Chapter 18 DAC

1000 Reinsurance 1004 Term and Universal Life Insurance Reserve Financing 1.0 Purpose 1.1 The purpose and intent of this regulation is to establish uniform standards governing reserve financing arrangements pertaining to life insurance policies containing guaranteed nonlevel gros…

Title 18 Insurance 100 Department of Insurance '; document.write (setPDFLink(strFile)); // --> 101 Organization, Methods and Operations of the Delaware Insurance Commission [Formerly Regulation 25] 1.0 Agent Licensing 1.1 The Department in licensing agents, brokers, consultants, …

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1201 Variable Contract Regulations [Formerly Regulation 1] 1.0 Authority Pursuant to authority given by 18 Del.C. §314, and §2932 as same appears in the Insurance Laws of the State …

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1202 Life Insurance Policy Loans, Maximum Rate of Interest [Formerly Regulation 19] 1.0 Authority 1.1 18 Del.C. §314 of the Delaware Insurance Code authorizes the Insurance Commissi…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1203 Life Insurance Solicitation Regulation [Formerly Regulation 29] 1.0 Authority This rule is adopted and promulgated by the Administrative Procedures Act, 29 Del.C. §§6411 throug…

1200 Life Insurance and Annuities 1204 Replacement of Life Insurance Published May 15, 1981; effective July 1, 1981 Amended April 15, 1984 1.0 Purpose 1.1 The purpose of this regulation is: 1.1.1 To regulate the activities of insurers, agents and brokers with respect to the repla…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1205 Variable Life Insurance [Formerly Regulation 44] 1.0 Authority The following regulations applicable to variable life insurance policies are promulgated under the authority of 1…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1206 Mixed-gender Mortality Tables [Formerly Regulation 48] 1.0 Authority This Regulation is promulgated by the Department of Insurance pursuant to 18 Del.C. §2929. 2.0 Purpose The …

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1207 Smoker/Nonsmoker Mortality Tables [Formerly Regulation 49] 1.0 Authority This Regulation is promulgated by the Department of Insurance pursuant to 18 Del.C. §2929(g)(8)f. 2.0 P…

1200 Life Insurance and Annuities 1208 New Annuity Mortality Table for Use in Determining Reserve Liabilities for Annuities 1.0 Authority This rule is promulgated by the Commissioner of Insurance pursuant to 18 Del.C. §1113 and 29 Del.C. Ch. 101 (Administrative Procedures Act). 2…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1209 Life and Health Submissions Regarding Acquired Immunodeficiency Syndrome (AIDS) [Formerly Regulation 56] 1.0 Authority This regulation is promulgated in accordance with 18 Del.…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1210 Life Insurance Illustrations [Formerly Regulation 62] 1.0 Purpose The purpose of this regulation is to provide rules for life insurance policy illustrations that will protect c…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1211 Wellness Plan Regulation Guidelines for Corporate Life Insurance [Formerly Regulation 64] 1.0 Authority This Regulation is adopted in accordance with 18 Del.C. §314 , 1 8 Del.C…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1212 Valuation of Life Insurance Policies [Formerly Regulation 85] 1.0 Purpose 1.1 The purpose of this regulation is to provide: 1.1.1 Tables of select mortality factors and rules f…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1213 Recognition Of The 2001 CSO Mortality Table For Use In Determining Minimum Reserve Liabilities And Nonforfeiture Benefits 1.0 Authority 1.1 This regulation is promulgated by th…

1200 Life Insurance and Annuities 1214 Suitability In Annuity Transactions 1.0 Purpose, Scope and Authority 1.1 The purpose of this regulation is to require producers, as defined in this regulation, to act in the best interest of the consumer when making a recommendation of an an…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1215 Recognition of Preferred Mortality Tables for use in Determining Minimum Reserve Liabilities 1.0 Authority 1.1 This regulation is promulgated by the Commissioner of Insurance p…

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1216 Military Sales Practices 1.0 Purpose 1.1 The purpose of this regulation is to set forth standards to protect active duty service members of the United States Armed Forces from …

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1217 Unfair Discrimination in Life Insurance, Annuities and Health Insurance on the Basis of Physical or Mental Impairment 1.0 Authority 1.1 This regulation is promulgated pursuant …

Title 18 Insurance 1200 Life Insurance & Annuities '; document.write (setPDFLink(strFile)); // --> 1218 Determining Reserve Liabilities For Credit Life Insurance 1.0 Authority This regulation is promulgated by the Commissioner of Insurance pursuant to 18 Del.C. §§1111, 1113, 1213…

1300 Health Insurance General Provisions 1301 Internal Review and Independent Utilization Review of Health Insurance Claims 1.0 Purpose and Statutory Authority The purpose of this Regulation is to implement 18 Del.C. §§332, 6408, 6416 and 6417 which require health insurance carri…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1302 Accident and Sickness Insurance Advertisements [Formerly Regulation 12] 1.0 Authority The following Departmental Regulation is hereby promulgated and published pursuan…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1303 Individual Accident and Health Minimum Loss Ratio Standards [Formerly Regulation 42] 1.0 Authority This regulation is adopted and promulgated pursuant to 18 Del.C. §§2…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1304 Individual Accident and Sickness Insurance Minimum Standards Act [Formerly Regulation 46] 1.0 Purpose The purpose of this regulation is to implement 18 Del.C. Ch. 36 (…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1305 Rate Filing Procedures for Health Insurers and Health Service Corporations and Managed Care Organizations 1.0 Authority This regulation is promulgated and adopted purs…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1306 Certificate and Standards for Health Plans or Policies [Formerly Regulation 60] 1.0 Authority This regulation is adopted in accordance with 1 8 Del.C. §2312 and 18 Del…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1307 Group Coordination Benefits [Formerly Regulation 61] 1.0 Authority 1.1 This regulation is adopted and promulgated by the Insurance Commissioner pursuant to 18 Del.C. §…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1308 Small Employer Health Insurance [Formerly Regulation 72] 1.0 Statement of purpose 1.1 This Regulation is intended to implement the provisions of 18 Del.C. Ch. 72 , Sma…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1309 Non-cancelable and Guaranteed Renewable Group Health Terminology Defined [Formerly Regulation 76] 1.0 Authority This regulation has been adopted and promulgated in acc…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1310 Standards for Prompt, Fair and Equitable Settlement of Claims for Health Care Services 1.0 Authority This regulation is adopted by the Commissioner pursuant to 18 Del.…

