044-34 Wyo. Code R. § 34-4

Current through April 27, 2019
Section 34-4 - Definitions

(a) For the purposes of these rules an "advertisement'' shall include (1) printed and published material, audio-visual material and descriptive literature of an insurer used in direct mail, newspapers, magazines, radio scripts, television scripts, billboards and similar displays; (2) descriptive literature and sales aids of all kinds issued by an insurer, agent or broker for presentation to members of the insurance buying public, including but not limited to circulars, leaflets, booklets, depictions, illustrations, and form letters; and (3) prepared sales talks, presentations and material for use by agents, brokers and solicitors.

(b) "Cancer policy" for the purposes of these rules shall include any policy or contract of disability insurance (as defined by W.S. 26-5-103 ) which provides benefits for loss caused by the disease of cancer only.

(c) "Stated benefit'' cancer policy for the purposes of these rules shall mean a policy which pays a stated benefit amount to the insured without regard to the actual amount of loss or expenses incurred by the insured, such amount being determined in accordance with the coverages afforded in the policy and by reference to periodic benefit tables contained therein.

(d) "Expense reimbursement'' cancer policy for the purposes of these rules shall mean a policy which wholly or partially reimburses the insured for specified costs associated with the diagnosis and treatment of cancer and the medical care of cancer patients in accordance with the policy provisions.

(e) "Department of Insurance" for the purposes of these rules shall mean the Wyoming Insurance Department.

(f) "Insurer" for the purpose of these rules shall include an individual, corporation, association, partnership, reciprocal exchange, interinsurer, Lloyds, fraternal benefit society, health maintenance organization, and any other legal entity which is defined as an insurer in the Wyoming Insurance Code and is engaged in the advertisement and marketing of a cancer policy as hereinabove defined.

(g) "Exception" for the purpose of these rules shall mean any provision in a policy whereby coverage for a specified hazard is entirely eliminated; it is a statement of a risk not assumed under the policy.

(h) "Reduction" for the purpose of these rules shall mean any provision which reduces the amount of the benefit; a risk of loss is assumed but payment upon the occurrence of such loss is limited to some amount or period less than would be otherwise payable had such reduction not been used.

(i) "Limitation" for the purpose of these rules shall mean any provision which restricts coverage under the policy other than an exception or a reduction.

044-34 Wyo. Code R. § 34-4