Delaware Code
Subchapter I. General Provisions
§ 3303. Scope, format of policy [For application of this section, see 79 Del. Laws, c. 99, § 19].

No policy of health insurance shall be delivered or issued for delivery to any person in this State unless it otherwise complies with this title and complies with the following:

(1) The entire money and other considerations therefor shall be expressed therein;
(2) The time when the insurance takes effect and terminates shall be expressed therein;
(3) It shall purport to insure only 1 person, except that a policy may insure, originally or by subsequent amendment, upon the application of an adult member of a family, who shall be deemed the policyholder, any 2 or more eligible members of that family, including husband, wife, dependent children or any children under a specified age which shall not exceed 26 years and any other person dependent upon the policyholder;
(4) The style, arrangement and overall appearance of the policy shall give no undue prominence to any portion of the text, and every printed portion of the text of the policy and of any endorsements or attached papers shall be plainly printed in light-faced type of a style in general use, the size of which shall be uniform and not less than 10 points with a lower case unspaced alphabet length not less than 120 points (the “text” shall include all printed matter except the name and address of the insurer, name or title of the policy, the brief description, if any, and captions and subcaptions);
(5) The exceptions and reductions of indemnity shall be set forth in the policy and, other than those contained in §§ 3305-3326, inclusive, of this title, shall be printed, at the insurer's option, either included with the benefit provision to which they apply, or under an appropriate caption such as “exceptions,” or “exceptions and reductions,” except that if an exception or reduction specifically applies only to a particular benefit of the policy, a statement of such exception or reduction shall be included with the benefit provision to which it applies;
(6) Each such form, including riders and endorsements, shall be identified by a form number in the lower left-hand corner of the first page thereof; and
(7) The policy shall contain no provision purporting to make any portion of the charter, rules, constitution or bylaws of the insurer a part of the policy unless such portion is set forth in full in the policy, except in the case of the incorporation of, or reference to, a statement of rates or classification of risks, or short-rate table filed with the Commissioner.
(8) The policy shall contain no provision or nondisclosure clause prohibiting physicians or other health-care providers from giving patients information regarding diagnoses, prognoses and treatment options.

Structure Delaware Code

Delaware Code

Title 18 - Insurance Code

Chapter 33. HEALTH INSURANCE CONTRACTS

Subchapter I. General Provisions

§ 3301. Scope of chapter.

§ 3302. Short title.

§ 3303. Scope, format of policy [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3304. Required provisions; captions; omissions; substitutions.

§ 3305. Entire contract; changes.

§ 3306. Time limit on certain defenses.

§ 3307. Grace period.

§ 3308. Reinstatement.

§ 3309. Notice of claim.

§ 3310. Claim.

§ 3311. Proofs of loss.

§ 3312. Time of payment of claims.

§ 3313. Payment of claims.

§ 3314. Physical examination; autopsy.

§ 3315. Legal actions.

§ 3316. Change of beneficiary.

§ 3317. Optional policy provisions.

§ 3318. Change of occupation.

§ 3319. Misstatement of age.

§ 3320. Overinsurance; all coverages.

§ 3321. Relation of earnings to insurance.

§ 3322. Unpaid premiums.

§ 3323. Conformity with state statutes.

§ 3324. Illegal occupation.

§ 3325. Intoxicants and narcotics.

§ 3326. Renewability.

§ 3327. Order of certain provisions.

§ 3328. Third-party ownership.

§ 3329. Requirements of other jurisdictions.

§ 3330. Policies issued for delivery in another state.

§ 3331. Conforming to statute.

§ 3332. Age limit.

§ 3333. Filing of rates.

§ 3334. Franchise health insurance law.

§ 3335. Newborn children.

§ 3336. Midwife services reimbursement.

§ 3337. Lead poisoning screening reimbursement [For application of this section, see 83 Del. Laws, c. 75, § 9].

§ 3338. Coverage of cancer monitoring test.

§ 3338A. Equal reimbursement for oral and intravenous anticancer medication.

§ 3338B. Coverage of drugs approved for treatment of certain cancers [For application of this section, see 81 Del. Laws, c. 180, §§ 3 and 4].

§ 3339. Refusal to contract.

§ 3340. Child abuse or neglect — Individual coverage.

§ 3341. Newborns and mothers health protection.

§ 3342. Obstetrical and gynecological coverage.

§ 3342A. Contraceptive coverage.

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective until Jan. 1, 2027].

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective Jan. 1, 2027].

§ 3343. Insurance coverage for serious mental illness [For application of this section, see 81 Del. Laws, c. 29, § 3; and 82 Del. Laws, c. 199, § 3].

§ 3344. Insurance coverage for diabetes.

§ 3344B. Cost sharing in prescription insulin drugs.

§ 3344C. Coverage for insulin pumps.

§ 3345. Annual pap smear coverage reimbursement.

§ 3346. Colorectal cancer screening.

§ 3347. Required coverage for reconstructive surgery following mastectomies.

§ 3348. Referrals.

§ 3349. Emergency care.

§ 3349A. Required coverage for volunteer ambulance company services.

§ 3350. Prescription medication.

§ 3350B. Copayment or coinsurance for prescription drugs limited [For application of this section, see 82 Del. Laws, c. 57, § 3].

§ 3351. Clinical trials.

§ 3351B. Experimental treatment coverage.

§ 3352. Newborn and infant hearing screening; coverage and reimbursement.

§ 3353. Use of social security numbers on insurance cards.

§ 3354. Supplemental coverage for children of insureds [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3355. Phenylketonuria (PKU) and other inherited metabolic diseases.

§ 3356. Required coverage for scalp hair prosthesis.

§ 3357. Hearing aid coverage.

§ 3358. Dental services for children with a severe disability.

§ 3359. Health insurance; pharmacies; electronic reimbursement.

§ 3359B. Electronic medical (non-pharmaceutical) claims.

§ 3360. Screening of infants and toddlers for developmental delays.

§ 3362. Reimbursement for orthotic and prosthetic services.

§ 3363. Recommended immunizations.

§ 3364. Specialty tier prescription coverage.

§ 3365. School-based health centers.

§ 3366. Autism spectrum disorders coverage.

§ 3367. Payment for emergency medical services.

§ 3368. No lifetime or annual limits [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3369. Notification and reasons for cancellation or nonrenewal [For application of this section, see 79 Del. Laws, c. 390, § 8].

§ 3370. Telehealth and telemedicine.

§ 3370A. Network disclosure and transparency.

§ 3370B. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

§ 3370C. Time of submitting claim for reimbursement.

§ 3370D. Coverage for epinephrine autoinjectors.

§ 3370E. Annual behavioral health well check [Effective Jan. 1, 2024].