Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 6234 (September 28, 2024).

31 Pa. Code § 88.126. Miscellaneous policy provisions.

§ 88.126. Miscellaneous policy provisions.

 (a)  If the policy provides for any reduction in benefits because of the attainment of a specified age limit, reference thereto shall be set forth on the first or specifications page. For this purpose, a reduction in a benefit period is a reduction in benefits requiring such reference.

 (b)  No reduction of benefits by reason of a change in employment status or change in income of the insured shall be permitted, unless clearly set forth in the policy under an appropriate caption.

 (c)  Dependency status may not be defined by sex.

 (d)  Any policy providing coverage for hospital, surgical, or medical expense for the recipient in a transplant operation shall also provide for the reimbursement of any medical expenses of a live donor to the extent that benefits remain and are available under the policy of the recipient after the benefits for the recipient’s own expenses have been paid.



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