Alien Insurers. Annual Statement

Size: px
Start display at page:

Download "Alien Insurers. Annual Statement"

Transcription

1 This publication is offered in three units based on the needs of the subscriber. For additional information, the index and table of contents include all three volumes. If a subscriber has interest in a chart not included in the current subscription, it may be purchased individually from the publications department at These charts do not constitute a formal legal opinion by the NAIC staff on the provisions of state law and should not be relied upon as such. Every effort has been made to provide correct and accurate summaries to assist the reader in targeting useful information. For further details, the statutes and regulations cited should be consulted. The NAIC attempts to provide current information; however, readers should consult state law for additional adoptions. Abuse State Laws on Domestic Violence... III-MC-40 Accounting Practices & Procedures Manual Required... I-CF-40 Accelerated Death Benefits in Life Insurance... II-LI-60 Acupuncturist Mandated Providers... II-HB-30 Administrators Licensing Requirements... I-PL-20 Adjusters Adjuster Licensing Requirements... I-PL-40 Licensing Fees... I-PA-10 Licensing Laws... I-PL-40 Public Adjusters... I-PL-40 Records Maintenance... III-MC-90 Aftermarket Automobile Parts... II-PA-40 Agents See Producers Alcohol Abuse Mandated Benefits... II-HB-27 Alien Insurers Capital and Surplus for Surplus Lines Insurers... I-CF-30 Deposit Requirements for Alien Insurers... I-CF-30 International Insurers Department Listing... I-CA-70 Surplus Lines List of Approved Insurers... I-CA-70 Trust Funds for Alien Insurers... I-CF-30 Alliances for Health Coverage... II-HG-30 Allocation of Surplus Lines Taxes... III-TX-53 Alzheimer s Disease Mandated Benefits... II-HB-25 Annual Statement Annual Statement Electronic Filing Requirements... I-CA-10 Annual Statement Filing Fees... I-CA-10 Blue Cross/Blue Shield Companies Filing Dates... III-TX-30 Filing Dates... I-CA-10 Guaranty Fund Assessments Shown as Assets... I-CF National Association of Insurance Commissioners INDEX-1

2 Annual Statement (cont.) Penalties for Late or Failure to File Statement... I-CA-10 Reporting Form... I-CA-10 Annuities Charitable Gift... II-LU-30 Disclosure Provisions... II-LI-35 Premium Tax... III-TX-20 Structured Settlement Annuities.... II-LU-50 Suitability of Sales... II-LI-55 Appeal of Health Care Decisions... II-HA-60 Appointments of Producers... I-PA-40 Assessments Guaranty Fund Assessments Shown as Assets... I-CF-55 Insurance Department Operating Expenses... III-RA-90 Attention Deficit/Hyperactivity Disorder Mandated Benefits... II-HB-25 Audiologist Mandated Providers... II-HB 30 Autism Mandated Benefits... II-HB-26 Automobile see Motor Vehicle Babies see Infants Bail Bonds Bail Bondsmen Fingerprint Requirements... I-PA-30 Bond Requirements... I-PL-50 Best Practices Organizations... III-RA-30 Birth Control Mandated Benefits... II-HB-15 Blue Cross and Blue Shield Plans Annual Statement Filing Dates... III-TX-30 Premium Tax... III-TX-30 Bonds High-Yield, High-Risk... I-CF-50 Bonds Third Party Administrator... I-PL-20 Book Entry System for Securities... I-CF-80 Brokers see Producers Cancer Cancer Related Testing and Therapy... II-HB-17 Chemotherapy... II-HB National Association of Insurance Commissioners INDEX-2

3 Cancer (cont.) Off-Label Drug Use Mandated Benefits... II-HB-10 Screening Tests: Mammography, Pap Smears, etc.... II-HB-15 Prostate, Colorectal... II-HB-17 Capital and Surplus Captive Insurers... I-CA-80 Insurers... I-CF-10 Risk-Based Capital Requirements... I-CF-20 Surplus Lines Insurers... I-CF-30 Caps on Awards for Medical Malpractice... II-PC-80 Captives... I-CA-80 Car see Motor Vehicle Casualty Insurance see Property and Casualty Insurance Cell Phone and Messaging Laws... II-PA-20 Charities Charitable Gift Annuities... II-LU-30 Insurable Interest in Life Policies... II-LI-45 Chemical Dependency Mandated Providers... II-HB-35 Chemotherapy Mandated Benefits... II-HB-17 Chiropractor Mandated Providers... II-HB-20 Claim Forms Fraud Warning... III-MC-10 Claims Settlement Provisions... III-MC-50 Clearing Corporations... I-CF-80 COLI see Corporate Owned Life Insurance Commercial Lines Re-engineering... II-PC-20 Community Investment Tax Credits... III-TX-65 Commissions and Fees to Producers... I-PA-70 Common Stock Limitations on Investment... I-CF-50 Company Capital and Surplus Minimum Requirements... I-CF-10 Capital and Surplus Surplus Lines Insurers... I-CF-30 Captives... I-CA-80 Compensation Disclosure Requirements for Producers... I-PA-15 Custodial Arrangements for Securities... I-CF National Association of Insurance Commissioners INDEX-3

4 Company (cont.) Demutualization... I-CS-20 Deposit Requirements... I-CF-15 Financial Examinations... I-CF-40 Legal Services Plans... I-CA-30 Quarterly Financial Reporting... I-CA-10 Risk Based Capital and Surplus Requirements... I-CF-20 Seasoning Requirements... I-CA-20 State Insurance Statutes on Government Ownership of Insurers... I-CS-50 Compulsory Motor Vehicle Insurance... II-PA-30 Confidentiality of Insurer Self-Audit... III-MC-60 Confidentiality of Regulatory Information... III-RA-40 Conflict of Interest... III-RA-10 Consultants Licensing... I-PL-30 Continuation of Health Insurance... II-HG-20 Continuing Education Adjusters... I-PL-40 Producer s Educational Requirements... I-PA-20 Coordination of Benefits Coordination with Individual Policies... II-HA-40 Medical Portion of Auto and Group Health... II-HA-40 Corporate Owned Life Insurance (COLI) Insurable Interest of Employers... II-LI-50 Counselor Mandated Providers... II-HB-35 Craniofacial Abnormalities Mandated Benefits... II-HB-10 Credit Insurance Agents Licensing... I-PL-60 Credit Reports Use in Insurance Underwriting... III-MC-20 Credit Scoring... III-MC-20 Credits Against Premium Tax Guaranty Association Assessment... III-TX-60 Community Investments... III-TX-65 Criminal Penalties for Unauthorized Insurance... I-CA National Association of Insurance Commissioners INDEX-4

