§ 2220.19. Basic Accident Emergency Treatment Benefit.  


Latest version.
  • BASIC MEDICAL BENEFITS
    A separate basic accident emergency treatment benefit shall be deemed not sufficient to be of real economic value to the insured if:
    (a) The amount of the benefit is less than one day of the loss-of-time benefit (without application of any elimination period) but in no event less than $10.00 when an emergency accident treatment benefit is provided on other than an expense incurred basis in a loss-of-time policy; or
    (b) The benefit is payable on an expense incurred basis, and the amount is less than $25.00; or
    (c) The benefit is payable, irrespective of the expense incurred, in other than a loss-of-time policy, and the amount payable is less than $10.00.