PDFWAC 284-50-420
Specified disease or specified accident coverage, outline of coverage.
An outline of coverage in substantially the following form, shall be issued in connection with policies meeting the standards of WAC 284-50-365.
(company name) (specified disease) (specified accident) coverage outline of coverage |
(1) Read your policy carefully - This outline of coverage provides a very brief description of the important features of your policy. This is not the insurance contract and only the actual policy provisions will control. The policy itself sets forth in detail the rights and obligations of both you and your insurance company. It is, therefore, important that you read your policy carefully!
(2) (Specified disease) (specified accident) coverage - Policies of this category are designed to provide, to persons insured, restricted coverage paying benefits only when certain losses occur as a result of (specified diseases) or (specified accidents). Coverage is not provided for basic hospital, basic medical-surgical, or major-medical expenses.
(3) ( A brief specific description of the benefits, including dollar amounts, contained in this policy:
Note: | The above description of benefits shall be stated clearly and concisely, and shall include a description of any deductible or copayment provisions applicable to the benefits described. Proper disclosure of benefits which vary according to accidental cause shall be made in accordance with WAC 284-50-325(13). |
(4) (A description of any policy provisions which exclude, eliminate, restrict, reduce, limit, delay, or in any other manner operate to qualify payment of the benefits described in (3) above.)
(5) (A description of policy provisions respecting renewability or continuation of coverage, including age restrictions or any reservation of right to change premiums.)
[Order R-76-4, ยง 284-50-420, filed 10/29/76, effective 3/1/77.]