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DC Life & Health: Life Insurance Policy Provisions, Options and Riders

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Life Insurance Policy Provisions, Options and Riders

Mandatory provisions

The insuring clause states the insurer's promise; the entire contract clause limits the agreement to the policy plus the application; consideration is the premium and the application statements; the free look (commonly 10 days in DC) allows surrender for a full refund; ownership rights belong to the owner.

Core protections

  • Incontestability: after two years the insurer cannot contest the policy for misrepresentation (except nonpayment of premium).
  • Grace period: typically 30–31 days after a due date; the policy stays in force, and a claim is paid minus the overdue premium.
  • Reinstatement: normally within three years, requiring proof of insurability and payment of overdue premiums with interest. A reinstated policy restarts the contestable and suicide periods.
  • Misstatement of age or sex: the benefit is adjusted to what the premium would have purchased - the policy is not voided.
  • Policy loans: the insurer charges interest; unpaid loans plus interest reduce the death benefit.
  • Suicide clause: typically two years, limited to premium refund.

Settlement and dividend options

Settlement: lump sum, life income, life with period certain, fixed period, fixed amount, interest only. Beneficiary rules: primary, contingent, per stirpes vs per capita, common disaster, spendthrift.

Riders

Waiver of premium, disability income, guaranteed insurability, payor (juvenile), child term, accidental death (double indemnity), accelerated death benefit, long-term care, return of premium. Riders may add cost and may be limited by age or amount.

Traps

  • Misstatement of age adjusts the benefit; material misrepresentation within the contestable period may rescind.
  • A policy loan is not taxable income, but lapse with outstanding loan creates taxable gain.
  • Waiver of premium usually has a waiting period (e.g., six months) and pays premiums, not cash to the insured.