reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 39 - COORDINATION OF BENEFITS REGULATION › Section 210-39-008 - Miscellaneous Provisions

Current through June 17, 2024
008.01 A secondary
				plan that provides benefits in the form of services may recover the reasonable
				cash value of the services from the primary plan, to the extent that benefits
				for the services are covered by the primary plan and have not already been paid
				or provided by the primary plan. Nothing in this provision shall be interpreted
				to require a plan to reimburse a covered person in cash for the value of
				services provided by a plan that provides benefits in the form of services.
008.02(A) A plan with order of benefit
				determination rules that comply with this regulation (complying plan) may
				coordinate its benefits with a plan that is "excess" or "always secondary" or
				that uses order of benefit determination rules that are inconsistent with those
				contained in this regulation (noncomplying plan) on the following basis:
008.02(A)(i) If the complying plan is the
				primary plan, it shall pay or provide its benefits first;
008.02(A)(ii) If the complying plan is the
				secondary plan, it shall pay or provide its benefits first, but the amount of
				the benefits payable shall be determined as if the complying plan were the
				secondary plan. In such a situation, the payment shall be the limit of the
				complying plan's liability; and
008.02(A)(iii) If the noncomplying plan does
				not provide the information needed by the complying plan to determine its
				benefits within a reasonable time after it is requested to do so, the complying
				plan shall assume that the benefits of the noncomplying plan are identical to
				its own, and shall pay its benefits accordingly. If, within two (2) years of
				payment, the complying plan receives information as to the actual benefits of
				the noncomplying plan, it shall adjust payments accordingly.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 39 - COORDINATION OF BENEFITS REGULATION › Section 210-39-009 - Effective Date for Existing Contracts

Current through June 17, 2024
009.01 A
				contract that provides health care benefits and that was issued before the
				effective date of this regulation shall be brought into compliance with this
				regulation by:
009.01(A) The later of:
009.01(A)(i) The next anniversary date or
				renewal date of the contract; or
009.01(A)(ii) Twelve (12) months following
				the effective date of this regulation; or
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-001 - Statutory authority

Current through June 17, 2024
This regulation is promulgated under the authority of Neb.
				  Rev. Stat. §
									44-101.01
				  and is operative October 1, 2008.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-003 - Definitions

Current through June 17, 2024
As used in this regulation:
003.01 Universal life insurance policy
"Universal life insurance policy" means any life insurance
				  policy where separately identified interest credits (other than in connection
				  with dividend accumulations, premium deposit funds, or other supplementary
				  accounts) and mortality and expense charges are made to the policy. A universal
				  life insurance policy may provide for other credits and charges, such as
				  charges for the cost of benefits provided by rider.
003.02 Flexible premium universal life
				insurance policy
"Flexible premium universal life insurance policy" means a
				  universal life insurance policy which permits the policyowner to vary,
				  independently of each other, the amount or timing of one or more premium
				  payments or the amount of insurance.
003.03 Fixed premium universal life insurance
				policy
"Fixed premium universal life insurance policy" means any
				  universal life insurance policy other than a flexible premium universal life
				  insurance policy.
003.04
				Interest-indexed universal life insurance policy
"Interest-indexed universal life insurance policy" means any
				  universal life insurance policy where the interest credits are linked to an
				  external referent.
003.05
				Net cash surrender value
"Net cash surrender value" means the maximum amount payable
				  to the policyowner upon surrender.
003.06 Cash surrender value
"Cash surrender value" means the net cash surrender value
				  plus any amounts outstanding as policy loans.
003.07 Policy Value
"Policy Value" means the amount to which separately
				  identified interest credits and mortality, expense, or other charges are made
				  under a universal life insurance policy.
003.08 Director
"Director" means the Insurance Director of this
				  State.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-004 - Scope

Current through June 17, 2024
This regulation encompasses all individual universal life
				  insurance policies except those policies defined under Subsection 002.19 of
				  Title 210, Chapter 15 of the Nebraska Administrative Code (Variable Life
				  Insurance Rule).
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-007 - Mandatory Policy Provisions

