Providers of qualifying prepaid legal plans would explain plan terms before enrollment, keep complaint records, and let members leave without a penalty.
Before enrollment, plan providers would have to explain covered services, costs, and how to get legal help. They would also keep complaint records for at least three years.
Providers could not suggest a plan is insurance or guarantee results beyond its covered services. Members could not be charged for service after the month they ask to leave or face a penalty for leaving.
Plans meeting the bill's definition would be outside the insurance code. The member must pay in advance for specified legal services, and the organization must pay its contracted lawyer a fixed amount.
A person offering a qualifying prepaid legal plan would have to give members written information before enrollment and keep complaint records. These rules apply to a person offering a plan that meets the bill's definition. The written information must list covered services and major exclusions, explain costs and how to get services, identify the plan administrator and participating lawyers, say the plan is not insurance, and explain how to complain or resolve a dispute. Complaint records must be kept for at least three years and made available to the attorney general upon request. Providers would give the written information before enrollment and keep complaint records for at least three years.
A person offering a qualifying prepaid legal plan could not use certain misleading ads or charge members for canceling. These rules apply to a person offering a plan that meets the bill's definition. Ads could not imply that the plan is insurance or guarantee results beyond the services it covers. A provider could not charge for services beyond the month when a member asks to leave the plan or impose a penalty for leaving. The limit on charges applies after the month in which a member asks to leave the plan.
The bill text would exclude certain prepaid legal plans from the insurance code. The exclusion covers an arrangement between a member and an organization that meets all the listed conditions. The member must pay in advance for specified legal services for the member or a dependent. The organization must contract directly with a lawyer and pay a fixed amount agreed in advance; it cannot pay that lawyer extra for those services or expenses.
No hearings or votes scheduled.