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https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1401/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1401 - Definitions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1401 - Definitions
No life, endowment, or group or blanket annuity insurance policy shall be issued for delivery in Puerto Rico unless it conforms to one of the following descriptions: (1) A policy issued to an employer, or to the trustees of a fund established by an employer, which employer or trustee shall be deemed the policyholder, t...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1403/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1403 - Standard provisions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1403 - Standard provisions
No policy of group life insurance shall be issued to be delivered in Puerto Rico unless it contains in substance the provisions of §§ 1404–1411 of this title, inclusive, or provisions which in the opinion of the Commissioner are more favorable to the persons insured, or at least as favorable to the person insured and m...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1404/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1404 - Grace period
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1404 - Grace period
A provision that the policyholder is entitled to a grace period of thirty-one days for the payment of any premium due except the first, during which grace period the death benefit coverage shall continue in force, unless the policyholder shall have given the insurer written notice of discontinuance in advance of the da...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1405/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1405 - Incontestability
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1405 - Incontestability
(1) A provision that the validity of the policy shall not be contested, except for nonpayment of premiums, after it has been in force for two years from its date of issue; and that no statement made by any person insured under the policy relating to his insurability shall be used in contesting the validity of the insur...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1406/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1406 - Evidence of insurability
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1406 - Evidence of insurability
A provision setting forth the conditions, if any, under which the insurer reserves the right to require a person eligible for insurance to furnish evidence of individual insurability satisfactory to the insurer as a condition to part or all of his coverage. History —Ins. Code, added as § 14.060 on June 6, 1960, No. 64.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1407/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1407 - Age falsely stated
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1407 - Age falsely stated
A provision specifying an equitable adjustment of premiums or of benefits or of both to be made in the event the age of a person insured has been misstated, such provision to contain a clear statement of the method of adjustment to be used. History —Ins. Code, added as § 14.070 on June 6, 1960, No. 64.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1408/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1408 - Provision to facilitate payment
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1408 - Provision to facilitate payment
A provision that any sum becoming due by reason of the death of the person insured shall be payable to the beneficiary designated by the person insured, subject to the provisions of the policy in the event there is no designated beneficiary, as to all or any part of such sum, living at the time of the death of the pers...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1409/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1409 - Issuance of certificate
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1409 - Issuance of certificate
A provision that the insurer will issue to the policyholder for delivery to each person insured an individual certificate setting forth a statement as to the insurance protection to which he is entitled, to whom the insurance benefits are payable, and the rights and conditions set forth in subdivisions (1), (2) and (3)...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1410/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1410 - Conversion clause
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1410 - Conversion clause
(1) A provision that if the insurance, or any portion of it, on a person covered under the policy ceases because of termination of employment or of membership in the class or classes eligible for coverage under the policy, such person shall be entitled to have issued to him by the insurer, without evidence of insurabil...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-14/1411/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 14 - Group Life Insurance (§§ 1401 — 1411)›§ 1411 - Special form in case of creditors’ and debtors’ insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 14 - Group Life Insurance (§§ 1401 — 1411) › § 1411 - Special form in case of creditors’ and debtors’ insurance
In the case of a policy issued to a creditor to insure debtors of such creditor, the policy shall contain a provision that the insurer will furnish to the policyholder for delivery to each debtor insured under the policy a form which will contain a statement that the life of the debtor is insured under the policy and t...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1601/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1601 - Scope
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1601 - Scope
Nothing in this chapter shall apply to or affect: (1) Any policy of workmen’s compensation insurance or any policy of liability insurance with or without supplementary coverage therein; or (2) any policy or contract of reinsurance; or (3) any blanket or group policy of insurance; or (4) life insurance, endowment or ann...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1602/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1602 - Format of disability policies
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1602 - Format of disability policies
No disability policy shall be delivered or issued for delivery to any person in Puerto Rico unless it otherwise complies with this title, and complies with the following: (1) It shall purport to insure only one person, except as to family expense insurance written pursuant to § 1633 of this title. (2) The style, arrang...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1603/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1603 - Policies issued by domestic insurer for delivery elsewhere
