This text of Iowa § 514D.3 (Standards for policies established) is published on Counsel Stack Legal Research, covering Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
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 through 514A.8 and sections 514A.10 through
514A.12. These rules may include but shall not be limited to any of the following subjects:
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.
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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 through 514A.8 and sections 514A.10 through
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.
§514D.3, ACCIDENT AND SICKNESS INSURANCE POLICIES 2
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
issuedtoemployeesormembersbeingaddedtoafranchiseplan, asdefinedinsection509.14,
which is in existence on the effective date of the rule.