"Accident and Sickness Policy" Defined; Applicability of Chapter

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  1. As used in this chapter, the term "accident and sickness policy" means any policy insuring against loss resulting from sickness or from bodily injury or death by accident, or both, or any contract to furnish ambulance service in the future.
  2. Nothing in this chapter shall apply to or affect:
    1. Any policy of workers' compensation insurance or any policy of workers' insurance or any policy of liability insurance with or without supplementary expense coverage on the policy;
    2. Any policy or contract of reinsurance;
    3. Any policy, the renewal of which is subject to continuation of employment with a specified employer, or any blanket or group policy of insurance, or any policy issued pursuant to the exercise of conversion privileges provided for in group insurance policies; or
    4. Life insurance, endowment or annuity contracts, or contracts supplemental thereto which contain only such provisions relating to accident and sickness insurance which provide additional benefits in case of death or dismemberment or loss of sight by accident, or which operate to safeguard such contracts against lapse or give a special surrender value or special benefit or an annuity in the event that the insured or annuitant becomes totally and permanently disabled as defined by the contract or supplemental contract.

(Code 1933, § 56-3001, enacted by Ga. L. 1960, p. 289, § 1; Ga. L. 2019, p. 386, § 85/SB 133.)

The 2019 amendment, effective July 1, 2019, added "or" at the end of paragraph (b)(3), substituted a period for a semicolon at the end of paragraph (b)(4), and deleted former paragraphs (b)(5) and (b)(6), which read: "(5) Companies, organizations, or associations provided for in Chapters 18 and 19 of this title; or

"(6) Any policy of accident, sickness, or hospitalization insurance issued prior to January 1, 1961."

Cross references.

- Accident and sickness insurance, § 33-7-2.

RESEARCH REFERENCES

Am. Jur. 2d.

- 43 Am. Jur. 2d, Insurance, §§ 7 et seq., 559 et seq.

C.J.S.

- 46 C.J.S., Insurance, § 1234 et seq.

ALR.

- Accident insurance: when insured deemed to be totally and continuously unable to transact all business duties, 24 A.L.R. 203.

Infection through boil, or similar condition, as an accident or accidental means within accident policy, 24 A.L.R. 730.

Construction of provision in accident insurance policy in relation to injury incident to robbery, burglary, etc., 36 A.L.R. 1124; 46 A.L.R. 1083.

Accident and disability insurance: when insured deemed to be totally and continuously unable to transact all business duties, 37 A.L.R. 151; 41 A.L.R. 1376; 51 A.L.R. 1048; 79 A.L.R. 857; 98 A.L.R. 788; 39 A.L.R.3d 1026.

Provision in policy of life or accident insurance as to "self-destruction," "death by own hand," and other forms not employing term "suicide," as applicable to death by accident, 37 A.L.R. 1088.

Statute precluding defense of suicide as applied to accident insurance, 41 A.L.R. 1523.

Insurance: death or injury resulting from insured's voluntary act as caused by accident or accidental means, 45 A.L.R. 1528, 71 A.L.R. 1437, 111 A.L.R. 628.

Group insurance, 55 A.L.R. 1245.

Accident insurance as life insurance within exemption law, 111 A.L.R. 61.

What constitutes bodily injury within policy of accident insurance or accident feature of life policy, 117 A.L.R. 739.

Right to compensation under Workmen's Compensation Act as affected by pension, insurance, gratuities, or other benefits derived from the act itself, 119 A.L.R. 920.

Insurance: "accidental means" as distinguishable from "accident," "accidental result," "accidental death," "accidental injury," etc., 166 A.L.R. 469.

Liability under accident policy, or accident feature of life policy, for injury or death from freezing or exposure to cold, 4 A.L.R.3d 1177.

Liability insurance: "accident" or "accidental" as including loss resulting from ordinary negligence of insured or his agent, 7 A.L.R.3d 1262.

Heart attack following exertion or exercise as within terms of accident provision of insurance policy, 1 A.L.R.4th 1319.

Accident insurance: death or disability incident to partaking of food or drink as within provision as to external, violent, and accidental means, 29 A.L.R.4th 1230.

What constitutes medical or surgical treatment, or the like, within exclusionary clause of accident policy or accidental-death feature of life policy, 56 A.L.R.5th 471.

When is medical expense "incurred" under policy providing for payment of medical expenses incurred within fixed period of time from date of injury, 65 A.L.R.5th 649.


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