Arkansas Code Title 23, Subtitle 3, Chapter 85 - Accident and Health Insurance

• § 23-85-101 - Franchise Plan -- Definition.
  (a) Accident and health insurance on a franchise plan is declared to be that form of accident and health insurance issued to: (1) Five...
• § 23-85-102 - Scope.
  This chapter governs accident and health insurance policies issued to individuals and members of their families. Nothing in this section and §§ 23-85-101, 23-85-103...
• § 23-85-103 - Third Party Ownership.
  The word "insured" as used in this section and §§ 23-85-101, 23-85-102, and 23-85-104 -- 23-85-131 shall not be construed as preventing a person...
• § 23-85-104 - Form of Policy.
  No policy of accident and health insurance shall be delivered or issued for delivery to any person in this state unless it otherwise complies...
• § 23-85-105 - Required Provisions.
  (a) (1) Except as provided in subsection (b) of this section, each accident and health policy delivered or issued for delivery to any person...
• § 23-85-106 - Entire Contract and Changes Provision.
  There shall be a provision as follows:"Entire Contract; Changes: This policy, including the endorsements and the attached papers, if any, constitutes the entire contract...
• § 23-85-107 - Time Limit on Certain Defenses Provision.
  (a) There shall be a provision as follows: "Time Limit on Certain Defenses: (1) After three (3) years from the date of issue of...
• § 23-85-108 - Grace Period Provision.
  (a) There shall be a provision as follows: "Grace Period: A grace period of ......... (insert a number not less than seven (7) for...
• § 23-85-109 - Reinstatement Provision.
  (a) There shall be a provision as follows: "Reinstatement: If any renewal premium is not paid within the time granted the insured for payment,...
• § 23-85-110 - Notice of Claim Provision.
  (a) There shall be a provision as follows: "Notice of Claim: Written notice of claim must be given to the insurer within twenty (20)...
• § 23-85-111 - Claim Forms Provision.
  There shall be a provision as follows:"Claim Forms: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms...
• § 23-85-112 - Proofs of Loss Provision.
  There shall be a provision as follows:"Proofs of Loss: Written proof of loss must be furnished to the insurer at its said office in...
• § 23-85-113 - Time of Payment of Claims Provision.
  There shall be a provision as follows:"Time of Payment of Claims: Indemnities payable under this policy for any loss, other than loss for which...
• § 23-85-114 - Payment of Claims Provision.
  (a) There shall be a provision as follows: "Payment of Claims: Indemnity for loss of life will be payable in accordance with the beneficiary...
• § 23-85-115 - Physical Examination and Autopsy Provision.
  There shall be a provision as follows:"Physical Examinations and Autopsy: The insurer at its own expense shall have the right and opportunity to examine...
• § 23-85-116 - Legal Actions Provision.
  There shall be a provision as follows:"Legal Actions: No action at law or in equity shall be brought to recover on this policy prior...
• § 23-85-117 - Change of Beneficiary Provision.
  (a) There shall be a provision as follows: "Change of Beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change...
• § 23-85-118 - Optional Policy Provisions.
  (a) Except as provided in § 23-85-105(b), no policy delivered or issued for delivery to any person in this state shall contain provisions respecting...
• § 23-85-119 - Optional Change of Occupation Provision.
  There may be a provision as follows:"Change of Occupation: If the insured is injured or contracts sickness after having changed his occupation to one...
• § 23-85-120 - Optional Misstatement of Age Provision.
  There may be a provision as follows:"Misstatement of Age: If the age of the insured has been misstated, all amounts payable under this policy...
• § 23-85-121 - Optional Other Insurance in This Insurer Provision.
  (a) There may be a provision as follows: "Other Insurance in This Insurer: If an accident or sickness or accident and sickness policy or...
• § 23-85-122 - Optional Relation of Earnings to Insurance Provision.
  (a) There may be a provision as follows: "Relation of Earnings to Insurance: If the total monthly amount of loss of time benefits promised...
• § 23-85-123 - Optional Unpaid Premiums Provision.
  There may be a provision as follows: "Unpaid Premiums: Upon the payment of a claim under this policy, any premium then due and unpaid...
• § 23-85-124 - Optional Conformity With State Statutes Provision.
  There may be a provision as follows: "Conformity with State Statutes: Any provision of this policy which, on its effective date, is in conflict...
• § 23-85-125 - Optional Illegal Occupation Provision.
  There may be a provision as follows: "Illegal Occupation: The insurer shall not be liable for any loss to which a contributing cause was...
• § 23-85-126 - Optional Intoxicants and Controlled Substances Provision.
  There may be a provision as follows: "Intoxicants and Controlled Substances: The insurer shall not be liable for any loss sustained or contracted in...
• § 23-85-127 - Order of Certain Provisions.
  The provisions which are the subject of §§ 23-85-106 -- 23-85-126, or any corresponding provisions which are used in lieu thereof in accordance with...
• § 23-85-128 - Refusal to Renew Policy.
  (a) Accident and health insurance policies in which the insurer reserves the right to refuse renewal on an individual basis shall provide in substance...
• § 23-85-129 - Requirements of Other Jurisdictions.
  (a) Any policy of a foreign or alien insurer, when delivered or issued for delivery to any person in this state, may contain any...
• § 23-85-130 - Conforming to Statute.
  (a) No policy provision which is not subject to this section and §§ 23-85-101 -- 23-85-129 and 23-85-131 shall make a policy, or any...
• § 23-85-131 - Age Limit -- Exception.
  (a) If any policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy...
• § 23-85-132 - Reduction of Benefits Due to Other Insurance Contracts Prohibited.
  (a) No contract of individual accident and health insurance or health coverage sold, delivered, or issued for delivery or offered for sale in this...
• § 23-85-133 - Coverage of Outpatient Services Required -- Exception -- Definitions.
  (a) (1) No policy or contract of accident and health insurance, including contracts issued by hospital and medical service corporations, that provides coverage for...
• § 23-85-134 - Refund of Unearned Premiums Upon Death of Insured.
  (a) Upon the death of an insured, the proceeds payable to the insured or his or her estate under the policy of individual accident...
• § 23-85-135 - [Repealed.]
• § 23-85-136 - Standard Claim Form Required.
  (a) All accident and health insurers transacting business in this state shall use Form HCFA 1500 and Form UB-92/HCFA 1450, or the claim format...
• § 23-85-137 - In Vitro Fertilization Coverage Required.
  (a) All accident and health insurance companies doing business in this state shall include, as a covered expense, in vitro fertilization.(b) Pursuant to the...
• § 23-85-138 - [Repealed.]
• § 23-85-139 - Written Notice for Premium Payments Made.
  (a) No insurer issuing or renewing policies pursuant to this chapter or conversion policies issued pursuant to § 23-86-115 shall unilaterally change the premium...

Last modified: November 15, 2016