APPENDIX
A
NOTICE CONCERNING
COVERAGE
LIMITATIONS AND EXCLUSIONS UNDER THE
WYOMING LIFE AND HEALTH INSURANCE
GUARANTY
ASSOCIATION ACT
Residents
of Wyoming who purchase life insurance, annuities, or health insurance
should know that the insurance companies licensed in this state to write
these types of insurance are members of the Wyoming Life and Health
Insurance Guaranty Association. The
purpose of this association is to assure that policyholders will be
protected, within limits, in the unlikely event that a member insurer
becomes financially unable to meet its obligations.
If this should happen, the guaranty association will assess its
other member insurance companies for the money to pay the claims of
insured persons who live in this state and, in some cases, to keep
coverage in force. The
valuable extra protection provided by these insurers through the
guaranty association is not unlimited, however.
This protection is not a substitute for consumers' care in
selecting companies that are well-managed and financially stable.
The Wyoming Life and
Health Insurance Guaranty Association may not provide coverage for this
policy. If coverage is
provided, it may be subject to substantial limitations or exclusions,
and require continued residency in Wyoming.
You should not rely on coverage by the Wyoming Life and Health
Insurance Guaranty Association in selecting an insurance company or in
selecting an insurance policy.
Coverage is NOT provided for your policy or any portion of
it that is not guaranteed by the insurer or for which you have assumed
the risk, such as a variable contract sold by prospectus.
Insurance companies or
their agents are required by law to give or send you this notice. However, insurance companies and their agents are
prohibited by law from using the existence of the guaranty association
for the purpose of sales to induce you to purchase any kind of insurance
policy.
The Wyoming Life and Health Insurance Guaranty
Association
P.O. Box 36009
Denver, Colorado 80236-0009
800-670-9091
State of Wyoming Department of Insurance
Herschler Building
122 West 25th Street
Cheyenne, Wyoming 82002-0440
307-777-7401
The
state law that provides for this safety-net coverage is called the
Wyoming Life and Health Insurance Guaranty Association Act.
Below is a brief summary of this law's coverages, exclusions, and
limits. This summary does
not cover all provisions of the law; nor does it in any way change
anyone's rights or obligations under the act or the rights or
obligations of the guaranty association.
COVERAGE
Generally,
individuals will be protected by the Wyoming Life and Health Insurance
Guaranty Association if they live in this state and hold a life or
health insurance contract, or an annuity, or if they are insured under a
group insurance contract, issued by a member insurer.
The beneficiaries, payees, or assignees of insured persons are
protected as well, even if they live in another state.
EXCLUSIONS
FROM COVERAGE
However,
persons holding such policies are not protected by this
Association if:
·
they are eligible
for protection under the laws of another state (this may occur when the
insolvent insurer was incorporated in another state whose guaranty
association protects insureds who live outside that state);
·
the insurer was
not authorized to do business in this state;
·
their policy was
issued by a fraternal benefit society, a mandatory state pooling plan, a
stipulated premium insurance company, a local mutual burial association,
a mutual assessment company, or similar plan in which the policyholder
is subject to future assessments, or by an insurance exchange.
The
Association also does not provide coverage for:
·
any policy or
portion of a policy which is not guaranteed by the insurer or for which
the individual has assumed the risk, such as a variable contract sold by
prospectus;
·
any policy of
reinsurance (unless an assumption certificate was issued);
·
interest rate
yields that exceed an average rate;
·
dividends;
·
credits given in
connection with the administration of a policy by a group contractholder;
·
annuity contracts
issued by a nonprofit insurance company exclusively for
the benefit of nonprofit educational institutions and their
employees;
·
unallocated
annuity contracts (which give rights to group contractholders, not
individuals);
·
any plan or
program of an employer or association that provides life,
health, or annuity benefits to its employees or members to the
extent the
plan is self-funded or uninsured.
LIMITS
ON AMOUNT OF COVERAGE
The act also limits the amount the Association is obligated to
pay out. The Association
cannot pay more than what the insurance company would owe under a policy
or contract. Also, for any
one insured life, the Association will pay a maximum of $300,000 -- no
matter how many policies and contracts there were with the same company,
even if they provided different types of coverages.
Within this overall $300,000 limit, the Association will not pay
more than $100,000 in cash surrender values for life inurance policies,
$100,000 in health insurance benefits, $100,000 in present value of
annuities, or $300,000 in life insurance death benefits -- again, no
matter how many policies and contracts there were with the same company,
and no matter how many different types of coverages.