of the terms and coverages of individual accident and sickness insurance policies issued under chapter 514A and individual subscriber contracts issued under chapter 514, in order to facilitate public understanding and comparison and to eliminate provisions which may be misleading […]
514D.2 Definitions. As used in this chapter, unless the context otherwise requires: 1. “Accident and sickness insurance” means individual accident and sickness insurance within the meaning of section 514A.1. “Accident and sickness insurance” also means individual subscriber contracts for hospital service, or medical and surgical service, or individual pharmaceutical or optometric service issued under chapter […]
514D.3 Standards for policies established. 1. The commissioner shall issue rules to establish specific standards, including standards of full and fair disclosure, that set forth the manner, content, and required disclosure for the sale of policies of individual accident and sickness insurance and individual subscriber contracts which shall be in addition to and in accordance […]
514D.4 Standards for benefits established. 1. The commissioner shall issue rules to establish minimum standards for benefits under each of the following categories of coverage contained in policies of individual accident and sickness insurance or subscriber contracts: a. Basic hospital expense coverage. b. Basic medical-surgical expense coverage. c. Hospital confinement indemnity coverage. d. Major medical […]
514D.5 Disclosure, Medicare information, and advertising. 1. Except as otherwise provided in subsection 3, in order to provide for full and fair disclosure in the sale of individual accident and sickness insurance policies or subscriber contracts a policy or contract shall not be delivered or issued for delivery in this state unless the outline of […]
514D.6 Limitation on defenses. Notwithstanding section 514A.3, subsection 1, paragraph “b”, subparagraph 2, or any contrary provision of chapter 514, if the issuer of the policy of accident and sickness insurance or subscriber contract elects to use a simplified application form, with or without a question as to the applicant’s health at the time of […]
514D.7 Exclusions. This chapter does not apply to any of the following: 1. A policy of credit accident and health or credit accident and sickness insurance. 2. A policy of accident and sickness insurance which is exempt from the provisions of sections 514A.1 through 514A.8 and sections 514A.10 through 514A.12 by virtue of an exemption […]
514D.8 Title and effective date of chapter. This chapter may be cited as the “Uniform Individual Accident and Health Insurance Minimum Standards Act”. This chapter takes effect July 1, 1980. Rules issued by the commissioner of insurance pursuant to this chapter shall be subject to the provisions of chapter 17A, and all rules issued by […]
514D.9 Regulations regarding limitation on compensation. The commissioner shall issue rules to establish minimum standards to assure fair and reasonable benefits, claim payment, marketing practices, and compensation arrangements and reporting practices for the following classes of policies: 1. Medicare supplement insurance. 2. Nursing home insurance. 3. Long-term care insurance. 90 Acts, ch 1234, §32
