Accident and health policy required and optional provisions

What this document is

Minn. Stat. s. 62A.04: Accident and health policy required and optional provisions is a state statute published by Minnesota Office of the Revisor of Statutes. It is one of the Minnesota documents that insurance license exam questions are written from, including minnesota life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• Minn. Stat. § 62A.04, subd. 3(1) (Change of Occupation)

  “the insurer, upon receipt of proof of such change of occupation will reduce the premium rate accordingly, and will return the excess pro rata unearned premium from the date of change of occupation or from the policy anniversary date immediately preceding receipt of such proof, whichever is the more recent.”

• Minn. Stat. § 62A.04, subd. 2 (Entire Contract; Changes)

  “No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be endorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of its provisions.”

• Minn. Stat. § 62A.04, subd. 2(11) (Legal Actions)

  “No action at law or in equity shall be brought to recover on this policy prior to the expiration of 60 days after written proof of loss has been furnished in accordance with the requirements of this policy.”

• Minn. Stat. § 62A.04, subd. 3(2) (Misstatement of Age)

  “If the age of the insured has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age.”

• Minn. Stat. § 62A.04, subd. 2(10) (Physical Examinations and Autopsy)

  “The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death where it is not forbidden by law.”

• Minn. Stat. § 62A.04, subd. 2 (Reinstatement)

  “The reinstated policy shall cover only loss resulting from such accidental injury as may be sustained after the date of reinstatement and loss due to such sickness as may begin more than ten days after such date.”

• Minn. Stat. § 62A.04, subd. 2 (Time Limit on Certain Defenses)

  “After two years from the date of issue of this policy no misstatements, except fraudulent misstatements, made by the applicant in the application for such policy shall be used to void the policy or to deny a claim for loss incurred or disability (as defined in the policy) commencing after the...”

• Minn. Stat. § 62A.04, subd. 2(8) (Time of Payment of Claims)

  “Subject to due written proof of loss, all accrued indemnities for loss for which this policy provides periodic payment will be paid ..... (insert period for payment which must not be less frequently than monthly) and any balance remaining unpaid upon the termination of liability will be paid...”

• Minn. Stat. § 62A.04, subd. 3(7) (Unpaid Premium)

  “(7) A provision as follows: UNPAID PREMIUM: Upon the payment of a claim under this policy, any premium then due and unpaid or covered by any note or written order may be deducted therefrom.”

• Minn. Stat. § 62A.04, subd. 3(1) (Change of Occupation, optional provision)

  “CHANGE OF OCCUPATION: If the insured be injured or contract sickness after having changed occupations to one classified by the insurer as more hazardous than that stated in this policy or while doing for compensation anything pertaining to an occupation so classified, the insurer will pay only such...”

• Minn. Stat. § 62A.04, subd. 2(6) (Claim Forms)

  “CLAIM FORMS: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within 15 days after the giving of such notice the claimant shall be deemed to have complied with the...”

• Minn. Stat. § 62A.04, subd. 3(9) (Conformity with State Statutes, optional provision)

  “CONFORMITY WITH STATE STATUTES: Any provision of this policy which, on its effective date, is in conflict with the statutes of the state in which the insured resides on such date is hereby amended to conform to the minimum requirements of such statutes.”

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