5 Custodians for Insurer Securities... I-CF-80 Death Benefit Proceeds Interest Payable... II-LI-10 In Life Insurance... II-LI-60 Definition of Insurance... III-RE-10 Demutualization... I-CS-20 Dental Mandated Benefits... II-HB-18 Dentist Mandated Providers... II-HB-30 Deposits Required of Insurers to Do Business... I-CF-15 Surplus Lines Insurers... I-CF-30 Digital Signatures... III-RA-20 Direct Procurement Premium Tax Rate... III-TX-55 Discount Plans for Health Care... II-HA-80 Discounts on Motor Vehicle Premiums... II-PA-35 Discrimination Abuse Victims Insurance... III-MC-40 Discrimination (cont.) Credit Reports... III-MC-20 Genetic Testing... II-HB-50 Redlining... III-MC-45 Diskette Filing of Annual Statements... I-CA-10 Documents Public Access... III-RA-40 Domestic Abuse Victims Insurance... III-MC-40 Drug Abuse Mandated Benefits... II-HB-27 ERISA METS and MEWAS Legislation... II-HA-95 Education Producer Requirements... I-PA-20 Elderly Long-Term Care Insurance Act Provisions... II-HS-10 Long-Term Care Insurance Regulation Provisions... II-HS-15 Electronic Filing of Annual Statements... I-CA-10 Electronic Signatures... III-RA-20 Employee Benefits Small Group Health Insurance Availability... II-HG National Association of Insurance Commissioners INDEX-5

6 Enrollment Periods for HMOs... II-HM-20 Ethical Standards for Insurance Departments... III-RA-10 Examinations Adjusters... I-PL-40 Payment of Exam Expense by Company... I-CF-40 Frequency of Company Financial Exams... I-CF-40 Reports Confidentiality... I-CF-40 Extended Warranties... II-PA-60 External Grievance Procedures... II-HA-60 Factoring of Structured Settlement Agreements.... II-LU-50 Fees Adjusters... I-PL-40 Annual Statement Filing Fees... I-CA-10 Life Policies Filing Fees... II-LI-20 Producer Compensation: Fees and Commissions... I-PA-70 Producer Licensing Fees... I-PA-10 Third Party Administrators... I-PL-20 Fiduciary Duty of Agents Who Receive Premiums... I-PA-60 Filing Requirements Annual Statement Electronic Filing... I-CA-10 Health Insurance Rate Filing Requirements in the States... II-HA-10 Life Policy Forms... II-LI-20 Property/Casualty, Workers Compensation and Title Insurance Rate Filing Requirements... II-PA-10 Quarterly Financial Reporting... I-CA-10 Financial Information, Privacy... III-MC-30 Financial Reporting, Quarterly... I-CA-10 Fingerprinting Requirements for Licensing... I-PA-30 Footwear Mandated Benefits... II-HB-10 Form Filing for Life Insurance... II-LI-20 Fraud and Incontestability of Life Insurance... II-LI-40 Fraud Money Laundering... III-MC-95 Fraud Prevention Laws... III-MC-10 Freedom of Choice Laws see Mandated Providers 2013 National Association of Insurance Commissioners INDEX-6

7 Funding for Department Operating Expenses... III-RA-90 Genetic Testing... II-HB-50 Gramm-Leach-Bliley Act Implementation Privacy of Consumer Information... III-MC-30 Group Health Insurance Continuation Provisions... II-HG-20 Genetic Testing... II-HB-50 Small Group Health Insurance Availability... II-HG-10 Guaranty Funds Assessments Shown as Assets... I-CF-55 Coverage for HMOs... III-IN-10 Credits Against Premium Tax For Association Assessments... III-TX-60 Health Maintenance Organization Coverage By Guaranty Funds... III-IN-50 Life and Health Policy Limits... III-IN-10 Life and Health Premium Offsets... III-IN-10 Guaranty Funds (cont.) Premium Tax Credits for Guaranty Association Assessments... III-TX-60 Property and Casualty Liability Limits... III-IN-30 Property and Casualty Policy Limits... III-IN-30 Property and Casualty Triggering Provisions... III-IN-35 HMO see Health Maintenance Organizations Health Care Discount Plans... II-HA-80 Health Department Regulation of HMOs... II-HM-10 Health Information Privacy... III-MC-30 Health Insurance Appeal of Health Care Decisions... II-HA-60 Best Practices Organizations... III-RA-30 Continuation Provisions... II-HG-20 Coordination of Benefits... II-HA-40 External Grievance Procedures... II-HA-60 Genetic Testing... II-HB-50 Life and Health Triggering Provisions... III-IN National Association of Insurance Commissioners INDEX-7

8 Health Insurance (cont.) Group Health Coordination with Auto s Medical... II-HA-40 Independent Review of Health Care Decisions... II-HA-60 Mandated Benefits Autism Spectrum Disorders... II-HB-26 Cancer Related Testing and Therapy... II-HB-17 Dental... II-HB-18 Mental Health... II-HB-25 Other... II-HB-10 Preventative Care... II-HB-15 Substance Abuse and Addiction... II-HB-27 Women s Health, Pregnancy, Fertility and Preventive Care... II-HB-15 Women s Health... II-HB-16 Mandated Providers - Other... II-HB-30 Mandated Providers - Mental Health... II-HB-35 Open Enrollment Periods for HMOs... II-HM-20 Pooling... II-HA-20 Purchasing Alliances... II-HG-30 Rate Filing Requirements... II-HA-10 Readability Requirements... III-MC-25 Health Insurance (cont.) Recognition of Best Practices Organizations... III-RA-30 Small Group Insurance Availability... II-HG-10 Stop Loss Coverage... II-HA-90 Utilization Review Standards... II-HA-50 Health Maintenance Organizations Deposit Requirements... II-HM-30 Guaranty Fund Coverage... III-IN-50 Net Worth Requirements... II-HM-30 Open Enrollment Periods for HMOs... II-HM-20 Premium Taxation... III-TX-35 Regulatory Agency... II-HM-10 Hearing Impaired Mandated Benefits... II-HB-10 Hemophilia Mandated Benefits... II-HB-10 Holding Company Act... I-CS-40 Home Warranty Contracts Laws... II-PA-60 IID see International Insurers Department 2013 National Association of Insurance Commissioners INDEX-8

9 Illustrations for Life Insurance... II-LI-30 In Vitro Fertilization Mandated Benefits... II-HB-15 Incontestability Provisions in Life Insurance... II-LI-40 Independent Review of Health Care Decisions... II-HA-60 Infants Birth-Related Neurological Injuries Medical Malpractice State Fund... III-RA-70 Genetic Testing... II-HB-50 Health Exams Mandated Benefits... II-HB-15 PKU Mandated Benefits... II-HB-15 Infertility Mandated Benefits... II-HB-15 Insolvency Life and Health Guaranty Fund Provisions... III-IN-10 Life and Health Guaranty Fund Triggering Provisions... III-IN-15 Property and Casualty Guaranty Fund Provisions... III-IN-30 Property and Casualty Guaranty Fund Triggering Provisions... III-IN-35 Insolvency (cont.) Investor Owned Life Insurance... II-LI-45 Insurance Definitions... III-RE-10 Insurance Department Regulation of HMOs... II-HM-10 Insurance Departments Assessments for Department Operating Expenses... III-RA-90 Ethics Standards... III-RA-10 Organization of State Insurance Departments... III-RE-20 Insurance Regulators... III-RE-20 Interest Payable on Death Benefits... II-LI-10 International Insurers Department Listing... I-CA-70 Internet Transactions Electronic Signatures... III-RA-20 Investments Common Stock Investment Limits... I-CF-50 Credits for Investing in Communities... III-TX-65 Junk Bonds Limits on Investment... I-CF-50 Limitations on Insurers Investment in Real Estate and Mortgages... I-CF National Association of Insurance Commissioners INDEX-9

