West Virginia Code § 33-6-31d

Form for making offer of optional uninsured and underinsured coverage
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(a) Optional limits of uninsured motor vehicle coverage and underinsured motor vehicle
coverage required by §33-6-31 of this code shall be made available to the named insured at
the time of initial application for liability coverage and upon any request of the named
insured on a form prepared and made available by the Insurance Commissioner. The
contents of the form shall be prescribed by the commissioner and shall speceifically inform
the named insured of the coverage offered and the rate calculation for the coverage,
including, but not limited to, levels and amounts of the coverage availarble and the number of
vehicles which will be subject to the coverage. The commissioner shall provide for the use of
electronic means of delivery and electronic signing when issuing the prescribed form. The
form shall allow any named insured to waive any or all of the coverage offered.
(b) Any insurer who issues a motor vehicle insurance policy in this state shall provide the
form to each person who applies for the issuance of a policy by delivering the form to the
applicant or by mailing the form to the applicant. Insurers may deliver the form by electronic
means. Delivery by "electronic means" includes delivery of the form to an electronic mail
address at which an applicant or policyholdesr has consented to receive notices or
documents, by posting on an electronic network or site accessible via the Internet,
electronic device, or mobile application, at or from which the applicant or policyholder has
consented to receive delivery, or by gany other delivery method that has been consented to by
the applicant or policyholder. Any document delivered electronically satisfies any font, size,
color, spacing, or other formate requirements that are established for printed documents,
provided that the format in the document delivered electronically has reasonably similar
proportions or emphasisL for the characters relative to the rest of the electronic document.
The applicant shall complete, date, and sign the form and return the form to the insurer
within 30 days after receipt of the form. Any signature executed in conformity with the
Uniform Electronic Transactions Act in §39A-1-1 et seq. of this code is enforceable as
provided by that act. An insurer or agent of the insurer is not liable for payment of any
damages applicable under any optional uninsured or underinsured coverage authorized by
§33-6-31 of this code for any incident which occurs from the date the form was mailed or
delivered to the applicant until the insurer receives the form and accepts payment of the
appropriate premium for the coverage requested in the form from the applicant: Provided,
That if prior to the insurer's receipt of the executed form the insurer issues a policy to the
applicant which provides for optional uninsured or underinsured coverage, the insurer is
liable for payment of claims against the optional coverage up to the limits provided in the
policy. The contents of a form described in this section which has been signed by an
applicant creates a presumption that the applicant and all named insureds received an
effective offer of the optional coverages described in this section and that the applicant
exercised a knowing and intelligent election or rejection of the offer as specified in the form.
The election or rejection is binding on all persons insured under the policy.
(c) Failure of the applicant or a named insured to return the form described in this section
to the insurer as required by this section within the time periods specified in this section
creates a presumption that the person received an effective offer of the optional coverages
described in this section and that the person exercised a knowing and intelligent rejection of
the offer. The rejection is binding on all persons insured under the policy.
(d) The insurer shall make the forms available to any named insured who requests different
coverage limits on or after the effective date of this section. An insurer is not required to
make the form available or notify any person of the availability of the optional coverages
authorized by this section except as required by this section. e
(e) Notwithstanding any of the provisions of this article to the contrary, including §33-6-31f
of this code, for insurance policies in effect on December 31, 2015, insurers are not required
to offer or obtain new uninsured or underinsured motorist coveruage offer forms as described
in this section on any insurance policy to comply with the amount of the minimum required
financial responsibility limits set forth in §17D-4-2(b) of this tcode. All offer forms that were
executed prior to January 1, 2016, shall remain in full force and effect.
(f) If an insurer offers to place an insured with an affiliate of the insurer, the insurer shall
make available a new uninsured and underinsured lmotorist coverage offer form, in the
manner provided by and pursuant to subsectiosns (a) and (b) of this section. A named insured
shall complete, date, and sign the form as provided by subsection (b) of this section and
return the form to the insurer within 30 days after receipt of the form. If an insured does
not return the form within 30 days, gthen the last form previously signed by the insured for
the insurer or any affiliate governs the amount of uninsured and underinsured motorist
coverage provided by the newely issuing insurer and remains binding on all persons insured
under the policy.

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