§2691. Scope 1. Health insurance policies. This chapter applies to individual health insurance policies subject to chapter 33 and to group health insurance policies and certificates subject to chapter 35. [PL 2001, c. 410, Pt. C, §1 (NEW).] 2. Dental plans and vision care plans. This chapter applies to dental plans and vision care […]
§2692. Definitions As used in this chapter, unless the context otherwise indicates, the following terms have the following meanings. [PL 2001, c. 410, Pt. C, §1 (NEW).] 1. Certificate. “Certificate” means a statement of the coverage and provisions of a policy of group health insurance that has been delivered or issued for delivery in […]
§2693. Standards for policy provisions 1. Rules regarding manner, content and required disclosure. The superintendent may adopt 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 individual and group health insurance. The superintendent may adopt additional rules to establish […]
§2694-A. Physician performance measurement, reporting and tiering programs 1. Performance measurement, reporting and tiering programs. An insurer delivering or issuing for delivery within the State any individual health insurance policy or group health insurance policy or certificate shall annually file with the superintendent on or before October 1, 2010 and annually by October 1st in […]
§2694. Minimum standards for benefits The superintendent shall adopt rules to establish minimum standards for benefits under individual and group health insurance. These rules must clarify the meaning of limited benefits health insurance as referred to in chapters 33, 35 and 56‑A. The rules must also set minimum standards for benefits for each of the […]
§2695. Disclosure requirements 1. Outline of coverage. Except as provided in subsections 7 and 8, an insurer shall deliver an outline of coverage to an applicant or enrollee in connection with the sale of individual health insurance, group health insurance, dental plans and vision care plans delivered or issued for delivery in this State. […]
§2696. Preexisting conditions 1. Exclusion based on preexisting condition limited after 12 months. Notwithstanding the provisions of section 2706, subsection 2, division (b), if an insurer elects to use a simplified application or enrollment form, with or without a question as to the prospective insured’s health at the time of application or enrollment but without […]
§2697. Rulemaking The superintendent may adopt rules to carry out the purposes of this chapter. Rules adopted pursuant to this chapter are major substantive rules as defined by Title 5, chapter 375, subchapter II‑A. [PL 2001, c. 410, Pt. C, §1 (NEW).] SECTION HISTORY PL 2001, c. 410, §C1 (NEW).
