Idaho Administrative Code
Title IDAPA 18 - Insurance, Department of
Rule 18.04.08 - INDIVIDUAL AND GROUP SUPPLEMENTARY DISABILITY INSURANCE MINIMUM STANDARDS RULE
Section 18.04.08.037 - ACCIDENT ONLY COVERAGE
Universal Citation: ID Admin Code 18.04.08.037
Current through August 31, 2023
01. Minimum Standards for Benefits. The following minimum standards apply to accident only coverage: (3-31-22)
a.
Accidental death and double dismemberment amounts under the policy or
certificate are at least one thousand dollars ($1,000); (3-31-22)
b. A single dismemberment amount is at least
five hundred dollars ($500); and (3-31-22)
c. Benefits for disability, hospital or
medical care will be as defined in the policy or certificate.
(3-31-22)
02. Banned Policy Provisions. Accident only policies or certificates will not contain probationary or waiting periods. (3-31-22)
03. Disclosure Provisions. (3-31-22)
a. All accident-only policies and
certificates will contain a prominent statement on the first page of the policy
or certificate, in either contrasting color or in boldface type at least equal
to the size of type used for headings or captions of sections in the policy or
certificate, a prominent statement as follows: "Notice to Buyer: This is an
accident-only (policy) (certificate) and it does not pay benefits for loss from
sickness. Review your (policy) (certificate) carefully." (3-31-22)
b. An accident-only policy or certificate
providing benefits that vary according to the type of accidental cause will
prominently set forth in the outline of coverage the circumstances under which
benefits are payable that are less than the maximum amount payable under the
policy or certificate. (3-31-22)
c.
Accident-only policies or certificates that provide coverage for hospital or
medical care will contain the following statement in addition to the Notice to
Buyer: "This (policy) (certificate) provides limited benefits. Benefits
provided are supplemental and are not intended to cover all medical expenses."
(3-31-22)
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