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POLICY FORMS

Kelvin Jaluag Culajara


Legum Baccalaureus – III, Class of 2019-2020
Ateneo de Zamboanga University College of Law
MINIMUM REQUIREMENTS (SECTION
232)
• In the form previously approved by the Commissioner.

Applies to:
• Policies, certificates or contract of insurance used or
delivered within the Philippines;
• Application form used;
• Rider, clause, warranty or endorsement attached, printed,
or stamped upon policy, certificate or contract unless the
application, rider, clause, warranty or endorsement has
been approved by the Commissioner.
Power to prescribe
insurance contracts
• Arises from strong public policy
considerations.
• As a part of the tates power
to regulate the insurance
business, it has the right to
prescribe the kind and
character of insurance
contracts that may be made.
• The chief purpose is to protect
the insured and other persons
having claims under insurance
contracts against unfair or
deceptive provisions.
Effect of
noncompliance with
standard policy
statutes
• The policies are
unenforceable by the
insurer issuing them and
subject the insurers to
penalties, but are
binding upon them.
• A provision for favorable
to the insured than the
standard policy may be
enforceable by the
Matters regarding the
approval by the
Commissioner
• The Commissioner’s approval or disapproval is
persuasive but not controlling upon the courts.
• The approval of the form of a policy by the State
insurance authorities does not prevent the court from
holding such policy invalid.
CONDITION CONTAINED IN AN
INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 1
233)
That the policy holder is entitled to a grace period of either 30 days or
1 month within which the payment of any premium after the first may
be made, subject at the option of the insurer to an interest charge of
not in excess of 6% per annum, during which the policy shall continue
in full force.
• But in case the policy becomes a claim during the said period of
grace before the overdue premium is paid, the amount of such
premium with interest may be deducted from the amount payable
under the policy in settlement.
CONDITION CONTAINED IN AN
INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC. 233)
Provision No. 2
A provision that the policy shall be incontestable after it shall
have been in force during the lifetime of the insured for a
period of 2 years from its date of issue or date of approval of
last reinstatement,
• Except for nonpayment of premium and except for violation
of the conditions of the policy relating to military or naval
service in time of war.
CONDITION CONTAINED IN AN
INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC. 233)
Provision No. 3
A provision that the policy shall constitute the entire contract
between the parties,
• But if the company desires to make the application a part of
the contract it may do so provided a copy of such
application shall be indorsed upon or attached to the policy
when issued, and in such case the policy shall contain a
provision that the policy and the application therefor shall
constitute the entire contract between the parties.
CONDITION CONTAINED IN AN
INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC. 233)
Provision No. 4
A provision that if the age of the insured is considered in
determining the premium and the benefits accruing
under the policy, and the age of the insured has been
misstated, the amount payable under the policy shall be
such as the premium would have purchased at the
correct age.
CONDITION CONTAINED IN AN
INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC. 233)
Provision No. 5
If the policy is participating, a provision that
the company shall periodically ascertain and
apportion any divisible surplus accruing on the
policy under conditions specified therein.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 6 233)
A provision specifying the options to which the policyholder is entitled to in the
event of default in a premium payment after 3 full annual premiums shall have
been paid. Such option shall consist of:
• A cash surrender value payable upon surrender of the policy which shall not
be less than the reserve on the policy, the basis of which shall be indicated,
for the then currency policy year and any dividend additions thereto, reduced
by a surrender charge which shall not be more than 1/5 of the entire reserve
or 2.5% of the amount insured and any dividend additions thereto; and
• One or more paid-up benefit on a plan(s) specified in the policy of such value
as may be purchased by the cash surrender value.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 7 233)
A provision that at any time after a cash surrender value is available under the policy
and while the policy is in force, the company will advance, on proper assignment or
pledge of the policy and on sole security thereof, a sum equal to, or at the option of
the owner of the policy, less than the cash surrender value on the policy, at a specified
rate of interest, not more than the maximum allowed by the law, to be determined by
the company from time to time, but not more than once a year, subject to the approval
of the Commissioner;
• And that the company will deduct from such loan value any existing indebtedness on
the policy and any unpaid balance of the premium for the current policy year, and may
collect interest in advance on the loan to the end of the current policy year, which
provision may further provide that such loan may be deferred for not exceeding 6
months after the application therefor is made.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 8 233)
A table showing in figures cash surrender values and paid-up options
available under the policy each year upon default in premium
payments, during at least 20 years of the policy beginning with the
year in which the values and options first become available, together
with a provision that in the event of the failure of the policy holder to
elect one of the said options within the time specified in the policy,
one of said option shall automatically take effect and no policyholder
shall ever forfeit his right to same by reason of his failure to so elect.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 9 233)
In case the proceeds of a policy are payable in
installments or as an annuity, a table showing the
minimum amounts of the installments or annuity
payments.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 10 233)
A provision that the policyholder shall be entitled to have the policy reinstated at
any time within 3 years from the date of default of premium payment unless the
cash surrender value has been duly paid, or the extension period has expired,
upon production of evidence of insurability satisfactory to the company and
upon payment of all overdue premiums and any indebtedness to the company
upon said policy, within interest rate not exceeding that which would have been
applicable to said premiums and indebtedness in the policy years prior to
reinstatement.
