Uniform Policy Provisions | Midpage

Collections
Kansas Statutes

Article 22

Uniform Policy Provisions

40-2201Accident and sickness policy; definition 40-2202Same; form of policy; policies issued to nonresidents 40-2203Uniform policy provisions; rules and regulations for filing or submission of policies 40-2204Conforming to statute; construction of policies in conflict 40-2205Statements made in application for policy; effect 40-2206Notice acknowledged by insurer not waiver of rights 40-2207Age; limit; misstatement by insured 40-2208Nonapplication to certain policies 40-2209Group sickness and accident insurance; eligibility for coverage; open enrollment; late enrollment; special enrollment; preexisting conditions; exclusions; renewal or continuation of benefits, exceptions; factors for eligibility; participation requirements designed for groups through negotiations; provisions required in policies; disability income policies with benefits integrated with social security; continued coverage and converted policies, conditions required; excluding or restricting coverage because medicaid benefits available, prohibited; penalties 40-2209aApplicability of 1978 amendments to K.S.A. 40-1805, 40-1905 and 40-2209 40-2209bSmall employer healthcare plans; citation; purpose of act 40-2209cSame; application of act; construction of K.S.A. 40-2209 40-2209dSame; definitions 40-2209eSame; plans subject to act; certain laws inapplicable to plans; individual policies not subject to act 40-2209fSame; preexisting conditions exclusion, waiver; late enrollee exclusion; underwriting and rating; waiting periods; uniform employer coverage eligibility requirements; minimum participation and contribution requirements 40-2209gSame; establishment of business classes by carrier; limitation 40-2209hSame; rating; transfer of small employer from one business class to another, limitations; suspension of business class and rate limitations 40-2209iSame; carrier sales solicitations, disclosures required 40-2209jSame; actuarial certification of underwriting and rating compliance 40-2209mSame; marketing of coverage; prohibited activities; agents and brokers; written denial of coverage; third-party administrators; treatment of affiliated carriers 40-2209nSame; rules and regulations 40-2209oSame; violations, penalties 40-2209pSame; required coverage for all applying small employers; medical service enrollment, limitations; denial of coverage, when; definitions 40-2210Blanket sickness and accident insurance; payments, when blanket disability income policy is integrated with social security benefits 40-2211Workmen's compensation; insolvency of insured 40-2212Same; notice of injury or death; jurisdiction; lien of employee; payment to employee, agent or dependents 40-2213Prior policy, rider or endorsement 40-2215Forms and premium rates, filing, duties of commissioner; procedure; rules and regulations, violations, penalties 40-2216Purpose of act 40-2217Definitions 40-2218Establishment of benefit standards for accident and sickness policies or subscriber contracts; delivery or issuance of policy or contract not meeting standards prohibited, exceptions; identification of policies and contracts 40-2219Outline of coverage to accompany policy at issuance or to be delivered at time of application; format and contents of outline 40-2220Coverage of loss from pre-existing conditions required, when 40-2221Medicare supplement policies; rules and regulations to establish standards; denial of coverage prohibited, when 40-2221aSame; notice required prior to termination; reinstatement 40-2221bSame; when provisions of K.S.A. 40-2221a not applicable 40-2222Health coverage; jurisdiction of commissioner; exceptions 40-2222aSame; associations not subject to jurisdiction of commissioner to provide applicants with written notice of nature of coverage 40-2222bHealthcare coverage; premium tax, rate, computation, return and payment; exemptions 40-2223Same; examination; subject to insurance laws 40-2224Same; disclosure to purchaser required 40-2225Long-term care insurance; name and citation of act 40-2226Same; application and construction of act 40-2227Same; definitions 40-2228Same; rules and regulations; prohibitions; preexisting condition provisions; delivery of outline of coverage upon application required 40-2228aLong-term care policies and certificates; reinstatement of lapsed policies or certificates due to cognitive impairment or loss of functional capacity 40-2228bSame; notice of lapse or termination; designation of person in addition to applicant to receive notice, waiver; change of designation 40-2228cSame; payment of premiums through payroll or pension deduction plan; requirements under K.S.A. 40-2228b; application or enrollment form 40-2228dSame; lapse or termination of policy or certificate; requirements; notice 40-2228eSame; reinstatement, conditions 40-2228fLong-term care insurance prompt payment act; effective date 40-2228gSame; definitions 40-2228hSame; claims; procedures; rules and regulations 40-2229Mammogram and pap smear coverage; policies to which mandated coverage applicable 40-2230Same; when reimbursement or indemnification required; deductibles, coinsurance and other limitations permissible 40-2231Continuing care providers; definitions 40-2232Continuing care provider; annual disclosure statement; contents; requirement to furnish 40-2233Continuing care provider; annual disclosure statement, contract and annual audit; filing with secretary 40-2234Continuing care provider; providing contract form to secretary; contents and attachments 40-2235Continuing care provider; certificate of registration, application, fee, renewal; nonrenewal appeal right 40-2237Same; change of ownership or management of provider or home 40-2238Continuing care providers; rules and regulations 40-2239Small employer health benefit plans; definitions 40-2240Same; establishment; assistance by commissioner 40-2241Same; contracts with carriers; coverage options; application of K.S.A. 40-2209 and 40-2215 40-2242Same; qualification for employer participation 40-2243Same; employee and employer contributions; employee's enrollment in multiple options; enrollment not required, when; payroll deductions 40-2246Same; employer income tax credit for corporations, computation of amount, reduction of deductions, election to claim, refunds; no inclusion of employer expenses in employee income; application date 40-2247Same; exemption from insurance premium tax 40-2248Mandated health benefits; impact report to be submitted prior to legislative consideration 40-2249Same; contents 40-2249aSame; state employee group pilot project for new mandated health benefits 40-2250Insurance coverage to include reimbursement for services performed by advanced practice registered nurses 40-2251Statistical plan for recording and reporting premiums and loss and expense experience by accident and health insurers; compilation and dissemination; department of health and environment to serve as statistical agent; assessments; penalties for failure to report 40-2252Same; rules and regulations 40-2253Universal accident and sickness insurance claim forms, design and use; acceptance of claims by insurer 40-2254Group accident and sickness insurance; extension of payment of benefits 40-2255Accident and sickness insurance; closing block of business, when 40-2256Health benefit plan 40-2257Individual policies; renewal or continuation of coverage; exceptions; discontinuance of policy; definitions 40-2258Group policies; mental illness, alcoholism, drug abuse or substance use disorder; limitations; exceptions; definitions 40-2259Genetic screening or testing; prohibiting the use of; exceptions; restrictions 40-2260Group health benefit plan option to establish premium only cafeteria plan 40-2261Employer providing certain health insurance coverage may offer cafeteria plan; employer not restricted in providing such benefits or coverage; definitions