Idaho Admin. Code r. 18.04.08.037

Current through September 2, 2024
Section 18.04.08.037 - ACCIDENT ONLY COVERAGE
01.Minimum Standards for Benefits. The following minimum standards apply to accident only coverage:
a. Accidental death and double dismemberment amounts under the policy or certificate are at least one thousand dollars ($1,000);
b. A single dismemberment amount is at least five hundred dollars ($500); and
c. Benefits for disability, hospital or medical care will be as defined in the policy or certificate.
02.Banned Policy Provisions. Accident only policies or certificates will not contain probationary or waiting periods.
03.Disclosure Provisions.
a. All accident-only policies and certificates will prominently state on the first page, in either contrasting color or in boldface type at least equal to the size of type used for headings or captions of sections: "Notice to Buyer: This is an accident-only (policy) (certificate) and it does not pay benefits for loss from sickness. Review your (policy) (certificate) carefully."
b. An accident-only policy or certificate providing benefits that vary according to the type of accidental cause will prominently state in the outline of coverage the circumstances under which benefits are payable that are less than the maximum amount payable under the policy or certificate.
c. Accident-only policies or certificates that provide coverage for hospital or medical care will state in addition to the Notice to Buyer: "This (policy) (certificate) provides limited benefits. Benefits provided are supplemental and are not intended to cover all medical expenses."

Idaho Admin. Code r. 18.04.08.037

Effective July 1, 2024