14 Va. Admin. Code § 5-341-90
Current through Register Vol. 40, No. 22, June 17, 2024
Section 14VAC5-341-90 - Policy conditionsA. Insurers shall include the following statutory conditions: 1. The nuclear clause set forth in § 38.2-2102 of the Code of Virginia;2. The conditions set forth § 38.2-2104 of the Code of Virginia:a. Assignment of the policy.b. The time that coverage begins and ends.3. The conditions set forth in § 38.2-2105 of the Code of Virginia: c. Mortgagee interests and obligations.e. Requirements in case loss occurs.B. Insurers shall include the following conditions:1. If an insurer adopts revisions of the forms or endorsements that would broaden coverage currently provided without additional premium charge, the insurer shall automatically apply the broadened coverage from the effective date of the revisions.2. If a named insured dies, insurers shall modify the definition of insured as follows: a. The named insured includes: (1) The spouse, if not already a named insured and if a resident of the household at the time of the death; and(2) The legal representative with respect to the residence premises and property of the deceased insured at the time of the death.b. Insured also includes: (1) Members of the deceased's household who were insured at the time of the named insured's death, but only while residents of the residence premises; and(2) Persons having proper temporary custody of the insured property until the appointment and qualification of the legal representative.3. Insurers may not invalidate the policy if the insured waives, in writing, before a loss any right of recovery against a party for loss occurring on the residence premises. If not waived, the insurer may require from the insured an assignment of all right of recovery against a party for loss to the extent that the insurer made payment.4. Terms or conditions in the policy that are less favorable than those provided for in this chapter or the applicable statutes are construed to conform to this chapter and those statutes.5. Insurers shall include the relevant termination provisions in §§ 38.2-2113 and 38.2-2114 of the Code of Virginia in the policy. In addition, the following apply: a. Return premium calculations resulting from an insurer-initiated termination shall be pro rata.b. Terminations for non-payment of premium shall be calculated pro rata.c. Return premium calculations resulting from an insured-initiated termination may be short rate except the penalty may not be more than 10% of the pro rata premium for the expired time.d. Insurers may not refuse to renew the policy except in accordance with the provisions of §§ 38.2-2113 and 38.2-2114 of the Code of Virginia.C. Insurers may include any of the following conditions. Insurers may: 1. Restrict the application of the policy to loss during the policy term.2. Void the entire policy (i) if, whether before or after the loss, an insured has willfully concealed or misrepresented any material fact or circumstance concerning the insurance or the interest of the insured in the insurance or (ii) in the case of fraud or false swearing by the insured relating to the insurance.3. Require the insured to notify the police if loss is by theft.4. Require that coverage under the policy is excess over a service agreement, home warranty, or similar service warranty.5. Require that a bailee for hire may not benefit under the policy.6. Elect to waive a policy provision. Any waiver of a policy provision by the insurer must be in writing.7. Exclude coverage, refuse to pay claims, or refuse to provide benefits under a policy if those actions would expose the insurer to a violation of applicable trade or economic sanctions, laws, or regulations, including those administered and enforced by the U.S. Treasury Department's Office of Foreign Assets Control.14 Va. Admin. Code § 5-341-90
Derived from Virginia Register Volume 38, Issue 11, eff. 1/1/2022.Statutory Authority: §§ 12.1-13, 38.2-223, and 38.2-2108 of the Code of Virginia.