GROUP POLICIES
§ 89.61. General filing requirements.
(a) Conformity to definition. A group life policy issued for delivery in this Commonwealth will not be approved by the Department which does not apply to a group filing within the definition of a group qualified for the insurance under the Pennsylvania Group Life Statute (40 P. S. § § 532.1—532.9). If any element of doubt exists as to whether a particular group is one authorized by the statute, the question shall be referred to the Department for review in advance of filing.
(b) Identification of insured. Group life and annuity certificates filed with the Department shall provide for the identification of the insured. This may be accomplished by having the name of the insured stated on the certificate or any code which could be used in the identification of the certificate holder.
(c) Beneficiary. Concerning group life certificates, each employe insured under a form of group life insurance shall be given written evidence of his beneficiary designation, if any.
(d) Variations in policies. Group life policies, their certificates and the intended insert pages reflecting possible variations shall be accepted for approval, provided that the filing is accompanied by a statement showing the combinations of pages which will be used for the different types of policies.
(e) Dependent policies. Dependent group life is not permissible.
(f) Certificates. Certificates shall conform with all of the following:
(1) Certificates shall be issued to the policy owner within a reasonable period of time after issuance of the master policy for delivery to each person insured.
(2) Certifying language shall be used in certificates.
(3) Certificates should state the benefits applicable to the person insured or state the schedule of benefits applicable to the class to which he belongs.
(g) Modes of settlement. A statement concerning the availability of optional modes of settlement should appear in the certificate as well as in the master policy.
(h) Accidental death benefit. A provision for accidental death benefit may not contain a requirement that death must occur within a specific time period.
Source The provisions of this § 89.61 amended June 23, 1978, effective June 24, 1978, 8 Pa.B. 1678. Immediately preceding text appears at serial page (14249).
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