Sec. 31.10.37.03. Delivery Requirements for Contracts and Policies  


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  • A. Except as described in §B of this regulation, a carrier shall deliver an individual health insurance contract, an individual nonprofit health service plan contract, an individual health maintenance organization contract, or an individual dental plan organization contract to the contract holder within 60 days of the effective date of the contract.

    B. If a carrier back dates an individual health insurance contract so that the individual health insurance contract is written at a younger age, the carrier shall deliver the individual health insurance contract to the contract holder within 60 days of the later of the:

    (1) Effective date of the individual health insurance contract; or

    (2) Date the carrier approves the application for the individual health insurance contract.

    C. A carrier shall deliver a group or blanket health insurance contract, a group nonprofit health service plan, a group health maintenance organization contract, or a group dental plan organization contract to the contract holder within 60 days of the later of the:

    (1) Effective date of the contract; or

    (2) Date the contract holder provides all the information needed to finalize the benefits offered under the contract.