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1603 - Policies issued by domestic insurer for delivery elsewhere
If any policy is issued by a domestic insurer for delivery to a person residing in another state or country, and if the insurance commissioner or corresponding public official of such other state or country has advised the Commissioner in Puerto Rico that any such policy is not subject to approval or disapproval by suc...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1604/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1604 - Standard provisions required; substitutions; captions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1604 - Standard provisions required; substitutions; captions
Except as provided in § 1113 of this title, each such policy delivered or issued for delivery to any person in Puerto Rico shall contain the provisions as specified in §§ 1605–1623 of this title inclusive, in the words in which the same appear; except, that the insurer may, at its option, substitute for one or more of ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1605/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1605 - Entire contract; changes
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1605 - Entire contract; changes
There shall be a provision as follows: Entire contract; changes.— This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be endorsed here...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1606/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1606 - Time limit on certain defenses
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1606 - Time limit on certain defenses
The policy shall contain a provision as follows: Time limit on certain defenses :— (a) After three (3) years from the date of [issuance] of this policy no misstatements (except fraudulent misstatements) made by the applicant in the application for such policy may be used to void the policy or to deny a claim for loss i...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1607/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1607 - Grace period
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1607 - Grace period
There shall be a provision as follows: Grace period.— A grace period ____ (insert a number not less than “7” for weekly premium policies, “10” for monthly premium policies, and “31” for all other policies) days will be granted for the payment of each premium falling due after the first premium, during which grace perio...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1608/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1608 - Reinstatement
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1608 - Reinstatement
There shall be a provision as follows: Reinstatement.— If any renewal premium be not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any producer duly authorized by the insurer to accept such premium, without requiring in connection therewith an application ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1609/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1609 - Notice of claim
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1609 - Notice of claim
There shall be a provision as follows: Written notice of claim must be given to the insurer within twenty days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf of the insured or the beneficiary to the insurer at ____ (i...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1610/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1610 - Claim forms
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1610 - Claim forms
There shall be a provision as follows: Claim forms.— The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within fifteen days after the giving of such notice, the claimant shall be deemed to have...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1611/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1611 - Proofs of loss
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1611 - Proofs of loss
There shall be a provision as follows: Proofs of loss.— Written proof of loss must be furnished to the insurer at its said office in case of claim for loss for which this policy provides any periodic payment contingent upon continuing loss within ninety days after the termination of the period for which the insurer is ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1612/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1612 - Time of payment of claims
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1612 - Time of payment of claims
There shall be a provision as follows: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnities for loss for which this pol...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1613/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1613 - Payment of claims
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1613 - Payment of claims
(1) There shall be a provision as follows: Payment of claims.— Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payments which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective,...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1614/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1614 - Physical examinations and autopsy
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1614 - Physical examinations and autopsy
There shall be a provision as follows: Physical examinations and autopsy.— The insurer, at its own expense, shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death where it i...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1615/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1615 - Civil actions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1615 - Civil actions
There shall be a provision as follows: Civil action.— No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action shall be brought after the expiration of ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1616/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1616 - Change of beneficiary
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1616 - Change of beneficiary
There shall be a provision as follows: Change of beneficiary.— Unless the insured makes an irrevocable designation of beneficiary, the right to change of beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries shall not be requisite to the surrender or assignment of this policy or to ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1617/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1617 - Optional standard provisions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1617 - Optional standard provisions
