(a)
Name and address. Each
form shall state the full corporate or legal name of the company, association,
exchange or society. However, the name need appear for filing purposes only on
a rider, endorsement, amendment, agreement or insert page. If added for filing
purposes only, the name may be added by any legible means. If more than one
insurer is using an application, a multicompany application providing for the
designation of the applicable insurer and available coverages, if applicable,
may be used. A policy, contract or fraternal certificate shall state a current
address for the insurer, consisting of at least a city and state or
province.
(b)
Form
number. Each form shall contain a form number consisting of numbers,
letters, or both. The form number shall be adequate to distinguish the form
from all others used by the insurer. The form number may be the same as that of
a form to be replaced. However, if the form to be replaced was approved by or
filed with the Department, it may not have been issued in this Commonwealth and
shall be withdrawn from any issuance in this Commonwealth.
(c)
Description or caption.
Each form, except an insert page, shall contain a brief description or
descriptive caption. This brief description or descriptive caption shall appear
in prominent type on the first or cover page of the form, or, in the case of a
policy, contract or certificate, on the specifications page if the brief
description or descriptive caption is visible without opening the form. The
brief description or descriptive caption shall contain at least the following
information:
(1) A designation of the general
type of the form, that is, policy, contract, certificate, rider, endorsement,
amendment, agreement, application or other general type.
(2) A designation of the specific type of
insurance or annuity coverage provided, or if the form does not provide
insurance or annuity coverage, a designation of the purpose of the
form.
(3) If the form is a policy,
contract or certificate, an indication of whether the form is participating or
nonparticipating with regard to paying dividends to policyholders.
(d)
Required
statement. A rider, endorsement, amendment or agreement designated by
another term in its brief description or descriptive caption shall state that
it is "attached to and made part of the (policy, contract or certificate)," as
appropriate.
(e)
Hypothetical data. The blank spaces of each form, except an
application, shall be filled in with hypothetical data to indicate the purpose
of the form. This data shall be realistic and consistent with the other
contents of the form. Information appearing in a form, except an application,
which is variable shall be bracketed or otherwise marked to denote
variability.
(f)
Readability. A form:
(1)
Shall be written in simple words and with sentences as short as possible. The
words and sentences should convey meanings clearly and directly. Words should
be used in their commonly understood senses.
(2) Shall contain a definition or explanation
of terminology that would not be ordinarily understood by a person of average
intelligence.
(3) May not contain
inconsistent or contradictory language or provisions.
(4) That provides insurance coverage, shall
accurately and completely explain the coverage and conditions of
coverage.
