reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.06 - Policy Provisions

Current through Register Vol. 42, No. 9, June 28, 2024
A. Except
			 for permitted preexisting condition clauses as described in Section 7A(1) and
			 Section 8A(1) of this chapter, no policy or certificate may be advertised,
			 solicited or issued for delivery in this State as a Medicare supplement policy
			 if the policy or certificate contains limitations or exclusions on coverage
			 that are more restrictive than those of Medicare.
B. No Medicare supplement policy or
			 certificate may use waivers to exclude, limit or reduce coverage or benefits
			 for specifically named or described preexisting diseases or physical
			 conditions.
C. No Medicare
			 supplement policy or certificate in force in the State shall contain benefits
			 which duplicate benefits provided by Medicare.
D.
(1)
			 Subject to Rules
			 482-1-071-.07 A(4), (5) and (7),
			 and Rules
			 482-1-071-.08 A(4) and (5), a
			 Medicare supplement policy with benefits for outpatient prescription drugs in
			 existence prior to January 1, 2006 shall be renewed for current policyholders
			 who do not enroll in Part D at the option of the policyholder.
(2) A Medicare supplement policy with
			 benefits for outpatient prescription drugs shall not be issued after December
			 31, 2005.
(3) After December 31,
			 2005, a Medicare supplement policy with benefits for outpatient prescription
			 drugs may not be renewed after the policyholder enrolls in Medicare Part D
			 unless:
(a) The policy is modified to
			 eliminate outpatient prescription coverage for expenses of outpatient
			 prescription drugs incurred after the effective date of the individual's
			 coverage under a Part D plan and;
(b) Premiums are adjusted to reflect the
			 elimination of outpatient prescription drug coverage at the time of Medicare
			 Part D enrollment, accounting for any claims paid, if applicable.
Author:
Commissioner of Insurance
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.09-1 - Standard Medicare Supplement Benefit Plans For 2010 Standardized Medicare Supplement Benefit Plan Policies Or Certificates Issued For Delivery With An Effective Date For Coverage On Or After June 1, 2010

Current through Register Vol. 42, No. 9, June 28, 2024
The following standards are applicable to all Medicare
				supplement policies or certificates delivered or issued for delivery in this
				state with an effective date for coverage on or after June 1, 2010. No policy
				or certificate may be advertised, solicited, delivered or issued for delivery
				in this state as a Medicare supplement policy or certificate unless it complies
				with these benefit plan standards. Benefit plan standards applicable to
				Medicare supplement policies and certificates issued with an effective date for
				coverage before June 1, 2010 remain subject to the requirements of
				482-1-071-.09.
A.
(1) An
			 issuer shall make available to each prospective policyholder and
			 certificateholder a policy form or certificate form containing only the basic
			 (core) benefits, as defined in
			 482-1-071-.08 -1B.
(2) If an issuer makes available any of the
			 additional benefits described in
			 482-1-071-.08 -1C, or offers
			 standardized benefit Plans K or L (as described in
			 482-1-071-.09 -1E(8) and (9)),
			 then the issuer shall make available to each prospective policyholder and
			 certificateholder, in addition to a policy form or certificate form with only
			 the basic (core) benefits as described in subsection A(l) above, a policy form
			 or certificate form containing either standardized benefit Plan C (as described
			 in 482-1-071-.09 -1E(3) of this
			 section) or standardized benefit Plan F (as described in
			 482-1-071-.09 -1E (5) of this
			 section).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.09-2 - Standard Medicare Supplement Benefit Plans For 2020 Standardized Medicare Supplement Benefit Plan Policies Or Certificates Issued For Delivery To Individuals Newly Eligible For Medicare On Or After January 1, 2020

