40-2219. Outline of coverage to accompany policy at issuance or to be delivered at time of application; format and contents of outline.

339 words·~2 min read·/ks/chapter-40/40-2219

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(a)In order to provide for full and fair disclosure in the sale of individual accident and sickness insurance policies or subscriber contracts of a non-profit hospital, medical or dental service corporation, no such policy or contract shall be delivered or issued for delivery in this state unless:

(1)The outline of coverage described in subsection

(b)either accompanies the policy; or

(2)in all other cases, the outline of coverage described in subsection

(b)is delivered to the applicant at the time application is made and an acknowledgment of receipt or certificate of delivery of such outline is provided the insurer with the application. In the event the policy is issued on a basis other than that applied for, the outline of coverage properly describing the policy or contract must accompany the policy or contract when it is delivered and clearly state that it is not the policy or contract for which application was made.

(b)The commissioner shall prescribe the format and content of the outline of coverage required by subsection (a). "Format" means style, arrangement and overall appearance, including such items as the size, color, and prominence of type and the arrangement of text and captions. Such outline of coverage shall include:

(1)A statement identifying the applicable category or categories of coverage provided by the policy or contract as prescribed in K.S.A. 40-2218 ;

(2)a description of the principal benefits and coverage provided in the policy or contract;

(3)a statement of the exceptions, reductions and limitations contained in the policy or contract;

(4)a statement of the renewal provisions including any reservation by the insurer or non-profit hospital, medical, or dental service corporation of a right to change premiums;

(5)a statement that the outline is a summary of the policy or contract issued or applied for and that the policy or contract should be consulted to determine governing contractual provisions.