Montana Code 33-17-1401. Definitions
33-17-1401. Definitions. As used in this part, the following definitions apply:
Terms Used In Montana Code 33-17-1401
- Administrator: means a person who collects charges or premiums from residents of this state in connection with life, disability, property, or casualty insurance or annuities or who adjusts or settles claims on these coverages. See Montana Code 33-17-102
- Business entity: means a corporation, association, partnership, limited liability company, limited liability partnership, or other legal entity. See Montana Code 33-17-102
- Cancellation fee waiver: means a contractual agreement between a supplier of travel services and its customer to waive some or all of the non-refundable cancellation fee provisions of the supplier's underlying travel contract with or without regard to the reason for the cancellation or form of reimbursement. See Montana Code 33-17-1401
- Commissioner: means the commissioner of insurance of the state of Montana. See Montana Code 33-17-1401
- Contract: A legal written agreement that becomes binding when signed.
- Eligible group: means , for the purpose of travel insurance, two or more persons who are engaged in a common enterprise or have an economic, educational, or social affinity or relationship, including but not limited to any of the following:
(a)any entity engaged in the business of providing travel or travel services, including but not limited to tour operators, lodging providers, vacation property owners, hotels and resorts, travel clubs, travel agencies, property managers, cultural exchange programs, and common carriers or the operator, owner, or lessor of a means of transportation of passengers, including but not limited to airlines, cruise lines, railroads, steamship companies, and public bus carriers, wherein with regard to any particular travel or type of travel or travelers, all members or customers of the group must have a common exposure to risk attendant to the travel;
(b)any college, school, or other institution of learning, covering students, teachers, employees, or volunteers;
(c)any employer covering any group of employees, volunteers, contractors, board of directors, dependents, or guests;
(d)any sports team, camp, or sponsor thereof, covering participants, members, campers, employees, officials, supervisors, or volunteers;
(e)any religious, charitable, recreational, educational, or civic organization or branch thereof covering any group of members, participants, or volunteers;
(f)any financial institutions or financial institution vendor or parent holding company, trustee, or agent of or designated by one or more financial institutions or financial institution vendors, including accountholders, credit card holders, debtors, guarantors, or purchasers;
(g)any incorporated or unincorporated association, including labor unions, having a common interest, constitution, and bylaws and organized and maintained in good faith for purposes other than obtaining insurance for members or participants of the association covering its members;
(h)any trust or the trustees of a fund established, created, or maintained for the benefit of and covering members, employees, or customers, subject to the commissioner's permitting the use of a trust and the state's premium tax provisions in 33-2-705 of one or more associations meeting the requirements in subsection (5)(g);
(i)any entertainment production company covering any group of participants, volunteers, audience members, contestants, or workers;
(j)any volunteer fire department, ambulance, rescue, police, or court or any first aid, civil defense, or other volunteer group;
(k)preschools, daycare institutions for children or adults, and senior citizen clubs;
(l)any automobile or truck rental or leasing company covering a group of individuals who may become renters, lessees, or passengers defined by their travel status on the rented or leased vehicles. See Montana Code 33-17-1401
- Exchange: means a health benefit exchange established by the state of Montana or an exchange established by the United States department of health and human services in accordance with 42 U. See Montana Code 33-17-102
- Individual: means a natural person. See Montana Code 33-17-102
- License: means a document issued by the commissioner that authorizes a person to act as an insurance producer for the lines of authority specified in the document. See Montana Code 33-17-102
- Limited lines producer: means a person authorized by the commissioner to sell, solicit, or negotiate limited lines insurance. See Montana Code 33-17-102
- Limited lines travel insurance producer: means a:
(a)managing general agent or third-party administrator;
(b)licensed insurance producer, including a limited lines producer, designated by an insurer as the travel insurance supervising entity as set forth in 33-17-1404; or
(c)travel administrator. See Montana Code 33-17-1401
- Offer and disseminate: means providing general information, including a description of coverage and price, as well as processing applications, collecting premiums, and performing other activities not requiring licensure by the state. See Montana Code 33-17-1401
- Person: means an individual or a business entity. See Montana Code 33-17-102
- Property: means real and personal property. See Montana Code 1-1-205
- State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Montana Code 1-1-201
- Travel administrator: means a person who directly or indirectly underwrites, collects charges, collateral, or premiums from, or adjusts or settles claims on residents of this state in connection with travel insurance, except that a person may not be considered a travel administrator if that person's only actions that would otherwise cause it to be considered a travel administrator are among the following:
(a)a person working for a travel administrator to the extent that the person's activities are subject to the supervision and control of the travel administrator;