Current through Register Vol. 42, No. 9, June 28, 2024
The Medicare Access and CHIP Reauthorization Act of 2015
				(MACRA) requires the following standards to be applicable to all Medicare
				supplement policies or certificates delivered or issued for delivery in this
				state to individuals newly eligible for Medicare on or after January 1, 2020.
				No policy or certificate that provides coverage of the Medicare Part B
				deductible may be advertised, solicited, delivered or issued for delivery in
				this state as a Medicare supplement policy or certificate to individuals newly
				eligible for Medicare on or after January 1, 2020. All policies must comply
				with the following benefit standards. Benefit plan standards applicable to
				Medicare supplement policies and certificates issued to individuals eligible
				for Medicare before January 1, 2020, remain subject to the requirements of Rule
				482-1-071-.09 -1.
A. Benefit Requirements. The standards and
			 requirements of
			 482-1-071-.09 -1 shall apply to
			 all Medicare supplement policies or certificates delivered or issued for
			 delivery to individuals newly eligible for Medicare on or after January 1,
			 2020, with the following exceptions:
(1)
			 Standardized Medicare supplement benefit Plan C is redesignated as Plan D and
			 shall provide the benefits contained in Rule
			 482-1-071-.09 -1 E.(3) but shall
			 not provide coverage for one hundred percent (100%) or any portion of the
			 Medicare Part B deductible.
(2)
			 Standardized Medicare supplement benefit Plan F is redesignated as Plan G and
			 shall provide the benefits contained in Rule
			 482-1-071-.09 -1 E.(5) but shall
			 not provide coverage for one hundred percent (100%) or any portion of the
			 Medicare Part B deductible.
(3)
			 Standardized Medicare supplement benefit Plans C, F, and F with High Deductible
			 may not be offered to individuals newly eligible for Medicare on or after
			 January 1, 2020.
(4) Standardized
			 Medical supplement benefit Plan F with High Deductible is redesignated as Plan
			 G with High Deductible and shall provide the benefits contained in Rule
			 482-1-071-.09 -1 E. (6) but shall
			 not provide coverage for one hundred percent (100%) or any portion of the
			 Medicare Part B deductible; provided further that, the Medicare Part B
			 deductible paid by the beneficiary shall be considered an out-of-pocket expense
			 in meeting the annual high deductible.
(5) The reference to Plans C or F contained
			 in Rule 482-1-071-.09 -1 A. (2) is deemed
			 a reference to Plans D or G for purposes of this section.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.10 - Medicare Select Policies And Certificates

Current through Register Vol. 42, No. 9, June 28, 2024
A.
(1) This
			 rule shall apply to Medicare Select policies and certificates, as defined in
			 this rule.
(2) No policy or
			 certificate may be advertised as a Medicare Select policy or certificate unless
			 it meets the requirements of this rule.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.11 - Open Enrollment

Current through Register Vol. 42, No. 9, June 28, 2024
A. An
			 issuer shall not deny or condition the issuance or effectiveness of any
			 Medicare supplement policy or certificate available for sale in this state, nor
			 discriminate in the pricing of a policy or certificate because of the health
			 status, claims experience, receipt of health care, or medical condition of an
			 applicant in the case of an application for a policy or certificate that is
			 submitted prior to or during the six (6) month period beginning with the first
			 day of the first month in which an individual is both 65 years of age or older
			 and is enrolled for benefits under Medicare Part B. Each Medicare supplement
			 policy and certificate currently available from an insurer shall be made
			 available to all applicants who qualify under this subsection without regard to
			 age.
B.
(1) If an applicant qualifies under
			 Subsection A and submits an application during the time period referenced in
			 Subsection A and, as of the date of application, has had a continuous period of
			 creditable coverage of at least six (6) months, the issuer shall not exclude
			 benefits based on a preexisting condition.
(2) If the applicant qualifies under
			 Subsection A and submits an application during the time period referenced in
			 Subsection A and, as of the date of application, has had a continuous period of
			 creditable coverage that is less than six (6) months, the issuer shall reduce
			 the period of any preexisting condition exclusion by the aggregate of the
			 period of creditable coverage applicable to the applicant as of the enrollment
			 date. The Secretary shall specify the manner of the reduction under this
			 subsection.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.12 - Guaranteed Issue For Eligible Persons

Current through Register Vol. 42, No. 9, June 28, 2024
A. Guaranteed Issue.
(1) Eligible persons are those individuals
			 described in Subsection B who seek to enroll under the policy during the period
			 specified in Subsection C, and who submit evidence of the date of termination,
			 disenrollment, or Medicare Part D enrollment with the application for a
			 Medicare supplement policy.
(2)
			 With respect to eligible persons, an issuer shall not deny or condition the
			 issuance or effectiveness of a Medicare supplement policy described in
			 Subsection E that is offered and is available for issuance to new enrollees by
			 the issuer, shall not discriminate in the pricing of such a Medicare supplement
			 policy because of health status, claims experience, receipt of health care, or
			 medical condition, and shall not impose an exclusion of benefits based on a
			 preexisting condition under such a Medicare supplement policy.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.13 - Standards For Claims Payment

