Section 3: Regulatory Attachments, Schedules & Forms¶
Official regulatory attachments, disclosure forms, worksheets, and actuarial rate schedules adopted under IDAPA 18 administrative rules.
Each document is relationally linked to its authorizing IDAPA 18 rule.
| Associated IDAPA 18 Rule | Attachment / Regulatory Form | Official Document |
|---|---|---|
| IDAPA 18.01.01 — Rule to Implement the Privacy of Consumer Financial Information | Attachments to Idaho Rule 18.01.01 – Model Privacy Form & Instructions | Download PDF |
| IDAPA 18.02.02 — Automobile Insurance Policies | Attachment A to Idaho Rule 18.02.02 – Acceptable Language for Certain Notices | Download PDF |
| IDAPA 18.02.02 — Automobile Insurance Policies | Attachment B to Idaho Rule 18.02.02 – UM and UIM Notice and Rejection Forms | Download PDF |
| IDAPA 18.02.03 — Certificate of Liability Insurance for Motor Vehicles | Attachments to Idaho Rule 18.02.03 – Certificate of Liability Insurance for Motor Vehicles | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Attachments to Idaho Rule 18.03.02 – Annual Reporting and Disclosures Package | View Portal |
| IDAPA 18.03.02 — Life Settlements | Appendix A-1: Life Settlement Provider Report – Idaho Transactions Only | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix A-2: Life Settlement Provider Report – Instructions | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix A-3: Life Settlement Provider Supplemental Report – Idaho Transactions Only | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix A-4: Life Settlement Provider Supplemental Report – Instructions | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix B: Disclosure to Owner | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix C: Provider’s Disclosure | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix D: Broker’s Disclosure | Download PDF |
| IDAPA 18.03.02 — Life Settlements | Appendix E: Verification of Coverage for Life Settlements | Download PDF |
| IDAPA 18.03.04 — Replacement of Life Insurance and Annuities | Attachments to Idaho Rule 18.03.04 – Replacement Notice (Life Insurance & Annuities) | Download PDF |
| IDAPA 18.03.05 — Credit Life and Credit Disability Insurance | Attachments to Idaho Rule 18.03.05 – Credit Insurance Prima Facie Rates | Download PDF |
| IDAPA 18.04.01 — Health Carrier External Review | Attachments to Idaho Rule 18.04.01 – Health Carrier External Review Forms | Download PDF |
| IDAPA 18.04.08 — Individual and Group Supplementary Disability Insurance Minimum Standards Rule | Attachments to Idaho Rule 18.04.08 – Outlines of Coverage and Notices | View Portal |
| IDAPA 18.04.10 — Medicare Supplement Insurance Standards | Attachment A to Idaho Rule 18.04.10 – Medicare Supplement Benefit Charts | Download PDF |
| IDAPA 18.04.10 — Medicare Supplement Insurance Standards | Attachment B to Idaho Rule 18.04.10 – Sample Consumer Questionnaire | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Attachments to Idaho Rule 18.04.11 – Long-Term Care Insurance Minimum Standards Package | View Portal |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Long-Term Care Outline of Coverage | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix A: Rescission Reporting Form for Long-Term Care | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix B: Long-Term Care Insurance Personal Worksheet | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix C: Things You Should Know Before You Buy Long-Term Care Insurance | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix D: Long-Term Care Insurance Suitability Letter | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix E: Claims Denial Reporting Form | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix F: Instructions for Reporting Forms | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Appendix G: Replacement and Lapse Reporting Form | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Attachment I: Notice Regarding Replacement of Individual Accident & Sickness or Long-Term Care | Download PDF |
| IDAPA 18.04.11 — Long-Term Care Insurance Minimum Standards | Attachment II: Notice Regarding Replacement of Accident & Sickness or Long-Term Care | Download PDF |
| IDAPA 18.04.13 — The Individual Health Insurance Availability Act | Attachments to Idaho Rule 18.04.13 – Outline of Coverage | View Portal |
| IDAPA 18.04.14 — Coordination of Benefits | Attachment A to Idaho Rule 18.04.14 – Appendix A: Model COB Provisions | Download PDF |
| IDAPA 18.04.14 — Coordination of Benefits | Attachment B to Idaho Rule 18.04.14 – Appendix B: Consumer Explanatory Booklet | Download PDF |
| IDAPA 18.05.01 — Rules for Title Insurance Regulation | Attachments to Idaho Rule 18.05.01 – Exhibit 1 (Title Escrow Account Agreement) | Download PDF |
| IDAPA 18.07.01 — Rules for Acquiring Control, Insurance Holding Company Systems, and Mutual Insurance Holding Companies | Attachments to Idaho Rule 18.07.01 – Holding Company Forms (Forms A, B, C, D, E, and F) | Download PDF |
| IDAPA 18.07.02 — Reserve Liabilities and Minimum Valuations for Annuities and Pure Endowment Contracts | Attachments to Idaho Rule 18.07.02 – Actuarial Formulas and Tables | Download PDF |
| IDAPA 18.07.03 — Valuation of Life Insurance Policies Including the Use of Select Mortality Factors | Attachments to Idaho Rule 18.07.03 – Valuation of Life Insurance & Select Mortality Factors | Download PDF |
| IDAPA 18.07.09 — Life and Health Actuarial Opinion and Memorandum Rule | Attachments to Idaho Rule 18.07.09 – Life Actuarial Opinion Recommended Language | Download PDF |