California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1.5 - Standards for Determining Conformity of Individual Disability Policies with the Provisions of Paragraph (7) of Subdivision (b) of Section 10291.5 of the Insurance Code
Subarticle 1 - Definitions
Section 2220.1 - Policy
Universal Citation: 10 CA Code of Regs 2220.1
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) "Disability policy" or "policy" or "policy form" includes all of the following except when issued to:
(1) supplement Medicare (Health Insurance for the
Aged Act, Social Security Amendments of 1965, as amended) other than to the extent
specified in this Article; or
(2) to
supplement other governmental programs; or
(3) when issued as credit disability insurance
written in accordance with the provisions of Article 5.9, Division 1, Part 2 of the
Insurance Code; or
(4) when issued as
mortgage disability insurance; or
(5)
when issued as a conversion policy when group coverage (either insured or
noninsured) is terminated, or when issued in accordance with a conversion privilege
specified in any in-force individual policy:
(1) A
policy of disability insurance insuring only one person;
(2) A policy of family disability insurance as
defines in either Insurance Code Section
10270.7 or
10320(c);
(3) A policy of disability insurance issued on a
selected group basis pursuant to Insurance Code Section
10270.97;
and
(4) Any rider or other document or
endorsement attached or to be attached, as a part thereof, to any policy described
in (1), (2) or (3) above.
(b) A rider issued to be attached to an in-force policy is not subject to the provisions of Sections 2220.8 to 2220.30, inclusive, if the rider modifies a benefit of the same type contained in the policy by increasing its amount, extending the duration of payment, reducing the waiting period, reducing the elimination period, reducing a deductible or reducing a coinsurance percentage factor.
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