31 Pa. Code § 90d.2 - General provisions
An individual life accidental death benefit filing complying with the following is acceptable:
(1)
The submission letter for a form complies with applicable requirements of
§
89b.5 (relating to letter of
submission).
(2) The form is
submitted in duplicate. This complies with §
89b.4(a)
(relating to general filing procedure).
(3) The form is submitted in the final
printed form intended for actual issue, unless the company requests tentative
approval under §
89.4(d)
(Reserved). A form submitted for tentative
approval is submitted in draft, printer's-proof, photocopied, "filer" or other
legible form.
(4) The form number
and the wording in the form are printed in easily readable type.
(5) Logos are or are not present and are more
or less prominent than the company name.
(6) The full company name appears on a rider
for filing purposes only. The name is printed or added by rubber stamp or other
appropriate means. This complies with §
89b.11(a)
(relating to general contents of forms).
(7) An administrative office address or the
home office address is or is not shown. If an address is captioned as "home
office," it is the official home office address of record.
(8) The form contains a caption:
(i) Disclosing the coverage
provided-accidental death or accidental death and dismemberment, as
appropriate.
(ii) For a rider,
disclosing that the form is a rider, endorsement, agreement or amendment. An
alternative caption if the form provides that it is "attached to and made a
part of the policy."
(9)
A rider contains an effective date disclosure, either in the rider or on the
specifications page of the policy.
(10) A rider contains a disclosure of the
premium or cost of insurance rates, either in the rider or on the
specifications page of the policy. For a benefit built into a policy, the
specifications page discloses that the cost of the benefit is included in the
basic policy premium.
Notes
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