New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 4700 - TRAVEL INSURANCE
Part Ins 4702 - INDIVIDUAL ACCIDENT AND HEALTH TRAVEL INSURANCE
Section Ins 4702.07 - Prohibited Policy Provisions, Exclusions and Limitations
Universal Citation: NH Admin Rules Ins 4702.07
Current through Register No. 40, October 3, 2024
(a) An individual accident and health travel insurance policy shall not contain provisions that:
(1) Guarantee policy renewal;
(2) Provide coverage for a trip that exceeds
12 months except as provided in this part;
(3) Apply preexisting condition exclusions or
limitations;
(4) Charge deductibles
or co-pays;
(5) Provide that
coverage under the policy shall be excess coverage;
(6) Contain coordination of benefit
language;
(7) Require a waiting or
probationary period for coverage;
(8) Charge a penalty or administrative fee
for trip cancellation or early termination by the policyholder, its affiliates,
or the covered individual;
(9)
Exclude recreational activities associated with travel and vacationing, except
for high-risk sports or activities as set forth in
Ins
4702.07(b)(4);
(10) Use words such as "violent," "external,"
"visible wounds" or similar words of description or characterization to
describe accidental injury or accidental means and to limit coverage;
or
(11) Define sickness to be more
restrictive than the definition of sickness in this part; or
(12) Reduce coverage based on the age of the
insured.
(b) An individual accident and health insurance travel policy that includes health insurance shall not limit or exclude coverage except when arising out of or related to any of the following:
(1) Mental
illness;
(2) Operating a motor
vehicle while intoxicated;
(3)
Illness , treatment or medical condition arising out of:
a.War or act of war whether declared or
undeclared, participation in a felony, riot or insurrections, service in the
armed forces or units auxiliary to it;
b.Suicide, attempted suicide or intentionally
self-inflicted injury, whether the insured is sane or insane; or
c.Aviation, except as a fare-paying
passenger;
(4)
Participation in high-risk sports or activities, including technical rock
climbing, professional sports, aerial acrobatic sports, skydiving, caving,
scuba diving at depth greater than 100 feet, or other extreme sports or
activities;
(5) Financial loss for
planned medical, dental, or cosmetic care or treatment when the purpose of the
trip is to receive such medical, dental, or cosmetic care or
treatment;
(6) Travel to or through
a country that is, at the time of insurance purchase, under or subject to a
travel warning, advisory, or restriction issued by the United States Department
of State where the loss is directly or indirectly related to the conditions
that caused the travel warning, advisory, or restriction to be issued;
or
(7) A circumstance where the
issuance of coverage or provision of payment of benefits would violate any
applicable law, including without limitation any United States economic or
trade sanctions.
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