33-22-521. Disclosure standards -- group policy. (1) In order to provide for full and fair disclosure in the sale of disability insurance, a group disability insurance policy may not be delivered or issued for delivery in this state unless an outline of coverage is delivered to the applicant at the time the application is made.
     (2) The outline of coverage must include:
     (a) a general description of the principal benefits and coverages provided by the policy;
     (b) a general description of the insureds financial responsibility under the policy, including, if applicable, the amount of the deductible, the amount or percentage of copayment, and the maximum annual out-of-pocket expenses to be paid by the insured;
     (c) a statement of the maximum lifetime benefit available under the policy;
     (d) a statement of the estimated periodic premium to be paid by the insured;
     (e) a general description of the factors or case characteristics that the insurer may consider in establishing or changing the premiums and, if applicable, in determining the insurability of the applicant; and
     (f) a general description of the trend of premium increases or decreases for comparable policies issued by the insurer during the preceding 5 years, if the trend data is available.
     (3) If applicable, the outline of coverage must disclose that the policy does not contain coverage for mental illness or chemical dependency.
     (4) The outline of coverage may include any other information that the insurer considers relevant to the applicants selection of an appropriate group disability policy.
     (5) An insurer or producer shall provide to an individual, upon request, an outline of coverage for any health benefit product marketed to the general public. The outline of coverage provided under this subsection may exclude the statement of the estimated periodic premium to be paid by the insured.

     History: En. Sec. 6, Ch. 527, L. 1995.