(a) Application.
(1)
- (A) This part shall apply to every disability (health) insurer, hospital or medical service corporation, health maintenance organization (HMO), and fraternal benefit society licensed by the Insurance Commissioner.
- (B) This part applies to group and individual policies or contracts issued on an expense-incurred, service, or prepaid risk-sharing basis by authorized licensees of the commissioner.
- (C) This part shall be applicable to any health insurance policy that is delivered, issued, issued for delivery, renewed, extended, or modified in this state on and after the effective date of this part as adopted by the commissioner.
- (2) This part shall be applicable to a disability policy or a health insurance policy providing coverage or benefits to an Arkansas resident as expressly defined in accordance with Acts 1997, No. 1249, in Arkansas Code § 23-79-601(3), whether the healthcare insurer or other entity that provides the coverage is located within or outside the State of Arkansas or not, and the policy shall be deemed to be delivered in this state within the meaning of Acts 1997, No. 1249.
(b) Exclusions.
- (1) This part shall not apply to disability income, specified disease, Medicare supplement, hospital indemnity, limited benefit, or accident-only policies.
- (2) This part shall not apply to Champus supplement, long-term care plans, short-term renewable nonrenewable individual health insurance (disability) policies that expire after six (6) months, medical payments under homeowner or automobile insurance policies, or to workers' compensation or employers' liability insurance policies or contracts.