CONDITION CONTAINED IN
AN INDIVIDUAL LIFE OR
ENDOWMENT INURANCE
(EC.
Provision No. 10 233)
Any of the foregoing provisions or portions thereof not applicable to single
premium or term policies shall to that extent not be incorporated therein; and
any such policy may be issued and delivered in the Philippines which in the
opinion of the Commissioner contains provisions on any one or more of the
foregoing requirements more favorable to the policyholder than hereinbefore
required.

This section shall not apply to policies of group life or industrial life
insurance.
General form of a
life insurance policy
• There is no standard policy form required for life insurance contracts but all
policies of life insurance must include the standard provisions as prescribed
by Section 233.
• A life insurance policy is a promise by the insurer to pay a stated
amount of money to the policyholder (or his beneficiary), contingent
upon the death, disability or another.
Rights of the policy
holder (or
beneficiary)
• To stop or change premium payments;
• Change the recipients of the benefits;
• Assign the contract rights;
• Change use of the dividends;
• Change to a different policy;
• Reinstate coverage;
• Take cash or loan values;
• Cancel the policy and receive accumulated benefits in a variety of ways; and
• Use the policy proceeds by receiving lump sum or installment payments.
Major classes of
life insurance
1.Individual insurance 
the protection is issued on
the basis of individual
application and involves a
separate policy contract
for each purpose.
2.Group insurance  the unit
of selection is the group
rather than the
individual.
pecial
characteristics of
life insurance
contract
1.Loan privilege  the
insurance company will advance
on the security of the
contract an amount that will
not exceed the guaranteed
cash value. The interest rate
on such loans usually is not
more than 5% or 6%. The due
date of the policy loan is at
the maturity of the contract
or anytime prior to this date
at the option of the
borrower.
2.Policy dividend options  May
pecial
characteristics of
life insurance
contract
3. Surrender options – The savings feature in cash value life insurance also
gives rise to the availability of surrender benefits should policyowner wish or
need to discontinue his insurance coverage.
4. Supplementary benefits – The waiver of premium benefit, a form of disability
insurance, is offered for a modest additional charge by virtually all companies in
connection with the life insurance contracts they issue. The waiver of premium
provision becomes operative whenever the insured becomes totally and
permanently disabled as defined in the contract.
pecial
characteristics of
life insurance
contract
5. Exemption from claims of creditors – Protection against the claims of the
insured’s creditors or the beneficiary’s creditors, or both is available through life
insurance contract itself or through state legislation.
6. Income tax treatment – Proceeds of the life insurance paid by reason of
death generally are income tax exempt.
Protection functions
of life insurance
1.Pooling of risks
2.Prediction of number of
death claims
3.Operation of law of large
numbers
4.Use of mortality statistics
table
5.Application of the
principle of probability
aving functions of
life insurance
Hundreds of thousands of
individuals have
accumulated savings while
providing financial
protection for their
families. These savings are
pooled by insurance
companies and injected back
into the financial
bloodstream of the economy
in the form of investments.
Apportionment and
distribution of
policy owner
dividends
• A policy owner dividend is a
refund of that portion of
the premium paid that is in
excess of the amount
necessary for current
benefit payments, expenses,
and reserves required to
cover future policy
guarantees.