Except as provided in § 1113 of this title, no such policy delivered or issued for delivery to any person in Puerto Rico may contain provisions respecting the matters set forth in §§ 1618–1628 of this title, inclusive, unless such provisions are in the words in which the same appear in the applicable section; except, t...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1618/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1618 - Change of occupation
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1618 - Change of occupation
There may be a provision as follows: Change of occupation.— If the insured be injured or contracts sickness after having changed his occupation to one classified by the insurer as more hazardous than that stated in this policy or while doing for compensation anything pertaining to an occupation so classified, the insur...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1619/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1619 - Misstatement of age
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1619 - Misstatement of age
There may be a provision as follows: Misstatement of age.— If the age of the insured has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age. History —Ins. Code § 16.190, renumbered as § 16.220 on Mar. 18, 2008, No. 31, § 1, eff. 90 days after ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1620/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1620 - Other insurance in this insurer
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1620 - Other insurance in this insurer
There may be a provision as follows: If an accident or sickness or accident and sickness policy or policies previously issued by the insurer to the insured be in force concurrently herewith, making the aggregate indemnity for ____ (insert type of coverage or coverages) in excess of $ ____ (insert maximum limit of indem...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1621/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1621 - Insurance with other insurers (provision of service or expense basis)
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1621 - Insurance with other insurers (provision of service or expense basis)
(1) There may be a provision as follows: Insurance with other insurers.— If there be other valid coverage, not with this insurer, providing benefits for the same loss on a provision of service basis or on an expense incurred basis and of which this insurer has not been given written notice prior to the occurrence or co...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1622/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1622 - Insurance with other insurers
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1622 - Insurance with other insurers
(1) There may be a provision as follows: Insurance with other insurers.— If there be other valid coverage, not with this insurer, providing benefits for the same loss on other than an expense incurred basis and of which this insurer has not been given written notice prior to the occurrence or commencement of loss, the ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1623/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1623 - Relation of earnings to insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1623 - Relation of earnings to insurance
(a) There may be a provision as follows: Relation of earnings to insurance.— If the total monthly amount of loss-of-time benefits promised for the same loss under all valid loss of time coverage upon the insured, whether payable on a weekly or monthly basis, shall exceed the monthly earnings of the insured at the time ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1624/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1624 - Unpaid premium
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1624 - Unpaid premium
There may be a provision as follows: Unpaid premiums.— Upon the payment of a claim under this policy, any premium then due and unpaid or covered by any note or written order may be deducted therefrom. History —Ins. Code § 16.240.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1625/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1625 - Cancellation
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1625 - Cancellation
There may be a provision as follows: Cancellation.— The insurer may cancel this policy at any time by written notice delivered to the insured, or mailed to his last address as shown by the records of the insurer, stating when, not less than ten days thereafter, such cancellation shall be effective; and after the policy...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1626/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1626 - Conformity with state statutes
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1626 - Conformity with state statutes
There may be a provision as follows: Conformity with state statutes.— Any provision of this policy which, on its effective date, is in conflict with the statutes of the state in which the insured resides on such date is hereby amended to conform to the minimum requirements of such statutes. History —Ins. Code § 16.260.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1627/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1627 - Illegal occupation
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1627 - Illegal occupation
There may be a provision as follows: Illegal occupation.— The insurer shall not be liable for any loss to which a contributing cause was the insured’s commission of or attempt to commit a felony or to which a contributing cause was the insured’s being engaged in an illegal occupation. History —Ins. Code § 16.270.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1628/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1628 - Intoxicants and narcotics
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1628 - Intoxicants and narcotics
There may be a provision as follows: Intoxicants and narcotics.— The insurer shall not be liable for any loss sustained or contracted in consequence of the insured’s being intoxicated or under the influence of any narcotic unless administered on medical prescription. History —Ins. Code § 16.280.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1629/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1629 - Order of certain policy provisions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1629 - Order of certain policy provisions
The provisions which are the subject of §§ 1605–1628 of this title, inclusive, or any corresponding provisions which are used in lieu thereof in accordance with such sections, shall be printed in the consecutive order of the provisions in such sections or, at the insurer’s option, any such provision may appear as a uni...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1630/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1630 - Third party ownership
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1630 - Third party ownership
