Montana Code Annotated
Part 2. Individual Policy Requirements
33-22-226. Insurance with other insurers -- other benefits

33-22-226. Insurance with other insurers -- other benefits. (1) 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 occurrence or commencement of loss, the only liability for such benefits under this policy shall be for such proportion of the indemnities otherwise provided hereunder for such loss as the like indemnities of which the insurer had notice (including the indemnities under this policy) bear to the total amount of all like indemnities for such loss and for the return of such portion of the premium paid as shall exceed the pro rata portion for the indemnities thus determined."
(2) If the foregoing policy provision is included in a policy which also contains the policy provision set out in 33-22-225, there shall be added to the caption of the foregoing provision the phrase "--Other Benefits". The insurer may, at its option, include in this provision a definition of "other valid coverage", approved as to form by the commissioner, which definition shall be limited in subject matter to coverage provided by organizations subject to regulation by insurance law or by insurance authorities of this or any other state of the United States or any province of Canada and to any other coverage the inclusion of which may be approved by the commissioner. In the absence of such definition such term shall not include group insurance or benefits provided by union welfare plans or by employer or employee benefit organizations. For the purpose of applying the foregoing policy provision with respect to any insured, any amount of benefit provided for such insured pursuant to any compulsory benefit statute, including any workers' compensation or employer's liability statute, whether provided by a governmental agency or otherwise shall in all cases be deemed to be "other valid coverage" of which the insurer has had notice. In applying the foregoing policy provision no third-party liability coverage shall be included as "other valid coverage".
History: En. Sec. 371, Ch. 286, L. 1959; R.C.M. 1947, 40-4021.

Structure Montana Code Annotated

Montana Code Annotated

Title 33. Insurance and Insurance Companies

Chapter 22. Disability Insurance

Part 2. Individual Policy Requirements

33-22-201. Format and content

33-22-202. Required provisions -- captions -- omissions -- substitutions -- order

33-22-203. Requirement of other jurisdictions -- statutes -- violation

33-22-204. Entire contract -- changes

33-22-205. Time limit on certain defenses

33-22-206. Grace period

33-22-207. Reinstatement

33-22-208. Notice of claim

33-22-209. Claim forms

33-22-210. Proofs of loss

33-22-211. Time of payment of claims

33-22-212. Payment of claims

33-22-213. Physical examination and autopsy

33-22-214. Legal actions

33-22-215. Change of beneficiary

33-22-216. Repealed

33-22-217. through 33-22-220 reserved

33-22-221. Optional policy provisions -- substitutes

33-22-222. Change of occupation

33-22-223. Misstatement of age

33-22-224. Other insurance in this insurer

33-22-225. Insurance with other insurers -- provision of service or expense incurred basis

33-22-226. Insurance with other insurers -- other benefits

33-22-227. Relation of earnings to insurance

33-22-228. Unpaid premiums

33-22-229. Conformity with state statutes

33-22-230. Illegal occupation

33-22-231. Repealed

33-22-232. Renewal at option of insurer

33-22-233. through 33-22-240 reserved

33-22-241. Definitions

33-22-242. Waiver of preexisting condition exclusion -- exclusion prohibited

33-22-243. Premium increases to be distributed proportionately

33-22-244. Disclosure standards -- individual policy

33-22-245. Repealed

33-22-246. Preexisting conditions relating to individual market

33-22-247. Guaranteed renewability of individual health insurance coverage

33-22-248. through 33-22-260 reserved

33-22-261. Terminated

33-22-262. Terminated

33-22-263. Terminated