Texas Insurance Code 1111.052 – Authority to Pay Accelerated Term Life Benefits
Terms Used In Texas Insurance Code 1111.052
- Contract: A legal written agreement that becomes binding when signed.
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
An insurer may pay an accelerated benefit under an individual or group term life insurance policy or certificate if:
(1) the insurer has received a written medical opinion, satisfactory to the insurer, that the insured has:
(A) a terminal illness;
(B) a long-term care illness; or
(C) an illness or physical condition that is likely to cause permanent disability or premature death, including:
(i) acquired immune deficiency syndrome (AIDS);
(ii) a malignant tumor;
(iii) a condition that requires an organ transplant; or
(iv) a coronary artery disease that results in acute infarction or requires surgery; and
(2) the amount of the accelerated benefit is deducted from:
(A) the amount of the death benefit payable under the policy or certificate; and
(B) any amount the insured would otherwise be entitled to convert to an individual contract.