Page:United States Statutes at Large Volume 48 Part 1.djvu/1194

 1168 73d C ONGRESS. SESS. II. CH. 672 . JUNE 19, 1934 . the company will pay only such portion of the indemnities provided in t he pol icy as the premiu m paid would have purch ased a t the rate but within the limits so fixed by the company for such more hazardous occupation. St ate pre mis ing If the law of the State, in which the insured resides at the time rates and classification this policy is issued, requires that prior to its issue a statement of of risks . the premium rates and classification of risks pertaining to it shall be filed with the State official having supervision of insurance in such State, then the premium rates and classification of risks men- tioned in this policy shall mean only such as have been last filed by the company in accordance with such law, but if such filing is not required by such law then they shall mean the company's premium rates and classification of risks last made effective by it in such State prior to the occurrence of the loss for which the company is liable. Change in contract. (2) A standard provision relative to changes in the contract, which shall be in the following form 2. No statement made by the applicant for insurance, not included herein, shall avoid the policy or be used in any legal pro- ceeding hereunder. No agent has authority to change this policy or to waive any of its provisions. No change in this policy shall be valid unless approved by an executive officer of the company and such approval be endorsed hereon. Reinstatement. (3) A standard provision relative to reinstatement of policy after lapse which may be in either of the three following forms : Form (A) to be used in policies which insure only against loss from acci- dent ; form (B) to be used in policies which insure only against loss from sickness ; and form (C) to be used in policies which insure against loss from both accident and sickness. Acce ptan ce of pre - mium after default . (A) 3. If de fault be made in the paymen t of the agre ed premium . for this policy, the subsequent acceptance of a premium by the com- pany or by any of its duly authorized agents, shall reinstate the policy, but only to cover loss resulting from accidental injury thereafter sustained. (B) 3. If default be made in the payment of the agreed premium for this policy, the subsequent acceptance of a premium by the com- pany or by a ny of its dul y authorized agents shall r einstate the policy but onl y to cover su ch sickness a s may begin mo re than ten days after the date of such acceptance. (C) 3. If de fault be made in the paymen t of the agre ed premium for this policy, the subsequent acceptance of a premium by the com- pany or by any of its duly authorized agents shall reinstate the policy but only to cover accidental injury thereafter sustained and such sickness as may begin more than ten days after the date of such acceptance. Ti me of notic e of (4) A standard provision relative to time of notice of claim, which clam. may be in either of the three following forms : Form (A) to be used in policies which insure only against loss from accident ; form (B) to be used in policies which insure only against loss from sick- ness ; and form (C) to be used in policies which insure against loss from both accident and sickness. If form (A) or form (C) is used the company ma y at its opti on add theret o the followin g sentence " In event of accidental death immediate notice thereof must be given to the company ." (A) 4. Written notice of injury on which claim may be based must be given to the company within twenty days after the date of the accident causing such injury. (B) 4. Written notice of sickness on which claim may be based must be given to the company within ten days after the commence- ment of the disability from such sickness.