•A policy providing for
payment of dividends is
Rights of insured
under a lapsed life
policy
1.Nonforfeiture  Forfeitures
are regarded with disfavor
that unless the intention is
clearly expressed,
nonpayment of premiums shall
not confer upon the insurer
a power to declare a
forfeiture. Insurers found
it polite as well as just to
give the policyholders the
benefit of some or all of
the reserve value of their
Options available to
insured in life
insurance
• The policy shall contain a
provision specifying the
options to which the
policyholder is entitled in
the event of default in a
payment after 3 full annual
premiums shall have been
paid.
• In addition to the 2
mentioned rights or options
(extended insurance and
Options available to
insured in life
insurance
• Pursuant to ection 233(h),
no life insurance policy
shall be issued or delivered
in the Philippines unless its
provisions on Premium Loan
and Automatic Option in case
of default in premium
payment conform with the
following conditions:
• Inthe event of default in premium
payment, the Premium Loan
provision shall only apply in
Other required
policy provisions
1.Grace period provision
2.Entire contract provision  A
provision that the policy and
the application attached to it
shall constitute the entire
contract between the insurance
company and the policy owner.
3.Misstatement of age provision
 If the age has been
misstated no matter how
innocently, the result may be
a significant error in the
Other required
policy provisions
4. Reinstatement provision  The
purpose of the provision is to
clarify the requirements for
restoring a policy that has
lapsed.
Optional policy
provisions
1.uicide provision  In the
absence of specific policy
exclusion, the proceeds of a
life insurance policy would be
payable in the event of the
suicide of the insured just as
they would be on his death
from any other cause.
However, to permit a person to
apply for life insurance with
the intention of taking his own
life in order to bring about
the payment of the proceeds
to his beneficiary, would
Optional policy
provisions
2. Assignment provision  It is
customary to include an
individual life insurance
contracts a provision relating to
assignment. In the absence of a
specific policy provision to the
contrary, a policyowner is
assumed to have the right to
assign his life insurance policy
if and as he wishes.

Illustration
Optional policy
provisions
3. Ownership provision  The
provision is intended to clarify
the rights of the owner and the
circumstances under which those
rights may be exercised.

Illustration
The owner is as designated in
the application for this policy
unless otherwise provided by the
indorsement. The owner shall,
during the lifetime of the
Optional policy
provisions
4. War clauses  Policy provisions
that exclude war deaths from the
coverage provided by the policy.
The following are the categories
of war clauses:

tatus clause
That which provides that if the
insureds death occurs while he is
in military service, the companys
liability would be limited to the
amount of the premium paid or the
policy reserve, if larger.
Optional policy
provisions
5. Payor clause  A life
insurance company may offer a
waiver of premium benefit often
called a payor benefit which
may be added to life insurance
policy insuring the life of a
child. This benefit is available
for a small additional premium
and is provided in an indorsement
or rider, to be attached to
the policy insuring the child.
uch a clause provides that the
premium on the childs insurance
Optional policy
provisions
6. Policy change provision 
Most life insurance contracts can
be changed with the consent of
the company, to a different
plan of insurance, if the owner
wishes. Usually, a change may
be made to a higher premium
plans for the same or a smaller
amount of insurance without
evidence of insurability,
although the owner customarily
will be required to pay the
difference in cash values or
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 1
A provision that the policyholder is entitled to a grace period of either
30 days or 1 month for the payment of any premium due after the
first, during which the death benefit coverage shall continue in force.
• Unless the policyholder shall have given the insurer written notice of
discontinuance in advance of the date of discontinuance and in
accordance with the terms of the policy.