Current through June 17, 2024
The policy shall provide the following:
007.01 Periodic Disclosure to Policyowner
The policy shall provide that the policyowner will be sent,
				  without charge, at least annually, a report which will serve to keep such
				  policyowner advised as to the status of the policy. The end of the current
				  report period must be not more than three months previous to the date of the
				  mailing of the report. Specific requirements of this report are detailed in
				  Section 009.
007.02 Current
				Illustrations
The annual report shall provide notice that the policyholder
				  may request an illustration of current and future benefits and
				  values.
007.03 Policy
				Guarantees
The policy shall provide guarantees of minimum interest
				  credits and maximum mortality and expense charges. All values and data shown in
				  the policy shall be based on guarantees. No figures based on nonguarantees
				  shall be included in the policy.
007.04 Calculation of Cash Surrender Values
The policy shall contain at least a general description of
				  the calculation of cash surrender values including the following
				  information:
007.04A The guaranteed
				maximum expense charges and loads.
007.04B Any limitation on the crediting of
				additional interest. Interest credits shall not remain conditional for a period
				longer than twenty-four (24) months.
007.04C The guaranteed minimum rate or rates
				of interest.
007.04D The guaranteed
				maximum mortality charges.
007.04E
				Any other guaranteed charges.
007.04F Any surrender or partial withdrawal
				charges.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-008 - Disclosure Requirements

Current through June 17, 2024
Disclosure of information about the policy being applied for
				  shall follow the standards set forth in 210 NEB. ADMIN. R. & REG.
				  72.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-009 - Periodic Disclosure to Policyowner

Current through June 17, 2024
009.01 Requirements
The policy shall provide that the policyowner will be sent,
				  without charge, at least annually, a report which will serve to keep such
				  policyowner advised of the status of the policy. The end of the current report
				  period shall be not more than three (3) months previous to the date of the
				  mailing of the report.
Such report shall include the following:
009.01A The beginning and end of the current
				report period.
009.01B The policy
				value at the end of the previous report period and at the end of the current
				report period.
009.01C The total
				amounts which have been credited or debited to the policy value during the
				current report period, identifying each by type (e.g., interest, mortality,
				expense and riders).
009.01D The
				current death benefit at the end of the current report period on each life
				covered by the policy.
009.01E The
				net cash surrender value of the policy as of the end of the current report
				period.
009.01F The amount of
				outstanding loans, if any, as of the end of the current report
				period.
009.01G For fixed premium
				policies:
If, assuming guaranteed interest, mortality and expense loads
				  and continued scheduled premium payments, the policy's net cash surrender value
				  is such that it would not maintain insurance in force until the end of the next
				  reporting period, a notice to this effect shall be included in the
				  report.
009.01H For
				flexible premium policies:
If, assuming guaranteed interest, mortality and expense
				  loads, the policy's net cash surrender value will not maintain insurance in
				  force until the end of the next reporting period unless further premium
				  payments are made, a notice to this effect shall be included in the
				  report.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 40 - UNIVERSAL LIFE INSURANCE › Section 210-40-010 - Interest-Indexed Universal Life Insurance Policies

Current through June 17, 2024
010.01 Initial
				Filing Requirements
The following information shall be submitted in connection
				  with any filing of interest-indexed universal life insurance policies
				  ("interest-indexed policies"). All such information received shall be treated
				  confidentially to the extent permitted by law.
010.01A A description of how the interest
				credits are determined, including:
(i) a
				description of the index;
(ii) the
				relationship between the value of the index and the actual interest rate to be
				credited;
(iii) the frequency and
				timing of determining the interest rate; and
(iv) the allocation of interest credits, if
				more than one rate of interest applies to different portions of the policy
				value.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-001 - Statutory authority

Current through June 17, 2024
This Rule is promulgated by the Director of Insurance under
				  the authority granted by
Neb. Rev. Stat.
§§
									44-101.01
				  and
				  44-8907.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-002 - Purpose

Current through June 17, 2024
The purpose of this Rule is to recognize the following
				  mortality tables for use in determining the minimum standard of valuation for
				  annuity and pure endowment contracts: the 1983 Table "a," the 1983 Group
				  Annuity Mortality (1983 GAM) Table, the Annuity 2000 Mortality Table, the 2012
				  Individual Annuity Reserving (2012 IAR) Table, and the 1994 Group Annuity
				  Reserving (1994 GAR) Table.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-003 - Definitions

