§ 2232.8. Short Form of Proof of Claim.

GENERAL INSTRUCTIONS AND RULES

As another alternative permissive order and wording for setting forth in a group disability policy certain of the uniform provisions, the insurer may, in lieu of using the promulgated order and wording of the uniform provisions captioned “Notice of Claim,” “Claim Forms,” and “Time of Payment of Claim,” and at the option of the insurer, also in lieu of one or more or all of the uniform provisions captioned “Proof of Loss,” “Physical Examination and Autopsy” and “Legal Actions,” but subject to the instructions hereinafter set forth, use the following short form of proof of claim clause under one of the captions permitted by the instructions hereinafter set forth:

All (“benefits” or other descriptive phrase) provided in this policy shall be paid to the employee as they accrue or as stated (referring to the location in the policy of the uniform provision captioned “Payment of Claims “) upon receipt of written proof on the insurer's forms or, if such forms are not furnished by the insurer within 15 days after demand therefor, then upon receipt of written proof covering the occurrence, character and extent of the event for which claim is made.

Instructions

1. The above provision shall be preceded by a caption reading “Proof of Claim” or “Proof of Loss”; but if the uniform provision captioned “Payment of Claims” has either been omitted in accordance with Instruction 2, or if said uniform provision is set forth, in accordance with the instructions for its use, immediately following this provision, then such provision or provisions may be preceded by the caption “Payment of Benefits” or “Payment of Claims.”

2. The insurer shall omit the phrase “or as stated__________” if the uniform provision captioned “Payment of Claims” is entirely omitted from the Policy in accordance with the instructions for its use. The insurer shall include said phrase in the policy even if it uses only the second or third or the second and third paragraphs of the uniform provision captioned “Payment of Claims” in the policy.

3. The insurer has the option of including or omitting the language in the above provision concerning the forms for proof of loss reading “on the insurer's forms or, if such forms are not furnished by the insurer within 15 days after demand therefor, then upon receipt of written proof.”

4. The insurer has the option of including in, or omitting from the policy the uniform provision captioned “Proof of Loss,” but if said provision is omitted the insurer shall also omit the uniform provision captioned “Legal Actions.” However, if said Uniform Provision captioned “Proof of Loss” is included in the policy, the Uniform Provision captioned “Legal Actions” may either be included or omitted from the policy.

5. The insurer has the option of including or omitting the uniform provision captioned “Physical Examination and Autopsy.” (Ins. C. 10270.94.)