• The policy may provide that the policyholder shall be liable for the
payment of a pro rata premium for the time the policy is in force
during such grace period.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 2
A provision that the validity of the policy shall not be contested, except
for nonpayment of premiums after it has been in force for 2 years
from its date of issue;
• That no statement made by any insured under the policy relating to
his insurability shall be used in contesting the validity of the
insurance with respect to which such statement was made after such
insurance has been in force prior to the contest for a period of two (2)
years during such person’s lifetime nor unless contained in a written
instrument signed by him.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 3
A provision that a copy of the application, if any, of the policyholder
shall be attached to the policy when issued, that all statements made
by the policyholder or by persons insured shall be deemed
representations and not warranties, and that no statement made by
any insured shall be used in any contest unless a copy of the
instrument containing the statement is or has been furnished to such
person or to his beneficiary.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 4
A provision setting forth the conditions, if any, under which the insurer
reserves the right to require a person eligible for insurance to furnish
evidence of individual insurability satisfactory to the insurer as a
condition to part or all of his coverage.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 5
A provision specifying an equitable adjustment of premiums or of
benefits or of both to be made in the event that the age of a person
insured has been misstated, such provision to contain a clear
statement of the method of adjustment to be used.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 6
A provision that any sum becoming due by reason of death of the person
insured shall be payable to the beneficiary designated by the insured,
subject to the provisions of the policy in the event that there is no
designated beneficiary, as to all or any part of such sum, living at the death
of the insured, and subject to any right reserved by the insurer in the policy
and set forth in the certificate to pay at its option a part of such sum not
exceeding P500 to any person appearing to the insurer to be equitably
entitled thereto by reason of having incurred funeral or other expenses
incident to the last illness or death of the person insured.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 7
A provision that the insurer will issue to the policyholder for delivery to
each person insured a statement as to the insurance protection to
which he is entitled, to whom the insurance benefits are payable, and
the rights set forth in paragraphs (h), (i) and (j) following. Note:
paragraphs (h), (i) and (j) are provisions 8, 9 and 10 in this report.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 8
A provision that if the insurance, or any portion of it, on a person
covered under the policy ceases because of termination of
employment or of membership in the class(es) eligible for coverage
under the insurance policy, such person shall be entitled to have
issued to him by the insurer without evidence of insurability, an
individual policy of life insurance without disability or other
supplementary benefits, provided application for the individual policy
and payment of the first premium to the insurer shall be made within
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
30 days after such termination, and provided further that:
• The individual policy shall be on any one of the forms, except term
insurance, then customarily issued by the issuer at the age and for
an amount not in excess of the coverage under the group policy; and
• The premium on the individual policy shall be at the insurer’s then
customary rate applicable to the form and amount of the individual
policy, t the class of risk to which such person then belongs, and to
his age attained on the effective date of the individual policy.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 9
A provision that if the group policy terminates or is amended so as to
terminate the insurance of any class of insured person, every person
insured thereunder at the date of such termination whose insurance
terminates and who has been so insured for 5 years prior to such
termination date shall be entitled to have issued to him by the insurer and
individual policy of life insurance subject to the same limitations as set
forth in paragraph (h) [Note: provision 8 in this report], except that the
group policy may provide that the amount of such individual policy shall
not exceed the amount of the person’s life insurance protection ceasing.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 10
A provision that if a person insured under the group policy dies during
the 30-day period within which he would have been entitled to an
individual policy issued to him in accordance with paragraphs
(h) and (i) [Note: provisions 8 and 9 in this report],
above and before such individual policy shall have become effective,
the amount of life insurance which he would have been entitled to
have issued to him as an individual policy shall be payable as a claim
under the group policy whether or not application for the individual
policy or the payment of the first premium has been made.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
Provision No. 11
In the case of a policy issued to a creditor to insure debtors of such
creditor, a provision that the insurer will furnish to the policyholder for
delivery to each debtor insured under the policy a form which will
contain a statement that the life of the debtor is insured under the
policy and that any death benefit paid thereunder by reason of his
death shall be applied to reduce or extinguish indebtedness.
CONDITION OF A GROUP
LIFE INURANCE (EC.
234)
• The provisions of paragraphs (f) to (j) [Note: provisions 6 to 10 in this report],
shall not apply to policies issued to a creditor to insure his debtors. If a group
life policy is on a plan of insurance other than term, it shall contain a non-
forfeiture provision or provisions which in the opinion of the Commissioner is
or are equitable to the insured or the policyholder;
• Provided that nothing herein contained shall be so construed as to require group
life policies to contain the same non-forfeiture provisions as are required of
individual life policies.
Group insurance and
individual insurance
contrasted
1. The group selection of risks as contrasted to individual selection. With few exceptions,
group insurance is issued without medical examination or other evidence of individual
insurability.
2. Group insurance covers a number of persons under a single contract. The persons
insured are not actually parties to the contract, since legally, the contract is between the
insurer and the group policyholder (employer).
3. A third characteristic of group insurance is that it is essentially low-cost mass protection.
4. Premiums are subject to experience rating. The larger the group, the greater the
significance attached to its own claims and expenses in any policy year.
