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65A.36 Underwriting.

Subdivision 1. Agents are not permitted to bind coverage. The facility shall issue a policy if the risk meets preliminary underwriting requirements. The facility may request an inspection report to obtain further underwriting information. If the inspection reveals that the applicant is not eligible for the coverage applied for, the facility shall inform the applicant within 59 days of the inception of the policy that the policy will be rescinded under section 65A.01, subdivision 3, paragraph (b), or canceled under section 65A.38. If the applicant is eligible for other coverage provided by the facility, the facility will replace the rescinded or canceled policy with a policy providing coverage for which the applicant is eligible.

Before the 60th day after the inception of the policy, the facility shall advise the applicant that:

(a) The risk is acceptable with or without a condition charge. If a condition charge applies, the facility will tell the insured what improvements are necessary in order to remove the charge;

(b) The risk is not acceptable unless improvements noted by the facility are made by the applicant and confirmed by the facility; or

(c) The risk is not acceptable for the reasons stated by the facility.

Subd. 2. If the risk is accepted, an invoice will be delivered to the applicant requiring payment of the premium amount. After receipt of the invoiced premium, the facility shall issue an insurance policy to the applicant within five business days.

Subd. 3. In the event a risk is declined because it fails to meet reasonable underwriting standards, the applicant shall be so notified. Reasonable underwriting standards shall include, but not be limited to, the following:

(a) Physical condition of the property, such as its construction, heating, wiring, evidence of previous fires, or general deterioration;

(b) Its present use or housekeeping such as vacancy, overcrowding, storage of rubbish, or flammable materials;

(c) Other specific characteristics of ownership, condition, occupancy, or maintenance which are violative of public policy and result in increased exposure to loss.

Neighborhood or area location or any environmental hazard beyond the control of the property owner shall not be deemed to be acceptable criteria for declining a risk.

Subd. 4. In the event that a risk is declined on the basis that it does not meet reasonable underwriting standards, or the coverage will be written on condition that the property be improved, the facility shall, within five business days, send copies of the inspection report to the applicant and the commissioner, and shall advise the applicant of the right to and the procedure for an appeal to the governing board and to the commissioner.

Subd. 5. The facility must within five business days of the receipt of a completed application advise the applicant that the risk has been declined, the risk has been accepted, or that the risk meets preliminary underwriting standards and a policy has been issued.

HIST: 1969 c 483 s 6; 1986 c 444; 1993 c 248 s 9; 1999 c 120 s 7,8

Official Publication of the State of Minnesota
Revisor of Statutes