(a) There shall be a provision as follows:
(1) After 2 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 deny a claim for loss incurred as disability (as defined in the policy) commencing after the expiration of such 2-year period.
(2) No claim for loss incurred as disability (as defined in the policy) commencing 2 years from the date of issue of this policy shall be reduced or denied on the ground that a disease or physical condition not excluded from coverage by name or specific description effective on the date of loss had existed prior to the effective date of coverage of this policy.”
(b) The policy provision required by paragraph (a)(1) of this section above shall not be so construed as to affect any legal avoidance of a policy or denial of a claim during such initial 2-year period, nor to limit the application of §§ 3318-3320 of this title in the event of misstatement with respect to age or occupation or other insurance.
(c) A policy which the insured has the right to continue in force subject to its terms by the timely payment of premium (1) until at least age 50, or (2) in the case of a policy issued after age 44, for at least 5 years from its date of issue, may contain in lieu of the foregoing the following provision (from which the clause in parentheses may be omitted at the insurer's option) under the caption “Incontestable”:
“After this policy has been in force for a period of 2 years during the lifetime of the insured (excluding any period during which the insured is disabled), it shall become incontestable as to any statements, other than fraudulent statements, contained in the application.
Structure Delaware Code
Chapter 33. HEALTH INSURANCE CONTRACTS
Subchapter I. General Provisions
§ 3303. Scope, format of policy [For application of this section, see 79 Del. Laws, c. 99, § 19].
§ 3304. Required provisions; captions; omissions; substitutions.
§ 3305. Entire contract; changes.
§ 3306. Time limit on certain defenses.
§ 3312. Time of payment of claims.
§ 3314. Physical examination; autopsy.
§ 3316. Change of beneficiary.
§ 3317. Optional policy provisions.
§ 3320. Overinsurance; all coverages.
§ 3321. Relation of earnings to insurance.
§ 3323. Conformity with state statutes.
§ 3325. Intoxicants and narcotics.
§ 3327. Order of certain provisions.
§ 3328. Third-party ownership.
§ 3329. Requirements of other jurisdictions.
§ 3330. Policies issued for delivery in another state.
§ 3331. Conforming to statute.
§ 3334. Franchise health insurance law.
§ 3336. Midwife services reimbursement.
§ 3338. Coverage of cancer monitoring test.
§ 3338A. Equal reimbursement for oral and intravenous anticancer medication.
§ 3340. Child abuse or neglect — Individual coverage.
§ 3341. Newborns and mothers health protection.
§ 3342. Obstetrical and gynecological coverage.
§ 3342A. Contraceptive coverage.
§ 3344. Insurance coverage for diabetes.
§ 3344B. Cost sharing in prescription insulin drugs.
§ 3344C. Coverage for insulin pumps.
§ 3345. Annual pap smear coverage reimbursement.
§ 3346. Colorectal cancer screening.
§ 3347. Required coverage for reconstructive surgery following mastectomies.
§ 3349A. Required coverage for volunteer ambulance company services.
§ 3350. Prescription medication.
§ 3351B. Experimental treatment coverage.
§ 3352. Newborn and infant hearing screening; coverage and reimbursement.
§ 3353. Use of social security numbers on insurance cards.
§ 3355. Phenylketonuria (PKU) and other inherited metabolic diseases.
§ 3356. Required coverage for scalp hair prosthesis.
§ 3358. Dental services for children with a severe disability.
§ 3359. Health insurance; pharmacies; electronic reimbursement.
§ 3359B. Electronic medical (non-pharmaceutical) claims.
§ 3360. Screening of infants and toddlers for developmental delays.
§ 3362. Reimbursement for orthotic and prosthetic services.
§ 3363. Recommended immunizations.
§ 3364. Specialty tier prescription coverage.
§ 3365. School-based health centers.
§ 3366. Autism spectrum disorders coverage.
§ 3367. Payment for emergency medical services.
§ 3370. Telehealth and telemedicine.
§ 3370A. Network disclosure and transparency.
§ 3370C. Time of submitting claim for reimbursement.
§ 3370D. Coverage for epinephrine autoinjectors.
§ 3370E. Annual behavioral health well check [Effective Jan. 1, 2024].