Sec. 31.04.19.05. Types of Forms Used on a File and Use Method

A. The forms listed in §B of this regulation are the only forms that may be used on a file and use basis.

B. The following life insurance, health insurance, and annuity forms may be filed under the file and use method:

(1) Group life insurance policies and certificates, except for group credit life insurance policies and certificates;

(2) Endorsements, amendments, and riders to be used with group life insurance policies and certificates, except for endorsements, amendments, and riders to be used with group credit life insurance policies and certificates;

(3) Wholesale life insurance policies;

(4) Endorsements, amendments, and riders to be used with wholesale life insurance policies;

(5) Accidental death benefit riders to be used with individual life insurance policies;

(6) Waiver of premium riders to be used with individual life insurance policies;

(7) Accidental death and dismemberment riders to be used with individual life insurance policies;

(8) Riders to be used with individual life insurance policies that provide coverage to the spouse or dependent children of the insured;

(9) Guaranteed insurability option riders to be used with individual life insurance policies;

(10) Group annuity contracts and certificates, including variable and nonvariable group annuity contracts and certificates;

(11) Endorsements, amendments, and riders to be used with group annuity contracts and certificates;

(12) Individual retirement account (IRA) endorsements to be used with individual fixed annuity contracts or with individual variable annuity contracts;

(13) Tax sheltered annuity (TSA) endorsements to be used with:

(a) Individual fixed annuity contracts; or

(b) Individual variable annuity contracts;

(14) Medical stop-loss insurance;

(15) Group accidental death policies and certificates;

(16) Group accidental death and dismemberment policies and certificates;

(17) Group travel health insurance policies and certificates, except for the following:

(a) Any form that includes lost baggage benefits;

(b) Any form that includes a trip cancellation benefit that is payable for a reason other than the illness or death of:

(i) The insured;

(ii) A member of the insured's family; or

(iii) One or more of the insured's travel companions; or

(c) Any form that contains any other property or casualty type benefit not included in §B(17)(a) and (b) of this regulation;

(18) Group health insurance policies and certificates that:

(a) Limit coverage to losses due to accident; and

(b) Do not pay benefits on an expense-incurred basis;

(19) Employer retrospective premium arrangements;

(20) Blanket health insurance policies that limit benefits to accidental death benefits;

(21) Blanket health insurance policies that limit benefits to accidental death and dismemberment benefits;

(22) Blanket health insurance policies that limit benefits to travel benefits;

(23) Blanket health insurance policies that:

(a) Limit coverage to losses due to accident; and

(b) Do not pay benefits on an expense-incurred basis; and

(24) Applications, except applications for:

(a) Medicare supplement policies;

(b) Long-term care insurance;

(c) Individual health benefit plans; and

(d) Small employer health benefit plans.