Current through Register Vol. 42, No. 9, June 28, 2024
A.
			 An issuer shall comply with section 1882(c)(3) of the Social Security Act (as
			 enacted by section 4081(b)(2)(C) of the Omnibus Budget Reconciliation Act of
			 1987 (OBRA) 1987, Pub. L. No. 100-203 ) by:
(1) Accepting a notice from a Medicare
			 carrier on dually assigned claims submitted by participating physicians and
			 suppliers as a claim for benefits in place of any other claim form otherwise
			 required and making a payment determination on the basis of the information
			 contained in that notice;
(2)
			 Notifying the participating physician or supplier and the beneficiary of the
			 payment determination:
(3) Paying
			 the participating physician or supplier directly;
(4) Furnishing, at the time of enrollment,
			 each enrollee with a card listing the policy name, number and a central mailing
			 address to which notices from a Medicare carrier may be sent;
(5) Paying user fees for claim notices that
			 are transmitted electronically or otherwise; and
(6) Providing to the Secretary of Health and
			 Human Services, at least annually, a central mailing address to which all
			 claims may be sent by Medicare carriers.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.14 - Loss Ratio Standards And Refund Or Credit Of Premium

Current through Register Vol. 42, No. 9, June 28, 2024
A. Loss Ratio
			 Standards.
(1)
(a) A Medicare Supplement policy form or
			 certificate form shall not be delivered or issued for delivery unless the
			 policy form or certificate form can be expected, as estimated for the entire
			 period for which rates are computed to provide coverage, to return to
			 policyholders and certificate holders in the form of aggregate benefits (not
			 including anticipated refunds or credits) provided under the policy form or
			 certificate form:
(i) At least seventy-five
			 percent (75%) of the aggregate amount of premiums earned in the case of group
			 policies; or
(ii) At least
			 sixty-five percent (65%) of the aggregate amount of premiums earned in the case
			 of individual policies;
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.15 - Filing And Approval Of Policies And Certificates And Premium Rates

Current through Register Vol. 42, No. 9, June 28, 2024
A. An issuer shall
			 not deliver or issue for delivery a policy or certificate to a resident of this
			 state unless the policy form or certificate form has been filed with and
			 approved by the commissioner in accordance with filing requirements and
			 procedures prescribed by the commissioner.
B. An issuer shall file any riders or
			 amendments to policy or certificate forms to delete outpatient prescription
			 drug benefits as required by the Medicare Prescription Drug, Improvement, and
			 Modernization Act of 2003 only with the commissioner in the state in which the
			 policy or certificate was issued.
C. An issuer shall not use or change premium
			 rates for a Medicare supplement policy or certificate unless the rates, rating
			 schedule and supporting documentation have been filed with and approved by the
			 commissioner in accordance with the filing requirements and procedures
			 prescribed by the commissioner.
D.
(1) Except as provided in Paragraph (2) of
			 this subsection, an issuer shall not file for approval more than one form of a
			 policy or certificate of each type for each standard Medicare supplement
			 benefit plan.
(2) An issuer may
			 offer, with the approval of the commissioner, up to four (4) additional policy
			 forms or certificate forms of the same type for the same standard Medicare
			 supplement benefit plan, one for each of the following cases:
(a) The inclusion of new or innovative
			 benefits;
(b) The addition of
			 either direct response or agent marketing methods;
(c) The addition of either guaranteed issue
			 or underwritten coverage;
(d) The
			 offering of coverage to individuals eligible for Medicare by reason of
			 disability.
(3) For the
			 purposes of this rule, a "type" means an individual policy, a group policy, an
			 individual Medicare Select policy, or a group Medicare Select policy.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.16 - Permitted Compensation Arrangements

