514D.3 - STANDARDS FOR POLICIES ESTABLISHED.

        514D.3  STANDARDS FOR POLICIES ESTABLISHED.         1.  The commissioner shall issue rules to establish specific      standards, including standards of full and fair disclosure, that set      forth the manner, content, and required disclosure for the sale of      policies of individual accident and sickness insurance and individual      subscriber contracts which shall be in addition to and in accordance      with applicable laws of this state, including but not limited to      sections 514A.1 to 514A.12.  These rules may include, but shall not      be limited to, any of the following subjects:         a.  Terms of renewability.         b.  Initial and subsequent conditions of eligibility.         c.  Nonduplication of coverage provisions.         d.  Coverage of dependents.         e.  Coverage of persons eligible for Medicare by reason of      age.         f.  Preexisting conditions.         g.  Termination of insurance.         h.  Probationary periods.         i.  Limitations.         j.  Exceptions.         k.  Reductions.         l.  Elimination periods.         m.  Requirements for replacement.         n.  Recurrent conditions.         o.  The definition of terms, including but not limited to the      following:  Hospital, accident, sickness, injury, physician,      accidental means, total disability, partial disability, nervous      disorder, guaranteed renewable, and noncancelable.         2.  The commissioner may issue rules with respect to policies of      individual accident and sickness insurance and individual subscriber      contracts that specify prohibited policies or subscriber contracts,      or prohibited policy or contract provisions which the commissioner      finds to be unjust, unfair, or unfairly discriminatory to the      policyholder or any person insured under the policy or any      beneficiary.  This subsection does not authorize the commissioner to      prohibit a policy or policy provision or subscriber contract or      contract provision which is specifically authorized by statute.         3.  A rule issued by the commissioner under this section shall not      apply to a conversion policy issued pursuant to a contractual      conversion privilege under a group or individual policy of accident      and sickness insurance when such group or individual contract      contains provisions that are inconsistent with the requirements of      this chapter or any rule issued under this chapter.         4.  A rule issued by the commissioner under this section shall not      apply to policies being issued to employees or members being added to      a franchise plan, as defined in section 509.14, which is in existence      on the effective date of the rule.  
         Section History: Early Form
         [C81, § 514D.3]