Pennsylvania Code
Title 31 - INSURANCE
Part III - Credit Insurance
Chapter 73 - CREDIT LIFE INSURANCE AND CREDIT ACCIDENT AND HEALTH INSURANCE
Section 73.115 - Benefit exclusions
Universal Citation: 31 PA Code ยง 73.115
Current through Register Vol. 54, No. 44, November 2, 2024
Exclusions may be contained in a credit insurance plan as provided in §§ 73.104(a), 73.107(a) and 73.110(a) (relating to life insurance and life insurance with TPD benefit; accident and health insurance benefits; and involuntary unemployment insurance benefits).
(1) The following exclusions may also be contained in a life insurance plan or a life insurance with TPD benefit plan:
(i) Death due to
suicide within 1 year of the effective date of coverage.
(ii) TPD due to intentionally self-inflicted
injury.
(iii) A preexisting
conditions exclusion due to a condition for which the insured debtor received
medical advice, consultation, diagnosis or treatment from a physician or
podiatrist within 6 months before the effective date of coverage and due to
which death occurs or TPD commences within 6 months after the effective date of
coverage. This exclusion applies only if and to the extent that the total
amount of all insurance that would otherwise be subject to the preexisting
conditions exclusion exceeds $1,000.
(iv) For the application of the exclusions
contained in subparagraphs (i)-(iii), the effective date of coverage for each
portion of the insurance attributable to a different advance under an open end
loan, is the date on which the advance or charge occurs, or if later, the date
on which coverage is elected.
(2) The following exclusions may also be contained in an A and H insurance plan:
(i)
Normal pregnancy.
(ii)
Intentionally self-inflicted injury.
(iii) Nonscheduled aircraft
flight.
(3) The following exclusions may also be contained in an involuntary unemployment insurance plan:
(i) Voluntary resignation of
employment.
(ii) Voluntary leave of
absence.
(iii) Voluntary forfeiture
of salary, wages or income.
(iv)
Retirement.
(v) Injury or
disease.
(vi) Disability.
(vii) Strike or unionized labor
dispute.
(viii) Discharge by
employer for cause.
(ix)
Involuntary unemployment for which severance pay is received by the
debtor.
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