10 Investments (cont.) Preferred Stock Investment Limits... I-CF-50 Premium Tax Credits for Investing in Communities... III-TX-65 Investor Owned Life Insurance... II-LI-45 IRIS see Insurance Regulatory Information System Joint Underwriting Associations... III-RA-70 Junk Bonds... I-CF-50 Jurisdiction Over METS and MEWAS... II-HA-95 Legal Services Plans... I-CA-30 Licensing Adjusters... I-PL-40 Credit Insurance Agents... I-PL-60 Fingerprint Requirements... I-PA-30 Insurance Consultants... I-PL-30 Producers Licensing Fees... I-PA-10 Third Party Administrators... I-PL-20 Life and Health Insurance Guaranty Fund Limits... III-IN-10 Triggering Provisions... III-IN-15 Life Insurance Accelerated Death Benefits... II-LI-60 Adoption of NAIC s Life Insurance Disclosure Regulations... II-LI-30 Charitable Ownership of Policies... II-LI-45 Corporate Owned Life Insurance... II-LI-50 Form Filing Requirements... II-LI-20 Fraud and Incontestability in Life Insurance... II-LI-40 Genetic Testing... II-HB-50 Illustration Requirements... II-LI-30 Insurable Interest... II-LI-45 Interest Payable on Death Benefits... II-LI-10 Lawful Travel Laws... II-LU-60 Readability Requirements... III-MC-25 Suitability of Sales... II-LI National Association of Insurance Commissioners INDEX-10

11 Life Insurance (cont.) Terrorism and War Exclusions... II-PC-50 Viatical Settlements... II-LU-40 Life Settlements (Viaticals)... II-LU-40 Limitations on Insurers Investments... I-CF-50 Limited Licenses for Producers... I-PL-10 Long-Term Care Insurance State Adoptions of Long-Term Care Insurance Act Provisions... II-HS-10 State Adoptions of Long-Term Care Insurance Regulation Provisions... II-HS-15 Lyme Disease Mandated Benefits... II-HB-10 METS and MEWAS... II-HA-95 Mammography Mandated Benefits... II-HB-15 Mandated Providers - Other... II-HB-30 Mental Health... II-HB-35 Marriage and Family Therapist Mandated Providers... II-HB-35 Maternity Mandated Benefits... II-HB-15 Medical Malpractice Caps on Awards for Medical Malpractice... II-PC-80 Rate Filing Requirements... II-PA-10 State Insurance Funds... III-RA-70 Mental Health Mandated Providers... II-HB-35 Mental Illness Mandated Benefits... II-HB-25 Metabolic Disease Mandated Benefits... II-HB-10 Midwife Mandated Providers... II-HB-30 Mine Subsidence State Funds... III-RA-70 Money Laundering Statutes... III-MC-95 Mortgages Limits on Investments... I-CF-50 Motor Vehicle Insurance Cell Phone and Messaging Laws... II-PA-20 Compulsory Motor Vehicle Insurance... II-PA-30 Coordination: Medical Portion of Auto and Group Health... II-HA-40 Motor Clubs... II-PA National Association of Insurance Commissioners INDEX-11

12 Motor Vehicle Insurance (cont.) Premium Discounts... II-PA-35 Rate Filing Requirements... II-PA-10 Service Contracts... II-PA-60 Motor Vehicle Repairs Aftermarket Parts... II-PA-40 Multiple Employer Trusts... II-HA-95 Multiple Employer Welfare Arrangements (MEWAS)... II-HA-95 Mutual Company Conversion to Stock Company... I-CS-20 NCQA Recognition by States... III-RA-30 Non-OEM Auto Parts... II-PA-40 Nurse Mandated Providers... II-HB-20 Obesity Mandated Benefits... II-HB-10 Off-Label Drug Use Mandated Benefits... II-HB-10 Open Enrollment Periods for HMOs... II-HM-20 Optometrist Mandated Providers... II-HB-30 Osteopath Mandated Providers... II-HB-30 Osteoporosis Mandated Benefits... II-HB-10 PKU Mandated Benefits... II-HB-15 Pap Smears Mandated Benefits... II-HB-15 Physical Therapist Mandated Providers... II-HB-30 Physician s Assistant Mandated Providers... II-HB-30 Podiatrist Mandated Providers... II-HB-30 Pooling for Health Insurance... II-HA-30 Port Wine Stains Mandated Benefits... II-HB-10 Preferred Stock Investment Limitations... I-CF-50 Pregnancy see Maternity Prelicensing Education for Producers... I-PA-20 Premium Taxation Agency that Collects Taxes... III-TX-90 Annuities... III-TX-20 Blue Cross/Blue Shield... III-TX-30 Captives... I-CA-80 Credit for Investment in Communities... III-TX National Association of Insurance Commissioners INDEX-12

13 Premium Taxation (cont.) Credits for Guaranty Association Assessments... III-TX-60 Direct Procurement Rates... III-TX-55 Health Maintenance Organizations... III-TX-35 Rates... III-TX-10 Risk Retention and Risk Purchasing Groups... III-TX-40 Surplus Lines... III-TX-50 Premium Discounts on Motor Vehicle Insurance... II-PA-35 Privacy of Insurance Information... III-MC-30 Private Cause of Action... III-MC-55 Privileged Status of Insurer Self-Audits... III-MC-60 Producers Appointment of Producers... I-PA-40 Producers Ability to Charge Fees and Collect Commissions... I-PA-70 Compensation Disclosure Requirements... I-PA-15 Consultant Licensing... I-PL-30 Producers (cont.) Continuing Education... I-PA-20 Credit Insurance Producer Licensing... I-PL-60 Educational Requirements... I-PA-20 Examinations... I-PA-20 Fees and Commission Compensation... I-PA-70 Fiduciary Duty Premiums... I-PA-60 Fingerprint Requirements... I-PA-30 Licensing Fees... I-PA-10 Limited Licenses... I-PL-10 Producers Education and Examination Requirements... I-PA-20 Reciprocity in Education Requirements... I-PA-20 Records Maintenance... III-MC-90 Suitability Determinations... II-LI-55 Termination of Producer Appointments... I-PA-45 Third Party Administrators... I-PL-20 Professional Liability State Funds... III-RA National Association of Insurance Commissioners INDEX-13

14 Property and Casualty Insurance Commercial Lines Re-engineering... II-PC-20 Credit Report Use... III-MC-20 Discrimination in P/C Insurance... III-MC-45 Guaranty Fund Coverage... III-IN-30 Guaranty Funds Triggering Provisions... III-IN-35 Rate Filing Methods... II-PA-10 Readability Requirements... III-MC-25 Redlining... III-MC-45 Terrorism and War Risk Exclusions... II-PC-50 Prosthesis Mandated Benefits... II-HB-10 Psychologist Mandated Providers... II-HB-35 Public Adjusters... I-PL-40 Public Documents Access to Public Records... III-RA-40 Purchasing Alliances for Health Insurance... II-HG-30 Quarterly Financial Reporting... I-CA-10 Rates Premium Tax Rates... III-TX-10 Rate Filing Requirements for Health Insurance... II-HA-10 Rate Filing Requirements for Property/Casualty, Workers Compensation and Title Insurance... II-PA-10 Redlining... III-MC-45 Small Group Health Insurance Rates... II-HG-10 Readability Requirements... III-MC-25 Real Estate Limitations on Investment... I-CF-50 Reciprocal States for Producer Education and Examination Requirements... I-PA-20 Recognition of Best Practices Organizations... III-RA-30 Reconstructive Surgery Mandated Benefits... II-HB-16 Record Retention... III-MC-90 Records Public Access... III-RA-40 Redlining... III-MC-45 Re-engineering of Commercial Lines Property/ Casualty Insurance... II-PC-20 Regulatory Agency for HMOs... II-HM National Association of Insurance Commissioners INDEX-14

