28 Tex. Admin. Code § 3.104 - Incontestable Clause
(a) The policy must
provide that it will be incontestable not later than two years from its date as
provided in Insurance Code §
1101.006. If a
reinstatement is contested for misrepresentation, then no representation other
than one causing the reinstatement may be used to contest the policy. Any
contest of the reinstatement may be for a material and fraudulent
misrepresentation only and reinstatement may not be contested more than two
years after it is effectuated, provided that this provision does not affect the
company's right to contest a policy for a representation respecting the initial
policy issuance or a different reinstatement during the incontestable period
applicable to such issuance or reinstatement. Accidental death benefits and
disability benefits need not be subject to such provision.
(b) Any provision which could lengthen the
contestable period of a policy beyond two years from its date is prohibited.
For example, the policy may not state that it is incontestable after two years
"while the policy is continuously in force."
(c) The policy may contain provisions which
allow its validity to be contested at any time whatsoever for:
(1) nonpayment of premium; or
(2) violation of the conditions of the policy
relating to naval or military services in time of war. Note: War clauses are
discussed in §
3.118(e) of this
title (relating to Conversion Provision).
(d) If the form under review contains no
reference to contest after reinstatement, it will also be acceptable.
(e) If more than one person is insured, the
policy form must state that it is incontestable with respect to each
insured.
Notes
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