The word “insured,” as used in this chapter, shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein. His...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1631/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1631 - Requirements of other jurisdictions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1631 - Requirements of other jurisdictions
(1) Any policy of a foreign insurer, when delivered or issued for delivery to any person in Puerto Rico, may contain any provision which is not less favorable to the insured or to the beneficiary than the provisions of this chapter and which is prescribed or required by the laws of the state or country under which the ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1632/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1632 - Age limit
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1632 - Age limit
If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer, or if the insurer accepts a premium after such date, the coverage provide...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1633/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1633 - Family expenses disability insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1633 - Family expenses disability insurance
Family expenses disability insurance, is that provided under a policy issued to an insured member of the family, who will be deemed as the policyholder, covering any two or more eligible members of a family, including husband, wife, dependent children or any children of a specified age which shall not exceed nineteen y...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1634/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1634 - Franchise plan disability insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1634 - Franchise plan disability insurance
(1) Disability insurance on a franchise plan is that issued to: (a) Five or more employees of a common employer, or (b) ten or more members of any bona fide association or labor union, which association or union was formed and exists for purposes other than that of obtaining insurance, and under which such employees or...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1635/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1635 - Incontestability after reinstatement
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1635 - Incontestability after reinstatement
The reinstatement of any policy of noncancellable disability insurance, or of any disability policy containing a provision for incontestability, or a provision of similar nature, delivered or issued for delivery in Puerto Rico while this Code is in effect, shall be contestable only on account of fraud or misrepresentat...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-16/1636/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 16 - Disability Insurance (§§ 1601 — 1636)›§ 1636 - Effective date of standard provision and certain other sections—Two (2)-year periods
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 16 - Disability Insurance (§§ 1601 — 1636) › § 1636 - Effective date of standard provision and certain other sections—Two (2)-year periods
A policy, rider or endorsement, which could have been lawfully used or delivered or issued for delivery to any person in Puerto Rico immediately before the effective date of this Code, may be used or delivered or issued for delivery to any such person within two (2) years after such date. History —Ins. Code § 16.360.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1701/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1701 - Group and blanket disability insurance coverages, authorized
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1701 - Group and blanket disability insurance coverages, authorized
A disability insurer may grant or issue disability insurance coverages under the group or blanket plans, for delivery in Puerto Rico, under the following conditions: (1) The premium rate may be lower than for similar coverages issued individually. (2) Except as provided in § 1702 of this title, the blanket disability i...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1702/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1702 - Uniform provisions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1702 - Uniform provisions
No group and blanket disability insurance policy shall be issued for delivery in Puerto Rico, unless it contains substantially the same provisions of §§ 1703–1708 of this title, inclusive, or provisions that in the judgment of the Commissioner are more favorable to the insured persons, or which are, at least, equally f...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1703/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1703 - Grace period
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1703 - Grace period
The policy shall contain a provision granting the policyholder a grace period of not less than 31 days for the payment of any premium falling due after the first, during which period of grace the disability policy shall continue in force. History —Ins. Code, added as § 17.030 on June 30, 1975, No. 115, p. 345, § 2.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1704/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1704 - Time limit for certain defenses
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1704 - Time limit for certain defenses
The policy shall have a provision reading as follows: “Time limit for certain defenses: (a) two years after this policy is issued no false statement (except fraudulent statements) made by an insured person under the policy may be used to annul the insurance on his person or to deny a claim for loss sustained or for dis...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1705/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1705 - Insurability evidence
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1705 - Insurability evidence
The policy shall contain a provision stipulating the conditions, if any, under which the insurer reserves to itself the right to require a person eligible for insurance to present evidence of individual insurability satisfactory to the insurer. History —Ins. Code, added as § 17.050 on June 30, 1975, No. 115, p. 345, § ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1706/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1706 - Issuance of certificates
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1706 - Issuance of certificates
The policy shall contain a provision stipulating that the insurer shall issue to the policyholder, for delivery to each insured person, an individual certificate stating the protection which the insured person, who will be paid the insurance benefits and the rights and conditions established in subsections (1), (2), (3...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1707/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1707 - Conversion provision