Current through Register Vol. 42, No. 9, June 28, 2024
A. An issuer or other entity may provide
			 commission or other compensation to an agent or other representative for the
			 sale of a Medicare supplement policy or certificate only if the first year
			 commission or other first year compensation is no more than two hundred percent
			 (200%) of the commission or other compensation paid for selling or servicing
			 the policy or certificate in the second year or period.
B. The commission or other compensation
			 provided in subsequent (renewal) years must be the same as that provided in the
			 second year or period and must be provided for no fewer than five (5) renewal
			 years.
C. No issuer or other entity
			 shall provide compensation to its agents or other producers and no agent or
			 producer shall receive compensation greater than the renewal compensation
			 payable by the replacing issuer on renewal policies or certificates if an
			 existing policy or certificate is replaced.
D. For purposes of this section,
			 "compensation" includes pecuniary or non-pecuniary remuneration of any kind
			 relating to the sale or renewal of the policy or certificate including but not
			 limited to bonuses, gifts, prizes, awards and finders fees.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50
et
seq
.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.19 - Filing Requirements For Advertising

Current through Register Vol. 42, No. 9, June 28, 2024
A. An issuer and insurance producer shall
			 submit a copy of any Medicare supplement advertisement, mailers or other
			 marketing material to the Commissioner of Insurance for approval before use in
			 this state. Marketing material includes, but is not limited to, written,
			 broadcast, digital, electronic or other form of communication directed at
			 consumers or the general public for promotional purposes.
B. Approval of marketing material in any
			 format will only be granted if, in the judgment of the Commissioner, the
			 material complies with the requirements of state statutes and regulations and
			 this chapter, including, without limitation, Rule
			 482-1-071-.20.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50 et seq.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.20 - Standards For Marketing

Current through Register Vol. 42, No. 9, June 28, 2024
A. An
			 issuer, directly or through its producers, shall:
(1) Establish marketing procedures that are
			 not false or deceptive and which assure that marketing materials used have
			 received prior approval of the Commissioner as required.
(2) Establish marketing procedures to assure
			 that any comparison of policies by its agents or other producers will be fair
			 and accurate.
(3) Establish
			 marketing procedures to assure excessive insurance is not sold or
			 issued.
(4) Display prominently by
			 type, stamp or other appropriate means, on the first page of the policy the
			 following:
"Notice to buyer: This policy may not cover all of your
				medical expenses."
(5) Inquire and otherwise make every
			 reasonable effort to identify whether a prospective applicant or enrollee for
			 Medicare supplement insurance already has accident and sickness insurance and
			 the types and amounts of any such insurance.
(6) Establish auditable procedures for
			 verifying compliance with this Subsection A.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.21 - Appropriateness Of Recommended Purchase And Excessive Insurance

Current through Register Vol. 42, No. 9, June 28, 2024
A. In recommending
			 the purchase or replacement of any Medicare supplement policy or certificate an
			 agent shall make reasonable efforts to determine the appropriateness of a
			 recommended purchase or replacement.
B. Any sale of a Medicare supplement policy
			 or certificate that will provide an individual more than one Medicare
			 supplement policy or certificate is prohibited.
C. An issuer shall not issue a Medicare
			 supplement policy or certificate to an individual enrolled in Medicare Part C
			 unless the effective date of the coverage is after the termination date of the
			 individual's Part C coverage.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50
et
seq
.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.22 - Reporting Of Multiple Policies

Current through Register Vol. 42, No. 9, June 28, 2024
A.
			 On or before March 1 of each year, an issuer shall report the following
			 information for every individual resident of this State for which the issuer
			 has in force more than one Medicare supplement insurance policy or certificate:
(1) Policy and certificate number,
			 and
(2) Date of issuance.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.23 - Prohibition Against Preexisting Conditions, Waiting Periods, Elimination Periods And Probationary Periods In Replacement Policies Or Certificates

Current through Register Vol. 42, No. 9, June 28, 2024
A. If a Medicare
			 supplement policy or certificate replaces another Medicare supplement policy or
			 certificate, the replacing issuer shall waive any time periods applicable to
			 preexisting conditions, waiting periods, elimination periods and probationary
			 periods in the New Rule: Medicare supplement policy or certificate for similar
			 benefits to the extent such time was spent under the original policy.
B. If a Medicare supplement policy or
			 certificate replaces another Medicare supplement policy or certificate, which
			 has been in effect for at least six (6) months, the replacing policy shall not
			 provide any time period applicable to preexisting conditions, waiting periods,
			 elimination periods and probationary periods for benefits similar to those
			 contained in the original policy or certificate.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50
et
seq
.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.24 - Separability