15 Reserve Requirements for Title Insurance... I-CF-90 Residential Service Contracts Laws... II-PA-60 Retaliatory Taxes see Premium Taxation Risk Based Capital Requirements... I-CF-20 Risk Pooling for Health Insurance... II-HA-20 Risk Retention Groups Premium Taxes... III-TX-40 Seasoning Requirements... I-CA-20 Securities Custodians... I-CF-80 Self-Audit Privilege of Insurers... III-MC-60 Service Contracts Auto... II-PA-60 Home... II-PA-60 Legal... I-CA-30 Sexually Transmitted Disease Mandated Benefits... II-HB-10 Sickle-Cell Anemia Mandated Benefits... II-HB-10 Signatures Provided Digitally or Electronically... III-RA-20 Small Group Health Insurance Availability... II-HG-10 Social Worker Mandated Providers... II-HB-35 Speech Pathologist Mandated Providers... II-HB-30 State Insurance Funds... III-RA-70 State Insurance Regulatory Agencies... III-RE-20 Stocks Investment Limits for Common and Preferred Stocks... I-CF-50 Stop Loss Coverage... II-HA-90 Structured Settlement Agreements... II-LU-50 Substance Abuse Mandated Benefits... II-HB-27 Suitability of Sales of Life Insurance and Annuities... II-LI-55 Surplus and Capital Requirements... I-CF-10 Surplus Lines Insurance Capital and Surplus Requirements... I-CF-30 Listing of Approved Insurers... I-CA-70 Premium Tax... III-TX-50 Taxation see Premium Taxation Telemedicine Mandated Benefits... II-HB National Association of Insurance Commissioners INDEX-15

16 Terminations of Producer Appointments... I-PA-45 Terrorism and War Risk Exclusions... II-PC-50 Third Party Administrator Licensure and Bond Requirements... I-PL-20 Title Insurance Rate Filing Requirements... II-PA-10 Reserve Requirements... I-CF-90 TMJ Mandated Benefits... II-HB-10 Tort Reform: Medical Malpractice Caps... II-PC-80 Transplants Mandated Benefits... II-HB-10 Travel... II-LU-60 Unauthorized Insurance Capital and Surplus Requirements Surplus Lines... I-CF-30 Statutes Making Unauthorized Insurance A Criminal Act... I-CA-90 Trust Funds for Alien Insurers... I-CF-30 Unfair Trade Practices Claims Settlement Provisions... III-MC-50 Credit Report Use... III-MC-20 Private Cause of Action... III-MC-55 URAC Recognition by State... III-RA-30 Ulcerative Colitis Mandated Benefits... II-HB-10 Utilization Review State Laws... II-HA-50 Varicose Veins Mandated Benefits... II-HB-16 Viatical Settlements... II-LU-40 War Risk Exclusions... II-PC-50 Warranty Contracts Auto... II-PA-60 Home... II-PA-60 Wigs Mandated Benefits... II-HB-17 Workers Compensation Rate Filing Requirements... II-PA-10 State Insurance Funds... III-RA National Association of Insurance Commissioners INDEX-16

NAIC s Compendium of State Laws on Insurance Topics

NAIC s Compendium of State Laws on Insurance Topics This publication is offered in three units based on the needs of the subscriber. For additional information, the index and table of contents include all three volumes. If a subscriber has interest in a

More information

TABLE OF CONTENTS VOLUME I COMPANY/PRODUCERS. Annual and Quarterly Financial Reporting Requirements...I-CA-10

TABLE OF CONTENTS VOLUME I COMPANY/PRODUCERS. Annual and Quarterly Financial Reporting Requirements...I-CA-10 TABLE OF CONTENTS This publication is offered in three units based on the needs of the subscriber. For additional information, the index and table of contents include all three volumes. If a subscriber

More information

Kansas Legislator Briefing Book 2017

Kansas Legislator Briefing Book 2017 K a n s a s L e g i s l a t i v e R e s e a r c h D e p a r t m e n t Kansas Legislator Briefing Book 2017 E-1 Kansas Health Insurance Mandates E-2 Payday Loan Regulation Financial Institutions and Insurance

More information

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. House Bill 2341

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. House Bill 2341 79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled House Bill 2341 Introduced and printed pursuant to House Rule 12.00. Presession filed (at the request of Kate Brown for Department of Consumer

More information

Report of Past and Potential Future Use of Small Employer Alternative Health Plan Statutes. March 1, 2017

Report of Past and Potential Future Use of Small Employer Alternative Health Plan Statutes. March 1, 2017 Report of Past and Potential Future Use of Small Employer Alternative Health Plan Statutes March 1, 2017 Introduction Minnesota Laws 2017 chapter 2 directed the Minnesota Department of Commerce to submit

More information

$0 Family coverage not provided. Family coverage not provided

$0 Family coverage not provided. Family coverage not provided Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield RightPlan PPO 40 (With Prescription Drug Coverage) PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan 2. OUT-OF-NETWORK

More information

Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield RightPlan PPO 40 (With Generic Prescription Drug Coverage)

Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield RightPlan PPO 40 (With Generic Prescription Drug Coverage) Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield RightPlan PPO 40 (With Generic Prescription Drug Coverage) PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan 2. OUT-OF-NETWORK

More information

Pennsylvania Life and Health Insurance Cross Reference Study Guide

Pennsylvania Life and Health Insurance Cross Reference Study Guide Pennsylvania Life and Health Insurance Cross Reference Study Guide This cross reference provides you with the exam outline for your state insurance exam and a reference code where the specific topics can

More information

Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier Tonik for Individuals $3,000 Name of Plan

Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier Tonik for Individuals $3,000 Name of Plan Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier Tonik for Individuals $3,000 Name of Plan PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan 2. CARE

More information

WA Bronze PPO Saver /50 (1/14)

WA Bronze PPO Saver /50 (1/14) PLAN FEATURES Deductible (per calendar year) Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services, including member cost sharing

More information

UnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage

UnitedHealthcare Choice Plus. UnitedHealthcare Insurance Company. Certificate of Coverage UnitedHealthcare Choice Plus UnitedHealthcare Insurance Company Certificate of Coverage For the Health Savings Account (HSA) Plan 7PA of Educators Benefit Services, Inc. Enrolling Group Number: 717578

More information

This is not an ERISA plan. Please contact your Employer for additional information. Aetna Select Medical Plan PLAN FEATURES NETWORK OUT-OF-NETWORK

This is not an ERISA plan. Please contact your Employer for additional information. Aetna Select Medical Plan PLAN FEATURES NETWORK OUT-OF-NETWORK Schedule of Benefits Employer: Alief Independent School District ASA: 100085 Issue Date: September 20, 2016 Effective Date: September 1, 2016 Schedule: 4A Booklet Base: 4 For: Aexcel Plus Aetna Select

More information

PARTICIPATING PROVIDERS / REFERRED Deductible (per calendar year)

PARTICIPATING PROVIDERS / REFERRED Deductible (per calendar year) Your HMO Plan Primary Care Physician - You choose a Primary Care Physician. The Aetna HMO Deductible provider network gives you access to a wide selection of Primary Care Physicians ( PCP's) and Specialists

