(a) When the blanket or group accident and health travel insurance policy provides any of the following benefits, it shall meet the applicable minimum benefit standards per covered person:
- (1) Accidental death benefits with a minimum death loss benefit of $10,000;
(2) Dismemberment benefits with a minimum benefit amount of $2,500 per limb and $1,000
per digit;
- (3) Medical expense benefits with a minimum benefit of $10,000 per occurrence; and
- (4) Disability benefits with a minimum of 4 weeks of periodic income benefits for total disability.
- (b) Policies shall provide for a pro rata refund of unearned premium upon cancellation of the policy.
- (c) Policies shall provide primary coverage for all benefits payable under the policy.
(d) Policies providing disability benefits shall:
- (1) Include a definition for total disability that complies with Ins 6205.02;
- (2) If offered, comply with definitions of partial or other levels of disability benefits in Ins 6205.02;
- (3) Clearly identify the various income sources or components that are considered earnings;
- (4) Clearly explain the calculation of pre-disability earnings and benefit amounts;
- (5) Include a detailed explanation of how claims are administered; and
- (6) Limit any reduction in benefits, if any, to those permitted in Ins 6205.05(c).
Source. #10681, eff 11-3-14; ss by #13989, eff 5-29-24