Pennsylvania Code (Last Updated: April 5, 2016) |
Title 31. INSURANCE |
PART IV. Life Insurance |
Chapter 89. Approval of Life, Accident and Health Insurance |
SubChapter G. PREEXISTING CONDITION EXCLUSION IN GROUP CONTRACTS |
Section 89.403. Disclosure
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(a) A disclosure statement substantially similar to the following shall be given in writing to a group member at the time of the enrollment under the group contract.
NOTICE If you or any dependents have received medical care or advice within the past 90 days for a disease or physical condition, you, he or she will not be covered for such disease or physical condition until you, he or she has been covered for one year under this contract. This exclusion, however, only applies to a disease or physical condition for which medical care or advice has been received in the past 90 days.
(b) The statement set forth in subsection (a) shall be printed in bold face type.
The provisions of this § 89.403 amended through June 27, 1980, effective June 28, 1980, 10 Pa.B. 2591. Immediately preceding text appears at serial page (42687).
Notation
The provisions of this § 89.403 issued under The Insurance Company Law of 1921 (40 P. S. § § 1321); The Insurance Company Law of 1921 (40 P. S. § § 341991); sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. § § 66, 186, 411 and 412); and 40 Pa.C.S. § § 6124 and 6329.