Current through Register Vol. 42, No. 9, June 28, 2024
If any provision of this chapter or the application thereof to
				any person or circumstance is for any reason held to be invalid, the remainder
				of the chapter, and the application of such provision to other persons or
				circumstances shall not be affected thereby.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50
et
seq
.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.01 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of this chapter is to provide for the reasonable
				standardization of coverage and simplification of terms and benefits of
				Medicare supplement policies; to facilitate public understanding and comparison
				of such policies; to eliminate provisions contained in such policies which may
				be misleading or confusing in connection with the purchase of such policies or
				with the settlement of claims; and to provide for full disclosures in the sale
				of accident and sickness insurance coverages to persons eligible for
				Medicare.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50 et seq.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.25 - Effective Date

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter shall be effective upon its approval by the
				Commissioner of Insurance, and upon its having been on file as a public
				document in the office of the Secretary of State for ten days.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50
et
seq
.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-071 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS REGULATION › Section 482-1-071-.26 - Effective Date

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter shall be effective upon its approval by the
				Commissioner of Insurance, and upon its having been on file as a public
				document in the office of the Secretary of State for ten
				days.
Rule .25 was renumbered to .26 as per certification filed
				  June 11, 2009.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17,
				  27-19-50 et seq.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.01 - Authority

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter is promulgated under the provisions of Section
				27-2-17 and the implied power of
				the Commissioner of Insurance under Section
				27-2-7(4),
Code of Ala. 1975
.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.02 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purposes of this chapter are:
(1) To regulate the activities of insurers
			 and producers, with respect to the collection of monies for certain types of
			 insurance coverages;
(2) To assure
			 that the prospective policyowner receives adequate proof of payment for
			 insurance purchased;
(3) To reduce
			 the opportunity for misrepresentation and/or incomplete disclosures;
			 and
(4) To establish penalties for
			 failure to comply with the requirements of this chapter.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.03 - Applicability

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter applies to any producer or any other person
				licensed by the Department and who solicits individual life or individual
				disability insurance or dwelling fire, homeowners, private passenger automobile
				or other property or casualty coverages classified or customarily defined as
				"personal lines" insurance, and to each insurer appointing or authorizing such
				licensee to solicit insurance in this state.
This chapter does not apply to the marketing of insurance on a
				direct-response basis.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.04 - Minimum Requirements For Receipt Of Payment

Current through Register Vol. 42, No. 9, June 28, 2024
(1) No producer or any employee on their
			 behalf, shall collect from any resident of this state monies representing
			 premium for payment of insurance unless such licensee issues a receipt to such
			 person which clearly shows on the receipt, or on the application from which the
			 receipt is detached, the following: the date, name of the payer, the amount of
			 money collected, signature of the producer, name and permanent business address
			 of the insurance company to which the premium business will be paid and kind or
			 plan of insurance covered by the transaction.
(2) This chapter does not prohibit a producer
			 or insurer from placing on said receipt other pertinent information, such as
			 "insurance will not be effective until accepted by the company" or any other
			 disclosure or explanatory statement, provided each statement is true and
			 factual.
(3) This chapter does not
			 apply to the payment of premiums by non-cash methods, such as personal checks
			 or money orders, if such instruments are made payable to the insurer and the
			 instrument itself provides evidence of payment, nor does this chapter apply to
			 payment for renewal of a policy or an installment payment made to extend
			 coverage on an in-force policy.
(4)
			 This chapter shall not apply when an insurer's binding or conditional premium
			 receipt is issued to an applicant, or if money is collected with an application
			 and a copy of the application is left with the applicant, or if initial premium
			 is collected at time of delivery of the policy, or if a policy, written binder,
			 or memorandum of insurance is issued to the insured prior to acceptance of the
			 premium.
(5) With respect to
			 policies serviced through a home service collection system, the requirements of
			 this chapter are satisfied if the premium payer is provided a premium receipt
			 book or card which contains substantially all of the following: the name of the
			 payer, the name and permanent business address of the insurer, the policy
			 number and name of insured under each policy covered by the premium receipt
			 book or card, and appropriate spaces or blanks for the recording of premium
			 payments. The representative of the insurer collecting premiums shall, by
			 signature or initials in the premium receipt book or card, acknowledge each
			 premium payment, and such representative shall record in the premium receipt
			 book or card the amount of each premium payment and the period of time for
			 which premiums are paid.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 428-1-072-.05 - Notice Of Receipt Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
All insurers licensed to do business in Alabama shall inform
				their producers of the existence and of the requirements of this
				Chapter.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.06 - Penalties

