§ 44-710.01 — Sickness and accident insurance; standard policy provisions; requirements; enumeration

Nebraska § 44-710.01

• Jurisdiction: Nebraska
• Ch. 44: Insurance

Text

No policy of sickness and accident insurance shall be delivered
or issued for delivery to any person in this state unless (1) the entire money
and other considerations therefor are expressed therein, (2) the time at which
the insurance takes effect and terminates is expressed therein, (3) it purports
to insure only one person, except that a policy may insure, originally or
by subsequent amendment, upon the application of an adult member of a family
who shall be deemed the policyholder, any two or more eligible members of
that family, including husband, wife, dependent children, any children enrolled
on a full-time basis in any college, university, or trade school, or any children
under a specified age which shall not exceed thirty years and any other person
dependent upon the policyholder; any individual policy hereinafter delivered
or issued for delivery in this state which provides that coverage of a dependent
child shall terminate upon the attainment of the limiting age for dependent
children specified in the policy shall also provide in substance that attainment
of such limiting age shall not operate to terminate the coverage of such child
during the continuance of such policy and while the child is and continues
to be both (a) incapable of self-sustaining employment by reason of an intellectual disability or a physical disability and
(b) chiefly dependent upon the policyholder for support and maintenance, if
proof of such incapacity and dependency is furnished to the insurer by the
policyholder within thirty-one days of the child's attainment of the limiting
age and subsequently as may be required by the insurer but not more frequently
than annually after the two-year period following the child's attainment of
the limiting age; such insurer may charge an additional premium for and with
respect to any such continuation of coverage beyond the limiting age of the
policy with respect to such child, which premium shall be determined by the
insurer on the basis of the class of risks applicable to such child, (4) it
contains a title on the face of the policy correctly describing the policy,
(5) the exceptions and reductions of indemnity are set forth in the policy
and, except those which are set forth in sections 44-710.03 and 44-710.04 ,
are printed, at the insurer's option, either included with the benefit provision
to which they apply or under an appropriate caption such as EXCEPTIONS, or
EXCEPTIONS AND REDUCTIONS; if an exception or reduction specifically applies
only to a particular benefit of the policy, a statement of such exception
or reduction shall be included with the benefit provision to which it applies,
(6) each such form, including riders and endorsements, shall be identified
by a form number in the lower left-hand corner of the first page thereof,
(7) it contains no provision purporting to make any portion of the charter,
rules, constitution, or bylaws of the insurer a part of the policy unless
such portion is set forth in full in the policy, except in the case of the
incorporation of, or reference to, a statement of rates or classification
of risks, or short-rate table filed with the Director of Insurance, and (8)
on or after January 1, 1999, any restrictive rider contains a notice of the
existence of the Comprehensive Health Insurance Pool if the policy provides
health insurance as defined in section 44-4209 .

Legislative History

Source: Laws 1957, c. 188, § 2, p. 643; Laws 1969, c. 374, § 1, p. 1333; Laws 1989, LB 92, § 131; Laws 1998, LB 1063, § 1; Laws 2009, LB551, § 1; Laws 2013, LB23, § 11.