More information

PLAN DESIGN & BENEFITS HDHP Standard ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS HDHP Standard ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per year) $1,750 Individual $3,500 Individual $3,500 Family $7,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

Covered 100%; deductible waived 30%; after deductible

Covered 100%; deductible waived 30%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $500 Individual $1,000 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

For: Traditional Choice - Over Age 65 Corning Retirees - Comprehensive Medical Only - MAP Plus Option 1

For: Traditional Choice - Over Age 65 Corning Retirees - Comprehensive Medical Only - MAP Plus Option 1 Schedule of Benefits Employer: ASA: Control: The Dow Chemical Company 783135 865282 Issue Date: March 15, 2017 Effective Date: March 1, 2017 Schedule: 120B Booklet Base: 120 For: Traditional Choice - Over

More information

Outline of Coverage. Medicare Supplement Insurance BENEFIT PLANS. AAA Medicare Supplement Plans. Insured by Aetna Health and Life Insurance Company

Outline of Coverage. Medicare Supplement Insurance BENEFIT PLANS. AAA Medicare Supplement Plans. Insured by Aetna Health and Life Insurance Company American Automobile Association (AAA) Medicare Supplement Insurance Office 800 Crescent Centre Dr. Suite 200 Franklin, TN 37067 855 663.2201 aetnaseniorproducts.com Outline of Coverage Medicare Supplement

More information

PLAN DESIGN AND BENEFITS - Tx OAMC % 08 PREFERRED CARE

PLAN DESIGN AND BENEFITS - Tx OAMC % 08 PREFERRED CARE Aetna Life Insurance Company Texas Small Group MC Open Access Plan Effective Date: 11/01/2008 PLAN FEATURES Deductible (per calendar year) $1,000 Individual $3,000 Individual $3,000 3 Individuals per $9,000

More information

PLAN DESIGN. Customer Name: Caltech. Proposed Effective Date: Plan: Low Option OAMC. Organization Name: Aetna

PLAN DESIGN. Customer Name: Caltech. Proposed Effective Date: Plan: Low Option OAMC. Organization Name: Aetna PLAN DESIGN Customer Name: Caltech Proposed Effective Date: 01-01-2019 Plan: Low Option OAMC Organization Name: Aetna PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $3,950 Individual

More information

California Small Group MC Aetna Life Insurance Company NETWORK CARE

California Small Group MC Aetna Life Insurance Company NETWORK CARE PLAN FEATURES Deductible (per calendar year) Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate toward the preferred and non-preferred

More information

OUT-OF-NETWORK MEMBER PAYS IN-NETWORK MEMBER PAYS. Contract Year Plan Deductibles. services and prescription drugs) Out-of-Pocket Maximum

OUT-OF-NETWORK MEMBER PAYS IN-NETWORK MEMBER PAYS. Contract Year Plan Deductibles. services and prescription drugs) Out-of-Pocket Maximum FlexPOS-CNT-HSA-6000I/12000F-01 Open Access Contract Year Benefit Summary (E) Point-Of-Service Open Access High Deductible Health Plan (HDHP) for use with a Health Savings Account (HSA) This is a brief

More information

MEMBER COST SHARE. 20% after deductible

MEMBER COST SHARE. 20% after deductible PLAN FEATURES Network Not Applicable Primary Care Physician Selection Not Applicable Deductible (per calendar year) $500 Individual (2-member maximum) Unless otherwise indicated, the Deductible must be

More information

HumanaOne. Short Term Medical 80/60. About your plan. Nebraska. HumanaOne Short Term Medical plans: Right plan, right time

HumanaOne. Short Term Medical 80/60. About your plan. Nebraska. HumanaOne Short Term Medical plans: Right plan, right time HumanaOne Short Term Medical 80/60 Nebraska About your plan HumanaOne Short Term Medical plans: Right plan, right time HumanaOne s Short Term Medical plans can help protect you and your family if you find

More information

Covered 100%; deductible waived 50%; after deductible

Covered 100%; deductible waived 50%; after deductible HEALTH SAVINGS ACCOUNT Employer HSA Contribution BARNES GROUP INC. HSA Value Plan Employee Only $250 Individual Not Applicable Family The amount reflected is on a per calendar year basis. The amount received

More information

IN-NETWORK MEMBER PAYS OUT-OF-NETWORK MEMBER PAYS. Calendar Year Plan Deductible. services and prescription drugs) Out-of-Pocket Maximum

IN-NETWORK MEMBER PAYS OUT-OF-NETWORK MEMBER PAYS. Calendar Year Plan Deductible. services and prescription drugs) Out-of-Pocket Maximum POS HDHP $3,000/$6,000 Deductible-F Point-of-Service Open Access High Deductible Health Plan for use with a Health Savings Account (HSA) Benefit Summary This is a brief summary of benefits. Refer to your

More information

Schedule of Benefits (GR-29N OK)

Schedule of Benefits (GR-29N OK) Schedule of Benefits (GR-29N 01-01 01 OK) Employer: Group Policy Number: HS-Real Estate, Inc. dba Hal Smith Restaurant Group GP-493042 Issue Date: April 28, 2017 Effective Date: March 1, 2017 Schedule:

More information

PARTICIPATING PROVIDERS / REFERRED Deductible (per calendar year)

PARTICIPATING PROVIDERS / REFERRED Deductible (per calendar year) Your HMO Plan Primary Care Physician - You choose a Primary Care Physician. The Aetna HMO Deductible provider network gives you access to a wide selection of Primary Care Physicians ( PCP's) and Specialists

More information

Qualified High Deductible Health Plan PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

Qualified High Deductible Health Plan PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $6,600 Individual $20,000 Individual $13,200 Family $40,000 Family All covered expenses accumulate simultaneously toward both the

More information

Short-Term BlueSM PLAN HIGHLIGHTS & OUTLINE OF COVERAGE. Finding Coverage is Easy with SimplyBlue SM Plans from Wellmark M /11

Short-Term BlueSM PLAN HIGHLIGHTS & OUTLINE OF COVERAGE. Finding Coverage is Easy with SimplyBlue SM Plans from Wellmark M /11 Short-Term BlueSM PLAN HIGHLIGHTS & OUTLINE OF COVERAGE Finding Coverage is Easy with SimplyBlue SM Plans from Wellmark M-51945 08/11 This outline of coverage provides a brief description of the important

More information

ACCIDENT WELLNESS BENEFIT CLAIM FORM

ACCIDENT WELLNESS BENEFIT CLAIM FORM CONTINENTAL AMERICAN INSURANCE COMPANY Post Office Box 84075 * Columbus, GA. 31993 Phone (800) 433-3036 * Fax (866) 849-2970 ACCIDENT WELLNESS BENEFIT CLAIM FORM Failure to complete all sections may result

More information

OPERATING ENGINEERS LOCAL324 Community Blue PPO Effective Date: 01/01/2016

OPERATING ENGINEERS LOCAL324 Community Blue PPO Effective Date: 01/01/2016 OPERATING ENGINEERS LOCAL324 Community Blue PPO 007005154 Effective Date: 01/01/2016 This is intended as an easy-to-read summary and provides only a general overview of your benefits. It is not a contract.

