044-34 Wyo. Code R. § 11 - Maximum or Lifetime Benefits
(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.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.