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Idaho Specific – Health (ID-AHS)

Minimum Standards and Definitions

Disability Line of Authority
Purpose of Minimum Standards
Group and Blanket
Individual Policies
Small Employer Act
Individual Act
Minimum Standards Rule
Benefit Standards

Required and Optional Coverages

Newborns and Adopted Children
Maternity Benefits
Handicapped Dependents
Reconstructive Surgery / Prosthetic Devices
Free Look
Right of Insurer to Contest
Grace Period
Skilled Nursing Facility
Mammograms
Accidental Death & Dismemberment

Disclosure

Outline of Coverage
Outline of Coverage: Format and Content
Outline of Coverage: Requirements
Reinstatement
Renewability
Renewability of Individual Plans

Medicare Supplement

Definition
Outline of Coverage
Informational Brochure
Notice of Free Examination
Advertising Requirements
Disclosure Provisions
Notice Requirements
Standards for Marketing

Definitions
Disclosure Statements
Right to Return — Free Look
Outline of Coverage
Activities of Daily Living
Producer Training Requirements
Suitability

Disclosure Requirements
Termination / Nonrenewal
Fair Marketing Standards
Small Employer Definition
Eligible Employee Definition

Individual Health Insurance

Premium Rates
Availability of Coverage
Fair Marketing

Disability Income Protection

Producer License
Minimum Standards for Benefits
Banned Policy Provisions
Disclosure Provisions

Carrier External Review

Purpose of External Review
External Review Definitions
Notice of Right to External Review
Request for External Review
Standard External Review
Expedited External Review

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