Hawaii Revised Statutes
432. Benefit Societies
432:2-404 The benefit contract.

§432:2-404 The benefit contract. (a) Every society authorized to do business in this State shall issue to each owner of a benefit contract a certificate specifying the amount of benefits provided thereby. The certificate, together with any riders or endorsements attached thereto, the laws of the society, the application for membership, the application for insurance and declaration of insurability, if any, signed by the applicant, and all amendments to each thereof, shall constitute the benefit contract, as of the date of issuance, between the society and the owner, and the certificate shall so state. A copy of the application for insurance and declaration of insurability, if any, shall be endorsed upon or attached to the certificate. All statements on the application shall be representations and not warranties. Any waiver of this provision shall be void.
(b) Any changes, additions or amendments to the laws of the society duly made or enacted subsequent to the issuance of the certificate, shall bind the owner and the beneficiaries, and shall govern and control the benefit contract in all respects the same as though such changes, additions or amendments had been made prior to and were in force at the time of the application for insurance, except that no change, addition or amendment shall destroy or diminish benefits which the society contracted to give the owner as of the date of issuance.
(c) Any person upon whose life a benefit contract is issued prior to attaining the age of majority shall be bound by the terms of the application and certificate and by all the laws and rules of the society to the same extent as though the age of majority had been attained at the time of application.
(d) A society shall provide in its laws that if its reserves as to all or any class of certificates become impaired its board of directors or corresponding body may require that there shall be paid by the owner to the society the amount of the owner's equitable proportion of such deficiency as ascertained by its board, and that if the payment is not made either:
(1) It shall stand as an indebtedness against the certificate and draw interest not to exceed the rate specified for certificate loans under the certificates; or
(2) In lieu of or in combination with paragraph (1), the owner may accept a proportionate reduction in benefits under the certificate.
The society may specify the manner of the election and which alternative is to be presumed if no election is made.
(e) Copies of any of the documents mentioned in this section, certified by the secretary or corresponding officer of the society, shall be received in evidence of the terms and conditions thereof.
(f) No certificate shall be delivered or issued for delivery in this State unless a copy of the form has been filed with the commissioner. Each filing shall be accompanied by a $20 fee payable to the commissioner, which fee shall be deposited in the commissioner's education and training fund. Every life, accident, health, or disability insurance certificate and every annuity certificate issued on or after July 1, 1989, shall meet the standard contract provision requirements not inconsistent with this article for like policies, except that a society may provide for a grace period for payment of premiums of one full month in its certificates. The certificate shall also contain a provision stating the amount of premiums which are payable under the certificate and a provision reciting or setting forth the substance of any sections of the society's laws or rules in force at the time of issuance of the certificate which, if violated, will result in the termination or reduction of benefits payable under the certificate. If the laws of the society provide for expulsion or suspension of a member, the certificate shall also contain a provision that any member so expelled or suspended, except for nonpayment of a premium or within the contestable period for material misrepresentation in the application for membership or insurance, shall have the privilege of maintaining the certificate in force by continuing payment of the required premium.
(g) Benefit contracts issued on the lives of persons below the society's minimum age for adult membership may provide for transfer of control or ownership to the insured at an age specified in the certificate. A society may require approval of an application for membership in order to effect this transfer, and may provide in all other respects for the regulation, government and control of such certificates and all rights, obligations and liabilities incident thereto and connected therewith. Ownership rights prior to such transfer shall be specified in the certificate.
(h) A society may specify the terms and conditions on which benefit contracts may be assigned. [L 1987, c 347, pt of §2; am L 1988, c 363, §2(6); am L 2004, c 122, §90]

Structure Hawaii Revised Statutes

Hawaii Revised Statutes

Title 24. Insurance

432. Benefit Societies

432:1-101 Scope; exemptions.

432:1-101.5 Disclosure of health care coverage and benefits.

432:1-101.6 Policies relating to domestic abuse cases.

432:1-102 Applicability of other laws.

432:1-103 Applicability of this article to existing societies and union mutual benefit societies.

432:1-104 Definitions.

432:1-104.5 Bona fide trade associations.

432:1-105 Penalty.

432:1-106 REPEALED.

432:1-107 Federal law compliance.

432:1-107.5 Prohibition on rescissions of coverage. (a) Notwithstanding sections 431:10-226.5 and 431:10A-106 to the contrary, a society shall not rescind coverage under a health benefit plan with respect to an individual, including a group to which...

432:1-108 Fees.

432:1-201 Incorporation by charter.

432:1-202 Constitution and bylaws; officers; government of society.

432:1-203 Actions or proceedings.

432:1-204 Foreign societies.

432:1-301 Registration with commissioner: certificate of registration and certificate of authority.

432:1-302 Commissioner refusal to authorize certificate or solicitation; appeal to circuit court.

