R590. Insurance, Administration.
R590-161. Disability Income Policy Disclosure.
R590-161-1. Authority.
This rule is issued pursuant to the authority vested in the
commissioner under Section 31A-2-201.
R590-161-2. Definition.
"Disability Income Policy" means a group or individual
insurance policy that provides for payments to the insured to replace income lost from
accident or sickness.
R590-161-3. Rule.
A. Unless the reduction is clearly explained in the outline of
coverage, the group certificate, and the policy, the amount of benefit payable by an
insurer under a disability income policy may not be reduced by:
(1) worker's compensation benefit paid to the insured; or
(2) social security benefit paid to the insured; or
(3) any other amount the insured has received, or is entitled to
receive by law or contract, including any other disability contract.
B. Any insurer that has disability income policies in effect that
have reduction of benefit provisions that were not clearly explained in the outline of
coverage, the group certificate, and the policy, will, within 30 days after the effective
date of this rule, send notices to these insureds that clearly explain these reductions.
R590-161-4. Severability.
If any provision of this rule or the application thereof to any
person or circumstance is for any reason held to be invalid, the remainder of the rule and
the application of the provision to other persons or circumstances shall not be affected
thereby.
KEY: insurance
1994
31A-2-201
Notice of Continuation December 1, 1998
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