33-22-502. Required provisions of group policies. Each group disability insurance policy delivered or issued for delivery in this state must contain in substance the following provisions:
(1) a provision that, in the absence of fraud, all statements made by applicants or the policyholder or by an insured person must be considered representations and not warranties and that a statement made for the purpose of effecting insurance may not avoid the insurance or reduce benefits unless contained in a written instrument signed by the policyholder or the insured person, a copy of which has been furnished to the policyholder or to the insured person or the insured person's beneficiary;
(2) a provision that the insurer will furnish to the policyholder for delivery to each employee or member of the insured group a statement in summary form of the essential features of the insurance coverage of the employee or member and to whom benefits are payable. If dependents are included in the coverage, only one certificate is required to be issued for each family unit.
(3) a provision that to the group originally insured may be added from time to time eligible new employees or members or dependents, as the case may be, in accordance with the terms of the policy;
(4) a provision or the equivalent that reads:
"Conformity with Montana statutes. The provisions of this policy conform to the minimum requirements of Montana law and control over any conflicting statutes of any state in which the insured resides on or after the effective date of this policy."
History: En. Sec. 386, Ch. 286, L. 1959; amd. Sec. 4, Ch. 74, L. 1973; amd. Sec. 4, Ch. 83, L. 1974; R.C.M. 1947, 40-4102(part); amd. Sec. 11, Ch. 798, L. 1991; amd. Sec. 1227, Ch. 56, L. 2009.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 22. Disability Insurance
Part 5. Group Disability Insurance
33-22-501. Group disability insurance defined -- eligible groups
33-22-502. Required provisions of group policies
33-22-503. Continuation of benefits to dependents
33-22-504. Newborn infant coverage
33-22-505. Direct payment of hospital and medical services
33-22-506. Continuation of coverage for persons with disabilities -- group contracts
33-22-507. Continuing group coverage after reduction of work schedule
33-22-508. Conversion on termination of eligibility
33-22-509. Preexisting conditions
33-22-510. Insured's family -- conversion entitlement
33-22-512. Coverage for well-child care
33-22-513. Limitation of eligibility on conversion
33-22-514. Preexisting conditions relating to group market
33-22-515. Coverage of autism spectrum disorders
33-22-516. through 33-22-520 reserved
33-22-521. Disclosure standards -- group policy
33-22-523. Special enrollment periods
33-22-524. Guaranteed renewability of coverage for employers in group market
33-22-525. Guaranteed renewability in multiple employer welfare arrangements
33-22-526. Group health discrimination prohibited
33-22-527. through 33-22-529 reserved
33-22-530. Notice required for cancellation for nonpayment of group health insurance