432:1-303 Authority to offer death, sick, disability, or other benefits; conditions.

432:1-304 Authority to offer death, sick, disability, or other benefits; special deposit and control of certain funds.

432:1-305 Authority to offer death, sick, disability, or other benefits; restrictions on use of funds.

432:1-306 Authority to offer death, sick, disability, or other benefits; deposit or bond.

432:1-307 REPEALED.

432:1-308 Suspension, revocation, or denial of certificate of authority.

432:1-401 REPEALED.

432:1-402 Investments of certain mutual benefit societies.

432:1-403 Nonprofit medical, hospital indemnity associations; tax exemption.

432:1-404 Annual exhibits.

432:1-405 Annual audit.

432:1-406 Definitions.

432:1-407 Protection against insolvency.

432:1-408 Uncovered expenditures insolvency deposit.

432:1-409 Rehabilitation, liquidation, or conservation of mutual benefit societies.

432:1-410 Reserve credit for reinsurance.

432:1-501 Examination by commissioner, assistance of other officers.

432:1-502 Summary orders and supervision.

432:1-503 Closing of doors without notice.

432:1-601 Contract limitations for handicapped children and children with intellectual disabilities.

432:1-601.5 Coverage for telehealth.

432:1-602 Newborn children coverage.

432:1-602.5 Coverage for child health supervision services. (a) All individual and group hospital and medical service corporation contracts which provide coverage for the children of the subscriber shall provide coverage for child health supervision...

432:1-602.6 Newborn adoptee; coverage.

432:1-603 Reimbursement for psychological services.

432:1-604 In vitro fertilization procedure coverage.

432:1-604.5 Contraceptive services.

432:1-605 Mammogram screening.

432:1-605.5 Mammograms; referral not required.

432:1-606 Qualified medical child support order.

432:1-607 Genetic information nondiscrimination in health insurance coverage.

432:1-607.3 Nondiscrimination on the basis of actual gender identity or perceived gender identity; coverage for services.

432:1-608 Hospice care coverage.

432:1-609 Medical foods and low-protein modified food products; treatment of inborn error of metabolism; notice.

432:1-610 Federally funded programs; exemption.

432:1-611 REPEALED.

432:1-612 Diabetes coverage.

432:1-613 Orthodontic services for orofacial anomalies; benefits and coverage; notice.

432:1-614 Autism benefits and coverage; notice; definitions.

432:1-615 Primary care provider; advanced practice registered nurse.

432:1-616 Cancer treatment.

432:1-617 Colon cancer screening coverage.

432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.

432:1-620 Formulary; accessibility requirements.

432:1-621 Medication synchronization; proration; dispensing fees.

432:1-622 Extension of dependent coverage.

432:1-623 Prohibition of preexisting condition exclusions.

432:1-624 Prohibited discrimination in premiums or contributions.

432:1-625 Reimbursement to providers.

432:2-101 Scope of article.

432:2-102 Applicability of other laws.

432:2-103 Definitions.

432:2-103.5 Policies relating to domestic abuse cases.

432:2-104 Fraternal benefit societies.

432:2-105 Lodge system.

432:2-106 Representative form of government.

432:2-107 Purposes and powers.

432:2-108 Fees.

432:2-201 Qualifications for membership.

432:2-202 Location of office, meetings, communications to members, grievance procedures.

432:2-203 No personal liability.

432:2-204 Waiver.

432:2-301 Organization.

432:2-302 Amendments to laws.

432:2-303 Institutions.

432:2-304 Reinsurance.

432:2-305 Consolidations and mergers.

432:2-306 Conversion of fraternal benefit society into mutual life insurance company.

432:2-401 Benefits.

432:2-402 Beneficiaries.

432:2-403 Benefits not attachable.

432:2-404 The benefit contract.

432:2-404.5 Genetic information nondiscrimination in health insurance coverage.

432:2-405 Nonforfeiture benefits, cash surrender values, certificate loans and other options.

432:2-406 Mammogram coverage required; referral not required.

432:2-410 Primary care provider; advanced practice registered nurse.

432:2-501 Investments.

432:2-502 Funds.

432:2-503 Taxation.

432:2-601 Valuations.

432:2-602 Reports.

432:2-603 Annual license.

432:2-604 Examination of societies; no adverse publications.

432:2-605 Foreign or alien society, admission.

432:2-606 Injunction, liquidation, receivership of domestic society.

432:2-607 Suspension, revocation or refusal of license of foreign or alien society.

432:2-608 Injunction.

432:2-609 Licensing of producers.

432:2-610 Unfair methods of competition and unfair and deceptive acts and practices.

432:2-611 Federal law compliance.

432:2-701 Service of process.

432:2-702 Review.

432:2-703 Penalties.

432:2-704 Exemption of certain societies.

432:2-705 Severability.