Current through Register Vol. 42, No. 9, June 28, 2024
Any insurer or producer failing to comply with the requirements
				of this Chapter shall be subject to such penalty as may be appropriate under
				the insurance laws of the State of Alabama.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.07 - Separability

Current through Register Vol. 42, No. 9, June 28, 2024
If any provision of this chapter is held invalid, the remainder
				shall not be affected thereby.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-072 - RECEIPT REQUIREMENTS › Section 482-1-072-.08 - Effective Date

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter will become effective October 1, 1982.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-2-17;
				  27-2-7(4).
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.01 - Authority

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter is promulgated by the Commissioner of Insurance
				pursuant to Section
				27-2-17, et al.,
Code
				of Ala. 1975
.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.02 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of the chapter is to permit individual life
				insurance policies to provide the same cash surrender values and paid-up
				nonforfeiture benefits to both men and women. No change in minimum valuation
				standards is implied by this chapter.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.03 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) 1980 CSO Table,
			 with or without Ten-Year Select Mortality Factors. The mortality table,
			 consisting of separate rates of mortality for male and female lives, developed
			 by the Society of Actuaries Committee to Recommend New Mortality Tables for
			 Valuation of Standard Individual Ordinary Life Insurance, incorporated in the
			 1980 NAIC Amendments to the Model Standard Valuation Law and Standard
			 Nonforfeiture Law for Life Insurance, and referred to in those models as the
			 Commissioners 1980 Standard Ordinary Mortality Table, with or without Ten-Year
			 Select Mortality Factors.
(2) 1980
			 CSO TABLE (M), WITH OR WITHOUT TEN-YEAR SELECT MORTALITY FACTORS. The mortality
			 table consisting of the rates of mortality for male lives from the 1980 CSO
			 Table, with or without Ten-Year Select Mortality Factors.
(3) 1980 CSO TABLE (F), with or WITHOUT
			 TEN-YEAR SELECT MORTALITY FACTORS. The mortality table consisting of the rates
			 of mortality for female lives from the 1980 CSO Table, with or without Ten-Year
			 Select Mortality Factors.
(4) 1980
			 CET TABLE. The mortality table consisting of separate rates of mortality for
			 male and female lives, developed by the Society of Actuaries Committee to
			 Recommend New Mortality Tables for Valuation of Standard Individual Ordinary
			 Life Insurance, incorporated in the 1980 NAIC Amendments to the Model Standard
			 Valuation Law and Standard Nonforfeiture Law for Life Insurance, and referred
			 to in those models as the Commissioners 1980 Extended Term Insurance
			 Table.
(5) 1980 CET TABLE (M). The
			 mortality table consisting of the rates for mortality for male lives from the
			 1980 CET Table.
(6) 1980 CET TABLE
			 (F). The mortality table consisting of the rates for mortality for female lives
			 from the 1980 CET Table.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Alabama 1975,
				  §
										27-2-17
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.04 - Rule

