Arkansas Insurance Department Rule on Minimum Standards for Accident and Health Insurance, 23 CAR pt. 86 (REGULATION, not Ark. Code Ann.)

What this document is

Arkansas Insurance Department Rule on Minimum Standards for Accident and Health Insurance, 23 CAR pt. 86 (REGULATION, not Ark. Code Ann.) is a regulation published by Arkansas Insurance Department, Code of Arkansas Rules. It is one of the Arkansas documents that insurance license exam questions are written from, including arkansas life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• 23 CAR pt. 86, § 86-401(f) (General rules: required first-page statement)

  “(f) All accident-only polices, specified disease policies, and specified accident policies shall contain on the first page of the policy or attached thereto in either contrasting color or in boldface type at least equal to the size of type used for policy captions a prominent statement as follows:...”

• 23 CAR pt. 86, § 86-201(a)(3) (Prohibited policy provisions: accident policies)

  “(3) Accident policies shall not contain probationary or waiting periods.”

• 23 CAR pt. 86, § 86-201(e) (Prohibited policy provisions: government hospital confinement)

  “(e) Policies providing hospital confinement indemnity coverage shall not contain provisions excluding or reducing coverage because of confinement in a hospital contracted for or operated by the federal, state, county, or local government.”

• 23 CAR pt. 86, § 86-301(b)(16) (Minimum standards, general rules: Medicare overinsurance)

  “(16)(A) If, to prevent overinsurance, benefits are reduced due to the presence of Medicare, then benefits may be reduced for those insureds actually covered by Medicare. (B) Benefits may not be reduced based solely on eligibility for Medicare.”

• 23 CAR pt. 86, § 86-402(a) (Outline of coverage requirements for individual coverages)

  “(a) No policies subject to this part shall be delivered or issued for delivery in this state unless: (1) An appropriate outline of coverage, as prescribed in 23 CAR §§ 86-403 – 86-410, is completed as to policy or contract; (2) The outline is either delivered with the policy or delivered to the...”

• 23 CAR pt. 86 § 86-311 (Limited benefit health insurance coverage)

  “"Limited benefit health insurance coverage" is any policy or contract that provides benefits that are less than the minimum standards for benefits required under 23 CAR §§ 86-302 – 86-311. (b)(1) Such policies or contracts may be delivered or issued for delivery in this state only if the outline of...”

• 23 CAR pt. 86 § 86-201(c) (Prohibited policy provisions, preexisting condition exclusions)

  “No policy shall exclude coverage for a loss due to a preexisting condition for a period greater than twelve (12) months following policy issue where: (1) The application for such insurance does not seek disclosure of prior: (A) Illness; (B) Disease; (C) Physical conditions; or (D) Medical care and...”

• 23 CAR pt. 86 § 86-201(a)(3) (Prohibited policy provisions)

  “Accident policies shall not contain probationary or waiting periods.”

• 23 CAR pt. 86 § 86-402(b) (Substitute outline of coverage)

  “If an outline of coverage was delivered at the time of application and the policy or contract is issued on a basis which would require revision of the outline, a substitute outline of coverage properly describing the policy or contract must accompany the policy or contract when it is delivered and...”

• 23 CAR pt. 86 s. 86-306(b) (Disability income protection coverage, Social Security increases)

  “(b)(1) No reduction in benefits shall be put into effect because of an increase in Social Security or similar benefits during a benefit period. (2) This section does not apply to those policies providing business buyout coverage.”

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Questions about this source

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