Regulation .05 Types of Forms Used on a File and Use Method.
Regulation .05 Types of Forms Used on a File and Use Method.LinkCopy Citation
A.
The forms listed in §B of this regulation are the only forms that may be used on a file and use basis.
B.
The following life insurance, health insurance, and annuity forms may be filed under the file and use method:
(1)
Group life insurance policies and certificates, except for group credit life insurance policies and certificates;
(2)
Endorsements, amendments, and riders to be used with group life insurance policies and certificates, except for endorsements, amendments, and riders to be used with group credit life insurance policies and certificates;
(3)
Wholesale life insurance policies;
(4)
Endorsements, amendments, and riders to be used with wholesale life insurance policies;
(5)
Accidental death benefit riders to be used with individual life insurance policies;
(6)
Waiver of premium riders to be used with individual life insurance policies;
(7)
Accidental death and dismemberment riders to be used with individual life insurance policies;
(8)
Riders to be used with individual life insurance policies that provide coverage to the spouse or dependent children of the insured;
(9)
Guaranteed insurability option riders to be used with individual life insurance policies;
(10)
Group annuity contracts and certificates, including variable and nonvariable group annuity contracts and certificates;
(11)
Endorsements, amendments, and riders to be used with group annuity contracts and certificates;
(12)
Individual retirement account (IRA) endorsements to be used with individual fixed annuity contracts or with individual variable annuity contracts;
(13)
Tax sheltered annuity (TSA) endorsements to be used with:
(a)
Individual fixed annuity contracts; or
(b)
Individual variable annuity contracts;
(14)
Medical stop-loss insurance;
(15)
Group accidental death policies and certificates;
(16)
Group accidental death and dismemberment policies and certificates;
(17)
Group travel health insurance policies and certificates, except for the following:
(a)
Any form that includes lost baggage benefits;
(b)
Any form that includes a trip cancellation benefit that is payable for a reason other than the illness or death of:
(i)
The insured;
(ii)
A member of the insured's family; or
(iii)
One or more of the insured's travel companions; or
(c)
Any form that contains any other property or casualty type benefit not included in §B(17)(a) and (b) of this regulation;
(18)
Group health insurance policies and certificates that:
(a)
Limit coverage to losses due to accident; and
(b)
Do not pay benefits on an expense-incurred basis;
(19)
Employer retrospective premium arrangements;
(20)
Blanket health insurance policies that limit benefits to accidental death benefits;
(21)
Blanket health insurance policies that limit benefits to accidental death and dismemberment benefits;
(22)
Blanket health insurance policies that limit benefits to travel benefits;
(23)
Blanket health insurance policies that:
(a)
Limit coverage to losses due to accident; and
(b)
Do not pay benefits on an expense-incurred basis; and
(24)
Applications, except applications for:
(a)
Medicare supplement policies;
(b)
Long-term care insurance;
(c)
Individual health benefit plans; and
(d)
Small employer health benefit plans.