Title 26, Title 26 — Insurance Code

Franchise disability insurance. (a) Disability insurance on a franchise plan is that form of disability insurance issued to: (i) Four (4) or more employees of any corporation, copartnership or individual employer or any governmental corporation, agency or department thereof; or (…

Definitions. (a) As used in this article: (i) "Comprehensive individual medical and surgical insurance policy" shall have the same meaning as "health benefit plan" as that term is defined in W.S. 26-19-302(a)(xii), including, at a minimum, comprehensive major medical coverage for…

Sale of medical and surgical insurance policies approved in identified other states. In accordance with the provisions of this article, the commissioner shall identify at least five (5) states with insurance laws sufficiently consistent with Wyoming laws. The commissioner may app…

Approval of policies. A policy approved and issued pursuant to this article shall be treated as if it were issued by an insurer domiciled in Wyoming regardless of the insurer's actual domiciliary.

Financial requirements; continuing compliance. (a) Any insurer selling an insurance policy pursuant to this article, and any plan approved under this article, shall satisfy actuarial standards and insurer solvency requirements set forth by the National Association of Insurance Co…

Multi-state consortium; reciprocity requirements. (a) The commissioner shall explore with other insurance commissioners the creation of a consortium of like-minded states that could establish rules of reciprocity for the approval of comprehensive individual medical and surgical h…

Rules and regulations. (a) The commissioner shall draft rules and regulations necessary to implement this article but shall be under no obligation to draft rules and regulations until after March 15, 2011. The commissioner may adopt the rules provided they are consistent with the…

Conflict with other code provisions. If the provisions of this article conflict with any other provision of this code, the provisions of this article shall control.

Authorization date. No policy shall be issued or delivered for issuance in this state pursuant to the provisions of this article before July 1, 2011.

Definitions. (a) As used in this article: (i) "Health insurance," "health benefit plan" and "health benefit policy" mean a health benefit plan as defined by W.S. 26-1-102(a)(xxxii); (ii) "High deductible health plan" means health insurance plans sold or maintained under the appli…

Sale of health insurance policies approved in other states. (a) The insurance commissioner shall approve for sale in Wyoming any individual or small employer health insurance policy or high deductible health plan that is currently approved for issuance in another state where the …

Financial requirements; continuing compliance. (a) Any insurer selling a health insurance policy pursuant to this article and any policy approved pursuant to this article shall satisfy actuarial standards of the National Association of Insurance Commissioners, the requirements of…

Disclaimers required. (a) Each written application for a policy sold pursuant to this article shall contain the following language in boldface type at the beginning of the document: Warning! The benefits of this policy may primarily be governed by the laws of a state other than W…

Rules and regulations. (a) The commissioner shall adopt rules and regulations necessary to implement this article. (b) Any dispute resolution mechanism or provision for notice and hearing in this code shall apply to insurers issuing and delivering policies pursuant to this articl…

Conflict with other code provisions. If the provisions of this article conflict with any other provision of this code, the provisions of this article shall control.

Authorization date. No policy shall be issued or delivered for issuance in this state pursuant to this article before July 1, 2013.

Scope and applicability of article; short title. (a) This article applies only to group disability and blanket disability insurance contracts. (b) This article may be cited as the "Group and Blanket Disability Insurance Law". (c) This article does not apply to any contract made o…

"Group disability insurance" defined; eligible groups. (a) "Group disability insurance" means that form of disability insurance covering groups of persons as described in this section and W.S. 26-19-110, with or without one (1) or more members of their families or one (1) or more…

Readjustment of premiums; dividends. Any group disability insurance contract may provide for the readjustment of the rate of premium based upon the experience under the contract. If a policy dividend is declared or a reduction in rate is made or continued for the first or any sub…

Blanket disability insurance; defined. (a) Blanket disability insurance is that form of disability insurance covering groups of persons under a policy or contract issued to: (i) Any common carrier or to any operator, owner or lessee of a means of transportation, who is deemed the…

Group disability and blanket insurance standard provisions; exceptions. (a) A policy of group disability or blanket disability insurance shall not be delivered in this state unless it contains in substance the following provisions or provisions which in the commissioner's opinion…

Group disability and blanket insurance standard provisions; application and certificate need not be furnished. An individual application need not be required from a person covered under a blanket disability policy or contract, nor is it necessary for the insurer to furnish each p…

To whom benefits are payable. (a) Any benefits under any group or blanket disability policy or contract are payable to the person insured, or to his designated beneficiary or beneficiaries, or to his estate, except that if the person insured is a minor or otherwise not competent …

Additional disability insurance groups; requirements. (a) Group disability insurance offered to a resident under a group disability insurance policy issued to a group other than one described in W.S. 26-19-102 is subject to the following requirements: (i) A group disability insur…

