The Vermont Statutes Online
The Vermont Statutes Online have been updated to include the actions of the 2023 session of the General Assembly.
NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.
Title 8 : Banking and Insurance
Chapter 125 : Nonprofit Medical Service Corporations
(Cite as: 8 V.S.A. § 4585)-
§ 4585. Required contract provisions
Contracts entered into by a medical service corporation shall be in writing, one copy of which shall be furnished to the subscriber. The contract shall contain the following provisions:
(1) A statement of the amount payable to the corporation by the subscriber and the manner in which such amount is payable.
(2) A statement of the nature of the services to be furnished and the period during which they will be furnished and if there are any services to be excepted, a detailed statement of the exceptions printed as specified in section 4586 of this chapter.
(3) A statement of the terms and conditions upon which the contract may be canceled or otherwise terminated at the option of either party.
(4) A statement that the contract includes the endorsements thereon and attached papers, if any, and contains the entire contract for services.
(5) A statement that no representation by the subscriber in an application shall void the contract or be used in any legal proceeding under the contract unless such application or an exact copy of the application is included in or attached to the contract, and that no agent or representative of the corporation other than an officer or officers designated in the contract is authorized to change the contract or waive any of its provisions.
(6) A statement that if the subscriber defaults in making any payment under the contract, the subsequent acceptance of a payment by the corporation or by any of its duly authorized agents shall reinstate the contract but, with respect to sickness and injury, only to cover such sickness as may be first manifested more than 10 days after the date of such acceptance.
(7) A statement of the period of grace that will be allowed the subscriber for making any payment due under contract. The grace period shall be not less than 10 days.
(8) A statement that the subscriber shall be entitled to engage the services of a physician or surgeon of the subscriber’s choosing to perform services covered by the contract, provided that the physician or surgeon is licensed by the State Board of Medical Practice and agrees to be governed by the bylaws of the corporation with respect to payment of fees for the physician’s or surgeon’s services. (Amended 2021, No. 105 (Adj. Sess.), § 215, eff. July 1, 2022.)
