California Code of Regulations (Last Updated: August 6, 2014) |
Title 10. Investment |
Chapter 5. Insurance Commissioner |
Subchapter 2. Policy Forms and Other Documents |
Article 1.5. Standards for Determining Conformity of Individual Disability Policies with the Provisions of Paragraph (7) of Subdivision (b) of Section 10291.5 of the Insurance Code |
§ 2220.19. Basic Accident Emergency Treatment Benefit.
Latest version.
- BASIC MEDICAL BENEFITSA 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.