2005 Idaho Code - 41-2026 — POLICY STANDARDS -- REPLACEMENT CONTRACTS

                                  TITLE  41
                                  INSURANCE
                                  CHAPTER 20
                             GROUP LIFE INSURANCE
    41-2026.  POLICY STANDARDS -- REPLACEMENT CONTRACTS. (1) Any insurer
providing replacement coverage with respect to group life insurance benefits
within a period of sixty (60) days from the date of discontinuance of the
prior policy providing such benefits shall immediately cover all members of
the group and dependents validly covered under the previous policy at the date
of discontinuance who are within the definitions of eligibility and who would
otherwise be eligible for coverage under the succeeding insurer's policy,
regardless of any limitations or exclusions relating to active employment or
nonconfinement.
    (2)  Any member of the group or dependent entitled to coverage under a
succeeding insurer's policy pursuant to subsection (1) of this section shall
continue to be covered by the succeeding insurer until the date coverage would
terminate for a member of the group or dependent in accordance with the
provisions of the succeeding insurer's policy.
    (3)  No provision in the succeeding insurer's policy of replacement
coverage which would operate to reduce or exclude benefits on the basis that
the condition giving rise to benefits preexisted the effective date of the
succeeding insurer's policy shall be applied with respect to those members of
the group and dependents validly insured under the prior insurer's policy on
the date of discontinuance, if benefits would have been payable under the
prior insurer's policy.
    (4)  In a situation where a determination of the prior insurer's benefit
is required by the succeeding insurer, at the succeeding insurer's request,
the prior insurer shall furnish a statement of benefits available or pertinent
information, sufficient to permit verification of the benefit determination by
the succeeding insurer.