Title 22 — Insurance
49 chapters · 1,014 sections in this title.
22 V.I.C. § 851 Scope of chapter
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(1) Nothing in this chapter shall apply to or affect—(1) any policy of Workers' Compensation Administration insurance or any policy of liability insurance with or without supplementary expense coverage therein;(2) any policy or contract of reinsurance;(3) any blanket or group pol…
22 V.I.C. § 852 Format of disability policies
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(1) No disability policy shall be delivered or issued for delivery to any person in this territory unless it otherwise complies with this title, and complies with the following:(1) it shall purport to insure only one person, except as to family expense insurance written pursuant …
22 V.I.C. § 853 Policies issued by domestic insurer for delivery in another state
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If any policy is issued by a domestic insurer for delivery to a person resident in another territory or state, and if the Commissioner of Insurance or corresponding public official of such other territory or state has advised the Commissioner that any such policy is not subject t…
22 V.I.C. § 854 Standard provisions required; substitutions; captions
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Except as provided in section 813 of this title, each such policy delivered or issued for delivery to any person in this territory shall contain the provisions as specified in sections 855–866, inclusive, of this title, in the words in which the same appear; except, that the insu…
22 V.I.C. § 855 Standard provision No. 1, entire contract; changes
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There shall be a provision as follows:“Entire contract; changes: This policy, including the endorsements and attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and un…
22 V.I.C. § 856 —No. 2, time limit on certain defenses
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(a) There shall be a provision as follows:“Time limit on certain defenses:(a) After three years from the date of issue of this policy, no misstatements except fraudulent misstatements made by the applicant in the application for such policy shall be used to void the policy or to …
22 V.I.C. § 857 —No. 3, grace period
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There shall be a provision as follows:“Grace period: A grace period of—(insert a number not less than ‘7’ for weekly premium policies, ‘10’ for monthly premium policies, and ‘31’ for all other policies) days will be granted for the payment of each premium falling due after the fi…
22 V.I.C. § 858 —No. 4, reinstatement
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There shall be a provision as follows:“Reinstatement: If any renewal premium be not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any agent duly authorized by the insurer to accept such premium, without requiring in …
22 V.I.C. § 859 —No. 5, notice of claim
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There shall be a provision as follows:“Notice of claim: Written notice of claim must be given to the insurer within twenty days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf of…
22 V.I.C. § 860 —No. 6, claim forms
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There shall be a provision as follows:“Claim forms: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within fifteen days after the giving of such notic…
22 V.I.C. § 861 —No. 7, proofs of loss
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There shall be a provision as follows:“Proofs of loss: Written proof of loss must be furnished to the insurer at its said office in case of claim for loss for which this policy provides any periodic payment contingent upon continuing loss within ninety days after the termination …
22 V.I.C. § 862 —No. 8, time of payment of claims
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There shall be a provision as follows:“Time of payment of claims: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written…
22 V.I.C. § 863 —No. 9, payment of claims
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(a) There shall be a provision as follows:“Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such desig…
22 V.I.C. § 864 —No. 10, physical examination and autopsy
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There shall be a provision as follows:“Physical examinations and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make a…
22 V.I.C. § 865 —No. 11, legal actions
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There shall be a provision as follows:“Legal actions: No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action s…
22 V.I.C. § 866 —No. 12, change of beneficiary
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There shall be a provision as follows:“Change of beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change of beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries shall not be requisite to surrender …
22 V.I.C. § 867 Optional standard provisions
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Except as provided in section 813 of this title, no such policy delivered or issued for delivery to any person in this territory shall contain provisions respecting the matters set forth in sections 868–878, inclusive, of this title, unless such provisions are in the words in whi…
22 V.I.C. § 868 Optional standard provision No. 13, change of occupation
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There may be a provision as follows:“Change of occupation: If the insured be injured or contract sickness after having changed his occupation to one classified by the insurer as more hazardous than that stated in this policy or while doing for compensation anything pertaining to …
22 V.I.C. § 869 —No. 14, misstatement of age
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There may be a provision as follows:“Misstatement of age: If the age of the insured has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age.” “Misstatement of age: If the age of the insured has been misst…
