2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514D - ACCIDENT AND SICKNESS INSURANCE POLICIES
514D.3 - STANDARDS FOR POLICIES ESTABLISHED.

        514D.3  STANDARDS FOR POLICIES ESTABLISHED.
         1.  The commissioner shall issue rules to establish specific
      standards, including standards of full and fair disclosure, that set
      forth the manner, content, and required disclosure for the sale of
      policies of individual accident and sickness insurance and individual
      subscriber contracts which shall be in addition to and in accordance
      with applicable laws of this state, including but not limited to
      sections 514A.1 to 514A.12.  These rules may include, but shall not
      be limited to, any of the following subjects:
         a.  Terms of renewability.
         b.  Initial and subsequent conditions of eligibility.
         c.  Nonduplication of coverage provisions.
         d.  Coverage of dependents.
         e.  Coverage of persons eligible for Medicare by reason of
      age.
         f.  Preexisting conditions.
         g.  Termination of insurance.
         h.  Probationary periods.
         i.  Limitations.
         j.  Exceptions.
         k.  Reductions.
         l.  Elimination periods.
         m.  Requirements for replacement.
         n.  Recurrent conditions.
         o.  The definition of terms, including but not limited to the
      following:  Hospital, accident, sickness, injury, physician,
      accidental means, total disability, partial disability, nervous
      disorder, guaranteed renewable, and noncancelable.
         2.  The commissioner may issue rules with respect to policies of
      individual accident and sickness insurance and individual subscriber
      contracts that specify prohibited policies or subscriber contracts,
      or prohibited policy or contract provisions which the commissioner
      finds to be unjust, unfair, or unfairly discriminatory to the
      policyholder or any person insured under the policy or any
      beneficiary.  This subsection does not authorize the commissioner to
      prohibit a policy or policy provision or subscriber contract or
      contract provision which is specifically authorized by statute.
         3.  A rule issued by the commissioner under this section shall not
      apply to a conversion policy issued pursuant to a contractual
      conversion privilege under a group or individual policy of accident
      and sickness insurance when such group or individual contract
      contains provisions that are inconsistent with the requirements of
      this chapter or any rule issued under this chapter.
         4.  A rule issued by the commissioner under this section shall not
      apply to policies being issued to employees or members being added to
      a franchise plan, as defined in section 509.14, which is in existence
      on the effective date of the rule.  

         [C81, § 514D.3]