More information

Summary of Coverage. $6,350 / $12,700 (Includes Deductibles, Copays and Coinsurance Amounts) Preventive Care Covered at 100%

Summary of Coverage. $6,350 / $12,700 (Includes Deductibles, Copays and Coinsurance Amounts) Preventive Care Covered at 100% Benefits for 2017-2018 Medical Summary of Coverage Plan Features Blue Care Network HMO HRA IN NETWORK Purchased Deductible * Employee Deductible * $4,000 individual / $8,000 family * $500 individual /

More information

Covered 100%; deductible waived 30%; after deductible

Covered 100%; deductible waived 30%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $2,000 Individual $20,000 Individual $4,000 Family $40,000 Family All covered expenses accumulate simultaneously toward both the preferred

More information

ACCIDENT WELLNESS BENEFIT CLAIM FORM

ACCIDENT WELLNESS BENEFIT CLAIM FORM ACCIDENT WELLNESS BENEFIT CLAIM FORM Failure to complete all sections may result in a delay in processing this claim. Please review your policy for specific benefits covered under your plan Benefits are

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $750 Individual $20,000 Individual $2,000 Family $40,000 Family All covered expenses accumulate simultaneously toward

More information

Ch. 146b PRIVACY OF CONSUMER b.1. CHAPTER 146b. PRIVACY OF CONSUMER HEALTH INFORMATION

Ch. 146b PRIVACY OF CONSUMER b.1. CHAPTER 146b. PRIVACY OF CONSUMER HEALTH INFORMATION Ch. 146b PRIVACY OF CONSUMER 31 146b.1 CHAPTER 146b. PRIVACY OF CONSUMER HEALTH INFORMATION Subch. Sec. A. GENERAL PROVISIONS... 146b.1 B. RULES FOR DISCLOSURE OF NONPUBLIC PERSONAL HEALTH INFORMATION...

More information

PLAN DESIGN AND BENEFITS - Tx OAMC 3000 HSA 100% 08 PREFERRED CARE

PLAN DESIGN AND BENEFITS - Tx OAMC 3000 HSA 100% 08 PREFERRED CARE Aetna Life Insurance Company Texas Small Group MC Open Access Plan Effective Date: 09/01/2008 PLAN FEATURES NON- Deductible (per calendar year) $3,000 Individual $6,000 Individual $6,000 Family $12,000

More information

UnitedHealthcare Navigate. UnitedHealthcare Insurance Company. Certificate of Coverage

UnitedHealthcare Navigate. UnitedHealthcare Insurance Company. Certificate of Coverage UnitedHealthcare Navigate UnitedHealthcare Insurance Company Certificate of Coverage For Aurora Public Schools Enrolling Group Number: 716622 Effective Date: July 1, 2012 Offered and Underwritten by UnitedHealthcare

More information

Covered 100%; deductible waived 30%; after deductible

Covered 100%; deductible waived 30%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $500 Individual $1,000 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

YOURCARE OPTION. Covered in full. No co-payment.

YOURCARE OPTION. Covered in full. No co-payment. YOURCARE OPTION Benefits Description ABA Treatment for Autism Spectrum Disorder Abortion Covered in Full. No co-payment. Accidental Dental Full coverage for accidental dental services provided in an inpatient

More information

Blue Cross Select Silver 94 Blue Cross Preferred Silver 94

Blue Cross Select Silver 94 Blue Cross Preferred Silver 94 Blue Cross Select Silver 94 Blue Cross Preferred Silver 94 An individual HMO health plan from Blue Care Network of Michigan. Blue Cross Select You may choose from a select network of quality primary care

More information

Plan changes are in red In-Network 2015 Out-of-Network

Plan changes are in red In-Network 2015 Out-of-Network General Information Lifetime Maximum Benefit Unlimited Unlimited Annual Maximum Benefit Unlimited Unlimited Coinsurance Percentage 80.00% 50.00% Precertification Requirements Precertification Penalty Covered

More information

Florida - EPO Aetna Select - ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES

Florida - EPO Aetna Select - ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES PLAN FEATURES Deductible (per calendar year) $100 Individual $200 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Pharmacy expenses do not apply towards the

More information

UnitedHealthcare Choice Plus. United HealthCare Insurance Company. Certificate of Coverage

UnitedHealthcare Choice Plus. United HealthCare Insurance Company. Certificate of Coverage UnitedHealthcare Choice Plus United HealthCare Insurance Company Certificate of Coverage For the Definity Health Savings Account (HSA) Plan 7PC of East Central College Enrolling Group Number: 711369 Effective

More information

PLAN DESIGN AND BENEFITS MC Open Access Plan 1913

PLAN DESIGN AND BENEFITS MC Open Access Plan 1913 PLAN FEATURES PREFERRED CARE NON-PREFERRED CARE Deductible (per calendar year) $1,500 Individual $4,500 Family $4,000 Individual $12,000 Family Unless otherwise indicated, the Deductible must be met prior

More information

Florida Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012

Florida Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012 Florida 2-100 Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012 PLAN FEATURES PREFERRED PROVIDERS NON-PREFERRED PROVIDERS Deductible (per calendar year) PLAN DESIGN

More information

Your Exam Content Outline

Your Exam Content Outline Your Exam Content Outline The following outline describes the content of one of the Wisconsin insurance examinations. The outlines are the basis of the examinations. The examination will contain questions

More information

PLAN DESIGN AND BENEFITS - NJ HMO HSA COMPATIBLE NO-REFERRAL 3.1 CALYR (OVR50%/UND50%)

PLAN DESIGN AND BENEFITS - NJ HMO HSA COMPATIBLE NO-REFERRAL 3.1 CALYR (OVR50%/UND50%) PLAN FEATURES Deductible (per calendar year) $2,500 Single Subscriber $5,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. The Single Subscriber Deductible

More information

Amendment to Plan of Benefits

Amendment to Plan of Benefits Appendix A Amendment 8 Amendment to Plan of Benefits For Employees of: Union Carbide Corporation A Wholly Owned Subsidiary of The Dow Chemical Company Administrative Services Agreement No.: 607490 Effective

More information

PLAN DESIGN AND BENEFITS - IN MANAGED CHOICE POS OPEN ACCESS 90/60/60 $1,000 PREFERRED CARE

PLAN DESIGN AND BENEFITS - IN MANAGED CHOICE POS OPEN ACCESS 90/60/60 $1,000 PREFERRED CARE PLAN FEATURES NON- Deductible (per calendar year) $1,000 Individual $2,000 Individual $2,000 Family $4,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable.