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1707 - Conversion provision
(1) A provision stipulating that if the insurance upon a person covered by the policy ceases due to the termination of his employment or condition as member of a class or classes eligible for coverage under the policy, said person is entitled to an individual disability policy issued by the insurer, without evidence of...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-17/1708/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708)›§ 1708 - Existing policies
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 17 - Group and Blanket Disability Insurance (§§ 1701 — 1708) › § 1708 - Existing policies
No group disability insurance policy, lawfully issued before the effective date of this chapter, shall be affected by the provisions thereof. History —Ins. Code, added as § 17.080 on June 30, 1975, No. 115, p. 345, § 2; June 24, 1977, No. 112, p. 281, § 5, eff. 6 months after June 24, 1977.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1813/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1813 - Scope
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1813 - Scope
(1) Any consumer credit insurance sold or issued with regard to loans or any other credit transaction shall be subject to the provisions of this chapter, except: (a) Insurance subscribed in relation to a credit transaction that is secured by a first mortgage or deed of trust, and made to finance the purchase of real pr...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1814/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1814 - Definitions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1814 - Definitions
(1) Creditor.— Means the lender or the vendor or lessor of goods, or the person who renders services or grants rights or privileges, for which payment is agreed upon through a credit transaction or any successor of the rights, titles or interest of said lenders, vendors, or lessors or persons and any affiliate, associa...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1815/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1815 - Types of consumer credit insurance; who can contract it
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1815 - Types of consumer credit insurance; who can contract it
The types of consumer credit insurance defined in § 1814 of this title, may be underwritten in a separate or combined form in individual policies or in collective policies by insurers licensed to contract insurance pursuant to § 402 of this title, as well as by insurers licensed to contract insurance pursuant to § 403 ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1816/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1816 - Provisions applicable to credit life insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1816 - Provisions applicable to credit life insurance
The following provisions shall apply exclusively to credit life insurance: (1) The insured credit life insurance sum shall not be greater than the original debt. (2) The credit life insurance coverage shall be subscribed so that the amount payable at the time of the death of the insured debtor shall not exceed the net ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1817/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1817 - Provisions that apply to disability credit insurance and unemployment cred...
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1817 - Provisions that apply to disability credit insurance and unemployment credit insurance
The following provisions shall apply to disability credit insurance and unemployment credit insurance: (1) The total number of installment payments payable by the disability credit insurance and the unemployment credit insurance in the case of claims, shall not exceed the aggregate sum of the unpaid periodic installmen...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1818/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1818 - General provisions that apply to consumer credit insurance
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1818 - General provisions that apply to consumer credit insurance
The following provisions shall apply to all consumer credit insurance coverage: (1) For credit insurance offered to and selected by a debtor prior [to] or along with the credit transaction related to the insurance, the term of the insurance shall commence on the date the credit transaction is executed, subject to accep...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1819/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1819 - Disclosure to debtors and provisions of insurance policies and certificate...
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1819 - Disclosure to debtors and provisions of insurance policies and certificates
(1) Before a debtor chooses to purchase consumer credit insurance, with regard to a credit transaction, the insurer who provides this insurance shall furnish the following information, in writing, to the debtor: (a) That the purchase of consumer credit insurance is optional and not a condition to obtain approval of cre...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1820/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1820 - Presentation of models
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1820 - Presentation of models
Any policy form, insurance certificate, printed attachment or consumer credit insurance endorsement form to be delivered or issued for delivery, must be previously presented to the Commissioner and approved by the latter. In addition to the grounds mentioned in § 1112 of this title, the Commissioner may disallow any co...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1821/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1821 - Premiums and reimbursements
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1821 - Premiums and reimbursements
(1) Each insurer that issues consumer credit insurance shall register the lists of the premium rates to be used in relation to said insurance with the Commissioner. The insurers may revise said lists from time to time, and in said case, shall be filed in the Office of the Commissioner. No insurer shall issue any consum...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1822/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1822 - Issuance of policies
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1822 - Issuance of policies
Any consumer credit insurance policy shall be delivered or issued for delivery in Puerto Rico solely by licensed life or disability insurers. History —Ins. Code, added as § 18.110 on Jan. 9, 1999, No. 15, § 2, eff. 90 days after Jan. 9, 1999.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-18/1823/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823)›§ 1823 - Claims
