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Home » US Law » 2022 Iowa Code » Title XIII - COMMERCE » Chapter 514A - ACCIDENT AND HEALTH INSURANCE

Section 514A.1 – Definition of accident and sickness insurance policy.

514A.1 Definition of accident and sickness insurance policy. 1. As used in this chapter, “policy of accident and sickness insurance” includes a policy or contract covering insurance against loss resulting from sickness, or from bodily injury or death by accident, or both. For the purposes of this chapter the words “policy of accident and sickness […]

Section 514A.10 – Judicial review.

514A.10 Judicial review. Judicial review of the actions of the commissioner may be sought in accordance with the terms of the Iowa administrative procedure Act, chapter 17A. [C54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §514A.10] 2003 Acts, ch 44, §114 Referred to in §514D.3, 514D.7

Section 514A.11 – Inconsistent acts not applicable.

514A.11 Inconsistent acts not applicable. All Acts or parts of Acts inconsistent with this chapter shall not apply to the provisions hereof to the extent of said inconsistency. [C54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §514A.11] Referred to in §514D.3, 514D.7

Section 514A.12 – Title and effective date of chapter.

514A.12 Title and effective date of chapter. This chapter may be cited as the “Uniform Individual Accident and Sickness Act.” This chapter shall take effect on the fourth day of July, 1951. A policy, filed with and approved by the insurance commissioner prior to the effective date of this chapter for use, delivery, or issue […]

Section 514A.13 – Filing requirement — prior approval.

514A.13 Filing requirement — prior approval. 1. A policy of insurance against loss or expense from sickness or from the bodily injury or death by accident of the insured shall not be issued or delivered to any person in this state and an application, rider, or endorsement shall not be used in connection with the […]

Section 514A.14 – Disapproval of filing.

514A.14 Disapproval of filing. 1. The commissioner shall notify an insurer which has filed a policy form pursuant to section 514A.13 that does not comply with this chapter or chapter 514D, or rules adopted pursuant to those chapters. The notice shall inform the insurer that it is unlawful for the insurer to issue the form […]

Section 514A.15 – Withdrawal of approval.

514A.15 Withdrawal of approval. The commissioner may at any time, after opportunity for hearing, withdraw the commissioner’s previously given approval of any such form on any of the grounds stated in section 514A.14. It shall be unlawful for the insurer to issue a form or use the form in connection with any policy after the […]

Section 514A.2 – Form of policy.

514A.2 Form of policy. 1. No policy of accident and sickness insurance shall be delivered or issued for delivery to any person in this state unless: a. The entire money and other considerations therefor are expressed therein; and b. The time at which the insurance takes effect and terminates is expressed therein; and c. It […]

Section 514A.3 – Accident and sickness policy provisions.

514A.3 Accident and sickness policy provisions. 1. Required provisions. Except as provided in subsection 3 of this section, each such policy delivered or issued for delivery to any person in this state shall contain the provisions specified in this subsection in the words in which the same appear in this section; provided, however, that the […]

Section 514A.3A – Refund of unearned premium upon death of insured.

514A.3A Refund of unearned premium upon death of insured. In the event of the death of the insured of any policy covered by this chapter, the insurer, upon receipt of notice of the insured’s death supported by a certified copy of a valid death certificate and a request for a pro rata refund by a […]

Section 514A.3B – Additional requirements.

514A.3B Additional requirements. 1. An insurer which accepts an individual for coverage under an individual policy or contract of accident and health insurance shall waive any time period applicable to a preexisting condition exclusion or limitation period requirement of the policy or contract with respect to particular services in an individual health benefit plan for […]

Section 514A.4 – Conforming to statute.

514A.4 Conforming to statute. 1. Other policy provisions. A policy provision which is not subject to section 514A.3 shall not make a policy, or any portion of a policy, less favorable in any respect to the insured or the beneficiary than the provisions of the policy which are subject to this chapter. 2. Policy conflicting […]

Section 514A.5 – Application.

514A.5 Application. 1. The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is endorsed on the policy when issued as a part thereof or is furnished to the policyholder within thirty days after the policy is issued. If any such policy delivered […]

Section 514A.6 – Notice — waiver.

514A.6 Notice — waiver. The acknowledgment by any insurer of the receipt of notice given under any policy covered by this chapter, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim thereunder shall not operate as a waiver of any of the […]

Section 514A.7 – Age limit.

514A.7 Age limit. If any such 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 […]

Section 514A.8 – Nonapplication to certain policies.

514A.8 Nonapplication to certain policies. Nothing in this chapter shall apply to or affect any of the following: 1. Any policy of workers’ compensation insurance or any policy of liability insurance with or without supplementary expense coverage therein. 2. Any policy or contract of reinsurance. 3. Any blanket or group policy of insurance. 4. Life […]