West Virginia Code § 33-16-3

Required policy provisions
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Each such policy hereafter delivered or issued for delivery in this state shall contain in
substance the following provisions:
(a) A provision that the policy, the application of the policyholder, a copy of which shall be
attached to such policy, and the individual applications, if any, submitted in connection with
such policy by the employees or members, shall constitute the entire contract between the
parties, and that all statements made by any applicant or applicants shall be deemed
representations and not warranties, and that no such statement shall void the insurance or
reduce benefits thereunder unless contained in a written applicaution.
(b) A provision that the insurer will furnish to the policyholder, for delivery to each employee
or member of the insured group, an individual certificate setting forth in substance the
essential features of the insurance coverage of such employee or member and to whom
benefits thereunder are payable. If dependents are included in the coverage, only one
certificate need be issued for each family unit. l
(c) A provision that all new employees or members, as the case may be, in the groups or
classes eligible for insurance, shall from tiime to time be added to such groups or classes
eligible to obtain such insurance in agccordance with the terms of the policy.
(d) No provision relative to notice or proof of loss or the time for paying benefits or the time
within which suit may be brought upon the policy shall be less favorable to the insured than
would be permitted in the case of an individual policy by the provisions set forth in article
fifteen of this chapter.
(e) A provision that a ll members in groups or classes eligible for insurance provided through
an employee'sV group plan shall be permitted to pay the premiums at the same group rate
and receive the same coverages for a period not to exceed eighteen months when they are
involuntarily laid off from work.
(f) Such further provisions establishing group accident and sickness minimum policy
coverage standards as the commissioner shall promulgate by rule pursuant to chapter
twenty-nine-a of this code.

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