Current through June 17, 2024
003.01 As used in
				this Rule "1983 Table "a" means that mortality table developed by the Society
				of Actuaries Committee to Recommend a New Mortality Basis for Individual
				Annuity Valuation and adopted as a recognized mortality table for annuities in
				June 1982 by the National Association of Insurance Commissioners.
003.02 As used in this Rule "1983 GAM Table"
				means that mortality table developed by the Society of Actuaries Committee on
				Annuities and adopted as a recognized mortality table for annuities in December
				1983 by the National Association of Insurance Commissioners.
003.03 As used in this Rule "1994 GAR Table"
				means that mortality table developed by the Society of Actuaries Group Annuity
				Valuation Table Task Force and shown on pages 866-867 of Volume XLVII of the
				Transactions of the Society of Actuaries (1995).
003.04 As used in this Rule "Annuity 2000
				Mortality Table" means that mortality table developed by the Society of
				Actuaries Committee on Life Insurance Research and shown on page 240 of Volume
				XLVII of the Transactions of the Society of Actuaries (1995).
003.05 As used in this Rule, "Period table"
				means a table of mortality rates applicable to a given calendar year (the
				Period).
003.06 As used in this
				Rule, "Generational mortality table" means a mortality table containing a set
				of mortality rates that decrease for a given age from one year to the next
				based on a combination of a Period table and a projection scale containing
				rates of mortality improvement.
003.07 As used in this Rule "2012 IAR Table"
				means that Generational mortality table developed by the Society of Actuaries
				Committee on Life Insurance Research and containing rates,
				qx2012+n, derived from a combination of the 2012 IAM
				Period Table and Projection Scale G2, using the methodology stated in Section
				005.
003.08 As used in this Rule,
				"2012 Individual Annuity Mortality Period Life (2012 IAM Period) Table" means
				the Period table containing loaded mortality rates for calendar year 2012. This
				table contains rates, qx2012, developed by the
				Society of Actuaries Committee on Life Insurance Research and is shown in
				Appendices 1-2.
003.09 As used in
				this Rule, "Projection Scale G2 (Scale G2)" is a table of annual rates,
				G2x, of mortality improvement by age for projecting
				future mortality rates beyond calendar year 2012. This table was developed by
				the Society of Actuaries Committee on Life Insurance Research and is shown in
				Appendices 3-4.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-004 - Individual annuity or pure endowment contracts

Current through June 17, 2024
004.01 Except as
				provided in subsections 004.02 and 004.03 of this section, the 1983 Table "a"
				is recognized and approved as an individual annuity mortality table for
				valuation and, at the option of the company, may be used for purposes of
				determining the minimum standard of valuation for any individual annuity or
				pure endowment contract issued on or after August 24, 1979.
004.02 Except as provided in subsection
				004.03 of this section, either the 1983 Table "a" or the Annuity 2000 Mortality
				Table shall be used for determining the minimum standard of valuation for any
				individual annuity or pure endowment contract issued on or after January 1,
				1987.
004.03 Except as provided in
				subsection 004.04 of this section, the Annuity 2000 Mortality Table shall be
				used for determining the minimum standard of valuation for any individual
				annuity or pure endowment contract issued on or after January 1,
				1999.
004.04 Except as provided in
				subsection 004.05 of this section, the 2012 IAR Mortality Table shall be used
				for determining the minimum standard of valuation for any individual annuity or
				pure endowment contract issued on or after January 1, 2015.
004.05 The 1983 Table "a" without projection
				is to be used for determining the minimum standards of valuation for an
				individual annuity or pure endowment contract issued on or after January 1,
				1999, solely when the contract is based on life contingencies and is issued to
				fund periodic benefits arising from:
(1)
				Settlements of various forms of claims pertaining to court settlements or
				out-of-court settlements from tort actions;
(2) Settlements involving similar actions
				such as workers' compensation claims; or
(3) Settlements of long-term disability
				claims where a temporary or life annuity has been used in lieu of continuing
				disability payments.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-005 - Group annuity or pure endowment contracts

Current through June 17, 2024
005.01 Except as
				provided in subsections 005.02 and 005.03 of this section, the 1983 GAM Table,
				the 1983 Table "a" and the 1994 GAR Table are recognized and approved as group
				annuity mortality tables for valuation and, at the option of the company, any
				one of these tables may be used for purposes of valuation for any annuity or
				pure endowment purchased on or after August 24, 1979 under a group annuity or
				pure endowment contract.
005.02
				Except as provided in subsection 005.03 of this section, either the 1983 GAM
				Table or the 1994 GAR Table shall be used for determining the minimum standard
				of valuation for any annuity or pure endowment purchased on or after January 1,
				1987 under a group annuity or pure endowment contract.
005.03 The 1994 GAR Table shall be used for
				determining the minimum standard of valuation for any annuity or pure endowment
				purchased on or after January 1, 1999 under a group annuity or pure endowment
				contract.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-006 - Group annuity or pure endowment contracts

