Arkansas Code
Chapter 85 - Accident and Health Insurance
§ 23-85-101. Franchise plan — Definition

(a) Accident and health insurance on a franchise plan is declared to be that form of accident and health insurance issued to:
(1) Five (5) or more employees of any corporation, copartnership, or individual employer or any governmental corporation, agency, or department thereof; or
(2) Ten (10) or more members, employees, or employees of members of any trade or professional association or of a labor union or of any other association having had an active existence for at least two (2) years when:
(A) The association or union has a constitution or bylaws and is formed in good faith for purposes other than that of obtaining insurance; and
(B) Such persons, with or without their dependents, are issued the same form of an individual policy varying only as to amounts and kinds of coverage applied for by the persons under an arrangement whereby the premiums on the policies may be paid to the insurer periodically by:
(i) The employer, with or without payroll deductions;
(ii) The association for its members; or
(iii) Some designated person acting on behalf of the employer or association or union.



(b) As used in this section, the term “employees” may be deemed to include officers, managers, and employees and retired employees of the employer and the individual proprietor or partners if the employer is an individual proprietor or partnership.

Structure Arkansas Code

Arkansas Code

Title 23 - Public Utilities and Regulated Industries

Subtitle 3 - Insurance

Chapter 85 - Accident and Health Insurance

§ 23-85-101. Franchise plan — Definition

§ 23-85-102. Scope

§ 23-85-103. Third party ownership

§ 23-85-104. Form of policy

§ 23-85-105. Required provisions

§ 23-85-106. Entire contract and changes provision

§ 23-85-107. Time limit on certain defenses provision

§ 23-85-108. Grace period provision

§ 23-85-109. Reinstatement provision

§ 23-85-110. Notice of claim provision

§ 23-85-111. Claim forms provision

§ 23-85-112. Proofs of loss provision

§ 23-85-113. Time of payment of claims provision

§ 23-85-114. Payment of claims provision

§ 23-85-115. Physical examination and autopsy provision

§ 23-85-116. Legal actions provision

§ 23-85-117. Change of beneficiary provision

§ 23-85-118. Optional policy provisions

§ 23-85-119. Optional change of occupation provision

§ 23-85-120. Optional misstatement of age provision

§ 23-85-121. Optional other insurance in this insurer provision

§ 23-85-122. Optional relation of earnings to insurance provision

§ 23-85-123. Optional unpaid premiums provision

§ 23-85-124. Optional conformity with state statutes provision

§ 23-85-125. Optional illegal occupation provision

§ 23-85-126. Optional intoxicants and controlled substances provision

§ 23-85-127. Order of certain provisions

§ 23-85-128. Refusal to renew policy

§ 23-85-129. Requirements of other jurisdictions

§ 23-85-130. Conforming to statute

§ 23-85-131. Age limit — Exception

§ 23-85-132. Reduction of benefits due to other insurance contracts prohibited

§ 23-85-133. Coverage of outpatient services required — Exception — Definitions

§ 23-85-134. Refund of unearned premiums upon death of insured

§ 23-85-136. Standard claim form required

§ 23-85-137. In vitro fertilization coverage required

§ 23-85-139. Written notice for premium payments made

§ 23-85-140. Nonparticipation in maintenance of licensure or maintenance of certification — Insurer prohibited from denying reimbursement or discriminating in reimbursement levels — Definitions