31.10.02.01

.01 Applicability.

A. This chapter does not apply to:

(1) Group health insurance policies initially issued to employer/employee groups of more than 1,000 employees;

(2) Group health insurance policies issued pursuant to a collective bargaining labor-management agreement; or

(3) Reinsurance contracts.

B. Except as provided in §A of this regulation, this chapter applies to all health insurance policies, including riders, endorsements, and certificates, issued or delivered in this State by any insurer or nonprofit health service plan.

C. The Insurance Commissioner may except other policies from the requirements of this chapter if the Commissioner determines that an exception is warranted by the nature of the particular policy form or if the policy language is drafted to conform to requirements of any other applicable law or regulation.