Code of Virginia - Title 38.2 Insurance - Chapter 35 Accident And Sickness Insurance Policies

38.2-3500 Form of policy
A. No individual accident and sickness insurance policy shall be delivered or issued for delivery to any person in this Commonwealth unless: 1. The entire ...

38.2-3501 Policy forms; powers of Commission
Individual accident and sickness insurance policy forms and the rate manuals showing rules and classification of risks applicable to individual accident and sickness insurance policy ...

38.2-3502 Notice to be printed on policy; return of policy to insurer
A. Any individual accident and sickness insurance policy delivered or issued for delivery in this Commonwealth shall have printed on it a notice stating substantially: ...

38.2-3503 Required accident and sickness policy provisions
Except as provided in § 38.2-3505, each individual accident and sickness insurance policy delivered or issued for delivery in this Commonwealth shall contain the provisions ...

38.2-3504 Other provisions
Except as provided in § 38.2-3505, no individual accident and sickness insurance policy delivered or issued for delivery in this Commonwealth shall contain provisions respecting ...

38.2-3505 Inapplicable or inconsistent provisions
If any provision of this article is inapplicable to or inconsistent with the coverage provided by a particular form of policy, the insurer, with the ...

38.2-3506 Order of certain policy provisions
The provisions that are the subject of §§ 38.2-3503 and 38.2-3504, or any corresponding provisions that are used instead of them in accordance with these ...

38.2-3507 Third-party ownership
The word "insured," as used in this article, shall not be construed to prevent a person with a proper insurable interest from applying for and ...

38.2-3508 Requirements of other jurisdictions
A. Any individual accident and sickness insurance policy delivered or issued for delivery to any person in this Commonwealth by a foreign or alien insurer ...

38.2-3509 Denial or reduction of benefits because of existence of other like insurance
A. No individual accident and sickness insurance policy, nor any subscription contract as provided for in Chapter 42 (§ 38.2-4200 et seq.) of this title, ...

38.2-3510 Conforming to statute
No individual accident and sickness insurance policy provision that is not subject to this article shall make an individual accident and sickness insurance policy, or ...

38.2-3511 Application
A. The insured shall not be bound by any statement made in an application for an individual accident and sickness policy unless a copy of ...

38.2-3512 Notice; waiver
The acknowledgment by any insurer of the receipt of notice given under any individual accident and sickness insurance policy, the furnishing of forms for filing ...

38.2-3513 Age limit
A. If any individual accident and sickness insurance policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage ...

38.2-3514 When liability not to be denied because of preexisting disease, physical impairment or defec...
No insurer that has delivered or issued for delivery in this Commonwealth an accident and sickness insurance policy pursuant to the provisions of this article ...

38.2-3514.1 Preexisting conditions provisions
A. In determining whether a preexisting conditions provision applies to an insured, all coverage shall credit the time the person was covered under previous individual ...

38.2-3514.2 Renewability of coverage
A. Every individual policy, subscription contract or plan delivered, issued for delivery or renewal in this Commonwealth providing benefits to or on behalf of an ...

38.2-3515 Required coverage on connecting or returning planes
In each airtrip accident policy, issued in this Commonwealth through a mechanical vending machine or otherwise, the coverage of the policy, according to its terms ...

38.2-3516 Purpose
The purpose of this article is to authorize the Commission, pursuant to the authority granted in § 38.2-223, to issue rules and regulations to: 1. ...

38.2-3517 Definitions
As used in this article: "Form" means policies, contracts, riders, endorsements, and applications. "Policy" means the entire contract between the insurer and the insured, including ...

38.2-3518 Standards for policy provisions
A. Pursuant to the authority granted in § 38.2-223, the Commission may issue rules and regulations to establish specific standards, including standards of full and ...

38.2-3519 Minimum standards for benefits
A. Pursuant to the authority granted in § 38.2-223, the Commission may issue rules and regulations establishing minimum standards for benefits under each of the ...

38.2-3520 Coverage of preexisting conditions
Notwithstanding the provisions of § 38.2-3503, if an insurer elects to use a simplified application form, with or without a specific question as to the ...

38.2-3521 Description unavailable
Repealed by Acts 1998, c. 154. ...

38.2-3521.1 Group accident and sickness insurance definitions
Except as provided in § 38.2-3522.1, no policy of group accident and sickness insurance shall be delivered in this Commonwealth unless it conforms to one ...

38.2-3522 Description unavailable
Repealed by Acts 1998, c. 154. ...

38.2-3522.1 Limits of group accident and sickness insurance
Group accident and sickness insurance offered to a resident of this Commonwealth under a group accident and sickness insurance policy issued to a group other ...

38.2-3523 Description unavailable
Repealed by Acts 1998, c. 154. ...

38.2-3523.1 Review of records
The Commission may review the records of any insurer to determine that the insurer's policies have been issued in compliance with the requirements set forth ...

38.2-3523.2 Policies issued outside of the Commonwealth of Virginia
A group accident and sickness insurance policy issued outside of this Commonwealth, providing coverage to residents of this Commonwealth, that does not qualify under § ...

38.2-3523.3 Requirements for those marketing group accident and sickness insurance
Insurance marketed to certificate holders of a group which does not qualify under § 38.2-3521.1 or § 38.2-3522.1 must be marketed by a person holding ...

38.2-3523.4 Minimum number of persons covered
A group accident and sickness insurance policy shall on the issue date and at each policy anniversary date, cover at least two persons, other than ...

38.2-3524 Description unavailable
Repealed by Acts 1998, c. 154. ...

38.2-3525 Group accident and sickness insurance coverages of spouses, dependent children or other person...
A. Coverage under a group accident and sickness insurance policy, except a policy issued pursuant to subsection B of § 38.2-3521.1, may be extended to ...

