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Health provisions

The standard clauses and the all-important renewability classes. All STABLE; specific waiting periods/thresholds are VERIFY.

Uniform Individual Accident & Sickness Provisions

Section titled “Uniform Individual Accident & Sickness Provisions”

State law (via the NAIC model) standardizes many health-policy clauses, split into mandatory and optional provisions. High-value examples:

Mandatory (must appear):

  • Entire contract — the policy + application are the whole agreement.
  • Time limit on certain defenses (health’s version of incontestability) — limits how long the insurer can contest based on application statements.
  • Grace period — time to pay an overdue premium without losing coverage.
  • Reinstatement — restore a lapsed policy.
  • Notice of claim / claim forms / proof of loss / time of payment of claims — the claims-handling timeline.
  • Physical examination and autopsy — insurer’s right to verify.
  • Legal actions — limits on when/how the insured may sue.

Optional (may appear):

  • Misstatement of age, other insurance, illegal occupation, etc.

Renewability classes — the most tested distinction

Section titled “Renewability classes — the most tested distinction”

How much control the insurer has over keeping/repricing the policy, from most to least favorable to the insured:

Class Can the insurer cancel? Can it raise your rate?
Noncancelable No (must renew to a stated age) No (premium guaranteed)
Guaranteed renewable No (must renew) Yes, but only by class, not you individually
Conditionally renewable Only on stated conditions Possibly
Optionally renewable At the insurer’s option (at renewal) Yes

Memory hook: Noncancelable = nothing the insurer can change; guaranteed renewable = they must renew but can raise rates by class.

  • Pre-existing condition provisions limit coverage for conditions that existed before the policy — heavily regulated, and largely eliminated for major medical under the ACA. [STABLE concept; specifics VERIFY]
  • Coordination of benefits (COB) — when two health plans cover the same person, rules decide which pays primary vs secondary (prevents over-payment).
  • Subrogation — the insurer may recover from a liable third party (e.g., the at-fault driver who injured the insured).

Why claims provisions matter for the TPA stream

Section titled “Why claims provisions matter for the TPA stream”

Health is where claims-handling discipline is most visible: notice, proof of loss, timely payment. Mishandling claims is an unfair claims settlement practice (see 12 Ethics & trade practices) — and the Cigna AI-denial litigation is precisely a health-claims dispute (see 02 AI claims litigation). This is the regulatory backdrop for the Glacis TPA / claims-attribution stream. GROUNDED · Law360

09 Washington or jump to 12 Ethics & trade practices.

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