Delaware § 3509 Requirements for other groups; out-of-state groups

Delaware Statutes

§ 3509 — Requirements for other groups; out-of-state groups

Delaware·Title 18·Part Insurance·Ch. 35 GROUP AND BLANKET HEALTH INSURANCE·Subch. Group Health Insurance

(a)Group health insurance offered to a resident of this State under a group health insurance policy issued to a group other than those described in §§ 3502-3508 of this title shall be subject, where applicable, to the requirements of subsections (b)-

(e)of this section.

(b)No such group health insurance policy shall be delivered or coverage offered in this State unless the Commissioner finds that:

(1)The issuance of such group policy is not contrary to the best interest of the public;

(2)The issuance of the group policy would result in economies of acquisition or administration;

(3)The benefits are reasonable in relation to the premiums charged; and

(4)The group is not affiliated with or controlled by (as those terms are defined in Chapter 50 of this title) an insurer unless app

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(a) Group health insurance offered to a resident of this State under a group health insurance policy issued to a group other than those described in §§ 3502-3508 of this title shall be subject, where applicable, to the requirements of subsections (b)-(e) of this section.

(b) No such group health insurance policy shall be delivered or coverage offered in this State unless the Commissioner finds that:

(1) The issuance of such group policy is not contrary to the best interest of the public;

(2) The issuance of the group policy would result in economies of acquisition or administration;

(3) The benefits are reasonable in relation to the premiums charged; and

(4) The group is not affiliated with or controlled by (as those terms are defined in Chapter 50 of this title) an insurer unless approved by the Commissioner.

(c) No such group health insurance coverage may be offered in this State by an insurer under a policy issued in another state unless this State or another state having requirements substantially similar to those contained in paragraphs (b)(1)-(4) of this section has made a determination that such requirements have been met.

(d) The premium for the policy shall be paid either from the policyholders’ funds or from funds contributed by the covered persons or from both.

(e) An insurer may exclude or limit the coverage on any person as to whom evidence of individual insurability is not satisfactory to the insurer.

Delaware § 3509 (Requirements for other groups; out-of-state groups) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.