Wyoming Administrative Code
Agency 044 - Insurance Dept
Sub-Agency 0002 - General Agency, Board or Commission Rules
Chapter 34 - CANCER INSURANCE REGULATION
Part 2 - Limitations and Restrictions on Coverage
Section 11 - Maximum or Lifetime Benefits
Current through September 21, 2024
(a) If any expense reimbursement or stated benefit cancer policy sets, prescribes or establishes a maximum lifetime liability per person for all benefits or a maximum lifetime liability for any individual benefit or benefits, the insurer shall not establish a maximum payment or indemnity for any benefit on a "per day," "per visit," "per confinement," "per trip," "per month," or "per loss" basis. Subject only to such maximum lifetime liability per person or the maximum lifetime liability for any individual benefit, the insurer's liability for any benefit under the policy shall then be limited only by the reasonable and customary charges of the area or community where covered services are provided.
(b) No such expense reimbursement cancer policy or stated benefit policy shall contain a maximum lifetime liability per person or a maximum lifetime liability for any policy benefit which is unreasonably related to the lifetime benefits otherwise obtainable.
(c) No stated benefit cancer policy shall provide for a monthly indemnity benefit without also conspicuously stating the daily indemnity benefit.