38.2-3526 Standard provisions required; exceptions
A. No group accident and sickness insurance policy shall be delivered or issued for delivery in this Commonwealth unless it contains the standard provisions prescribed ...

38.2-3527 Grace period
Each group accident and sickness insurance policy shall contain a provision that the policyowner is entitled to a grace period of not less than thirty-one ...

38.2-3528 Incontestability
A. Each group accident and sickness insurance policy shall contain a provision that the validity of the policy shall not be contested, except for nonpayment ...

38.2-3529 Entire contract; statements deemed representations
A. Each group accident and sickness insurance policy shall contain a provision that the policy, and any application of the policyowner, and any individual applications ...

38.2-3530 Evidence of individual insurability
Each group accident and sickness insurance policy shall contain a provision setting forth any conditions under which the insurer reserves the right to require a ...

38.2-3531 Additional exclusions and limitations
A. Each group accident and sickness insurance policy shall contain a provision specifying all additional exclusions or limitations applicable under the policy for any disease ...

38.2-3532 Misstatement of age
Each group accident and sickness insurance policy where the premiums or benefits vary by age shall contain a provision that an equitable adjustment of premiums, ...

38.2-3533 Individual certificates
A. Each group accident and sickness insurance policy shall contain a provision that the insurer will issue to the policyholder for delivery to each person ...

38.2-3534 Notice of claim
Each group accident and sickness insurance policy shall contain a provision that written notice of a claim shall be given to the insurer within twenty ...

38.2-3535 Claim forms
Each group accident and sickness insurance policy shall contain a provision that the insurer will furnish forms for filing proof of loss to the person ...

38.2-3536 Proofs of loss
A. Each group accident and sickness insurance policy shall contain a provision that written proof of the loss shall be furnished to the insurer within ...

38.2-3537 Time of payment of claims
Each group accident and sickness insurance policy shall contain a provision that all benefits payable under the policy other than benefits for loss of time ...

38.2-3538 Payment of benefits
Each group accident and sickness insurance policy shall contain a provision that benefits for loss of life of the person insured shall be payable to ...

38.2-3539 Physical examinations and autopsy
Each group accident and sickness insurance policy shall contain a provision that the insurer shall have the right (i) to examine the person for whom ...

38.2-3540 Legal actions
Each group accident and sickness insurance policy shall contain a provision that no action at law or in equity shall be brought to recover on ...

38.2-3540.1 Claims experience
A. Each group accident and sickness insurance policy and health care plan shall contain a provision which provides that the insurer, upon request, shall provide ...

38.2-3541 Conversion or continuation on termination of eligibility
Each group hospital policy, group medical and surgical policy or group major medical policy delivered or issued for delivery in this Commonwealth or renewed, reissued ...

38.2-3542 Notice to employees upon termination of coverage; penalty for failure to remit funds
A. Any employer who (i) assumes part or all of the cost of providing group accident and sickness insurance or a group health services plan ...

38.2-3543 Provisions required by other jurisdictions
A. Group accident and sickness insurance policies of a foreign or alien insurer, delivered or issued for delivery in this Commonwealth, may contain any provision ...

38.2-3543.1 Regulations
The Commission may establish rules and regulations for coordination of benefits, as well as to establish standards to be met in connection with the marketing ...

38.2-3543.2 Applicability of laws
In the event of conflict between the provisions of this article and other provisions of this title, the provisions of this article shall be controlling. ...

38.2-3544 Definition of industrial sick benefit insurance
Industrial sick benefit insurance means life insurance combined with accident and sickness insurance under which: 1. Premiums, dues or assessments are payable weekly; 2. A ...

38.2-3545 Further restrictions as to beneficiaries
Within the permitted classes of beneficiaries prescribed in § 38.2-3544, the issuing insurer may designate the classes of beneficiaries. No change of beneficiary shall be ...

38.2-3546 Cancellation of sick benefit portion of policy
Every policy of industrial sick benefit insurance issued in this Commonwealth after June 18, 1922, shall contain a provision that: 1. The sick benefit portion ...

38.2-3547 Excessive insurance; remedy
A. Any person holding industrial sick benefit insurance policies of several insurers, that, in the aggregate, provide sick benefits in excess of 150 percent of ...

38.2-3548 Agents subject to other insurance laws
Each person representing any insurer in the sale of industrial sick benefit insurance shall be subject to the laws governing agents of insurers. (Code 1950, ...

38.2-3549 Benefits not subject to legal process
The payments in weekly or monthly installments to the holder of any policy of industrial sick benefit insurance shall not be subject to the lien ...

38.2-3550 Effective date
No industrial sick benefit insurance policy as defined in § 38.2-3544 shall be delivered or issued for delivery in this Commonwealth after June 30, 1987. ...

38.2-3551 Definitions
As used in this article: "Eligible dependent" means an individual who may be covered as a dependent under a group health policy or policies and ...

38.2-3552 Small employer health group cooperatives
A. 1. Any person or persons may organize and maintain a small employer health group cooperative for the purpose of offering, providing, or facilitating the ...

38.2-3553 Membership in a small employer health group cooperative
A. A small employer health group cooperative: 1. Shall not limit, restrict, or condition a small employer's membership in the small employer health group cooperative ...

38.2-3554 Provisions relating to health insurance issuers
A. No group health policy shall be offered to a small employer group health cooperative that will cover a resident of the Commonwealth unless the ...

38.2-3555 Authority of the Commission
Pursuant to the authority granted by § 38.2-223, the Commission may promulgate such rules and regulations as it may deem necessary to implement this article. ...