More information

USAHP FREEDOM Plan. Plans A, B, & C with Minimum Essential Coverage (MEC) SERVICE FLEXIBILITY INTEGRITY

USAHP FREEDOM Plan. Plans A, B, & C with Minimum Essential Coverage (MEC) SERVICE FLEXIBILITY INTEGRITY An Affordable ACA Qualified & ERISA Health Plan Solution USAHP FREEDOM Plan Plans A, B, & C with Minimum Essential Coverage (MEC) Sponsored by: USA Health Plans & SBA Cooperative Administered by: Free

More information

Summary of Benefits Prominence HealthFirst Small Group Health Plan

Summary of Benefits Prominence HealthFirst Small Group Health Plan HealthFirst/ Calendar Year Deductible (CYD) 2 $1,000 Single / $3,000 Family Summary of Benefits $3,000 Single / $9,000 Family Coinsurance - Member responsibility 30% coinsurance 50% coinsurance Out-of-Pocket

More information

RELATIONSHIP TO THE POLICYHOLDER: HEALTH SCREENING INFORMATION

RELATIONSHIP TO THE POLICYHOLDER: HEALTH SCREENING INFORMATION ACCIDENT WELLNESS BENEFIT CLAIM FORM INSTRUCTIONS Please use black or blue ink only and print legibly when completing this form in its entirety. Keep a copy of the supporting documentation and this completed

More information

$2,000 single. $4,000 non-single

$2,000 single. $4,000 non-single Schedule of Benefits (Who Pays What) Anthem Blue Cross and Blue Shield Name of Carrier Lumenos Health Savings Account (HSA-Compatible) Plan 18 Name of Plan PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred

More information

PLAN DESIGN & BENEFITS MEDICAL PLAN PROVIDED BY AETNA LIFE INSURANCE COMPANY

PLAN DESIGN & BENEFITS MEDICAL PLAN PROVIDED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $1,000 Individual $1,000 Family $2,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

IL Small Group MC Open Access Aetna Life Insurance Company Plan Effective Date: 04/01/2009 PLAN DESIGN AND BENEFITS- MC $1,500 80/50/50 (04/09)

IL Small Group MC Open Access Aetna Life Insurance Company Plan Effective Date: 04/01/2009 PLAN DESIGN AND BENEFITS- MC $1,500 80/50/50 (04/09) PLAN FEATURES Deductible (per calendar ) $1,500 Individual $3,000 Individual $4,500 Family $9,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered

More information

BENEFIT PLAN. What Your Plan Covers and How Benefits are Paid. Prepared Exclusively for Gwinnett County Board Of Commissioners

BENEFIT PLAN. What Your Plan Covers and How Benefits are Paid. Prepared Exclusively for Gwinnett County Board Of Commissioners BENEFIT PLAN Prepared Exclusively for Gwinnett County Board Of Commissioners What Your Plan Covers and How Benefits are Paid Aetna Choice POSII and HSA Table of Contents Schedule of Benefits (SOB) Issued

More information

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information.

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information. Schedule of Benefits Employer: MSA Contract Number Control Number:: Barnes Group Inc. 397393 842881 Issue Date: February 15, 2017 Effective Date: January 1, 2017 Schedule: 3A Booklet Base: 3 For: Indemnity

More information

Statutory Financial Statements. December 31, 2015 and With Independent Auditors Report

Statutory Financial Statements. December 31, 2015 and With Independent Auditors Report Statutory Financial Statements With Independent Auditors Report TABLE OF CONTENTS Independent Auditors Report 1-2 Statutory Financial Statements Statements of Admitted Assets, Liabilities and Surplus -

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $3000 Individual $6,000 Individual $6000 Family $12,000 Family All covered expenses accumulate separately toward the preferred or

More information

HumanaOne. Short Term Medical 100/75. About your plan. Colorado. HumanaOne Short Term Medical plans: Right plan, right time

HumanaOne. Short Term Medical 100/75. About your plan. Colorado. HumanaOne Short Term Medical plans: Right plan, right time HumanaOne Short Term Medical 100/75 Colorado About your plan HumanaOne Short Term Medical plans: Right plan, right time HumanaOne s Short Term Medical plans can help protect you and your family if you

More information

Optimum Health Designs

Optimum Health Designs Designed for Individuals, Families & Employers (PCP or Specialist) Preventive Care Tests Diagnostic, Xray & Laboratory Emergency Room Surgery (Inpatient & Outpatient) Anesthesia Supplemental Accident for

More information

This chart summaries the coverage under the Standard Health Savings Account (HSA) Option using the Open Access Plus (OAP) network.

This chart summaries the coverage under the Standard Health Savings Account (HSA) Option using the Open Access Plus (OAP) network. STANDARD HSA OPTION 2017 OPTIONS AT A GLANCE (DEDUCTIBLE 3000/6000) USING THE OPEN ACCESS PLUS (OAP) NETWORK This chart summaries the coverage under the Standard Health Savings Account (HSA) Option using

More information

IC Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

IC Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage IC 27-13-7 Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage IC 27-13-7-0.1 Application of certain amendments to chapter Sec. 0.1. The following amendments to

More information

California Small Group MC Aetna Life Insurance Company

California Small Group MC Aetna Life Insurance Company PLAN FEATURES Deductible (per calendar year) $5,000 Individual $10,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate toward

More information

Not applicable. Immunizations 1 exam per 12 months for members age 18 to age 65; 1 exam per 12 months for adults age 65 and older.

Not applicable. Immunizations 1 exam per 12 months for members age 18 to age 65; 1 exam per 12 months for adults age 65 and older. PLAN FEATURES NON- Deductible (per calendar year) $300 Employee $600 Employee $900 Family $1,800 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Once Family

More information

Covered 100%; deductible waived 50%; after deductible. Covered 100%; deductible waived 50%; after deductible

Covered 100%; deductible waived 50%; after deductible. Covered 100%; deductible waived 50%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $1,500 Individual $4,500 Individual $3,000 Family $9,000 Family All covered expenses accumulate simultaneously toward both the preferred

More information

Covered 100%; deductible waived 35%; after deductible

Covered 100%; deductible waived 35%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible $300 Individual $1,000 Individual $600 Family $2,000 Family All covered expenses accumulate simultaneously toward both the preferred and non-preferred

More information

Florida Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012. PLAN DESIGN AND BENEFITS MC OA Plan A-50

Florida Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012. PLAN DESIGN AND BENEFITS MC OA Plan A-50 Florida 2-100 Open Access Managed Choice Aetna Life Insurance Company Plan Effective Date: 03/01/2012 PLAN DESIGN AND BENEFITS MC OA Plan 12-3000A-50 PLAN FEATURES PREFERRED PROVIDERS NON-PREFERRED PROVIDERS

More information

NETWORK CARE. $3,500 Individual $7,000 Family

NETWORK CARE. $3,500 Individual $7,000 Family PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Managed Choice POS (Open Access) OUT-OF- $2,000 Individual $4,000 Family Unless otherwise indicated, the Deductible

More information

Covered 100%; deductible waived 40%; after deductible

Covered 100%; deductible waived 40%; after deductible HEALTH SAVINGS ACCOUNT Employer HSA Contribution Barnes Group Inc. $500 Individual $1,000 Family The amount reflected is on a per calendar year basis. The amount received may be prorated based on your

More information

PLAN DESIGN & BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

PLAN DESIGN & BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY AN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible $300 Individual $800 Individual $900 Family $2,400 Family All covered expenses accumulate toward the preferred or non-preferred Deductible. Unless otherwise

More information

Traditional Choice (Indemnity) (08/12)

Traditional Choice (Indemnity) (08/12) PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Not Applicable Not Applicable $500 Individual (2-member maximum) Unless otherwise indicated, the Deductible must be

More information

The California Department of Insurance is increasing fees by 10%, effective March 3, 2019.

The California Department of Insurance is increasing fees by 10%, effective March 3, 2019. COMPLIANCE ACTION MEMO SUBJECT: FEE INCREASES JURISDICTION: CALIFORNIA CITATION: CA BULLETIN 2018-04 SCOPE All producers, insurance adjusters, and insurers licensed or authorized in the state of California

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $4,000 Individual $12,000 Individual $8,000 Family $24,000 Family All covered expenses accumulate separately toward the preferred

More information

Florida Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012

Florida Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012 Florida 2-100 Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012 PLAN DESIGN AND BENEFITS HNOnly Plan 12-1500-80 HSA PLAN FEATURES Deductible (per calendar

More information

Effective Date: January 1, 2013 Plan Year: The 12 month period beginning each January 1 and ending each December 31.

