Pennsylvania Code (Last Updated: April 5, 2016) |
Title 31. INSURANCE |
PART IV. Life Insurance |
Chapter 88. Individual Accident and Sickness Insurance Minimum Standards |
Section 88.1. Purpose |
Section 88.2. Applicability and scope |
Section 88.11. Terms of renewability |
Section 88.12. Noncancellable and guaranteed renewable policy |
Section 88.13. Guaranteed renewable policy |
Section 88.14. Renewable subject to consent of company and variants thereof |
Section 88.15. Qualified right of renewal |
Section 88.16. Single term nonrenewable policy |
Section 88.17. Renewable at the option of the insured |
Section 88.18. Conditional or limited continuance |
Section 88.31. Family members |
Section 88.32. Eligibility |
Section 88.33. Subsequent eligibility |
Section 88.34. Time limit on defenses |
Section 88.35. Accidental injuries |
Section 88.41. Family policy provisions |
Section 88.51. Applicability of conditions |
Section 88.52. Definitions |
Section 88.53. Simplified application form |
Section 88.61. Period of time |
Section 88.71. Clarity |
Section 88.81. Exception or exclusion |
Section 88.82. Reduction |
Section 88.83. Clear expression |
Section 88.84. Listing of exclusions |
Section 88.85. Unusual limitations, reductions, restrictions |
Section 88.86. Waivers |
Section 88.87. Military service exclusions |
Section 88.91. Definition |
Section 88.101. Application form |
Section 88.102. Delivery to applicant |
Section 88.103. Notice form |
Section 88.104. Notice form for direct response insurer |
Section 88.111. Confinements or disabilities |
Section 88.121. Applications |
Section 88.122. Assessable policy |
Section 88.123. Use of certain words and terms |
Section 88.124. Suspension and termination |
Section 88.125. Multiple benefits |
Section 88.126. Miscellaneous policy provisions |
Section 88.131. Hospital |
Section 88.132. Convalescent nursing home, extended care facility or skilled nursing facility |
Section 88.133. Accident, accidental injury |
Section 88.134. Sickness |
Section 88.135. Physician |
Section 88.136. Nurses |
Section 88.137. Total disability |
Section 88.138. Partial disability |
Section 88.139. Residual disability |
Section 88.140. Medicare |
Section 88.141. Mental or nervous disorders |
Section 88.142. Debit plan policies |
Section 88.143. One period of confinement |
Section 88.151. Compliance |
Section 88.161. Minimum standards |
Section 88.162. Basic hospital expense coverage |
Section 88.163. Basic medical-surgical expense coverage |
Section 88.164. Hospital confinement indemnity coverage |
Section 88.165. Major medical expense coverage |
Section 88.166. Coverage for each covered person |
Section 88.167. Disability income protection coverage |
Section 88.168. Accident only coverage |
Section 88.169. Specified disease and specified accident coverage |
Section 88.170. [Reserved] |
Section 88.171. Supplemental insurance coverage |
Section 88.181. Prohibition |
Section 88.182. Disclosure statement |
Section 88.183. Changes in terminology |
Section 88.184. Print |
Section 88.185. Text |
Section 88.186. Basic hospital expense coverage form |
Section 88.187. Basic medical-surgical expense coverage form |
Section 88.188. Basic hospital and medical-surgical expense form |
Section 88.189. Hospital confinement indemnity coverage form |
Section 88.190. Major medical expense coverage form |
Section 88.191. Disability income protection coverage form |
Section 88.192. Accident only coverage form |
Section 88.193. Specified disease or specified accident coverage form |
Section 88.194. [Reserved] |
Section 88.195. Supplemental insurance coverage form |
Notation
The provisions of this Chapter 88 issued under The Insurance Company Law of 1921 (40 P. S. § § 341961); The Insurance Department Act of 1921 (40 P. S. § § 1321); and sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. § § 66, 186, 411 and 412), unless otherwise noted.
The provisions of this Chapter 88 adopted June 23, 1978, effective June 24, 1978, 8 Pa.B. 1677, unless otherwise noted.
A determination of whether the provisions of 31 Pa. Code Chapter 88 are a product of an unconstitutional delegation of legislative power must first be sought through administrative procedures before a court may exercise its equity jurisdiction in the matter. American Family Life Assurance Company of Columbus v. Insurance Department, 414 A.2d 166 (Pa. Cmwlth. 1980).