Current through June 17, 2024
In using the 1994 GAR Table, the mortality rate for a person
				  age x in year (1994 + n) is calculated as follows:
qx
									1994+n =
				  qx1994 (1
				  _AAX)n
where the
				  qx1994 and AA
				  xs are as specified in the 1994 GAR Table.
006.01 Except as provided in subsections
				006.02 and 006.03, the 1983 GAM Table, the 1983 Table "a" and the 1994 GAR
				Table are recognized and approved as group annuity mortality tables for
				valuation and, at the option of the company, any one of these tables may be
				used for purposes of valuation for an annuity or pure endowment purchased on or
				after August 24, 1979 under a group annuity or pure endowment
				contract.
006.02 Except as provided
				in subsection 006.03, either the 1983 GAM Table or the 1994 GAR Table shall be
				used for determining the minimum standard of valuation for any annuity or pure
				endowment purchased on or after January 1, 1987 under a group annuity or pure
				endowment contract.
006.03 The 1994
				GAR Table shall be used for determining the minimum standard of valuation for
				any annuity or pure endowment purchased on or after January 1, 1999 under a
				group annuity or pure endowment contract.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-007 - Application of the 1994 GAR Table

Current through June 17, 2024
In using the 1994 GAR Table, the mortality rate for a person
				  age x in year (1994 + n) is calculated as follows:
qx
									1994+n =
				  qx1994
				  (1-AAx)n
where the
				  qx1994 and AA
				  x are as specified in the 1994 GAR
				  Table.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-008 - Separability

Current through June 17, 2024
If any provision of this Rule or the application thereof to
				  any person or circumstances is for any reason held to be invalid, the remainder
				  of the regulation and the application of such provision to other persons or
				  circumstances shall not be affected thereby.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Section 210-42-005 - Application of the 2012 IAR Mortality Table

Current through June 17, 2024
In using the 2012 IAR Mortality Table, the mortality rate for
				  a person age x in year (2012 + n) is calculated as follows:
qx2012+n =
				  qx2012(1-G2x)n
The resulting
				  qx2012+n shall be rounded to
				  three decimal places per 1,000, e.g., 0.741 deaths per 1,000. Also, the
				  rounding shall occur according to the formula above, starting at the 2012
				  periodic table rate.
For example, for a male age 30,
				  qx2012 = 0.741
qx2013 =
				  0.741 * (1 - 0.010) ^ 1 = 0.73359, which is rounded to 0.734
qx2014 =
				  0.741 * (1 - 0.010) ^ 2 = 0.7262541, which is rounded to 0.726
A method leading to incorrect rounding would be to calculate
qx2014 as
				  qx2013 * (1 - 0.010), or
				  0.734 * 0.99 = 0.727
It is incorrect to use the already rounded
				  qx2013 to calculate
				  qx2014
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Appendix 1 - 2012 IAM Period Table Female, Age Nearest Birthday

Current through June 17, 2024
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
0
1.621
30
0.300
60
3.460
90
88.377
1
0.405
31
0.321
61
3.916
91
97.491
2
0.259
32
0.338
62
4.409
92
107.269
3
0.179
33
0.351
63
4.933
93
118.201
4
0.137
34
0.365
64
5.507
94
130.969
5
0.125
35
0.381
65
6.146
95
146.449
6
0.117
36
0.402
66
6.551
96
163.908
7
0.110
37
0.429
67
7.039
97
179.695
8
0.095
38
0.463
68
7.628
98
196.151
9
0.088
39
0.504
69
8.311
99
213.150
10
0.085
40
0.552
70
9.074
100
230.722
11
0.086
41
0.600
71
9.910
101
251.505
12
0.094
42
0.650
72
10.827
102
273.007
13
0.108
43
0.697
73
11.839
103
295.086
14
0.131
44
0.740
74
12.974
104
317.591
15
0.156
45
0.780
75
14.282
105
340.362
16
0.179
46
0.825
76
15.799
106
362.371
17
0.198
47
0.885
77
17.550
107
384.113
18
0.211
48
0.964
78
19.582
108
400.000
19
0.221
49
1.051
79
21.970
109
400.000
20
0.228
50
1.161
80
24.821
110
400.000
21
0.234
51
1.308
81
28.351
111
400.000
22
0.240
52
1.460
82
32.509
112
400.000
23
0.245
53
1.613
83
37.329
113
400.000
24
0.247
54
1.774
84
42.830
114
400.000
25
0.250
55
1.950
85
48.997
115
400.000
26
0.256
56
2.154
86
55.774
116
400.000
27
0.261
57
2.399
87
63.140
117
400.000
28
0.270
58
2.700
88
71.066
118
400.000
29
0.281
59
3.054
89
79.502
119
400.000
120
1000.000
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Appendix 2 - 2012 IAM Period Table Male, Age Nearest Birthday