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 18 - Consumer Credit Insurance (§§ 1801-1812 — 1823) › § 1823 - Claims
No agreements shall be made under which a person or organization, other than the insurer or his/her authorized claims representative, shall adjust or settle claims. The creditor shall not be designated as claims representative of the insurer. (1) All claims shall be promptly reported to the insurer or his/her claims re...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1901/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1901 - Title
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1901 - Title
This chapter shall be known as “Health Services Organizations Act” and may be cited as such. History —Ins. Code, added as § 19.010 on June 2, 1976, No. 113, p. 313, § 1.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1902/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1902 - Definitions
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1902 - Definitions
For the purposes of this chapter the following terms shall have the meaning stated below: (1) Health care basic services.— Means the health care services that may be required by the subscribers in order to maintain the best state of physical and mental health, which are contracted for between the subscriber and the org...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1903/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1903 - Authorization required
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1903 - Authorization required
(1) No person may establish or operate a health services organization in Puerto Rico, except as permitted by an authorization granted by the Commissioner provided the applicant complies with the provisions of this chapter and of §§ 331–333p of Title 24. Foreign corporations may request the corresponding certificate of ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1903a/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1903a - Authority and jurisdiction of the Commissioner
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1903a - Authority and jurisdiction of the Commissioner
(1) Aside from any other statutory provisions, and with the exception of what is provided hereinafter, any person, entity or organization which provides any type of coverage in Puerto Rico on a prepaid basis, for expenses for medical-surgical, chiropractic, physical therapy, speech pathology, audiology, mental health, ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1904/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1904 - Issuance of certificate of authority
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1904 - Issuance of certificate of authority
(1) (a) Upon receiving an application for the issuance of a certificate of authority, the Commissioner shall immediately send to the Secretary of Health a copy of said application and of the accompanying documents. (b) In connection with the health care services to be provided by the applicant for a certificate of auth...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1905/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1905 - Powers
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1905 - Powers
(1) The powers of a health services organization shall include, but shall not be limited to: (a) The purchase, lease, construction, renewal, operation, maintenance of hospitals, medical facilities, or both, and related equipment and such property as may be reasonably required for its main office or for such other purpo...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1906/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1906 - Board of Directors
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1906 - Board of Directors
(1) The Board of Directors of any health services organization may include providers, private persons or both. (2) Said Board of Directors shall establish a procedure that will afford the subscribers the opportunity to participate in the direction and operation of the health services organization by establishing adviso...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1907/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1907 - Fiduciary liability
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1907 - Fiduciary liability
Any director, officer or member of a health services organization who receives, collects, disburses or invests funds related to the activities of said organization, shall be fiducially liable for the funds received from the subscribers. History —Ins. Code, added as § 19.070 on June 2, 1976, No. 113, p. 313, § 1.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1908/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1908 - Evidence of coverage and health services fees
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1908 - Evidence of coverage and health services fees
(1) (a) Each subscriber is entitled to an evidence of coverage. If the subscriber obtains coverage through an insurance policy, the insurer shall issue the evidence of coverage. Otherwise, the health services organization shall issue the evidence of coverage. (b) No form of evidence of coverage or any amendment thereto...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1909/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1909 - Annual report
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1909 - Annual report
(1) Each health services organization shall annually render to the Commissioner, with a copy to the Secretary of Health, on or before March 31, a true statement certified by an authorized public accountant and subscribed under oath by two of its main officers, covering the preceding year. Said report shall be made in t...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1910/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1910 - Information to subscribers
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1910 - Information to subscribers
Each health services organization shall annually provide its subscribers, if they so request: (1) Copy of the annual financial statements; (2) a description of the organization and of the operations of the health care plan and a summary of any change occurring since the last report; (3) a description of the services an...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1911/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1911 - Open registry
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1911 - Open registry