Current through Register Vol. 42, No. 9, June 28, 2024
For any policy of insurance on the life of either a male or
				female insured delivered or issued for delivery in this state beyond January 1,
				1989, and after the operative date of Section
				27-15-28 for that policy
				form,
(a) a mortality table which is a
			 blend of the 1980 CSO Table (M) and the 1980 CSO Table (F) with or without
			 Ten-Year Select Mortality Factors may at the option of the company be
			 substituted for the 1980 CSO Table, with or without Ten-Year Select Mortality
			 Factors, and
(b) a mortality table
			 which is of the same blend as used in (i) but applied to form a blend of the
			 1980 CET Table (M) and the 1980 CET Table (F) may at the option of the company
			 be substituted for the 1980 CET Table, for use in determining cash surrender
			 and amounts of paid-up nonforfeiture benefits.
The following tables will be considered as the basis for
				acceptable tables:
TABLE A. 100% Male 0% Female for tables to be designated as the
				"1980 CSO-A" and "1980 CET-A" tables.
TABLE B. 80% Male 20% Female for tables to be designated as the
				"1980 CSO-B" and "1980 CET-B" tables.
TABLE C. 60% Male 40% Female for tables to be designated as the
				"1980 CSO-C" and "1980 CET-C" tables.
TABLE D. 50% Male 50% Female for tables to be designated as the
				"1980 CSO-D" and "1980 CET-D" tables.
TABLE E. 40% Male 60% Female for tables to be designated as the
				"1980 CSO-E" and "1980 CET-E" tables.
TABLE F. 20% Male 80% Female for tables to be designated as the
				"1980 CSO-F" and "1980 CET-F" tables.
TABLE G. 0% Male 100% Female for tables to be designated as the
				"1980 CSO-G" and "1980 CET-G" tables.
Tables A and G are not to be used with respect to policies
				issued on or after January 1, 1985, except where the proportion of persons
				insured is anticipated to be 90% or more of one sex or the other or except for
				certain policies converted from group insurance. Such group conversions issued
				on or after January 1, 1986, must use Mortality Tables based on the blend of
				lives by sex expected for such policies if such group conversions are
				considered as extensions of the United States Supreme Court's decision in
Arizona Governing Committee v. Norris
, 51 U.S.L.W.
				5243 (July 6, 1983). This consideration has not been clearly defined by court
				or legislative action in all jurisdictions. Table A is the same as 1980 CSO
				Table (M) and 1980 CET Table (M) and Table G is the same as 1980 CSO Table (F)
				and 1980 CET Table (F).
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.05 - Unfair Discrimination

Current through Register Vol. 42, No. 9, June 28, 2024
It shall not be a violation of the "Trade Practices Law"
				(Section 27-12-1,
et
seq
.,
Code of
				Ala. 1975
) for an insurer to issue the same kind of policy of life
				insurance on both a sex distinct and sex neutral basis.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.06 - Separability

Current through Register Vol. 42, No. 9, June 28, 2024
If any provision of this chapter or the application thereof to
				any person or circumstance is for any reason held to be invalid, the remainder
				of the chapter and the application of such provision to other persons or
				circumstances shall not be affected thereby.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-073 - ALABAMA PROCEDURE FOR PERMITTING SAME MINIMUM NONFORFEITURE STANDARDS FOR MEN AND WOMEN INSURED UNDER 1980 CSO AND 1980 CET MORTALITY › Section 482-1-073-.07 - Effective Date

Current through Register Vol. 42, No. 9, June 28, 2024
The effective date of this chapter is November 15, 1984.
Author:
Commissioner of
				Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-074 - UNFAIR DISCRIMINATORY ACTS OR PRACTICES (REPEALED) › Section 482-1-074-.01 - Authority (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17,
				  27-12-11.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-074 - UNFAIR DISCRIMINATORY ACTS OR PRACTICES (REPEALED) › Section 482-1-074-.02 - Purpose (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17,
				  27-12-11.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-074 - UNFAIR DISCRIMINATORY ACTS OR PRACTICES (REPEALED) › Section 482-1-074-.03 - Unfair Discriminatory Acts Or Practices (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17,
				  27-12-11.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-074 - UNFAIR DISCRIMINATORY ACTS OR PRACTICES (REPEALED) › Section 482-1-074-.04 - Time Of Taking Effect (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-2-17,
				  27-12-11.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-075 - SMOKER - NON-SMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 482-1-075-.01 - Authority