Effective Date: January 1, 2013 Plan Year: The 12 month period beginning each January 1 and ending each December 31. CONSUMERS ENERGY COMPANY AND OTHER CMS ENERGY COMPANIES SCHEDULE OF MEDICAL BENEFITS Health by Choice Incentives Exclusive Provider Organization (EPO) Plan Effective Date: January 1, 2013 Plan Year: The

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA HEALTH INSURANCE COMPANY - SELF-FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA HEALTH INSURANCE COMPANY - SELF-FUNDED PLAN FEATURES Deductible (per plan year) None Individual None Family Member Coinsurance Covered 100% Applies to all expenses unless otherwise stated. Out-of-pocket limit (per plan year) $6,350 Individual

More information

2017 OPTIONS AT A GLANCE (DEDUCTIBLE 2250/4500) USING THE OAP NETWORK

2017 OPTIONS AT A GLANCE (DEDUCTIBLE 2250/4500) USING THE OAP NETWORK CHOICE OPTION OAP 2017 OPTIONS AT A GLANCE (DEDUCTIBLE 2250/4500) USING THE OAP NETWORK This chart summarizes the coverage under the Choice Option using the Open Access Plus (OAP) network. At enrollment

More information

Your Summary of Benefits PPO GenRx Plans

Your Summary of Benefits PPO GenRx Plans Your Summary of Benefits PPO GenRx Plans Small Group PPO $25 Copay GenRx Plan Effective 10/2010 In addition to dollar and percentage copays, insureds are responsible for deductibles, as described below.

More information

PLAN DESIGN & BENEFITS

PLAN DESIGN & BENEFITS PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $250 Individual $500 Individual $500 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

Regence ActiveCare Plan Highlights For Groups 51+ 1/1/17

Regence ActiveCare Plan Highlights For Groups 51+ 1/1/17 Plan Features Subscribers choose their Coordinated Network. Coordinated Network means a network of providers who integrate clinically in managing members' care. Ambulatory Surgical Center: While many surgical

More information

NETWORK CARE. $1,000 Individual $2,000 Family

NETWORK CARE. $1,000 Individual $2,000 Family PLAN FEATURES Network Managed Choice POS (Open Access) Primary Care Physician Selection Not Applicable Deductible (per calendar year) $3,500 Individual $7,000 Family Unless otherwise indicated, the Deductible

More information

$3,000 Individual $6,000 Family All covered expenses accumulate separately toward the Network and Out-of-Network Coinsurance Maximum.

$3,000 Individual $6,000 Family All covered expenses accumulate separately toward the Network and Out-of-Network Coinsurance Maximum. PLAN FEATURES Network Managed Choice POS (Open Access) OUT-OF- Primary Care Physician Selection Deductible (per calendar year) $3,000 Individual $6,000 Family Unless otherwise indicated, the Deductible

More information

Covered 100%; deductible waived 50%; after deductible

Covered 100%; deductible waived 50%; after deductible HEALTH SAVINGS ACCOUNT Employer HSA Contribution Barnes Group Inc. HSA Value Plan Employee Only $250 Individual Not Applicable Family The amount reflected is on a per calendar year basis. The amount received

More information

Covered 100%; deductible waived 50%; after deductible

Covered 100%; deductible waived 50%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per plan year) $2,250 Individual $6,850 Individual $4,500 Family $13,700 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

Summary of Coverage. The benefits shown in this Summary of Coverage are available for you and your eligible dependents.

Summary of Coverage. The benefits shown in this Summary of Coverage are available for you and your eligible dependents. Summary of Coverage Employer: Catholic Health East RHC ASA: 863737 SOC: 1A Issue Date: November 14, 2007 Effective Date: January 1, 2008 The benefits shown in this Summary of Coverage are available for

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA HEALTH INSURANCE COMPANY - SELF-FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA HEALTH INSURANCE COMPANY - SELF-FUNDED PLAN FEATURES Deductible (per calendar year) $100 Individual $200 Family Unless otherwise indicated, the deductible must be met prior to benefits being payable. Member cost sharing for certain services,

More information

Colorado Health Benefit Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier PPO $30/60 Copay $3,000D Name of Plan

Colorado Health Benefit Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier PPO $30/60 Copay $3,000D Name of Plan Colorado Health Benefit Plan Description Form Anthem Blue Cross and Blue Shield Name of Carrier PPO $30/60 Copay $3,000D Name of Plan PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan 2.

More information

Recommended: One baseline mammogram for females age 35-39; and one annual mammogram for females age 40 and over.

Recommended: One baseline mammogram for females age 35-39; and one annual mammogram for females age 40 and over. PLAN FEATURES Deductible (per calendar year) $2,000 Individual $4,000 Family Unless otherwise indicated, the deductible must be met prior to benefits being payable. Member cost sharing for certain services,

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $2,000 Individual $1,500 Family $6,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. AND AETNA HEALTH INSURANCE COMPANY

PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. AND AETNA HEALTH INSURANCE COMPANY PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible $2,500 Individual $5,000 Individual (per calendar year) $5,000 Family $10,000 Family Unless otherwise indicated, the deductible must be met prior to benefits

More information

Covered 100%; deductible waived 40%; after deductible

Covered 100%; deductible waived 40%; after deductible PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $300 Individual $300 Individual $900 Family $900 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

Aetna Health Inc. New Jersey Small Group QPOS Open Access

Aetna Health Inc. New Jersey Small Group QPOS Open Access PLAN FEATURES NETWORK Deductible (per calendar year) Not Applicable $1,000 Individual $2,000 Family Deductible applies to all covered expenses unless otherwise indicated. Once the Family Deductible is

More information

Florida Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012

Florida Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012 Florida 2-100 Health Network Only (HMO Open Access) Aetna Life Insurance Company Plan Effective Date: 03/01/2012 PLAN DESIGN AND BENEFITS HNOnly Plan 12-1500-Compass PLAN FEATURES Deductible (per calendar

More information

Plan is available throughout Colorado AVAILABLE

Plan is available throughout Colorado AVAILABLE Schedule of Benefits (Who Pays What) Anthem Blue Cross and Blue Shield Name of Carrier Lumenos Health Savings Account (HSA-Compatible) Plan 28E Name of Plan PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred

More information

Compliance Bulletin. Agent Use Only

Compliance Bulletin. Agent Use Only Transamerica Life Insurance Company Transamerica Financial Life Insurance Company Stonebridge Life Insurance Company Monumental Life Insurance Company Western Reserve Life Assurance Co. of Ohio Compliance

More information

1, 2011 PART A: TYPE OF COVERAGE 1. TYPE OF PLAN

1, 2011 PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Colorado Health Benefit Plan Description Form Anthem Blue Cross and Blue Shield Colorado Individual Premier Plan Effective January 1, 2011 PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan

More information

Unlimited unless otherwise indicated.

Unlimited unless otherwise indicated. PLAN FEATURES PARTICIPATING NON-PARTICIPATING Deductible (per calendar year) $1,000 Individual $5,000 Individual $2,000 Family $10,000 Family Unless otherwise indicated, the Deductible must be met prior

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) None Individual $250 Individual None Family $500 Family All out-of-network covered expenses accumulate separately toward the non-preferred

More information