Code of Virginia
Chapter 35 - Accident and Sickness Insurance Policies
§ 38.2-3538. Payment of benefits

Each group accident and sickness insurance policy shall contain a provision that benefits for loss of life of the person insured shall be payable to the beneficiary designated by the person insured. However, if the policy contains conditions pertaining to family status, the beneficiary may be the family member specified by the policy terms. In either case, payment of those benefits is subject to the provisions of the policy in the event no such designated or specified beneficiary is living at the death of the person insured. The policy may also provide that if any benefit is payable to the estate of a person, or to a person who is a minor or otherwise not competent to give a valid release, the insurer may pay the benefit, up to an amount not exceeding $5,000, to any relative by blood or connection by marriage of the person who is deemed by the insurer to be equitably entitled to the benefit. The policy may also provide that all or any portion of any benefits provided for health care services may be paid to the health care services provider. All other benefits of the policy shall be payable to the person insured.
1986, c. 562; 1991, c. 87.

Structure Code of Virginia

Code of Virginia

Title 38.2 - Insurance

Chapter 35 - Accident and Sickness Insurance Policies

§ 38.2-3500. Form of policy

§ 38.2-3501. Policy forms; powers of Commission

§ 38.2-3502. Notice to be printed on policy; return of policy to insurer

§ 38.2-3503. Required accident and sickness policy provisions

§ 38.2-3504. Other provisions

§ 38.2-3505. Inapplicable or inconsistent provisions

§ 38.2-3506. Order of certain policy provisions

§ 38.2-3507. Third-party ownership

§ 38.2-3508. Requirements of other jurisdictions

§ 38.2-3509. Denial or reduction of benefits because of existence of other like insurance

§ 38.2-3510. Conforming to statute

§ 38.2-3511. Application

§ 38.2-3512. Notice; waiver

§ 38.2-3513. Age limit

§ 38.2-3514. When liability not to be denied because of preexisting disease, physical impairment or defect

§ 38.2-3514.1. Preexisting conditions provisions

§ 38.2-3514.2. Renewability of coverage

§ 38.2-3515. Repealed

§ 38.2-3516. Purpose

§ 38.2-3517. Definitions

§ 38.2-3518. Standards for policy provisions

§ 38.2-3519. Minimum standards for excepted benefits

§ 38.2-3520. Coverage of preexisting conditions

§ 38.2-3521. Repealed

§ 38.2-3521.1. Group accident and sickness insurance definitions

§ 38.2-3521.2. Blanket accident and sickness insurance

§ 38.2-3522. Repealed

§ 38.2-3522.1. Limits of group accident and sickness insurance

§ 38.2-3523. Repealed

§ 38.2-3523.1. Review of records

§ 38.2-3523.2. Policies issued outside of the Commonwealth of Virginia

§ 38.2-3523.3. Requirements for those marketing group accident and sickness insurance

§ 38.2-3523.4. Minimum number of persons covered

§ 38.2-3524. Repealed

§ 38.2-3525. Group accident and sickness insurance coverages of spouses, dependent children or other persons

§ 38.2-3526. Standard provisions required; exceptions

§ 38.2-3527. Grace period

§ 38.2-3528. Incontestability

§ 38.2-3529. Entire contract; statements deemed representations

§ 38.2-3530. Evidence of individual insurability

§ 38.2-3531. Additional exclusions and limitations

§ 38.2-3532. Misstatement of age

§ 38.2-3533. Individual certificates

§ 38.2-3534. Notice of claim

§ 38.2-3535. Claim forms

§ 38.2-3536. Proofs of loss

§ 38.2-3537. Time of payment of claims

§ 38.2-3538. Payment of benefits

§ 38.2-3539. Physical examinations and autopsy

§ 38.2-3540. Legal actions

§ 38.2-3540.1. Claims experience

§ 38.2-3540.2. Employee wellness program

§ 38.2-3541. Continuation on termination of eligibility

§ 38.2-3541.1. Repealed

§ 38.2-3541.2. Enrollment following change in eligibility status under assistance programs

§ 38.2-3542. Notice to employees upon termination of coverage; penalty for failure to remit funds

§ 38.2-3543. Provisions required by other jurisdictions

§ 38.2-3543.1. Regulations

§ 38.2-3543.2. Applicability of laws

§ 38.2-3544. Definition of industrial sick benefit insurance

§ 38.2-3545. Further restrictions as to beneficiaries

§ 38.2-3546. Cancellation of sick benefit portion of policy

§ 38.2-3547. Excessive insurance; remedy

§ 38.2-3548. Agents subject to other insurance laws

§ 38.2-3549. Benefits not subject to legal process

§ 38.2-3550. Effective date

§ 38.2-3551. Definitions

§ 38.2-3552. Small employer health group cooperatives

§ 38.2-3553. Membership in a small employer health group cooperative

§ 38.2-3554. Provisions relating to health insurance issuers

§ 38.2-3555. Authority of the Commission