Notice of compensation. (a) The insurer shall distribute to prospective insureds a written notice that compensation shall or may be paid for a program of group insurance which would qualify under W.S. 26-19-102(a)(ii) or 26-19-110, if compensation of any kind shall or may be paid…

Dependent group disability insurance. Except for a policy issued under W.S. 26-19-102(a)(vi), a group disability insurance policy may be extended to insure the employees' or members' or any class of employees' or members' family members or dependents. If the employee or member do…

Continuation of group coverage after termination of employment or membership. (a) A non-COBRA group policy or certificate of insurance on a master policy of a group delivered or issued for delivery in this state on or after July 1, 1995, issued by any insurance company, nonprofit…

Failure to pay premiums; notification. When an employer or trustee of a fund established or adopted by an employer, which employer or trustee is deemed the policyholder of the group disability insurance policy insuring the employer's employees for the benefit of persons other tha…

Multiple employer welfare arrangements; required license; applicability of the Small Employer Health Insurance Availability Act; hearings; rules. (a) A multiple employer welfare arrangement, as defined in W.S. 26-1-102(a)(xliii), intending to operate in Wyoming shall provide to t…

Purpose and scope of article. (a) The purpose of this article is to: (i) Provide for continuance of coverage for all participants when a succeeding carrier's contract replaces a prior plan's benefits; and (ii) Prohibit the imposition of preexisting condition limitations under cer…

Definitions. (a) As used in this article: (i) "Carrier" means an insurance company, nonprofit service corporation, trust, association or other arrangement subject to the jurisdiction of the insurance department; (ii) "Group-type basis" means a benefit plan which meets the followi…

Continuance of coverage where one carrier's contract replaces a plan of similar benefits of another carrier. (a) In those instances in which one (1) carrier's contract replaces a plan of similar benefits of another carrier: (i) The prior carrier remains liable only to the extent …

Violations; penalty. Any person who violates any of the provisions of this article shall be subject to the penalties provided by W.S. 26-1-107.

Short title. This act shall be known and may be cited as the "Small Employer Health Insurance Availability Act."

Definitions. (a) As used in this act: (i) "Actuarial certification" means a written statement by a member of the American Academy of Actuaries or other individual acceptable to the commissioner that a small employer carrier is in compliance with the provisions of W.S. 26-19-304, …

Applicability and scope. (a) This act shall apply to any health benefit plan which provides coverage to two (2) or more employees of a small employer in this state if: (i) Any portion of the premium or benefits is paid by a small employer or if an eligible employee or dependent i…

Restrictions relating to premium rates. (a) Premium rates for health benefit plans subject to this act shall be subject to the following provisions: (i) The index rate for a rating period for any class of business shall not exceed the index rate for any other class of business by…

Renewability of coverage. (a) A health benefit plan subject to this act shall be renewable with respect to all eligible employees or dependents at the option of the employer except in the following cases: (i) Nonpayment of the required premiums; (ii) Fraud or misrepresentation of…

Availability of coverage. (a) Within one hundred eighty (180) days after the commissioner's approval of the basic health benefit plan and the standard health benefit plan developed pursuant to W.S. 26-19-308, but in no case prior to March 31, 1993, every small employer carrier sh…

Small employer carrier reinsurance program. (a) There is hereby created a nonprofit entity to be known as the "Wyoming small employer health reinsurance program" or "WySEHRP." (b) Within sixty (60) days of a written request by the commissioner, each small employer carrier shall m…

Health benefit plan committee. (a) The commissioner shall appoint a health benefit plan committee. The committee shall be composed of seven (7) members, which shall include: (i) The commissioner; (ii) Three (3) representatives of participating carriers; and (iii) One (1) represen…

Periodic market evaluation. The board shall study and report at least every three (3) years to the commissioner on the effectiveness of this act. The report shall analyze the effectiveness of this act in promoting rate stability, product availability and affordability of coverage…

Administrative procedures. The commissioner may issue regulations in accordance with W.S. 26-2-110 for the implementation and administration of the Small Employer Health Insurance Availability Act.

Small employer carrier reinsurance account created. There is created an account in which all money received or collected to support the small employer carrier reinsurance program created pursuant to this act shall be credited and continuously appropriated for the purposes of this…

Small employer carrier reinsurance program assessments; premium tax credit. (a) After each calendar year, the board shall determine the amount of assessment needed to support the small carrier reinsurance program considering all payments made, costs incurred, premiums received an…

Newly born and adopted child coverage required. (a) All individual and group health insurance policies providing coverage on an expense incurred basis, and individual and group service or indemnity type contracts issued by any insurer including any nonprofit corporation which pro…