(b)an insurance producer selling insurance or engaged in administrative and facilitation of claims-related activities within the scope of the producer's license;
(c)a travel retailer offering and disseminating travel insurance and registered under the license of a limited lines travel insurance producer in accordance with this part;
(d)an individual adjusting or settling claims in the normal course of that individual's practice or employment as an attorney at law and who does not collect charges or premiums in connection with insurance coverage; or
(e)a business entity that is affiliated with a licensed insurer while acting as a travel administrator for the direct and assumed insurance business of an affiliated insurer. See Montana Code 33-17-1401
- Travel assistance services: means noninsurance services for which the consumer is not indemnified based on a fortuitous event and that do not result in the transfer or shifting of risk that would constitute the business of insurance. See Montana Code 33-17-1401
- Travel insurance: means insurance coverage for personal risks incident to planned travel, including but not limited to:
(i)interruption or cancellation of a trip or event;
(ii)loss of baggage or personal effects;
(iii)damages to accommodations or rental vehicles;
(iv)sickness, accident, disability, or death occurring during travel;
(v)emergency evacuation;
(vi)repatriation of remains; or
(vii)any other contractual obligations to indemnify or pay a specified amount to the traveler upon determinable contingencies related to travel as approved by the commissioner. See Montana Code 33-17-1401
- Travel protection plans: means plans that provide one or more of the following:
(a)travel insurance;
(b)travel assistance services; or
(c)cancellation fee waivers. See Montana Code 33-17-1401
- Travel retailer: means a business entity that makes, arranges, or offers travel services and that may offer and disseminate travel insurance as a service to its customers on behalf of and under the direction of a limited lines travel insurance producer. See Montana Code 33-17-1401
- Trustee: A person or institution holding and administering property in trust.
(1)”Aggregator site” means a website that provides access to information regarding insurance products from more than one insurer, including product and insurer information, for use in comparison shopping.
(2)”Blanket travel insurance” means a policy of travel insurance issued to any eligible group providing coverage for specific classes of persons defined in the policy with coverage provided to all members of the eligible group without a separate charge to individual members of the eligible group.
(3)”Cancellation fee waiver” means a contractual agreement between a supplier of travel services and its customer to waive some or all of the non-refundable cancellation fee provisions of the supplier’s underlying travel contract with or without regard to the reason for the cancellation or form of reimbursement. A cancellation fee waiver is not insurance.
(4)”Commissioner” means the commissioner of insurance of the state of Montana.
(5)”Eligible group” means, for the purpose of travel insurance, two or more persons who are engaged in a common enterprise or have an economic, educational, or social affinity or relationship, including but not limited to any of the following:
(a)any entity engaged in the business of providing travel or travel services, including but not limited to tour operators, lodging providers, vacation property owners, hotels and resorts, travel clubs, travel agencies, property managers, cultural exchange programs, and common carriers or the operator, owner, or lessor of a means of transportation of passengers, including but not limited to airlines, cruise lines, railroads, steamship companies, and public bus carriers, wherein with regard to any particular travel or type of travel or travelers, all members or customers of the group must have a common exposure to risk attendant to the travel;
(b)any college, school, or other institution of learning, covering students, teachers, employees, or volunteers;
(c)any employer covering any group of employees, volunteers, contractors, board of directors, dependents, or guests;
(d)any sports team, camp, or sponsor thereof, covering participants, members, campers, employees, officials, supervisors, or volunteers;
(e)any religious, charitable, recreational, educational, or civic organization or branch thereof covering any group of members, participants, or volunteers;
(f)any financial institutions or financial institution vendor or parent holding company, trustee, or agent of or designated by one or more financial institutions or financial institution vendors, including accountholders, credit card holders, debtors, guarantors, or purchasers;
(g)any incorporated or unincorporated association, including labor unions, having a common interest, constitution, and bylaws and organized and maintained in good faith for purposes other than obtaining insurance for members or participants of the association covering its members;
(h)any trust or the trustees of a fund established, created, or maintained for the benefit of and covering members, employees, or customers, subject to the commissioner’s permitting the use of a trust and the state’s premium tax provisions in 33-2-705 of one or more associations meeting the requirements in subsection (5)(g);
(i)any entertainment production company covering any group of participants, volunteers, audience members, contestants, or workers;
(j)any volunteer fire department, ambulance, rescue, police, or court or any first aid, civil defense, or other volunteer group;
(k)preschools, daycare institutions for children or adults, and senior citizen clubs;
(l)any automobile or truck rental or leasing company covering a group of individuals who may become renters, lessees, or passengers defined by their travel status on the rented or leased vehicles. The common carrier, the operator, owner, or lessor of a means of transportation, or the automobile or truck rental or leasing company is the policyholder under a policy to which this section applies.
