R590-161-3. Rule  


Latest version.
  • A. Unless the reduction is clearly explained in the outline of coverage, the group certificate, and the policy, the amount of benefit payable by an insurer under a disability income policy may not be reduced by:

    (1) worker's compensation benefit paid to the insured; or

    (2) social security benefit paid to the insured; or

    (3) any other amount the insured has received, or is entitled to receive by law or contract, including any other disability contract.

    B. Any insurer that has disability income policies in effect that have reduction of benefit provisions that were not clearly explained in the outline of coverage, the group certificate, and the policy, will, within 30 days after the effective date of this rule, send notices to these insureds that clearly explain these reductions.