Group health policies, required provisions

What this document is

Missouri Rev. Stat. s. 376.426 - Group health policies, required provisions is a state statute published by Missouri Revisor of Statutes (revisor.mo.gov). It is one of the Missouri documents that insurance license exam questions are written from, including missouri 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.

• Mo. Rev. Stat. § 376.426 (Group Health Required Provisions)

  “A provision that the insurer shall issue to the policyholder, for delivery to each person insured, a certificate setting forth a statement as to the insurance protection to which that person is entitled, to whom the insurance benefits are payable, and a statement as to any family member's or dependent's coverage;”

• Mo. Rev. Stat. § 376.426(7) (group certificate of coverage)

  “the insurer shall issue to the policyholder, for delivery to each person insured, a certificate setting forth a statement as to the insurance protection to which that person is entitled, to whom the insurance benefits are payable, and a statement as to any family member's or dependent's coverage;”

• Mo. Rev. Stat. § 376.426(1) (group health grace period)

  “entitled to a grace period of thirty-one days for the payment of any premium due except the first, during which grace period the policy shall continue in force, unless the policyholder shall have given the insurer written notice of discontinuance in advance of the date of discontinuance and in...”

• Mo. Rev. Stat. § 376.426(8) (Notice of Claim)

  “Failure to give notice within such time shall not invalidate nor reduce any claim if it shall be shown not to have been reasonably possible to give such notice and that notice was given as soon as was reasonably possible;”

• Mo. Rev. Stat. § 376.426(11) (Time of Payment of Claims)

  “all benefits payable under the policy other than benefits for loss of time shall be payable not more than thirty days after receipt of proof and that, subject to due proof of loss, all accrued benefits payable under the policy for loss of time shall be paid not less frequently than monthly during...”

• Mo. Rev. Stat. § 376.426(7) (Group Health Policies, Certificate for Each Insured Person)

  “(7) A provision that the insurer shall issue to the policyholder, for delivery to each person insured, a certificate setting forth a statement as to the insurance protection to which that person is entitled, to whom the insurance benefits are payable, and a statement as to any family member's or dependent's coverage;”

• Mo. Rev. Stat. § 376.426(1) (Group Health Policies, Required Grace Period Provision)

  “(1) A provision that the policyholder is entitled to a grace period of thirty-one days for the payment of any premium due except the first, during which grace period the policy shall continue in force, unless the policyholder shall have given the insurer written notice of discontinuance in advance...”

• Mo. Rev. Stat. § 376.426(2) (Group Health Policies, Incontestability and Preserved Eligibility Defenses)

  “(2) A provision that the validity of the policy shall not be contested, except for nonpayment of premiums, after it has been in force for two years from its date of issue, and that no statement made by any person covered under the policy relating to insurability shall be used in contesting the...”

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• Missouri Rev. Stat. s. 375.014 - License required to act as insurance producerState statute
• Missouri Rev. Stat. s. 375.018 - Nonresident licenseState statute
• Missouri Rev. Stat. s. 375.141 - Grounds for license disciplineState statute
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• Missouri Revised Statutes Chapter 375 - Provisions Applicable to All Insurance Companies, first third (Secs. 375.001-375.610)State statute
• Missouri Revised Statutes Chapter 375, second third (Secs. 375.620-375.1140)State statute
• Missouri Revised Statutes Chapter 375, final third (Secs. 375.1150-375.1803)State statute