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Session Laws, 1999
Volume 796, Page 3423   View pdf image
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(ii) if a claim is for a loss other than loss of time because of
disability, written proof of loss must be submitted to the insurer within 90 days after
the date of the loss.

(2) Failure to submit proof of loss within the time required does not
invalidate or reduce a claim if it is shown that it was not reasonably possible to
submit the proof of loss within the time required, and that proof of loss was submitted
as soon as was reasonably possible.

(f) Each policy of blanket health insurance shall contain a provision that:

(1) benefits payable under the policy, other than benefits for loss of time,
are payable immediately on the insurer's receipt of written proof of loss; and

(2) subject to proof of loss;

(i) accrued benefits payable under the policy for loss of time are
payable no later than at the end of each period of 30 days during the period for which
the insurer is liable; and

(ii) any balance remaining unpaid at the end of that period is
pa
yable immediately on the insurer's receipt of proof of loss.

(g) Each policy of blanket health insurance shall contain a provision that at its
own expense, the insurer may examine the person of the insured when and as often as
the insurer may reasonably require during the pendency of a claim under the policy

and may make an autopsy of the insured if not prohibited by law.

(h) Each policy of blanket health insurance shall contain a provision that an
action at law or in equity may no
t be brought to recover under the policy:

(1) earlier than 60 days after written proof of loss is submitted in
accordance with the requirements of the policy; or

(2) later than 3 years after the time written proof of loss is required to be

submitted.
15-
307.1.

(A) EACH POLICY OF BLANKET HEALTH INSURANCE SHALL CONTAIN THE
FOLLOWING PROVISION:

"GRACE PERIOD: IF NOT LESS THAN 30 DAYS BEFORE THE PREMIUM DUE DATE,
THE IN
SURER HAS DELIVERED TO THE POLICYHOLDER WRITTEN NOTICE OF
ITS INTENTION NOT TO RENEW THE POLICY BEYOND THE PERIOD FOR WHICH
THE PREMIUM HAS BEEN ACCEPTED, A GRACE PERIOD OF 31 DAY
S WILL BE
GRANTED FOR THE PAYMENT OF EACH PREMIUM FALLING DUE AFTER THE
FIRST PREMIUM. DURING THE GRACE PERIOD, THIS POLICY SHALL CONTINUE
IN FORCE. THE POLICYHOLDER WILL BE LIABLE FOR THE PREMIUM FOR THE
PERIOD THE POLICY REMAINS IN FORCE DURING THE GRACE PERIOD."

(B) ANY ADDITIONAL PROVISIONS RELATED TO A GRACE PERIOD SHALL BE
EXPRESSLY STATED IN THE POLICY SUBJECT TO THE FOLLOWING LIMITATIONS:

 

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Session Laws, 1999
Volume 796, Page 3423   View pdf image
 Jump to  
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