Mississippi Insurance Department REGULATIONS on accident and sickness policy filing, 'non-cancelable' and 'guaranteed renewable' terminology, advertising, and coordination of benefits

What this document is

19 Miss. Admin. Code, Part 3 (Accident and Health), Chapters 1, 2, 3, 4, 5 and 7 - Mississippi Insurance Department REGULATIONS on accident and sickness policy filing, 'non-cancelable' and 'guaranteed renewable' terminology, advertising, and coordination of benefits is a regulation published by Mississippi Insurance Department (mid.ms.gov). It is one of the Mississippi documents that insurance license exam questions are written from, including mississippi 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.

• 19 Miss. Admin. Code Part 3, Ch. 5, Rule 5.02 (Applicability of the Accident and Sickness Advertising Rules)

  “Every insurer shall establish and at all times maintain a system of controlover the content, form and method of dissemination of all advertisements of its policies. All such advertisements, regardless of by whom written, created, designed or presented, shall be the responsibility of the insurer...”

• 19 Miss. Admin. Code Part 3, Ch. 4, Rule 4.01 (Accident and Health Insurance Policies, Rates and Other Endorsement Filings)

  “No benefit changes shall be implemented by any insurance company applicable to any accident and sickness policy until written notice is provided to the policyholder at least seventy-five (75) days prior to the effective date of the benefit change. For the purposes of this Regulation, the term...”

• 19 Miss. Admin. Code Part 3, Ch. 3, Rule 3.01 (Clarification of Non-Cancelable and Guaranteed Renewable)

  “Except as provided above, the term “guaranteed renewable” may be usedonly in a policy which the insured has the right to continue in force by the timely payment of premiums (1) until at least age 50, or (2) in the case of a policy issued after age 44, for at least five years from its date of issue,...”

• 19 Miss. Admin. Code Part 3, Ch. 7, Rule 7.01 (Coordinating or Integrating Accident and Health Insurance Benefits)

  ““Other health plans” shall include any plan which provides insurance, reimbursement, or service benefits for hospital, surgical, or medical expenses; this shall include coverage under group or individual insurance policies, nonprofit health service plans, health maintenance organization subscriber...”

• 19 Miss. Admin. Code Part 3, Ch. 4, Rule 4.01 (Rate Increase Advance Notice)

  “Additionally, no rate increase shall be implemented by any insurance company applicable to any accident and sickness policy unless written notice is provided to the policyholder at least seventyfive (75) days prior to the effective date of the increase. Notice of the rate increase may be sent by...”

• 19 Miss. Admin. Code Part 3, Ch. 3, Rule 3.01 (Synonymous Renewability Terms)

  “The foregoing limitation on use of the term ‘non-cancellable” shall also apply to any synonymous term such as “ not cancellable” and the limitation on use of the term “guaranteed renewable” shall apply to any synonymous term such as “guaranteed continuable.””

• 19 Miss. Admin. Code Part 3, Chapter 1, Rule 1.01 ((LA&H 57-2) Payment of Health, Accident & Hospitalization Premium to Company or State Agency)

  “It has come to the attention of the State Insurance Department that certain agents in the State make a practice of having the insured’s check made to the agent personally rather than to the company or state agent. In order to provide protection to the insured, bothcompanies and agents are hereby...”

• 19 Miss. Admin. Code Part 3, Chapter 2, Rule 2.01 ((LA&H 62-2) Health and Accident Payment of Claims)

  “Bulletin your individual agents, either through the home office or district office, warning them against referring any claim to this office which does not involve his or her company. Further advise the individual agents that loose remarks about the claim payment record of any competing company will...”

• 19 Miss. Admin. Code Part 3, Ch. 5, Rule 5.06(A)(4) (Advertisements Of Benefits Payable, Losses Covered Or Premiums Payable: Deceptive Words, Phrases Or Illustrations Prohibited)

  “4. No advertisement of a benefit for which payment is conditional upon confinement in a hospital or similar facility shall use words or phrases such as “tax free”; “extra cash”; “extra income”; extra pay”; or substantially similarwords or phrases because such words and phrases have the capacity,...”

• 19 Miss. Admin. Code Part 3, Ch. 5, Rule 5.17(B) (Enforcement Procedures: Certificate of Compliance)

  “B. Certificate of Compliance Each insurer required to file an Annual Statement which is now or which thereafter becomes subject to the provisions of these rules must file with this Departmentwith its Annual Statement a Certificate of Compliance executed by an authorized officer of the insurer...”

• 19 Miss. Admin. Code Part 3, Ch. 5, Rule 5.12(B) (Jurisdictional Licensing and Status of Insurer: implied government approval)

  “B. An advertisement shall not create the impression directly or indirectly that the insurer, its financial condition or status, or the payment of its claims, or the merits, desirability, or advisability of its policy forms or kinds or plans of insurances are approved, endorsed, or accredited by any...”

• 19 Miss. Admin. Code Part 3, Chapter 1, Rule 1.01 (Payment of Health, Accident & Hospitalization Premium to Company or State Agency: wording on the receipt)

  “The companies are requested to incorporate in their receipts in bold type “CHECK SHOULD BE MADE PAYABLE TO THE COMPANY OR STATE AGENCY; DO NOT MAKE CHECK PAYABLE TO SALESMAN.” Companies having printed receipts already on hand may use a rubber stamp until new forms are printed.”

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More Mississippi sources

• Miss. Code Ann. Title 83, Chapter 5, Article 1 - Unfair Trade Practices (the Unfair Practices sections, §§ 83-5-27 to 83-5-51, complete)State statute
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