(m)any other group for which the commissioner has determined that the members are engaged in a common enterprise or have an economic, educational, or social affinity or relationship and that issuance of the policy would not be contrary to the public interest.
(6)”Fulfillment materials” means documentation sent to the purchaser of a travel protection plan confirming the purchase and providing the travel protection plan’s coverage and assistance details.
(7)”Limited lines travel insurance producer” means a:
(a)managing general agent or third-party administrator;
(b)licensed insurance producer, including a limited lines producer, designated by an insurer as the travel insurance supervising entity as set forth in 33-17-1404; or
(c)travel administrator.
(8)”Offer and disseminate” means providing general information, including a description of coverage and price, as well as processing applications, collecting premiums, and performing other activities not requiring licensure by the state.
(9)”Travel administrator” means a person who directly or indirectly underwrites, collects charges, collateral, or premiums from, or adjusts or settles claims on residents of this state in connection with travel insurance, except that a person may not be considered a travel administrator if that person’s only actions that would otherwise cause it to be considered a travel administrator are among the following:
(a)a person working for a travel administrator to the extent that the person’s activities are subject to the supervision and control of the travel administrator;
(b)an insurance producer selling insurance or engaged in administrative and facilitation of claims-related activities within the scope of the producer’s license;
(c)a travel retailer offering and disseminating travel insurance and registered under the license of a limited lines travel insurance producer in accordance with this part;
(d)an individual adjusting or settling claims in the normal course of that individual’s practice or employment as an attorney at law and who does not collect charges or premiums in connection with insurance coverage; or
(e)a business entity that is affiliated with a licensed insurer while acting as a travel administrator for the direct and assumed insurance business of an affiliated insurer.
(10)”Travel assistance services” means noninsurance services for which the consumer is not indemnified based on a fortuitous event and that do not result in the transfer or shifting of risk that would constitute the business of insurance. Travel assistance services include but are not limited to security advisories; destination information; vaccination and immunization information services; travel reservation services; entertainment; activity and event planning; translation assistance; emergency messaging; international legal and medical referrals; medical case monitoring; coordination of transportation arrangements; emergency cash transfer assistance; medical prescription replacement assistance; passport and travel document replacement assistance; lost luggage assistance; concierge services; and any other service that is furnished in connection with planned travel. Travel assistance services are not insurance and are not related to insurance.
(11)(a) “Travel insurance” means insurance coverage for personal risks incident to planned travel, including but not limited to:
(i)interruption or cancellation of a trip or event;
(ii)loss of baggage or personal effects;
(iii)damages to accommodations or rental vehicles;
(iv)sickness, accident, disability, or death occurring during travel;
(v)emergency evacuation;
(vi)repatriation of remains; or
(vii)any other contractual obligations to indemnify or pay a specified amount to the traveler upon determinable contingencies related to travel as approved by the commissioner.
(b)The term does not include major medical plans that provide comprehensive medical protection for travelers on trips lasting 6 months or longer, including those working overseas and military personnel being deployed.
(c)Travel insurance must be classified and filed for purposes of rates and forms under an inland marine line of insurance, provided, however, that travel insurance that provides coverage for sickness, accident, disability, or death occurring during travel, either exclusively or in conjunction with related coverages of emergency evacuation or repatriation of remains, may be filed under either an accident and health line of insurance or an inland marine line of insurance as long as the insurer is authorized to transact business in the line of insurance under which the rates and forms are filed.
(d)Eligibility and underwriting standards for travel insurance may be developed and provided based on travel protection plans designed for individual or identified marketing or distribution channels, provided those standards also meet the state’s underwriting standards for inland marine.
(12)”Travel protection plans” means plans that provide one or more of the following:
(a)travel insurance;
(b)travel assistance services; or
(c)cancellation fee waivers.
(13)”Travel retailer” means a business entity that makes, arranges, or offers travel services and that may offer and disseminate travel insurance as a service to its customers on behalf of and under the direction of a limited lines travel insurance producer.