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 8 - Insurance Issued to Persons Eligible for Benefits Under Medicare
Section 2220.29 - Hospital Indemnity Policies
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
A daily hospital benefit, provided on other than an expense incurred basis and issued to a person eligible for benefits under Medicare, shall be deemed not sufficient to be of real economic value to the person insured if:
(a) It provides a daily hospital benefit of less than $15, payable for less than 60 days, or if it is a hospital benefit for mental disorders, and the period of time the benefit is payable than 30 days; or
(b) The elimination period, if any, exceeds one day for sickness benefits and one day for accident benefits; or
(c) The benefits is subject to any waiting period other than a waiting period for condition specified in Section 2220.10(b); or
(d) It excludes coverages or provides reduced benefits for exceptions, limitations or reductions other than those specified in Section 2220.8; or
(e) It contains a pre-existing condition provision other than as specified in Section 2220.52(a).
A hospital indemnity policy conforming to this Section may not be labeled or described as a Medicare Supplement Policy.
1. Amendment
filed 4-5-78; effective thirtieth day thereafter (Register 78, No.
14).
2. Amendment of subsection (e) filed 3-31-83; effective thirtieth
day thereafter (Register 83, No. 14).
3. Change without regulatory effect
adopting subarticle 8 heading and removing subject heading filed 7-14-2021 pursuant
to section 100, title 1, California Code of
Regulations (Register 2021, No. 29). Filing deadline specified in Government Code
section
11349.3(a)
extended 60 calendar days pursuant to Executive Order
N-40-20.0.52
Note: Authority cited: Section 10291.5(c), Insurance Code. Reference: Section 10291.5(b) (7), Insurance Code.
