An outline of coverage, in the format prescribed below, shall
be issued in connection with policies meeting the standards of this part. The
items included in the outline of coverage shall appear in the following
sequence:
(a) A brief specific
description of the benefits shall be provided in the following order:
(1) Daily benefit payable during hospital
confinement;
(2) Duration of
benefit described in (1); and
(3)
Any benefits provided in addition to the daily hospital benefit;
(b) A description of any policy
provisions that exclude, eliminate, restrict, reduce, limit, delay, or in any
other manner operate to qualify payment of the benefit described in paragraph
(a) above shall be included;
(c) A
description of policy provisions with respect to renewability or continuation
of coverage, including age restrictions or any reservation of right to change
premiums shall be included; and
(d)
The notice required by paragraphs (a) - (c) above shall be in substantially the
same form as follows:
[COMPANY NAME]
[HOSPITAL CONFINEMENT FIXED INDEMNITY COVERAGE]
[OTHER FIXED INDEMNITY COVERAGE]
THIS [POLICY] [CERTIFICATE] PROVIDES LIMITED BENEFITS
BENEFITS PROVIDED ARE NOT INTENDED TO COVER ALL MEDICAL
EXPENSES
OUTLINE OF COVERAGE
Read Your [Policy] [Certificate] Carefully-this outline of
coverage provides a very brief description of the important features of
coverage. This is not the insurance contract and only the actual policy
provisions will control. The policy itself sets forth in detail the rights and
obligations of both you and your insurance company. It is, therefore, important
that you READ YOUR [POLICY] [CERTIFICATE] CAREFULLY!
[Hospital confinement fixed indemnity coverage is designed to
provide, to persons insured, coverage in the form of a fixed daily benefit
during periods of hospitalization resulting from a covered accident or
sickness, subject to any limitations set forth in the policy or certificate.
Coverage is provided as described below:]
[Other fixed indemnity coverage is designed to provide, to
persons insured, coverage in the form of a fixed dollar benefit for the covered
event resulting from a covered accident or sickness, subject to any limitations
set forth in the policy or certificate. Coverage is provided as described
below:]
Notes
N.H. Admin. Code
§
Ins 6202.06
Derived From
Volume
XXXVIII Number 50, Filed December 13, 2018, Proposed by #12659,
Effective 11/5/2018,
Expires 11/5/2028.
