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<section article="gin" article_name="Insurance" number="19-1105" title_number="19" title_name="Property and Casualty Insurance" subtitle_number="11" subtitle_name="Pet Insurance">
  <level label="a">
    <level label="1">
      <text>A pet insurer may issue policies that exclude coverage on the basis of one or more preexisting conditions with appropriate disclosure to the consumer.</text>
    </level>
    <level label="2">
      <text>The pet insurer has the burden of proving that the preexisting condition exclusion applies to the condition for which a claim is made.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <level label="i">
        <text>Subject to subparagraphs (ii) and (iii) of this paragraph, a pet insurer may issue a policy that imposes a waiting period before coverage under the policy begins.</text>
      </level>
      <level label="ii">
        <text>A waiting period may not exceed 30 days for an illness or orthopedic condition that does not result from an accident.</text>
      </level>
      <level label="iii">
        <text>A pet insurer may not impose a waiting period for an illness or orthopedic condition that results from an accident.</text>
      </level>
    </level>
    <level label="2">
      <level label="i">
        <text>A pet insurer that imposes a waiting period under paragraph (1) of this subsection shall include a provision in the pet insurance policy that allows for the waiving of waiting periods on completion of a medical examination.</text>
      </level>
      <level label="ii">
        <level label="1">
          <text>A pet insurer may require a medical examination under subparagraph (i) of this paragraph to be conducted by a veterinary practitioner after the purchase of the policy.</text>
        </level>
        <level label="2">
          <text>Unless the pet insurance policy specifies that the pet insurer will pay for a medical examination under subparagraph (i) of this paragraph, a policyholder shall pay for the medical examination.</text>
        </level>
        <level label="3">
          <text>A pet insurer may:</text>
        </level>
        <level label="A">
          <text>specify elements to be included as part of a medical examination under subparagraph (i) of this paragraph; and</text>
        </level>
        <level label="B">
          <text>if the specifications do not unreasonably restrict a policyholder’s ability to waive the waiting period, require documentation of the medical examination.</text>
        </level>
      </level>
    </level>
    <level label="3">
      <text>A pet insurer shall clearly and prominently disclose requirements with respect to applicable waiting periods before purchase of the policy.</text>
    </level>
  </level>
  <level label="c">
    <text>A pet insurer shall require that an insured submit a claim under the pet insurance policy after submitting payment to the veterinary practitioner for veterinary expenses.</text>
  </level>
  <level label="d">
    <text>A pet insurer may not require a medical examination of the covered pet as a condition for the renewal of a policy.</text>
  </level>
  <level label="e">
    <text>A prescriptive, wellness, or noninsurance benefit included in the policy form for a pet insurance policy is part of the policy and subject to this article and regulations adopted under this article.</text>
  </level>
  <level label="f">
    <text>A pet insurer may not condition an insured’s eligibility to purchase a pet insurance policy on participation, or lack of participation, in a separate wellness program.</text>
  </level>
</section>