Group insurance
contract
• It is the coverage of a number of individuals by means of a single or
blanket policy, thereby effecting economies which frequently enable
the insurer to sell its services at lower premium rates than are
ordinarily obtainable for the same type of insurance protection on
life policies sold to individuals.
• It is essentially a single insurance contract that provides coverage
for many individuals. It is insurance upon the life of the employee for
his personal benefit and the protection of those depending upon him
and is in addition to and distinct from workmen’s compensation
insurance.
Other matters
• A group insurance is considered to be contributory if each member
pays all or some part of the premiums. It is non-contributory if the
representative pays all of the premiums.
• The employer acts as agent of insurer. This arises from the idea that
the employee has no knowledge of or control over the employer’s
actions in handling the policy or its administration.
• The employees are the real parties in interest, although the
employer may be the titular or named insured.
Types of group
insurance
1. Group life insurance
1. Group term – 1-year renewable term life insurance issued under a group contract to
employers, creditors, unions, associations, and other eligible entities.
2. Group permanent – provides for some form of accumulation of permanent or cash
value units.
3. Group accidental death – payable upon death as a consequence of accidental bodily
injury.
2. Group health insurance – it is concerned with the provision of benefits for
the loss of earning power due to disability, or for medical expenses due to
illness, injury or preventive care.
Other forms of group
life insurance
1. Group term life insurance
2. Group creditor life insurance – a 1-year renewable term insurance, issued on the lives of
installment borrowers or purchasers and covers outstanding loans made by a creditor
firm which is both policyholder and beneficiary.
3. Group paid-up life insurance – a combination of annually increasing, single premium,
permanent whole life with values and decreasing one-year renewable term insurance.
4. Group ordinary life insurance – an optional level-premium, that is normally issued on a
whole life, life paid-up at 65, ten-pay life, or retirement income at age 65 basis.
5. Group survivor income benefit insurance is similar to 1-year renewable term insurance
but it provides a monthly income benefit to eligible survivors, rather
INDUTRIAL LIFE
INURANCE (EC. 235)
• Industrial life insurance is a form of life insurance under which the premiums are payable
either monthly or oftener, if the face amount of insurance provided in a policy is not more
than 500 times that of the current statutory minimum daily wage in the City of Manila, and if
the words “industrial policy” are printed upon the policy as part of the descriptive matter.
• It shall not lapse for nonpayment of premium if such nonpayment was due to the failure of
the company to send its representative or agent to the insured at the residence of the
insured or at some other place indicated by him for the purpose of collecting such
premium:
• Provided that the provisions of this paragraph shall not apply when the premium
on the policy remains unpaid for a period of 3 months or 12 weeks after the
grace period has expired.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 1
A provision that the insured is entitled to a grace period of 4 weeks
within which the payment of any premium after the first may be made,
except that where premiums are payable monthly, the period of grace
shall be either 1 month or 30 days;
• And that during the period of grace, the policy shall continue in full
force, but if during such grace period, the policy becomes a claim,
then any overdue and unpaid premiums may be deducted from any
amount payable under the policy in settlement.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 2
A provision that the policy shall be incontestable after it has been in force
during the lifetime of the insured for a specified period, not more than 2
years from its date of issue, except for nonpayment of premiums and
except for violation of the conditions of the policy relating to naval or
military service, or services auxiliary thereto, and except as to provisions
relating to benefits in the event of disability as defined in the policy, and
those granting additional insurance specifically against death by accident
or by accident or by accidental means, or to additional insurance against
loss of, or loss of use of, specific members of the body.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 3
A provision that the policy shall constitute the entire contract between
the parties, or if a copy of the application is endorsed upon and
attached to the policy when issued, a provision that the policy and the
application therefor shall constitute the entire contract between the
parties, and in the latter case, a provision that all statements made by
the insured shall, in the absence of fraud, be deemed representations
and not warranties.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 4
A provision that if the age of the person insured, or the age of any
other person, considered in determining the premium, or the benefits
accruing under the policy, has been misstated, any amount payable
or benefit accruing under the policy shall be such as the premium
paid would have purchased at the correct age.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 5
A provision that if the policy is a participating policy, the company
shall periodically ascertain and apportion any divisible surplus
accruing on the policy under the condition specified therein.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 6
A provision that in the event of default in premium payments after 3
full years’ premiums have been paid, the policy shall be converted
into a stipulated form of insurance, and that in the event of default in
premium payments after 5 full years’ premium have been paid, a
specified cash surrender value shall be available, in lieu of the
stipulated form of insurance, at the option of the policyholder.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 7
A provision that the policy may be surrendered to the company at its
home office within a period of not less than 60 days after the due date
of a premium in default for the specified cash value.
