56-26-202 - Filing and approval of policies Required provisions.

56-26-202. Filing and approval of policies Required provisions.

(a)  No policy of group accident and health insurance may be delivered or issued for delivery in this state unless the policy form has been filed with and approved by the commissioner.

(b)  The policy must contain, in substance, the following provisions:

     (1)  A provision that the policy, the application of the employer, or executive officer or trustee of any association or labor union, and the individual applications, if any, of the employees, members or employees of members insured shall constitute the entire contract between the parties, and that all statements made in the applications shall, in the absence of fraud, be deemed representations and not warranties, and that no such statement shall be used in defense of a claim under the policy unless it is contained in a written application;

     (2)  A provision that the insurer will issue to the policyholder for delivering to the persons insured under the policy, an individual certificate setting forth the benefits and the exceptions thereunder and referring to the master policy under which the coverage is provided; and

     (3)  A provision that to the group or class thereof originally insured there shall be added from time to time all persons becoming newly eligible for and applying for insurance in the group or class.

[Acts 1976, ch. 397, § 7; 1978, ch. 514, § 2; T.C.A., § 56-3331.]