Skip to main content
Find a Lawyer

Pennsylvania Statutes Title 40 P.S. Insurance § 776.3. Standards for policy provisions

Current as of January 01, 2025 | Updated by Findlaw Staff

(a) The Insurance Commissioner shall issue regulations to establish specific standards, including standards of full and fair disclosure, that set forth the manner, content and required disclosures for their sale for individual policies of accident and health insurance and subscriber contracts of health plan corporations and nonprofit health service plans and certificates issued by fraternal benefit societies and required disclosures for their sale. These regulations shall be in addition to applicable laws of this Commonwealth and may cover but shall not be limited to:

(1) terms of renewability;

(2) initial and subsequent conditions of eligibility;

(3) non-duplication of coverage provisions;

(4) coverage of dependents;

(5) pre-existing conditions;

(6) termination of insurance;

(7) probationary periods;

(8) limitations;

(9) exceptions;

(10) reductions;

(11) elimination periods;

(12) requirements for replacement;

(13) recurrent conditions; and

(14) the definition of terms, including but not limited to, the following: “hospital,” “accident,” “sickness,” “injury,” “physician,” “accidental means,” “total disability,” “partial disability,” “nervous disorder,” “guaranteed renewable,” and “non-cancellable.”

(b) The Insurance Commissioner may issue regulations that specify prohibited policy provisions not otherwise specifically prohibited by statute which in the opinion of the Insurance Commissioner are unjust, unfair, or unfairly discriminatory to the policyholder, subscriber, any person insured under the policy, or beneficiary.

Previous Part of Code Next Part of Code
Back to Chapter List

Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 776.3. Standards for policy provisions - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-776-3/

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.

Was this helpful?

Welcome to FindLaw's Cases & Codes

A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.

Go to Learn About the Law

Latest Blog Posts

For Legal Professionals

Learn About The Law

Get help with your legal needs

FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.

Go to Learn About the Law

Need to Find an Attorney?

Search our directory by legal issue

Enter information in one or both fields (Required)

Copied to clipboard