(1) After the health services organization has operated for 24 months, it may have an annual subscription period of at least one month during which it may accept new subscribers, to the limit of its capacity, as the health services organization may determine, in the order subscriptions are sought. A health services org...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1912/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1912 - System of complaints
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1912 - System of complaints
(1) (a) Every health services organization shall establish and maintain a complaints procedure approved by the Commissioner upon consultation with the Secretary of Health, which shall establish a reasonable procedure for the prompt solution of complaints filed by any subscriber or provider, and which are related to the...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1913/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1913 - Investments
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1913 - Investments
With the exception of the investments made pursuant to the provisions of clauses (a) and (b) of subsection (1) and subsection (2) of § 1905 of this title, the investment of its funds that may be made by the health services organization shall be made only in securities or other investments permitted by the laws of Puert...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1914/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1914 - Protection against insolvency
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1914 - Protection against insolvency
As a guarantee of compliance with the obligations towards subscribers, providers and creditors, each health services organization shall deposit the amount of six hundred thousand dollars ($600,000) in eligible assets with the Commissioner, as provided by § 802 of this title. History —Ins. Code, added as § 19.140 on Jun...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1914a/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1914a - Deposit requirement; escalator provision
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1914a - Deposit requirement; escalator provision
Every licensed health services organization which maintains a smaller deposit than what has otherwise been required under this Code may continue as such without immediately increasing its deposit, if in each of the four (4) years immediately following the effective date of any increase in the requirement, it increases ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1914b/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1914b - Liabilities
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1914b - Liabilities
In determining a health services organization’s financial situation, it shall be deemed that its assets are impaired in the measure that its liabilities exceed its assets, both of which shall be determined as provided in Sections 5.010–5.110, but including as liabilities, the deposit required by § 1914 or § 1914a of th...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1915/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1915 - Prohibited practices
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1915 - Prohibited practices
(1) No health services organization or its representative may use or permit the use of untrue or deceptive advertisements, applications which are untrue or deceptive, or any form of coverage evidence that is deceptive. For the purposes of this chapter: (a) An informative statement or article may be considered untrue if...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1916/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1916 - Applicability; licenses required; fees
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1916 - Applicability; licenses required; fees
(1) For the purposes of this chapter: (a) Agent.— means a person appointed by a health services organization to carry out soliciting and underwriting activities. (b) Broker.— means a person who for compensation as an independent contractor negotiates in behalf of a subscriber or group of subscribers to obtain or renew ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1917/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1917 - Powers of insurers and hospitals or medical services corporations
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1917 - Powers of insurers and hospitals or medical services corporations
(1) An insurance company authorized in Puerto Rico or a hospital or medical services corporation authorized to do business in Puerto Rico may, either directly or through a subsidiary or affiliate, organize or operate a health services organization under the provisions of this chapter. Notwithstanding the provisions of ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1918/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1918 - Examinations
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1918 - Examinations
(1) For the protection of public interest, the Commissioner may carry out, at least every three years, an examination of the affairs of any health organization and providers with which said organization has contracts, agreements or other arrangements under its plans. (2) For the protection of public interest, the Secre...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1919/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1919 - Suspension or revocation of certificate of authority
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1919 - Suspension or revocation of certificate of authority
(1) The Commissioner may suspend or revoke a certificate of authority issued to a health services organization under this chapter, if any of the following conditions are found: (a) The health organization operates in contravention of its corporate documents, its health care plan, or in any other way contrary to the one...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1920/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1920 - Rehabilitation, liquidation or conservation
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1920 - Rehabilitation, liquidation or conservation
Any rehabilitation, liquidation, or conservation of the organization shall be considered as that of an insurance company and shall be conducted under the supervision of the Commissioner under the provisions of this code on rehabilitation, liquidation or administration of insurance companies. The Commissioner may reques...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1921/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1921 - Administrative procedure
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1921 - Administrative procedure
(1) When the Commissioner believes that reasonable grounds exist to deny an application for a certificate of authority, or that grounds exist for the suspension or revocation of the certificate, he shall notify the organization and the Secretary of Health in writing of the grounds to deny, suspend or revoke and shall f...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1923/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1923 - Additional penalties for violations
