18 Del. Admin. Code § 1306-6.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1306-6.0 - Implementation

6.1 Carriers may implement a CHP in such a manner that there is no effect on present or anticipated total insurance premiums collected from a group.

6.2 Carriers shall provide a certification form to all insureds under a CHP. The form, whereby the insured may certify participation in the practice of healthy lifestyle behaviors as required by the CHP, shall be filed with and approved by the Delaware Insurance Commissioner prior to use. Said form shall include notification of the applicable penalties set forth in section 5.2.4 of this regulation.

6.3 CHPs shall include a provision which contains the following form of notice:

6.3.1 "If at any time during the policy period an insured who has previously certified participation in the practice of healthy lifestyle behaviors as required by the CHP ceases to practice any or all of such behaviors, he or she shall notify the carrier in writing within thirty (30) days. Upon notice to the carrier, the insured shall repay any premium credit earned from the date the insured ceased such practice."

6.4 Carriers issuing CHPs may investigate, at any time, to verify an insured's compliance with the requirements of the CHP. Insureds shall cooperate with reasonable efforts by carriers to verify the certification under section 5.2.1 above.

18 Del. Admin. Code § 1306-6.0