Section Ins 6203.06 - Outline of Coverage Items included in the outline of coverage issued in connection with policies meeting the standards of this part shall appear in the following sequence:
(a) A brief specific description of the benefits shall be provided; (b) A description of any policy provisions that exclude, eliminate, restrict, reduce, limit, delay, or in any other manner operate to qualify payment of the benefit described in paragraph (a) above;(c) A description of policy provisions with respect to renewability or continuation of coverage, including age restrictions or any reservation of right to change premiums; and(d) The outline of coverage required by paragraphs (a) - (c) above shall be in the same format as follows: (1) An accident-only or specified accident policy or certificate providing benefits that vary according to the type of accidental cause shall be prominently set forth in the outline of coverage; and(2) An outline of coverage in the format prescribed below shall be issued in connection with accident-only or specified accident policies meeting the standards of this part. The items included in the outline of coverage shall appear in the following sequence: "[COMPANY NAME]
[ACCIDENT-ONLY COVERAGE]
[SPECIFIED ACCIDENT COVERAGE]
THIS [POLICY] [CERTIFICATE] PROVIDES LIMITED BENEFITS
BENEFITS PROVIDED ARE SUPPLEMENTAL AND NOT INTENDED TO COVER ALL MEDICAL EXPENSES
OUTLINE OF COVERAGE
Read Your [Policy] [Certificate] Carefully-This outline of coverage provides a very brief description of the important features of the coverage. This is not the insurance contract and only the actual policy provisions will control. The policy itself sets forth in detail the rights and obligations of both you and your insurance company. It is, therefore, important that you READ YOUR [POLICY] [CERTIFICATE] CAREFULLY!
Accident-only coverage is designed to provide, to persons insured, benefits for injuries resulting from an accident, subject to any limitations set forth in the policy or certificate. Coverage is not provided for any benefits other than the specific accident-only benefits described and any additional benefit described below:
(1) [A brief specific description of the benefits.](2) [A description of any policy provisions that exclude, eliminate, restrict, reduce, limit, delay, or in any other manner operate to qualify payment of the benefits described in paragraph (1) above.](3) [A description of any policy provisions respecting renewability or continuation of coverage, including age restriction or any reservations of right to change premiums.]".N.H. Admin. Code § Ins 6203.06
Derived from Volume XXXIX Number 37, Filed September 12, 2019, Proposed by #12855, Effective 8/26/2019, Expires 8/26/2029.Amended by Volume XL Number 50, Filed December 10, 2020, Proposed by #13137, Effective 11/24/2020, Expires 11/24/2030.