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Home » US Law » 2019 US Virgin Islands Code » Title 22 - Insurance » Chapter 35 - Disability Insurance

§ 851. Scope of chapter

Nothing in this chapter shall apply to or affect— (1) any policy of Workers’ Compensation Administration insurance or any policy of liability insurance with or without supplementary expense coverage therein; (2) any policy or contract of reinsurance; (3) any blanket or group policy of insurance; or (4) life insurance, endowment or annuity contracts, or contracts […]

§ 852. Format of disability policies

No disability policy shall be delivered or issued for delivery to any person in this territory unless it otherwise complies with this title, and complies with the following: (1) it shall purport to insure only one person, except as to family expense insurance written pursuant to section 883 of this title; (2) the style, arrangement […]

§ 853. Policies issued by domestic insurer for delivery in another state

If any policy is issued by a domestic insurer for delivery to a person resident in another territory or state, and if the Commissioner of Insurance or corresponding public official of such other territory or state has advised the Commissioner that any such policy is not subject to approval or disapproval by such official, the […]

§ 854. Standard provisions required; substitutions; captions

Except as provided in section 813 of this title, each such policy delivered or issued for delivery to any person in this territory shall contain the provisions as specified in sections 855–866, inclusive, of this title, in the words in which the same appear; except, that the insurer may, at its option, substitute for one […]

§ 855. Standard provision No. 1, entire contract; changes

There shall be a provision as follows: “Entire contract; changes: This policy, including the endorsements and attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be endorsed hereon or attached hereto. No agent […]

§ 856. —No. 2, time limit on certain defenses

There shall be a provision as follows: “Time limit on certain defenses: (a) After three years from the date of issue of this policy, no misstatements except fraudulent misstatements made by the applicant in the application for such policy shall be used to void the policy or to deny a claim for loss incurred or […]

§ 857. —No. 3, grace period

There shall be a provision as follows: “Grace period: A grace period of—(insert a number not less than ‘7’ for weekly premium policies, ‘10’ for monthly premium policies, and ‘31’ for all other policies) days will be granted for the payment of each premium falling due after the first premium, during which grace period the […]

§ 858. —No. 4, reinstatement

There shall be a provision as follows: “Reinstatement: If any renewal premium be not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any agent duly authorized by the insurer to accept such premium, without requiring in connection therewith an application for reinstatement, shall reinstate […]

§ 859. —No. 5, notice of claim

There shall be a provision as follows: “Notice of claim: Written notice of claim must be given to the insurer within twenty days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf of the insured or the beneficiary […]

§ 860. —No. 6, claim forms

There shall be a provision as follows: “Claim forms: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within fifteen days after the giving of such notice the claimant shall be […]

§ 861. —No. 7, proofs of loss

There shall be a provision as follows: “Proofs of loss: Written proof of loss must be furnished to the insurer at its said office in case of claim for loss for which this policy provides any periodic payment contingent upon continuing loss within ninety days after the termination of the period for which the insurer […]

§ 862. —No. 8, time of payment of claims

There shall be a provision as follows: “Time of payment of claims: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnities for […]

§ 863. —No. 9, payment of claims

(a) There shall be a provision as follows: “Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall […]

§ 864. —No. 10, physical examination and autopsy

There shall be a provision as follows: “Physical examinations and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death […]

§ 865. —No. 11, legal actions

There shall be a provision as follows: “Legal actions: No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action shall be brought after the […]

§ 866. —No. 12, change of beneficiary

There shall be a provision as follows: “Change of beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change of beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries shall not be requisite to surrender or assignment of this policy or to any change of beneficiary […]

§ 867. Optional standard provisions

Except as provided in section 813 of this title, no such policy delivered or issued for delivery to any person in this territory shall contain provisions respecting the matters set forth in sections 868–878, inclusive, of this title, unless such provisions are in the words in which the same appear in the applicable section; except, […]

§ 868. Optional standard provision No. 13, change of occupation

There may be a provision as follows: “Change of occupation: If the insured be injured or contract sickness after having changed his occupation to one classified by the insurer as more hazardous than that stated in this policy or while doing for compensation anything pertaining to an occupation so classified, the insurer will pay only […]

§ 869. —No. 14, misstatement of age

There may be a provision as follows: “Misstatement of age: If the age of the insured has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age.”

§ 870. —No. 15, other insurance in this insurer

There may be a provision as follows: (1) “Other insurance in this insurer: If an accident or sickness or accident and sickness policy or policies previously issued by the insurer to the insured be in force concurrently herewith, making the aggregate indemnity for ____ (insert type of coverage or coverages) in excess of $ ____ […]