Provided that the insurer may defer payment for not more
than 6 months after the application therefore is made.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 8
A table that shows in figure the nonforfeiture benefit available under
the policy every year upon default in payment of premiums during at
least the first 20 years of the policy, such table to begin with the year
in which such values become available, and a provision that the
company will furnish upon request an extension of such table beyond
the year shown in the policy.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 9
A provision that specifies which one of the stipulated forms of
insurance provided for under the provision of paragraph (f) [Note:
provision 6 in this report] of this section shall take effect in the event
of the insured’s failure, within 60 days from the due date of the
premium in default, to notify the insurer in writing to which one of such
forms he has selected.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 10
A provision that the policy may be reinstated at any time within 2
years from the due date of the premium in default unless the cash
surrender value has been paid or the period of extended term
insurance expired, upon production of evidence of insurability
satisfactory to the company and payment of arrears of premiums with
interest at a rate not exceeding 6% per annum payable annually.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 11
A provision that when a policy shall become a claim by death of the
insured, settlement shall be made upon receipt of due proof of death,
or not later than 2 months after receipt of such proof.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 12
A title on the face and on the back of the policy correctly describing its
form.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 13
A space on the front or the back of the policy for the name of the
beneficiary designated by the insured with a reservation of the
insured’s right to designate or change the beneficiary after the
issuance of the policy.
CONDITION IN AN
INDUTRIAL LIFE
INURANCE (EC. 236)
Provision No. 14
A provision that when an industrial life insurance policy is issued
providing for accidental or health benefits, or both, in addition to life
insurance, the foregoing provisions shall apply only to the life
insurance portion of the policy.
PROVIION THAT WOULD
CAUE NON IUANCE OF
INDUTRIAL LIFE INURANCE
(EC. 237)
1. A provision that gives the insurer the right to declare the policy
void because the insured has had any disease or ailment, whether
specified or not, or because the insured has received institutional,
hospital, medical or surgical treatment or attention, except a
provision which gives the insurer the right to declare the policy
void if the insured has, within 2 years prior to the issuance of the
policy, received institutional, hospital or medical or surgical
treatment or attention and if the insured or the claimant under the
policy fails to show that the condition occasioning such treatment
or attention was not of a serious nature or was not material to the
risk.
PROVIION THAT WOULD
CAUE NON IUANCE OF
INDUTRIAL LIFE INURANCE
(EC. 237)
2. A provision that gives the insurer the right to declare the policy void
because the insured had been rejected for insurance, unless such
right be conditioned upon a showing by the insurer that knowledge of
such rejection would have led to a refusal by the insurer to make such
contract;
3. A provision that allows the company to pay the proceeds of the
policy at the death of the insured to any person other than the named
beneficiary, except in accordance with a standard provision as
specified under the provisions of paragraph (m) of the preceding
section.
PROVIION THAT WOULD
CAUE NON IUANCE OF
INDUTRIAL LIFE INURANCE
(EC. 237)
4. A provision that limits the time within which any action at law or in
equity may be commenced to less than 6 years after the cause of
action shall accrue; and
5. A provision that specifies any mode of settlement at maturity of less
value than the amount insured by the policy plus dividend additions, if
any, less any indebtedness to the company on the policy and less an
premium that may by the terms of the policy be deducted, payments
to be made in accordance with the terms of the policy.
PROVIION THAT WOULD
CAUE NON IUANCE OF
INDUTRIAL LIFE INURANCE
(EC. 237)
Nothing in this section relating to incontestability shall be construed
as prohibiting the life insurance company from placing in its industrial
life policies provisions limiting its liability with respect to
1. Death resulting from aviation other than as a fare-paying
passenger on a regularly scheduled route between definitely
established airports; and
2. Military or naval service.
Other matters
• Industrial life policies shall not lapse for non-payment of premium
during a period of 3 months or 12 weeks after the expiration of the
grace period if such nonpayment were due to the failure of the
company to send its representative to the insured to collect such
premium.
• The ordinary rules of insurable interest does not apply in this case.

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