Short-term limited duration insurance; notice; definitions

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20-1384. Short-term limited duration insurance; notice; definitions

A. All policies or certificates issued, delivered or renewed in this state for short-term limited duration insurance shall display on the policy's fact page and in any application materials provided in connection with enrollment in such coverage the following federal disclosure in at least fourteen-point type:

Notice

This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the affordable care act. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs and mental health and substance use disorder services). Your policy might also have lifetime or annual dollar limits on health benefits, or both. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.

B. A health care insurer shall provide notice to the insured before expiration that the policy needs to be renewed or is expiring.

C. For the purposes of this section:

1. " Health care insurer" has the same meaning prescribed in section 20-1379.

2. " Short-term limited duration insurance" means health insurance coverage that is offered by a health care insurer, that is not subject to state health coverage mandates in this title, that has an expiration date specified in the contract that is less than twelve months after the original effective date of the contract and, taking into account renewals or extensions, that has a duration of not longer than thirty-six months.


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