41-2216. COORDINATION OF BENEFITS — COORDINATION WITH SOCIAL SECURITY BENEFITS. (1) Under the authority of this section and section 41-2141, Idaho Code, the director shall promulgate rules that are in accordance with the model regulations of the national association of insurance commissioners relating to coordination of benefits provisions in group and individual disability insurance policies. This section shall apply to all policies of group disability insurance or coverage issued in this state pursuant to the provisions of chapters 22, 34, 39 and 47, title 41, Idaho Code. These rules shall establish uniformity in the permissive use of provisions governing the coordination of benefits between group disability policies and between group disability policies and individual disability policies in order to avoid claim delays and misunderstandings that otherwise result from the use of inconsistent or incompatible provisions.
(2) Any provision contained in a policy of group or blanket disability insurance providing for a reduction of benefits payable under the policy during a policy benefit period due to an increase in benefits payable under the federal social security act, as amended, shall be null and void with respect to any such increase which occurs on or after the effective date of this act.
History:
[41-2216, added 1978, ch. 10, sec. 2, p. 20; am. 1989, ch. 143, sec. 1, p. 348; am. 1997, ch. 319, sec. 2, p. 943.]
Structure Idaho Code
Chapter 22 - GROUP AND BLANKET DISABILITY INSURANCE
Section 41-2201 - SCOPE OF CHAPTER — SHORT TITLE.
Section 41-2202 - “GROUP DISABILITY INSURANCE” DEFINED — ELIGIBLE GROUPS.
Section 41-2203 - REQUIRED PROVISIONS IN GROUP POLICIES.
Section 41-2204 - DIRECT PAYMENT OF HOSPITAL AND MEDICAL SERVICES.
Section 41-2205 - READJUSTMENT OF PREMIUMS — DIVIDENDS.
Section 41-2206 - “BLANKET DISABILITY INSURANCE” DEFINED.
Section 41-2207 - REQUIRED PROVISIONS IN BLANKET POLICIES.
Section 41-2208 - APPLICATION AND CERTIFICATES NOT REQUIRED.
Section 41-2209 - PAYMENT OF BENEFITS UNDER BLANKET POLICY.
Section 41-2210 - REQUIRED PROVISION IN GROUP AND BLANKET POLICIES.
Section 41-2210A - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.
Section 41-2210D - CONVERSION PLAN — WHEN REQUIRED.
Section 41-2212 - DEFINITIONS.
Section 41-2213 - POLICY STANDARDS — DISABLED INDIVIDUALS.
Section 41-2214 - POLICY STANDARDS — MATERNITY BENEFITS.
Section 41-2215 - POLICY STANDARDS — REPLACEMENT CONTRACTS.
Section 41-2216 - COORDINATION OF BENEFITS — COORDINATION WITH SOCIAL SECURITY BENEFITS.
Section 41-2217 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.
Section 41-2218 - MAMMOGRAPHY COVERAGE.
Section 41-2220 - COVERAGE PROVIDED TO PERSONS HAVING INSURANCE.
Section 41-2221 - CREDITING OF PREEXISTING CONDITION WAITING PERIOD.