§ 4091a. Definitions As used in this subchapter: (1) “Carrier” means an insurance company, a nonprofit medical or hospital service corporation, or a health maintenance organization which issues or provides a group health insurance policy or subscriber contract. (2) “Group health insurance policy or subscriber contract” means a policy or contract which meets the following […]
§ 4091b. Policies and contracts covered A group health insurance policy or subscriber contract shall not be issued or provided by a carrier unless the policy or contract complies with the provisions of this subchapter and the rules adopted pursuant to this subchapter. (Added 1989, No. 113, § 2.)
§ 4091c. Termination for nonpayment of premium or subscription charges (a) If a group health insurance policy or subscriber contract provides for automatic termination of the policy or contract after a premium or subscription charge has remained unpaid through the grace period allowed for such payment, the carrier shall be liable for valid claims for […]
§ 4091d. Notice of termination (a) A notice of termination of a carrier’s group health insurance policy or subscriber contract shall: (1) request the group policyholder or other entity involved to notify employees or members covered under the policy or subscriber contract of the date of termination of the policy or contract and to advise […]
§ 4091e. Extension of benefits (a) Every group health insurance policy or subscriber contract issued on or after July 1, 1989, or under which the level of benefits is altered, modified, or amended on or after July 1, 1989, shall provide a reasonable extension of benefits in the event of total disability of the employee […]
§ 4091f. Replacement coverage (a) General. When the group health insurance policy or subscriber contract of a carrier replaces a policy or contract providing similar benefits of another carrier, the liability of both carriers shall be as provided in this section and rules adopted pursuant to this section. (b) Liability of prior carrier. A prior […]
