Section Ins 2604.03 - Definitions For the purpose of this part, the following definitions shall apply:
(a) "Advertisement" means: (1) Printed and published material and literature an insurer uses in newspapers, magazines, radio and TV scripts, billboards and similar displays to describe its plans and products;(2) Descriptive literature and sales aids issued by an insurer for presentation to members of the public, including but not limited to circulars, leaflets, booklets, depictions, illustrations, and form letters;(3) Prepared sales talks, presentations and material for use by producers; and(4) Product descriptions, illustrations, web pages and other materials available on the internet.(b) "Exception" means any provision in a policy which eliminates coverage for a specified hazard through a statement of a risk the policy does not assume.(c) "Insurer" means any individual, producer, corporation, association, partnership, health maintenance organization, reciprocal exchange, interinsurer, fraternal benefit society, and any other legal entity engaged in the advertisement of a policy as herein defined.(d) "Limitation" means any provision in a policy which restricts coverage under the policy that is not an exception or a reduction.(e) "Policy" means any, plan, certificate, contract, agreement, statement of coverage, rider or endorsement that provides life, accident or health benefits or medical, surgical or hospital expense benefits whether on a cash indemnity, reimbursement, or service basis. "Policy" does not include the disability and double indemnity benefits included in insurance lines defined in RSA 401:1, III, or any policy that is regulated by Ins 2601, Ins 2602, Ins 2603, or Ins 3600.(f) "Policy elimination period" means any period between the policy's effective date and the effective date of coverage for specified illness if such illness is not covered as of the policy's effective date, or any period between the time loss occurs and the time coverage begins.(g) "Reduction" means any provision in a policy that reduces a benefit amount wherein the policy does assume some risk of loss, but the insurer limits payment to an amount or period of time that is less than the policy would cover if the contract did not include the reduction provision.N.H. Admin. Code § Ins 2604.03
Amended by Volume XXXVI Number 36, Filed September 8, 2016, Proposed by #11173, Effective 12/5/2016, Expires 12/5/2026.