Rule 120-2-12-.04 - Definitions1.Advertisement, for the purpose of these Rules, shall include: (a) Printed and published material, audio visual material, and descriptive literature of an insurer used in direct mail, newspapers, magazines, radio scripts, TV scripts, billboards and similar displays; and(b) descriptive literature and sales aids of all kinds issued by an insurer, agent, solicitor or broker for presentation to members of the insurance buying public, including but not limited to, circulars, leaflets, booklets, depictions, illustrations, and form letters; and(c) prepared sales talks, presentations, and material for use by insurers, agents, brokers and solicitors. Advertisements of insurers for the sole purpose of obtaining employees, agents, agencies or brokers are among those not to be considered within the definition of an advertisement.
2.Policy, for the purpose of these Rules, shall include any Policy, Plan, Certificate, Contract, Agreement, Outline of Coverage, Rider, or Endorsement which provides accident or sickness benefits, or medical, surgical or hospital expense benefits; whether on an indemnity, reimbursement, service, or prepaid basis, except when issued in connection with another kind of insurance other than life, and except disability, waiver of premium, and double indemnity benefits included in life insurance and annuity contracts.3.Insurer, for the purpose of these Rules, shall include any individual, corporation, association, partnership, reciprocal exchange, inter-insurer, Lloyds, fraternal benefit society, and any other legal entity defined as an "insurer" in the Insurance Code of this State, which is engaged in, or responsible for, the advertisement of a policy as herein defined.4.Exception, for the purpose of these Rules, shall mean any provision in a policy whereby coverage for a specified hazard is entirely eliminated; it is a statement of a risk not assumed under the policy.5.Exclusion, for the purpose of these Rules, shall be construed to mean the same as "Exception," as defined herein in Rule 120-2-12-.04(4).6.Reduction, for the purpose of these Rules, shall mean any provision which reduces the amount of the benefit to be received, or the period of time in which such benefits would be payable.7.Limitation, for the purpose of these Rules, shall mean any provision which restricts coverage under the policy, other than an "Exception" or a "Reduction" as defined herein.Ga. Comp. R. & Regs. R. 120-2-12-.04
Ga. L. 1960, pp. 289 to 755.
Original Rule entitled "Advertising Must Not Be Misleading" adopted. F. and eff. July 20, 1965.Repealed: New Rule entitled "Definitions" adopted. F. May 29, 1973; eff. June 18, 1973.Submitted for Publishing: Mar. 7, 2007.