Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 400 - Life, Annuities and Health
Chapter 2 - Accident and Health Insurance in General
Section 20 CSR 400-2.020 - Hospital Indemnity Contracts Not Affected by Government Hospital
Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This rule prohibits insurers from refusing to pay benefits under certain contracts because of hospitalization in government hospitals and was promulgated pursuant to the provisions of section 374.045, RSMo and implements sections 376.405 and 376.777, RSMo.
(1) The term hospital indemnity policy includes all insurance contracts, riders or forms supplementary to them, where the contingency insured against is loss of time due to or resulting from hospitalization, with cash benefits derived being payable daily, weekly or monthly or in any other manner.
(2) No policy, rider endorsement or other form supplemental to them will be approved for sale in this state, if the policy or form excludes any indemnity payments for time spent in a veterans' or any other government-sponsored or supported hospital. Nor shall indemnity benefits be reduced or altered because of confinement in a government-sponsored or supported institution which otherwise meets the definition of hospital in the contract. Existing contracts excluding indemnity payments shall be disapproved for sale in Missouri until the exclusion is deleted. Disapprovals of policies under this rule shall be effected as provided in section 376.405 or 376.777(7), RSMo (1986).
*Original authority: 374.045, RSMo 1967; 376.405, RSMo 1959; and 376.777, RSMo 1959, amended 1984.
