19 MAC Pt. 1, R. 24.06
Appendix A- Summary Document
Cite as 19 Miss. Admin. Code Pt. 1, R. 24.06
Appendix A- Summary Document
APPENDIX “A”
NOTICE OF PROTECTION PROVIDED BY
MISSISSIPPI LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION
This notice provides a brief summary of the Mississippi Life and Health Insurance Guaranty
Association (the “Association”) and the protection it provides for policyholders. This safety net
was created by Mississippi law, which determines who and what is covered and the amounts of
coverage.
The Association was established to provide protection in the unlikely event that your life,
annuity or health insurer becomes financially unable to meet its obligations. If this should
happen, the Association will typically arrange to continue coverage and pay claims, in
accordance with Mississippi law, with funding from assessments paid by other insurance
companies. (For purposes of this notice, the terms “insurance company” and “insurer” include
health maintenance organizations (HMOs).)
The basic protections provided by the Association are:
Life Insurance
•
$300,000 in death benefits
•
$100,000 in net cash surrender and net cash withdrawal values
Health Insurance
•
$500,000 for health benefit plans (see definition below)
•
$300,000 in disability income insurance benefits
•
$300,000 in long-term care insurance benefits
•
$100,000 in other types of health insurance benefits
Annuities
•
$250,000 in the present value of annuity benefits, including net cash
surrender and net cash withdrawal values.
The maximum amount of protection for each individual, regardless of the number of policies or
contracts, is $300,000. Special rules may apply with regard to health benefit plans.
“Health benefit plan” is defined in Miss. Code Ann. § 83-23-209 and generally includes hospital
or medical expense policies, contracts or certificates, or HMO subscriber contracts that provide
comprehensive forms of coverage for hospitalization or medical services, but excludes policies
that provide coverages for limited benefits (such as dental-only or vision-only insurance),
Medicare Supplement insurance, disability income insurance and long-term care insurance
(LTCI).
Note: Certain policies and contracts may not be covered or fully covered. For example,
coverage does not extend to any portion(s) of a policy or contract that the insurer does not
guarantee, such as certain investment additions to the account value of a variable life insurance
policy or a variable annuity contract. There are also various residency requirements and other
limitations under Mississippi law.
Benefits provided by a long-term care (LTC) rider to a life insurance policy or annuity contract
shall be considered the same type of benefits as the base life insurance policy or annuity contract
to which it relates.
To learn more about the above protections, limitations and exclusions, as well as protections
relating to group contracts or retirement plans, please visit the Association's website at
www.mslifega.org, or contact:
Mississippi Life and Health Insurance Mississippi Insurance Department
Guaranty Association
Woolfolk Building
330 North Mart Plaza
501 N. West Street, Suite 1001
Jackson, MS 39206-5327
Jackson, MS 39201
601-981-0755
601-359-3569
To file a complaint or seek information about the financial condition of an insurer, contact the
Mississippi Insurance Department.
Your insurer is required by law to provide you with this notice. However, insurance companies
and their agents are prohibited by law from using the existence of the Association for the purpose
of sales, solicitation or inducement to purchase any form of insurance.