OAR 836-020-0210: Definitions

(1) Definitions given in the Insurance Code and in this rule govern the construction of this rule. (2) "Advertisement" includes: (a) Written, oral, and pictorial material used in direct mail, newspapers, magazines, radio scripts, TV scripts, billboards, and other similar mediums for reaching the public; (b) Written, oral, and pictorial material intended for individual presentation to the public, including, but not limited to, circulars, leaflets, booklets, depictions, illustrations; and (c) Written, oral, and pictorial material prepared for any other use by insurance producers or other representatives of an insurer. (3) "Policy" includes any certificate of insurance or statement of coverage. (4) "Insurer" includes fraternal benefit societies and health care service contractors. (5) "Health Insurance" does not include incidental coverages issued with or supplemental to liability insurance, or coverages included within the Insurance Code definition of life insurance. (6) "Exception" means any policy provision whereby coverage for a specified hazard is entirely eliminated. An "exception" is a statement of a risk not assumed under the policy. (7) "Reduction" means any policy provision which reduces the amount of the policy benefit. Under the terms of a "reduction", a risk of loss is assumed but payment upon the occurrence of such loss is limited to some amount or period that is less than would otherwise be the case had the reduction provision not been used. (8) "Limitation" means any policy provision which restricts coverage under the policy, other than an "exception" or a "reduction".