Current through Register Vol. 42, No. 9, June 28, 2024
This Rule is promulgated by the Commissioner of Insurance
				pursuant to Sections
				27-15-70 to
				27-15-83, of the
Code
				of Ala. 1975
.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §
										27-15-70 to
				  27-15-83
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-075 - SMOKER - NON-SMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 482-1-075-.02 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of this chapter is to permit the use of mortality
				tables that reflect differences in mortality between smokers and nonsmokers in
				determining minimum reserve liabilities and minimum cash surrender values and
				amounts of paid-up nonforfeiture benefits for plans of insurance with separate
				premium rates for smokers and nonsmokers.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-15-70 to
				  27-15-83.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-075 - SMOKER - NON-SMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 482-1-075-.03 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
The following definitions shall apply for purposes of this
				chapter:
(1) 1980 CSO TABLE, WITH OR
			 WITHOUT TEN-YEAR SELECT MORTALITY FACTOR. The mortality table, consisting of
			 separate rates of mortality for male and female lives, developed by the Society
			 of Actuaries Committee to Recommend New Mortality Tables for Valuation of
			 Standard Individual Ordinary Life Insurance, incorporated in the 1980 NAIC
			 Amendments to the Model Standard Valuation Law and Standard Nonforfeiture Law
			 for Life Insurance, and referred to in those models as the Commissioners 1980
			 Standard Ordinary Mortality Table, with or without Ten-Year Select Mortality
			 Factors. The same select factors will be used for both smokers and nonsmokers
			 tables.
(2) 1980 CET TABLE. The
			 mortality table consisting of separate rates of mortality for male and female
			 lives, developed by the Society of Actuaries Committee to Recommend New
			 Mortality Tables for Valuation of Standard Individual Ordinary Life Insurance,
			 incorporated in the 1980 NAIC Amendments to the Model Standard Nonforfeiture
			 Law for Life Insurance, and referred to in those models as the Commissioners
			 1980 Extended Term Insurance Table.
(3) 1958 CSO TABLE. The mortality table
			 developed by the Society of Actuaries Special Committee on New Mortality
			 Tables, incorporated in the NAIC Model Standard Nonforfeiture Law for Life
			 Insurance, and referred to in that model as the Commissioners 1958 Standard
			 Ordinary Mortality Table.
(4) 1958
			 CET TABLE. The mortality table developed by the Society of Actuaries Special
			 Committee on New Mortality Tables, incorporated in the NAIC Model Standard
			 Nonforfeiture Law for Life Insurance, and referred to in that model as the
			 Commissioners 1958 Extended Term Insurance Table.
(5) SMOKER AND NONSMOKER MORTALITY TABLES.
			 The mortality tables with separate rates of mortality for smokers and
			 nonsmokers derived from the tables defined in (1) through (4) of this rule
			 which were developed by the Society of Actuaries Task Force on Smoker/Nonsmoker
			 Mortality and the California Insurance Department staff and recommended on the
			 NAIC Technical Staff Actuarial Group.
(6) COMPOSITE MORTALITY TABLES. The mortality
			 tables defined in (1) through (4) of this rule as they were originally
			 published with rates of mortality that do not distinguish between smokers and
			 nonsmokers.
Author:
Commissioner of Insurance
Statutory Authority:
Code of Ala.
				  1975
, §§
										27-15-70 to
				  27-15-83.
Alabama Administrative Code › Title 482 - ALABAMA DEPARTMENT OF INSURANCE › Chapter 482-1-075 - SMOKER - NON-SMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 482-1-075-.04 - Alternate Tables

Current through Register Vol. 42, No. 9, June 28, 2024
(1) For any
			 policy of insurance delivered or issued for delivery in this state after the
			 operative date of Section
			 27-15-78(k) for
			 that policy form and before January 1, 1989, at the option of the company and
			 subject to the conditions stated in Rule
			 482-1-075-.05 of this chapter,
(a) the 1958 CSO Smoker and Nonsmoker
			 Mortality Tables may be substituted for the 1980 CSO Table, with or without
			 Ten-Year-Select Mortality Factors, and
(b) the 1958 CET Smoker and Nonsmoker
			 Mortality Tables may be substituted for the 1980 CET Table for use in
			 determining minimum reserve liabilities and minimum cash surrender values and
			 amounts of paid-up nonforfeiture benefits.
Provided that for any category of insurance issued on female
				lives with minimum reserve liabilities and minimum cash surrender values and
				amounts of paid-up nonforfeiture benefits determined using the 1958 CSO or 1958
				CET Smoker and Nonsmoker Mortality Tables, such minimum values may be
				calculated according to an age not more than six years younger than the actual
				age of the insured.
Provided further that the substitution of the 1958 CSO or 1958
				CET Smoker and Nonsmoker Mortality Tables is available only if made for each
				policy of insurance on a policy form delivered or issued for delivery on or
				after the operative date for that policy form and before a date not later than
				January 1, 1989.