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1923 - Additional penalties for violations
(1) In addition to the suspension or revocation of the certificate of authority or in lieu thereof, any organization which violates any provision of this chapter may be imposed the penalties prescribed for the insurers. History —Ins. Code, added as § 19.230 on June 2, 1976, No. 113, p. 313, § 1.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1924/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1924 - Construction of act and relation to other laws
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1924 - Construction of act and relation to other laws
(1) The provisions of the insurance law and the provisions of the law regulating the hospitals and medical services corporations, which have not been excepted, shall govern insofar as applicable to every health services organization to which a certificate of authority is granted hereunder. The preceding provisions shal...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1925/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1925 - Registration and reports as public documents
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1925 - Registration and reports as public documents
Every application for registration and all reports required by this chapter shall be considered as public documents. History —Ins. Code, added as § 19.250 on June 2, 1976, No. 113, p. 313, § 1.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1926/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1926 - Confidentiality of medical information
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1926 - Confidentiality of medical information
Any data or information related to the diagnosis, treatment or the health of any subscriber or applicant obtained by the organization from said person or from any provider shall be deemed confidential and shall not be disclosed to any person except to the extent necessary to carry out the purposes of this chapter; or w...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1927/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1927 - Secretary of Health, authority to contract
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1927 - Secretary of Health, authority to contract
The Secretary of Health, in performing his duties under §§ 1904(1)(b), 1918(2) and 1919(1) of this title may contract with a capable person to advise in connection with the findings he shall make. Such advice may be accepted in whole or in part by the Secretary of Health. History —Ins. Code, added as § 19.270 on June 2...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-19/1928/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 19 - Health Services Organizations (§§ 1901 — 1928)›§ 1928 - Health services organizations
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 19 - Health Services Organizations (§§ 1901 — 1928) › § 1928 - Health services organizations
All authorization certificates issued to health services organizations shall continue to be in effect until their expiration, but subject to the payment to the Commissioner of the annual fees set forth in § 701 of this title prior to midnight on the date of expiration. History —Ins. Code, added as § 19.271 on Mar. 27, ...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-20/2001/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 20 - Casualty Insurance (§§ 2001 — 2004)›§ 2001 - Insurer’s liability
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 20 - Casualty Insurance (§§ 2001 — 2004) › § 2001 - Insurer’s liability
The insurer issuing a policy insuring any person against loss or damage through legal liability for bodily injury, death, or damage to property of a third person, shall become liable whenever a loss covered by the policy occurs, and payment of such loss by the insurer to the extent of its liability therefor under the p...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-20/2002/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 20 - Casualty Insurance (§§ 2001 — 2004)›§ 2002 - Retroactive annulment
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 20 - Casualty Insurance (§§ 2001 — 2004) › § 2002 - Retroactive annulment
No insurer shall retroactively annul any liability insurance policy by any agreement between the insurer and insured after occurrence of any injury, death, or damage to a third person for which the insured may be liable, and any such annulment attempted shall be void. History —Ins. Code § 20.020.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-20/2003/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 20 - Casualty Insurance (§§ 2001 — 2004)›§ 2003 - Suits against insured, insurer
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 20 - Casualty Insurance (§§ 2001 — 2004) › § 2003 - Suits against insured, insurer
(1) Any individual sustaining damages and losses shall have, at his option, a direct action against the insurer under the terms and limitations of the policy, which action he may exercise against the insurer only or against the insurer and the insured jointly. The direct action against the insurer may only be exercised...
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-20/2003a/
PR
Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 20 - Casualty Insurance (§§ 2001 — 2004)›§ 2003a - Legal defense by the insurer
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 20 - Casualty Insurance (§§ 2001 — 2004) › § 2003a - Legal defense by the insurer
At the request of the insured that the insurer provide him/her the legal defense provided in the policy, the insurer shall have to respond, in accordance with § 2716b of this title, whether or not the insurer shall provide said legal representation. History —Ins. Code, added as § 20.040 on Dec. 12, 2007, No. 186, § 3.
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-1/chapter-20/2004/
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Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 1 - Insurance Generally (§§ 101 — 4513)›Chapter 20 - Casualty Insurance (§§ 2001 — 2004)›§ 2004 - Liability insurance on public bodies
2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 1 - Insurance Generally (§§ 101 — 4513) › Chapter 20 - Casualty Insurance (§§ 2001 — 2004) › § 2004 - Liability insurance on public bodies
(1) The obtaining of liability insurance by the Commonwealth of Puerto Rico, its agencies or entities, and by municipalities and other political subdivisions, shall not constitute or be deemed to constitute a waiver of governmental immunity, if any, from liability for actions or omissions in which there were torts comm...