Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

31 Pa. Code § 89.403. Disclosure.

§ 89.403. Disclosure.

 (a)  A disclosure statement substantially similar to the following shall be given in writing to a group member at the time of the enrollment under the group contract.

NOTICE

  If you or any dependents have received medical care or advice within the past 90 days for a disease or physical condition, you, he or she will not be covered for such disease or physical condition until you, he or she has been covered for one year under this contract. This exclusion, however, only applies to a disease or physical condition for which medical care or advice has been received in the past 90 days.


 (b) The statement set forth in subsection (a) shall be printed in bold face type.

Authority

   The provisions of this §  89.403 issued under The Insurance Company Law of 1921 (40 P. S. § §  1—321); The Insurance Company Law of 1921 (40 P. S. § §  341—991); sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. § §  66, 186, 411 and 412); and 40 Pa.C.S. § §  6124 and 6329.

Source

   The provisions of this §  89.403 amended through June 27, 1980, effective June 28, 1980, 10 Pa.B. 2591. Immediately preceding text appears at serial page (42687).



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