Current through June 17, 2024
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
AGE
1000 .
								qx2012
0
1.605
30
0.741
60
5.096
90
109.993
1
0.401
31
0.751
61
5.614
91
123.119
2
0.275
32
0.754
62
6.169
92
137.168
3
0.229
33
0.756
63
6.759
93
152.171
4
0.174
34
0.756
64
7.398
94
168.194
5
0.168
35
0.756
65
8.106
95
185.260
6
0.165
36
0.756
66
8.548
96
197.322
7
0.159
37
0.756
67
9.076
97
214.751
8
0.143
38
0.756
68
9.708
98
232.507
9
0.129
39
0.800
69
10.463
99
250.397
10
0.113
40
0.859
70
11.357
100
268.607
11
0.111
41
0.926
71
12.418
101
290.016
12
0.132
42
0.999
72
13.675
102
311.849
13
0.169
43
1.069
73
15.150
103
333.962
14
0.213
44
1.142
74
16.860
104
356.207
15
0.254
45
1.219
75
18.815
105
380.000
16
0.293
46
1.318
76
21.031
106
400.000
17
0.328
47
1.454
77
23.540
107
400.000
18
0.359
48
1.627
78
26.375
108
400.000
19
0.387
49
1.829
79
29.572
109
400.000
20
0.414
50
2.057
80
33.234
110
400.000
21
0.443
51
2.302
81
37.533
111
400.000
22
0.473
52
2.545
82
42.261
112
400.000
23
0.513
53
2.779
83
47.441
113
400.000
24
0.554
54
3.011
84
53.233
114
400.000
25
0.602
55
3.254
85
59.855
115
400.000
26
0.655
56
3.529
86
67.514
116
400.000
27
0.688
57
3.845
87
76.340
117
400.000
28
0.710
58
4.213
88
86.388
118
400.000
29
0.727
59
4.631
89
97.634
119
400.000
120
1000.000
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Appendix 3 - Projection Scale G2 Female, Age Nearest Birthday

Current through June 17, 2024
AGE
G2x
AGE
G2x
AGE
G2x
AGE
G2x
0
0.010
30
0.010
60
0.013
90
0.006
1
0.010
31
0.010
61
0.013
91
0.006
2
0.010
32
0.010
62
0.013
92
0.005
3
0.010
33
0.010
63
0.013
93
0.005
4
0.010
34
0.010
64
0.013
94
0.004
5
0.010
35
0.010
65
0.013
95
0.004
6
0.010
36
0.010
66
0.013
96
0.004
7
0.010
37
0.010
67
0.013
97
0.003
8
0.010
38
0.010
68
0.013
98
0.003
9
0.010
39
0.010
69
0.013
99
0.002
10
0.010
40
0.010
70
0.013
100
0.002
11
0.010
41
0.010
71
0.013
101
0.002
12
0.010
42
0.010
72
0.013
102
0.001
13
0.010
43
0.010
73
0.013
103
0.001
14
0.010
44
0.010
74
0.013
104
0.000
15
0.010
45
0.010
75
0.013
105
0.000
16
0.010
46
0.010
76
0.013
106
0.000
17
0.010
47
0.010
77
0.013
107
0.000
18
0.010
48
0.010
78
0.013
108
0.000
19
0.010
49
0.010
79
0.013
109
0.000
20
0.010
50
0.010
80
0.013
110
0.000
21
0.010
51
0.010
81
0.012
111
0.000
22
0.010
52
0.011
82
0.012
112
0.000
23
0.010
53
0.011
83
0.011
113
0.000
24
0.010
54
0.011
84
0.010
114
0.000
25
0.010
55
0.012
85
0.010
115
0.000
26
0.010
56
0.012
86
0.009
116
0.000
27
0.010
57
0.012
87
0.008
117
0.000
28
0.010
58
0.012
88
0.007
118
0.000
29
0.010
59
0.013
89
0.007
119
0.000
120
0.000
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 42 - RULE FOR RECOGNIZING MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES › Appendix 4 - Projection Scale G2 Male, Age Nearest Birthday

