                                 CODE OF VIRGINIA

FORM OF POLICY (§ 38.2-3500)

A. No individual accident and sickness insurance policy shall be delivered or
issued for delivery to any person in this Commonwealth unless:

   1. The entire consideration for the policy is expressed in the policy;

   2. The time at which the insurance takes effect and terminates is expressed in
   the policy;

   3. The policy insures only one person, except that it may insure eligible
   family members, originally or by subsequent amendment, upon the application of
   an adult member of a family who shall be deemed the policyowner;

   4. The exceptions and reductions are set forth in the policy and, except those
   that are set forth in &#xA7;&#xA7; 38.2-3503 through 38.2-3508, 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;

   5. 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;

   6. It contains no provision making any portion of the charter, rules,
   constitution, or bylaws of the insurer 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 rates or classification of risks, or
   short-rate table filed with the Commission; and

   7. It contains a statement about the provisions of subsections A and B of
   &#xA7; 32.1-325.2 regarding the status of the Department of Medical Assistance
   Services as the payor of last resort.

B. If any policy is issued by an insurer domiciled in this Commonwealth for
delivery to a person residing in another state, and if the insurance supervisory
official of the other state advises the Commission that any such policy is not
subject to approval or disapproval by such official, the Commission may by
ruling require that such policy meet the standards set forth in this chapter.

C. &#8220;Eligible family member&#8221; 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 person dependent on the policyowner.

D. 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; 38.2-3438 et seq.) of Chapter 34.

HISTORY: 1952, c. 317, § 38.1-348; 1986, cc. 550, 562; 1993, c. 306; 1994, c.
316; 2011, c. 882.