N.H. Admin. Code § Ins 6202.04 - Prohibited Policy Provisions
(a) Coordination
of benefits shall not be permitted.
(b) Managed care and network requirements
shall not be permitted. The policy shall not include a provision requiring
pre-certification.
(c) Expense
based benefits and riders shall not be permitted.
(d) Group coverage shall not include benefits
on a per service basis, except for coverage that is provided to associations,
but not related to employment, and sold to individuals.
(e) Policies or certificates providing
hospital confinement indemnity or other fixed indemnity coverage shall not
contain provisions excluding coverage because of confinement in a hospital
operated by the federal government.
(f) Benefits for "skilled nursing facility",
as defined in
Ins
6001.04(b), services shall not be
contingent upon a hospital stay.
(g) A benefits waiting period shall not be
permitted.
(h) Any eligibility
waiting period shall not exceed 12 months.
(i) Coverage shall not be stated on an "up
to" basis.
Notes
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