Vermont Statutes Title 8 Chapter 107, Secs. 4011-4093: Health Insurance

What this document is

Vermont Statutes Title 8 Chapter 107 - Health Insurance (Secs. 4011-4093) is a state statute published by Vermont General Assembly (Vermont Statutes Online). It is one of the Vermont documents that insurance license exam questions are written from, including vermont 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.

• 8 V.S.A. Chapter 107 § 4057(c)(3) (Adopted Child Coverage)

  “A health insurance plan shall not restrict coverage under the plan of any dependent child adopted by a covered individual, or placed with a covered individual for adoption, solely on the basis of a preexisting condition of the child at the time that the child would otherwise become eligible for...”

• 8 V.S.A. Chapter 107 § 4014(b) (Advertising practices; cease and desist)

  “(b)(1) If the Commissioner finds that any such advertising copy or advertising practice or plan of solicitation is materially misleading or deceptive, the Commissioner shall order the company or the agent or broker using such copy or practice or plan to cease and desist from such use. (2) Before...”

• 8 V.S.A. Chapter 107 § 4016(a) (Appeal)

  “(a) Any person aggrieved by any action of the Commissioner may obtain a review by appeal to the Superior Court of Washington County. The appeal shall be based on the record of the proceedings before the Commissioner and shall not be limited to questions of law. If the appeal is from an order of the...”

• 8 V.S.A. Chapter 107 § 4037(c) (Applications for insurance)

  “The falsity of any statement in an application for a policy shall not bar the right to recovery under the policy unless the false statement materially affected either the acceptance of the risk or the hazard assumed by the health insurer.”

• 8 V.S.A. Chapter 107 § 4043(b) (Association Health Plans)

  “The Commissioner shall adopt rules pursuant to 3 V.S.A. chapter 25 regulating association health plans in order to protect Vermont consumers and promote the stability of Vermont’s health insurance markets, to the extent permitted under federal law, including rules regarding licensure, solvency and...”

• 8 V.S.A. Chapter 107 § 4052(b)(2) (Blanket Health Insurance)

  “An individual application shall not be required from a person covered under a blanket health policy or contract, nor shall it be necessary for the insurer to furnish each person a certificate.”

• 8 V.S.A. Chapter 107 § 4025 (Health Insurance and the Blueprint for Health)

  “(a) All major medical insurance plans shall be offered, issued, and administered consistent with the Blueprint for Health established in 18 V.S.A. chapter 13. (b) Health insurers offering major medical insurance plans shall participate in the Blueprint for Health as specified in 18 V.S.A. § 706.”

• 8 V.S.A. Chapter 107 § 4030(8) (Cancellation)

  “In the event of cancellation, the insurer will return promptly the unearned portion of any premium paid. If the insured cancels, the earned premium shall be computed by the use of the short-rate table last filed with the state official having supervision of insurance in the state where the insured...”

• 8 V.S.A. Chapter 107 § 4030(1) (Change of Occupation)

  “(1) CHANGE OF OCCUPATION: If the insured be injured or contract sickness after having changed his or her occupation to one classified by the insurer as more hazardous than that stated in this policy or while doing for compensation anything pertaining to an occupation so classified, the insurer will...”

• 8 V.S.A. Chapter 107 § 4068 (Chiropractic Services)

  “A health insurance plan shall provide coverage for clinically necessary health care services provided by a chiropractic physician licensed in this State for treatment within the scope of practice described in 26 V.S.A. chapter 10, but limiting adjunctive therapies to physiotherapy modalities and...”

• 8 V.S.A. Chapter 107 § 4029(6) (Claim Forms)

  “The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within 15 days after the giving of such notice the claimant shall be deemed to have complied with the requirements of...”

• 8 V.S.A. Chapter 107 § 4019 (Notice as Waiver)

  “A health insurer shall not be deemed to have waived any rights to defend a claim under a health insurance plan based solely on the health insurer’s acknowledgement of receipt of notice under the plan, furnishing or accepting forms for filing proof of loss under the plan, or investigating any claim...”

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More Vermont sources

• Vt. Stat. Ann. tit. 8, ch. 103: Life insurance policy provisionsState statute
• Vt. Stat. tit. 8, s. 4723 - Unfair methods of competition or unfair or deceptive acts or practices prohibitedState statute
• Vt. Stat. tit. 8, s. 4724 - Unfair methods of competition or unfair or deceptive acts or practices definedState statute
• Vt. Stat. tit. 8, s. 4800 - License requirementsState statute
• Vt. Stat. tit. 8, s. 4804 - License denial, nonrenewal, or termination causesState statute
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