Current through June 17, 2024
AGE
G2x
AGE
G2x
AGE
G2x
AGE
G2x
0
0.010
30
0.010
60
0.015
90
0.007
1
0.010
31
0.010
61
0.015
91
0.007
2
0.010
32
0.010
62
0.015
92
0.006
3
0.010
33
0.010
63
0.015
93
0.005
4
0.010
34
0.010
64
0.015
94
0.005
5
0.010
35
0.010
65
0.015
95
0.004
6
0.010
36
0.010
66
0.015
96
0.004
7
0.010
37
0.010
67
0.015
97
0.003
8
0.010
38
0.010
68
0.015
98
0.003
9
0.010
39
0.010
69
0.015
99
0.002
10
0.010
40
0.010
70
0.015
100
0.002
11
0.010
41
0.010
71
0.015
101
0.002
12
0.010
42
0.010
72
0.015
102
0.001
13
0.010
43
0.010
73
0.015
103
0.001
14
0.010
44
0.010
74
0.015
104
0.000
15
0.010
45
0.010
75
0.015
105
0.000
16
0.010
46
0.010
76
0.015
106
0.000
17
0.010
47
0.010
77
0.015
107
0.000
18
0.010
48
0.010
78
0.015
108
0.000
19
0.010
49
0.010
79
0.015
109
0.000
20
0.010
50
0.010
80
0.015
110
0.000
21
0.010
51
0.011
81
0.014
111
0.000
22
0.010
52
0.011
82
0.013
112
0.000
23
0.010
53
0.012
83
0.013
113
0.000
24
0.010
54
0.012
84
0.012
114
0.000
25
0.010
55
0.013
85
0.011
115
0.000
26
0.010
56
0.013
86
0.010
116
0.000
27
0.010
57
0.014
87
0.009
117
0.000
28
0.010
58
0.014
88
0.009
118
0.000
29
0.010
59
0.015
89
0.008
119
0.000
120
0.000
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-001 - Authority

Current through June 17, 2024
This rule is issued pursuant to the authority granted by
Neb.Rev.Stat.
§
									44-101.01
				  and §
									44-4226.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-002 - Purpose

Current through June 17, 2024
The purpose of this rule is to set forth the scope of the
				  coverage to be offered by the Comprehensive Health Insurance
				  Pool.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-003 - Definitions

Current through June 17, 2024
For the purpose of this rule, unless the context otherwise
				  requires, the definitions found in
Neb.Rev.Stat.
§
									44-4204
				  through §
									44-4215
				  shall apply.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-004 - Deductible

Current through June 17, 2024
Each individual applying for coverage under the pool shall
				  select one of the following deductible levels, which must be satisfied in each
				  calendar year before any benefits will be payable:
004.01 For the Preferred Provider
				Organization Plan:
004.01(a) $500/$1,000 per
				year;
004.01(b) $1,000/$2,000 per
				year;
004.01(c) $1,500 / $3,000 per
				year
004.01(d) $2,000/$4,000 per
				year.
004.01(e) $3,000 / $6,000 per
				year
004.01(f) $4,000 / $8,000 per
				year
004.01(g) $5,000 / $10,000 per
				year
004.01(h) $7,500/ $15,000 per
				year
004.01(i) $10,000/ $20,000 per
				year
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-005 - Cost containment

Current through June 17, 2024
005.01 The policy
				offered by the Comprehensive Health Insurance Pool may include one or more cost
				containment features which affect the level of benefits which will be paid. For
				purposes of this rule, "Cost Containment" is defined as formal activity related
				to the control of health services costs through efforts such as improved
				efficiency, utilization review, or claims review. It includes, but is not
				limited to, the following:
005.01A Hospital
				Confinement Preauthorization;
005.01B Outpatient Surgery;
005.01C Hospital Preadmission
				Testing;
005.01D Prescription Drug
				Management and
005.01E Preferred
				provider insurance arrangement.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-008 - Benefits

Current through June 17, 2024
008.01A Except as
				indicated elsewhere in this rule, when an insured person incurs an expense for
				a covered service or supply, the pool will cover 80% of the usual, normal
				charges in excess of the deductible. The Preferred Provider Organization Plan
				may reduce the coverage of the charges to 70% if an insured person does not
				obtain a covered service or supply from a contracted medical provider with the
				pool. Benefits are limited to;
(a) one
				million dollars during the lifetime of the insured; and
(b) expense incurred after the deductible has
				been satisfied.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-009 - Maximum out-of-pocket expense

Current through June 17, 2024
Once the insured has incurred $1,500 in out-of-pocket
				  expenses in a calendar year, over and above the deductible, benefits will be
				  paid at 100% for the remainder of that calendar year, subject to the exceptions
				  indicated elsewhere in this rule. The Preferred Provider Organization Plan may
				  increase the maximum out-of-pocket expense to $3,000 for those services and
				  supplies received from medical providers that have not contracted with the
				  pool.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-010 - Maternity benefit rider

Current through June 17, 2024
010.01 An optional
				maternity benefit rider will be available to individuals enrolled in the pool
				upon payment of an additional premium.
010.02 Benefits will be paid as described in
				subsection 010.03 if the individual is:
010.02A Insured under the rider at least nine
				months prior to the birth, except as waived by
Neb.Rev.Stat.
§
										44-4228(5);
010.02B Confined for normal pregnancy or
				normal childbirth; and
010.02C
				Continuously insured under the rider and the policy during the entire period of
				the pregnancy.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-011 - Renewability of Policy Form

