§ 27-83-3. Disclosures. [Effective January 1, 2026.]
(a) A pet insurer transacting pet insurance shall disclose the following to consumers:
(1) If the policy excludes coverage due to any of the following:
(i) A preexisting condition;
(ii) A hereditary disorder;
(iii) A congenital anomaly or disorder; or
(iv) A chronic condition;
(2) If the policy includes any other exclusions, the following statement: "Other exclusions
may apply. Please refer to the exclusions section of the policy for more information.�;
(3) Any policy provision that limits coverage through a waiting or affiliation period,
a deductible, coinsurance, or an annual or lifetime policy limit;
(4) Whether the pet insurer reduces coverage or increases premiums based on the insured's
claim history, the age of the covered pet, or a change in the geographic location
of the insured; and
(5) If the underwriting company differs from the brand name used to market and sell the
product.
(b) Right to examine and return the policy.
(1) Unless the insured has filed a claim under the pet insurance policy, pet insurance
applicants shall have the right to examine and return the policy, certificate, or
rider to the company or an agent/insurance producer of the company within fifteen
(15) days of its receipt and to have the premium refunded if, after examination of
the policy, certificate, or rider, the applicant is not satisfied for any reason.
(2) Pet insurance policies, certificates, and riders shall have a notice prominently printed
on the first page or attached thereto including specific instructions to accomplish
a return. The following free look statement or language substantially similar shall
be included:
"You have fifteen (15) days from the day you receive this policy, certificate, or
rider to review it, and return it to the company if you decide not to keep it. You
do not have to tell the company why you are returning it. If you decide not to keep
it, simply return it to the company at its administrative office, or you may return
it to the agent/insurance producer that you bought it from as long as you have not
filed a claim. You must return it within fifteen (15) days of the day you first received
it. The company will refund the full amount of any premium paid within thirty (30)
days after it receives the returned policy, certificate, or rider. The premium refund
will be sent directly to the person who paid it. The policy, certificate, or rider
will be void as if it had never been issued.�
(c) A pet insurer shall clearly disclose a summary description of the basis or formula
on which the pet insurer determines claim payments under a pet insurance policy within
the policy, prior to policy issuance, and through a clear and conspicuous link on
the main page of the pet insurer's or pet insurer's program administrator's website.
(d) A pet insurer that uses a benefit schedule to determine claim payment under a pet
insurance policy shall do both of the following:
(1) Clearly disclose the applicable benefit schedule in the policy; and
(2) Disclose all benefit schedules used by the pet insurer under its pet insurance policies
through a clear and conspicuous link on the main page of the pet insurer's or pet
insurer's program administrator's website.
(e) A pet insurer that determines claim payments under a pet insurance policy based on
usual and customary fees, or any other reimbursement limitation based on prevailing
veterinary service provider charges, shall do both of the following:
(1) Include a usual and customary fee limitation provision in the policy that clearly
describes the pet insurer's basis for determining usual and customary fees and how
that basis is applied in calculating claim payments; and
(2) Disclose the pet insurer's basis for determining usual and customary fees through
a clear and conspicuous link on the main page of the pet insurer's or pet insurer's
program administrator's website.
(f) If any medical examination by a licensed veterinarian is required to effectuate coverage,
the pet insurer shall clearly and conspicuously disclose the required aspects of the
examination prior to purchase and disclose that examination documentation may result
in a preexisting condition exclusion.
(g) Waiting periods, and the requirements applicable to them, shall be clearly and prominently
disclosed to consumers prior to the policy purchase.
(h) The pet insurer shall include a summary of all policy provisions required in subsections
(a) through (g) of this section, inclusive, in a separate document titled "Insurer
Disclosure of Important Policy Provisions.�
(i) The pet insurer shall post the "Insurer Disclosure of Important Policy Provisions�
document required in subsection (h) of this section through a clear and conspicuous
link on the main page of the pet insurer's or pet insurer's program administrator's
website.
(j) In connection with the issuance of a new pet insurance policy, the pet insurer shall
provide the consumer with a copy of the "Insurer Disclosure of Important Policy Provisions�
document required pursuant to subsection (h) of this section in at least twelve-point
(12) type when the policy is delivered.
(k) At the time a pet insurance policy is issued or delivered to a policyholder, the pet
insurer shall include a written disclosure with the following information, printed
in twelve-point (12) boldface type:
(1) The address and customer service telephone number of the pet insurer or the agent
or broker of record.
(2) If the policy was issued or delivered by an agent or broker, a statement advising
the policyholder to contact the broker or agent for assistance.
(l) The disclosures required in this section shall be in addition to any other disclosures
required by law or regulation.