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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>81706</law_id><section_number>38.2-3500</section_number><catch_line>Form of policy</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-109</reference><reference>38.2-3400</reference><reference>38.2-3404</reference><reference>38.2-3406.2</reference><reference>38.2-3439</reference><reference>38.2-3518</reference><reference>38.2-4123</reference><reference>38.2-4319</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="35">Accident and Sickness Insurance Policies</unit><unit label="article" level="3" order_by="1" identifier="1">Individual Accident and Sickness Insurance Policies</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> No individual accident and sickness <span class="dictionary">insurance</span> policy shall be delivered or issued for delivery to any <span class="dictionary">person</span> in this Commonwealth unless: <a id="paragraph-292695" class="section-permalink" href="https://vacode.org/38.2-3500/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> The entire consideration for the policy is expressed in the policy; <a id="paragraph-292696" class="section-permalink" href="https://vacode.org/38.2-3500/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> The time at which the <span class="dictionary">insurance</span> takes effect and terminates is expressed in the policy; <a id="paragraph-292697" class="section-permalink" href="https://vacode.org/38.2-3500/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> The policy insures only one <span class="dictionary">person</span>, except that it may insure <span class="dictionary">eligible family members</span>, originally or by subsequent amendment, upon the application of an adult member of a family who shall be deemed the policyowner; <a id="paragraph-292698" class="section-permalink" href="https://vacode.org/38.2-3500/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="A4" class="indent-1"><p><span class="prefix-number">4.</span> The exceptions and reductions are set forth in the policy and, except those that are set forth in &#xA7;&#xA7; <a class="law" title="Required accident and sickness policy provisions" href="/38.2-3503/">38.2-3503</a> through <a class="law" title="Requirements of other jurisdictions" href="/38.2-3508/">38.2-3508</a>, are printed with the benefit provisions to which they apply, or under an appropriate caption, but if an exception or reduction specifically applies only to a particular benefit of the policy, a statement of the exception or reduction shall be included with that benefit provision; <a id="paragraph-292699" class="section-permalink" href="https://vacode.org/38.2-3500/#A4"><i class="fa fa-link"/></a></p></section>
						<section id="A5" class="indent-1"><p><span class="prefix-number">5.</span> Each form, including riders and endorsements, is identified by a form number in the lower left-hand corner of the first page of the form; <a id="paragraph-292700" class="section-permalink" href="https://vacode.org/38.2-3500/#A5"><i class="fa fa-link"/></a></p></section>
						<section id="A6" class="indent-1"><p><span class="prefix-number">6.</span> It contains no provision making any portion of the charter, rules, constitution, or bylaws of the <span class="dictionary">insurer</span> a part of the policy unless that portion is set forth in the policy, except in the case of the incorporation of, or reference to, a statement of <span class="dictionary"><span class="dictionary">rates</span></span> or classification of risks, or short-<span class="dictionary">rate</span> table filed with the <span class="dictionary">Commission</span>; and <a id="paragraph-292701" class="section-permalink" href="https://vacode.org/38.2-3500/#A6"><i class="fa fa-link"/></a></p></section>
						<section id="A7" class="indent-1"><p><span class="prefix-number">7.</span> It contains a statement about the provisions of subsections A and B of &#xA7; <a class="law" title="Department is payor of last resort" href="/32.1-325.2/">32.1-325.2</a> regarding the status of the Department of Medical Assistance Services as the payor of last resort. <a id="paragraph-292702" class="section-permalink" href="https://vacode.org/38.2-3500/#A7"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> If any policy is issued by an <span class="dictionary">insurer</span> domiciled in this Commonwealth for delivery to a <span class="dictionary">person</span> residing in another <span class="dictionary">state</span>, and if the <span class="dictionary">insurance</span> supervisory official of the other <span class="dictionary">state</span> advises the <span class="dictionary">Commission</span> that any such policy is not subject to approval or disapproval by such official, the <span class="dictionary">Commission</span> may by ruling require that such policy meet the standards set forth in this chapter. <a id="paragraph-292703" class="section-permalink" href="https://vacode.org/38.2-3500/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> &#x201C;<span class="dictionary">Eligible family member</span>&#x201D; means the (i) spouse, (ii) dependent children, without regard to whether such children reside in the same household as the policyowner, (iii) children under a specified age not greater than 19 years, and (iv) any <span class="dictionary">person</span> dependent on the policyowner. <a id="paragraph-292704" class="section-permalink" href="https://vacode.org/38.2-3500/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> The provisions of this section shall not apply in any instance in which the provisions of this section are inconsistent or in conflict with a provision of Article 6 (&#xA7; <a class="law" title="Definitions" href="/38.2-3438/">38.2-3438</a> et seq.) of Chapter 34. <a id="paragraph-292705" class="section-permalink" href="https://vacode.org/38.2-3500/#D"><i class="fa fa-link"/></a></p></section></text><history>1952, c. 317, &#xA7; 38.1-348; 1986, cc. 550, 562; 1993, c. 306; 1994, c. 316; 2011, c. 882.</history><metadata></metadata></law>