Current through June 17, 2024
011.01 The board
				may nonrenew all policies issued on the same form number, subject to approval
				by the Director.
011.02 If the
				insured's policy is nonrenewed as stated in subsection 0 11. 0 1, the insured
				will be issued a replacement policy which will be the CHIP Policy Form then
				being issued to new enrollees. Any waiting period, deductible, out-of-pocket
				amount and maximums satisfied under the nonrenewed policy form will be carried
				forward and applied to the insured's replacement policy.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL › Section 210-44-012 - Severability

Current through June 17, 2024
If any provision of this regulation or the application
				  thereof to any person or circumstances is for any reason held to be invalid,
				  the remainder of the regulation and the application of such provision to other
				  persons or circumstances shall not be affected thereby.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-001 - Authority

Current through June 17, 2024
This regulation is adopted pursuant to the Unfair Competition
				  and Trade Practices Act
, Neb.Rev.Stat.
' 44-1522,
et seq
.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-002 - Purpose

Current through June 17, 2024
The purpose of this proposed regulation is to set forth
				  standards for the prompt, fair and equitable settlements applicable to
				  automobile insurance with regard to the use of after market parts. It is
				  intended to regulate the use of after market parts in automobile damage repairs
				  which insurers pay for on their insured's vehicle. The regulation requires
				  disclosure when any use is proposed of a non-original manufacturer part. It
				  also requires that all after market parts, as defined in the regulation, be
				  identified and be of the same quality as the original part.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-003 - Definitions

Current through June 17, 2024
003.01 "Insurer"
				includes any person authorized to present the insurer with respect to a claim
				who is acting within the scope of the person's authority.
003.02 "Non-Original Manufacturer" means any
				manufacturer other than the original manufacturer of the part.
003.03 "After market part" for purpose of
				this regulation, means sheet metal or plastic parts which generally constitute
				the exterior of a motor vehicle, including inner and outer panels.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-004 - Identification

Current through June 17, 2024
All after market parts, which are subject to this regulation
				  and manufactured after the effective date of this regulation, shall carry
				  sufficient permanent identification so as to identify its manufacturer. Such
				  identification shall be accessible to the extent possible after
				  installation.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-005 - Like kind and quality

Current through June 17, 2024
No insurer shall require the use of after market parts in the
				  repair of an automobile unless the after market part is at least equal in like,
				  kind, and quality to the original part in terms of fit, quality and
				  performance. Insurers specifying the use of after market parts shall consider
				  the cost of any modifications which may become necessary when making the
				  repair.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-006 - Disclosure

Current through June 17, 2024
The insurer must disclose to the claimant in writing, either
				  on the estimate or on a separate document attached to the estimate, the
				  following information in no smaller print than 10 point type:
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF
				  AUTOMOBILE PARTS NOT MADE BY THE ORIGINAL MANUFACTURER. PARTS USED IN THE
				  REPAIR OF YOUR VEHICLE BY OTHER THAN THE ORIGINAL MANUFACTURER ARE REQUIRED TO
				  BE AT LEAST EQUAL IN LIKE, KIND AND QUALITY IN TERMS OF FIT, QUALITY AND
				  PERFORMANCE TO THE ORIGINAL MANUFACTURER PARTS THEY ARE REPLACING.
All after market parts installed on the vehicle shall be
				  clearly identified on the estimate of such repair.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-007 - Enforcement

Current through June 17, 2024
Violations of this regulation shall be enforced through the
				  Unfair Competition and Trade Practices Act
,
				  Neb.Rev.Stat.
' 44-1522
et
				  seq
.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 45 - AFTER MARKET PARTS REGULATION › Section 210-45-008 - Severability

Current through June 17, 2024
If any section or portion of a section of this regulation, or
				  the applicability thereof to any person or circumstance is held invalid by a
				  court, the remainder of this regulation, or the applicability of such provision
				  with a person shall not be affected thereby.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-001 - Purpose

Current through June 17, 2024
The purpose of this regulation is to implement the Long-Term
				  Care Insurance Act, to promote the public interest, to promote the availability
				  of long-term care insurance coverage, to protect applicants for long-term care
				  insurance, as defined, from unfair or deceptive sales or enrollment practices,
				  to facilitate public understanding and comparison of long-term care insurance
				  coverages, and to facilitate flexibility and innovation in the development of
				  long-term care insurance.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-002 - Authority

Current through June 17, 2024
This Rule is promulgated under the authority vested in the
				  Director under
Neb.Rev.Stat.
§
									44-101.01,
				  §
									44-404,
				  §
									44-511,
				  §
									44-4512,
				  §
									44-4514,
				  and §
									44-4518.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-003 - Applicability and Scope

