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State RegulationsPA specificDifficulty 1/5

Which Pennsylvania regulations govern the replacement of individual health insurance coverage?

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Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

The Pennsylvania rules on replacement of individual health insurance are found at 31 Pa. Code 88.101 through 31 Pa. Code 88.103. These sections set out the notice, disclosure, and record duties that attach when a health policy is to be replaced, under the chapter the Pennsylvania Insurance Department administers for individual accident and health policies. The other cited sections address group pre-existing conditions, unfair claims practices, and advertising respectively.

Why the other options are wrong

  • A) 31 Pa. Code 89.402 through 31 Pa. Code 89.406 concern pre-existing conditions in group health policies, not replacement procedures.
  • B) 31 Pa. Code 146.5 and 31 Pa. Code 146 are unfair claims settlement practices rules, unrelated to replacement.
  • D) 31 Pa. Code 51.1 and 31 Pa. Code 51.36 are advertising rules, not the health replacement provisions.

Memory hook

Health replacement lives in the 88.10x range of Pennsylvania's rules.

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