22 V.I.C. § 870 —No. 15, other insurance in this insurer
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(1) There may be a provision as follows:(1) “Other insurance in this insurer: If an accident or sickness or accident and sickness policy or policies previously issued by the insurer to the insured be in force concurrently herewith, making the aggregate indemnity for (insert type …
22 V.I.C. § 871 —No. 16, insurance with other insurers (provision of service or expense incurred basis)
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(a) There may be a provision as follows:“Insurance with other insurers: If there be other valid coverage, not with this insurer, providing benefits for the same loss on a provision of service basis or on an expense incurred basis and of which this insurer has not been given writt…
22 V.I.C. § 872 —No. 17, insurance with other insurers
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(a) There may be a provision as follows:“Insurance with other insurers: If there be other valid coverage, not with this insurer, providing benefits for the same loss on other than an expense incurred basis and of which this insurer has not been given written notice prior to the o…
22 V.I.C. § 873 —No. 18, relation of earnings to insurance
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(a) There may be a provision as follows:“Relation of earnings to insurance: If the total monthly amount of loss of time benefits promised for the same loss under all valid loss of time coverage upon the insured, whether payable on a weekly or monthly basis, shall exceed the month…
22 V.I.C. § 874 —No. 19, unpaid premium
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There may be a provision as follows:“Unpaid premium: Upon the payment of a claim under this policy, any premium then due and unpaid or covered by any note or written order may be deducted therefrom.” “Unpaid premium: Upon the payment of a claim under this policy, any premium then…
22 V.I.C. § 875 —No. 20, cancellation
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There may be a provision as follows:“Cancellation: The insurer may cancel this policy at any time by written notice delivered to the insured, or mailed to his last address as shown by the records of the insurer, stating when, not less than five days thereafter, such cancellation …
22 V.I.C. § 876 —No. 21, conformity with statutes
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There may be a provision as follows:“Conformity with statutes: Any provision of this policy which, on its effective date, is in conflict with the statutes of the territory or state in which the insured resides on such date is hereby amended to conform to the minimum requirements …
22 V.I.C. § 877 —No. 22, illegal occupation
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There may be a provision as follows:“Illegal occupation: The insurer shall not be liable for any loss to which a contributing cause was the insured's commission of or attempt to commit a felony or to which a contributing cause was the insured's being engaged in an illegal occupat…
22 V.I.C. § 878 —No. 23, intoxicants and narcotics
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There may be a provision as follows:“Intoxicants and narcotics: The insurer shall not be liable for any loss sustained or contracted in consequence of the insured's being intoxicated or under the influence of any narcotic unless administered on the advice of a physician.” “Intoxi…
22 V.I.C. § 879 Order of certain policy provisions
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The provisions which are the subject of sections 855–878, inclusive, of this title, or any corresponding provisions which are used in lieu thereof in accordance with such sections, shall be printed in the consecutive order of the provisions in such sections or, at the insurer's o…
22 V.I.C. § 880 Third party ownership
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The word “insured,” as used in this chapter, shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, b…
22 V.I.C. § 881 Requirements of other jurisdictions
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(a) Any policy of a foreign or alien insurer, when delivered or issued for delivery to any person in this territory, may contain any provision which is not less favorable to the insured or to the beneficiary than the provisions of this chapter and which is prescribed or required …
22 V.I.C. § 882 Age limit
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If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts a premiu…
22 V.I.C. § 883 Family expense disability insurance, general provisions
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(a) Family expense disability insurance is that covering members of any one family including one or both spouses and dependents provided under a master policy issued to the head of the family. (b) Any authorized disability insurer may issue family expense disability insurance. (c…
22 V.I.C. § 884 Franchise plan, general provisions
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(a) Disability insurance on a franchise plan is that issued to—(1) five or more employees of a common employer; or(2) ten or more members of any bona fide trade or professional association or labor union, which association or union was formed and exists for purposes other than th…
22 V.I.C. § 885 Extended disability benefit
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A disability insurance contract which provides a reasonable amount of disability indemnity for both accidental injuries and sickness, other than a contract of group or blanket insurance, may provide a benefit in amount not exceeding $200 payable in event of death from any causes.…
22 V.I.C. § 886 Incontestability after reinstatement
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The reinstatement of any policy of noncancellable disability insurance delivered or issued for delivery in this territory after the effective date of this title shall be contestable only on account of fraud or misrepresentation of facts material to the reinstatement and only for …