Current through June 17, 2024
Except as otherwise specifically provided, this regulation
				  applies to all long-term care insurance policies and certificates,including
				  qualified long-term care insurance contracts, and life insurance policies that
				  accelerate benefits for long-term care delivered or issued for delivery in this
				  state on or after the effective date hereof, by insurers, fraternal benefit
				  societies, prepaid health plans, health maintenance organizations and all
				  similar organizations. Certain provisions of this regulation apply only to
				  qualified long-term care insurance contracts as noted.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-004 - Definitions

Current through June 17, 2024
004.01 For the
				purpose of this regulation, the terms "long-term care insurance", "group
				long-term care insurance", "director", "applicant", "policy" and "certificate"
				shall have the meanings set forth in the Long-Term Care Insurance Act. The term
				"qualified long-term care insurance," means an individual or group insurance
				contract that meets the requirements of Section 7702B(b) of the Internal
				Revenue Code of 1986, as amended.
004.02 Under section 7702B (c)(2)(B) of
				Internal Revenue Code of 1986, as amended, "activities of daily living" means:
004.02(A) Bathing;
004.02(B) Continence;
004.02(C) Dressing;
004.02(D) Eating;
004.02(E) Toileting; and
004.02(F) Transferring.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-006 - Policy Practices and Provisions

Current through June 17, 2024
006.01 Renewability
The terms "guaranteed renewable" and "non-cancellable" shall
				  not be used in any individual long-term care insurance policy, without further
				  explanatory language in accordance with the disclosure requirements of section
				  009 of this regulation.
006.01(A) A
				policy issued to an individual shall not contain renewal provisions other than
				"guaranteed renewable" or "non-cancellable."
006.01(B) The term "guaranteed renewable" may
				be used only when the insured has the right to continue the long-term care
				insurance in force by the timely payment of premiums and when the insurer has
				no unilateral right to make any change in any provision of the policy or rider
				while the insurance is in force, and cannot decline to renew, except that rates
				may be revised by the insurer on a class basis.
006.01(C) The term "non-cancellable" may be
				used only when the insured has the right to continue the long-term care
				insurance in force by the timely payment of premiums during which period the
				insurer has no right to unilaterally make any change in any provision of the
				insurance or in the premium rate.
006.01(D) In addition to the other
				requirements of this subsection, a qualified long-term care insurance contract
				shall be guaranteed renewable, within the meaning of Section 7702B(b)(1)(C) of
				the Internal Revenue Code of 1986, as amended.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-009 - Prohibition Against Post-Claims Underwriting

Current through June 17, 2024
009.01 All
				applications for long-term care insurance policies or certificates except those
				which are guaranteed issue shall contain clear and unambiguous questions
				designed to ascertain the health condition of the applicant.
009.02
009.02(A) If an application for long-term
				care insurance contains a question which asks whether the applicant has had
				medication prescribed by a physician, it must also ask the applicant to list
				the medication that has been prescribed.
009.02(B) If the medications listed in such
				application were known by the insurer, or should have been known at the time of
				application, to be directly related to a medical condition for which coverage
				would otherwise be denied, then the policy or certificate shall not be
				rescinded for that condition.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 46 - LONG-TERM CARE INSURANCE › Section 210-46-0010 - Minimum Standards for Home Health and Community Care Benefits in Long-Term Care Insurance Policies

Current through June 17, 2024
0010.01 0010.01 A
				long-term care insurance policy or certificate may not, if it provides benefits
				for home health care or community care services, limit or exclude benefits:
0010.01(A) By requiring that the
				insured/claimant would need skilled care in a skilled nursing facility if home
				health care services were not provided;
0010.01(B) By requiring that the
				insured/claimant first or simultaneously receive nursing and/or therapeutic
				services in a home, or community or institutional setting before home health
				care services are covered;
0010.01(C) By limiting eligible services to
				services provided by registered nurses or licensed practical nurses;
0010.01(D) By requiring that a nurse or
				therapist provide services covered by the policy that can be provided by a home
				health aide, or other licensed or certified home care worker acting within the
				scope of his or her licensure or certification.
0010.01(E) By requiring that the
				insured/claimant have an acute condition before home health care services are
				covered;
0010.01(F) By limiting
				benefits to services provided by Medicare-certified agencies or
				providers;
0010.01(G) By excluding
				coverage for personal care services provided by a home health aide;
0010.01(H) By requiring that the provisions
				of home health care services be at a level of certification of licensure
				greater than that required by the eligible service;
0010.01(I) By excluding coverage for adult
				day care services.