Effective - 01 Jan 2022
379.1803. Master policy issuance, certificates — content of master policy. — 1. A master policy shall be issued to the policyholder. Eligible employees or members insured under the master policy shall receive certificates of coverage setting forth a statement as to the insurance protection to which they are entitled.
2. No master policy or certificate of insurance shall be issued or delivered in this state unless the master policy form; together with all forms for riders, certificates, and endorsements to the master policy form; shall have met the applicable filing requirements in this state. No subsequent amendments to the master policy form or forms for riders, certificates, and endorsements to the master policy form shall be issued or delivered until they have met the applicable filing requirements in this state.
3. The master policy shall set forth the coverages, exclusions, and conditions of the insurance provided therein, together with the terms and conditions of the agreement between the policyholder and the insurer. The master policy shall make express provisions for the following:
(1) Methods of premium collection;
(2) Enrollment period, effective date provisions, and eligibility standards for employees or members;
(3) Termination of the master policy; and
(4) Conversion privileges of the employees or members.
4. If the master policy provides for remittance of premium by the policyholder, failure of the policyholder to remit premiums when due shall not be regarded as nonpayment of premium by the employee or member who has made his or her contribution on a timely basis.
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(L. 2021 H.B. 604 merged with S.B. 6)
Effective 1-01-22