California Code of Regulations (Last Updated: August 6, 2014) |
Title 10. Investment |
Chapter 5. Insurance Commissioner |
Subchapter 2. Policy Forms and Other Documents |
Article 2a. Group Disability Policies |
§ 2232.24. Time of Payment of Claim.
Latest version.
- Form A.COMPULSORY UNIFORM PROVISIONSIndemnities payable under this policy for any loss other than loss for which this policy provides periodic payments will be paid (to the insured employee) as they accrue immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnity for loss for which this policy provides periodic payment will be paid (to the insured employee) and any balance remaining unpaid upon the termination of the period of liability will be paid immediately upon receipt of due written proof.Form B.Subject to due written proof of loss, all indemnities for loss for which this policy provides payment will be paid (to the insured employee) as they accrue and any balance remaining unpaid at termination of the period of liability will be paid (to the insured employee) immediately upon receipt of due written proof.Instructions1. The insurer may use Form A or Form B at its option.2. The insurer shall insert in the blank space in Form A a period for payment which shall not be less frequently than monthly.3 . If the insurer has chosen to specify ind identify in the uniform provision captioned “Proofs of Loss” the benefits for which proof of loss may be made within 90 days after termination of the period for which the insurer is liable, and if such insurer elects to use Form A, it shall in lieu of using the phrase “any loss other than loss for which this policy provides periodic payment” and “loss for which this policy provides periodic payment,” specify and identify by name or description or by place reference the benefits for which no periodic payment is provided and benefits for which a periodic payment is provided.4. The insurer shall omit the phrase in parentheses reading: “to the insured employee” if accidental death benefits are included in the policy, in which case the first paragraph of the uniform provision captioned “Payment of Claims” shall be used. (Ins. C. 10350.8.)