1300 Health Insurance General Provisions 1311 Standards of Payment for Multiple Surgical Procedures 1.0 Authority This regulation is adopted by the Commissioner pursuant to 18 Del.C. §§311, 2304(16) and 2312 . It is promulgated in accordance with 29 Del.C. Ch. 101 . 2.0 Definitio…

1300 Health Insurance General Provisions 1312 Standards of payment for Assistants at Surgery 1.0 Authority This regulation is adopted by the Commissioner pursuant to 18 Del.C. §§311, 2304(16) and 2312 . It is promulgated in accordance with 29 Del.C. Ch. 101 . 2.0 Definitions 2.1 …

1300 Health Insurance General Provisions 1313 Arbitration of Health Insurance Disputes Between Carriers and Providers 1.0 Purpose and Statutory Authority The purpose of this Regulation is to implement 18 Del.C. §§333 , 3370A and 3571S, which require health insurance carriers to s…

Title 18 Insurance 1300 Health Insurance General Provisions '; document.write (setPDFLink(strFile)); // --> 1314 Health Premium Consumer Comparison 1.0 Authority This regulation is adopted by the Commissioner pursuant to the authority granted by 18 Del.C. §§311 and 2501 and promu…

1300 Health Insurance General Provisions 1315 Arbitration of Health Insurance Disputes Between Individuals and Carriers 1.0 Purpose and Statutory Authority The purpose of this Regulation is to implement 18 Del.C. §332 , which requires health insurance carriers to submit to arbitr…

1300 Health Insurance General Provisions 1316 Arbitration of Health Insurance Disputes Between Carriers And Non-Network Providers of Emergency Care Services 1.0 Purpose and Statutory Authority The purpose of this Regulation is to implement 18 Del.C. §§3349 and 3565, which require…

1300 Health Insurance General Provisions 1317 Network Disclosure and Transparency 1.0 Purpose and Statutory Authority 1.1 The purpose of this Regulation is to implement 18 Del.C. §§3370A and 3571S, which require (1) health insurers to maintain accurate and complete provider direc…

1300 Health Insurance General Provisions 1318 Compensation for Chiropractic Services 1.0 Authority This regulation is adopted pursuant to 1 8 Del.C. §§102, 311 and 329 and 24 Del.C. §716 and promulgated in accordance with the Delaware Administrative Procedures Act, 29 Del.C. Ch. …

1300 Health Insurance General Provisions 1319 Arbitration of Disputes Between Carriers and Primary Care and Chronic Care Management Providers 1.0 Purpose and Statutory Authority 1.1 The purpose of this regulation is to implement 18 Del.C. §§3342B and 3556A , which require health …

1300 Health Insurance General Provisions 1320 Minimum Standards for Short-Term, Limited Duration Health Insurance Plans 1.0 Purpose 1.1 The purpose of this regulation is to: 1.1.1 Ensure that any short-term, limited duration health insurance policy that is offered in this state c…

1300 Health Insurance General Provisions 1321 Compensation for Physical Therapy Services 1.0 Authority This regulation is adopted pursuant to 18 Del.C. §311 and 24 Del.C. §2621 and promulgated in accordance with the Delaware Administrative Procedures Act, 29 Del.C. Ch. 101 . 2.0 …

1300 Health Insurance General Provisions 1322 Requirements for Mandatory Minimum Payment Innovations in Health Insurance 1.0 Authority This regulation is promulgated and adopted pursuant to the authority granted in 18 Del.C. §§311, 334, 2503, 3342B and 3556A , and in accordance w…

Title 18 Insurance 1400 Health Insurance Specific Provisions '; document.write (setPDFLink(strFile)); // --> 1402 Dental Plan Organization [Formerly Regulation 39] *See also Interim Regulation No. 39-S1, page 2384 (Interim Regulation 39-S1) 1.0 Authority This regulation has been …

Title 18 Insurance 1400 Health Insurance Specific Provisions '; document.write (setPDFLink(strFile)); // --> 1403 Managed Care Organizations 1.0 Purpose and Statutory Authority 1.1 The purpose of this Regulation is to implement 18 Del.C. Ch. 64 , as amended effective July 6, 2006…

1400 Health Insurance Specific Provisions 1404 Long-Term Care Insurance 1.0 Purpose The purpose of this regulation is to implement 18 Del.C. Ch. 71, to promote the public interest, to promote the availability of long-term care insurance coverage, to protect applicants for long-te…

1400 Health Insurance Specific Provisions 1405 Requirements for Fully Insured Multiple Employer Welfare Arrangements and Association Health Plans 1.0 Purpose 1.1 The purpose of this regulation is to aid the Department of Insurance in enforcing provisions of the Delaware Insurance…

1400 Health Insurance Specific Provisions 1406 Third Party Administrators 1.0 Scope and Authority This regulation is adopted by the Commissioner pursuant to the authority granted by 18 Del.C. §102, 74 Del. Laws c. 157 , and promulgated in accordance with the Delaware Administrati…