§ 59A-23G-3 — Short-term plans; excepted benefits; standards for

policy provisions. A. The superintendent shall adopt and promulgate rules to establish specific standards: (1) that set the manner, content and required disclosure for the sale of short- term plans and excepted benefits plans, including standards for full and fair disclosure; and (2) for the sale of short-term plans and excepted benefits plans, which standards shall include standards relating to: (a) terms of renewability or extension of coverage; (b) initial and subsequent conditions of eligibility; (c) nonduplication of coverage provisions; (d) coverage of dependents; (e) preexisting conditions; (f) termination of insurance; (g) probationary periods; (h) limitations; (i) exceptions; (j) reductions and exclusions; (k) elimination periods; (l) requirements for replacement by the health insurance carrier; (m) recurrent conditions; (n) the definition of terms to describe the specific types of coverage sold pursuant to the Short-Term Health Plan and Excepted Benefit Act and specific standards and policy provisions required of these plans; (o) benefit duration; (p) scope of coverage; (q) advertising and marketing; (r) sales practices; (s) mandatory disclosures; (t) coverage suitability; and (u) policy and certificate approval. B. All advertisements, marketing materials and application and policy forms relating to short-term plans shall prominently display a notice that the coverage is unavailable to any potential insured who has been covered under a short-term plan in the previous twelve-month period.

Legislative History

Laws 2019, ch. 235, § 3.