Eagle River review. [volume] (Eagle River, Wis.) 1890-1927, 1913-08-29

policy. but only to cors. ~ 10 s -
aeIaA injury thereafter sl,sts, ssuang from acci-
/ tha ..-os 20 II default be rnada /, j.
acceptance Of TOT this policy the
Int nni ausnor1zed agents shall re,nt y ~ any Of
than ten DAYS aft s4 , sickness may begin mo
M ,-lS] # default be made s' =, acceptance
accet sseu premium for this nol,c ne, payment OF
of its duly bbnsnum by The insurer or n @
policy Int aulnorized agents shall re,pstt y any any
sstai,sd ~ ony to cover accidental n r.ns,ale the
than ten DAYS oftsr i, SICKNESS as may begin more
| "a, a.s., i.sI Inc date Of such acceptance ''0A
~ aI. a standard provision relattva ~ 60.
lain which may be in either ~ ~ te Of notice
insure oniv m tAl to be used in polices yrt;,,
s ue USED IN policies which tns,,ra i form OBJ
ybi, tsss and Form (C) to be 1lsed 20 lss
sickness r. against loss from both accident snS
srutec may at It's option add thereto th sru inc
notice tbareos ssent OF accidental death immed,at
tA):--fD W Witt e gwen 70 the insurer
twenty dsS must be given to the insurer vih;-
such ;n, mays after the date Of the accidenf
| claim ma Written notice Of sickness on vb,ch
wtthir . Oe based must be given to ,ba ,,
bity from s,sb the commencement Of the diss
on which written notice OF injury or Of schns.s
ins,rar lain may be based must be rjven ~ ~
eiuent causing such injury or w,tbs ~ y lie &C.
Tsl oiiencement OF disability from such sickness
notice Of provision relative to suaciency Of
form ~ lam which shall be in one Of the foowin
I ana IN which the insurer shah ,nssrt TN ~ IN" an,
desire to destgna4 uLlce ana Its location it may
- ealsnate Tor such purpose Of notice.
| tAl-t5) Such notice given NV 4 =, -
the i nsre OF beneficiary, the case may be to
Of the ;ns or to any authorized agent
tb Insurer with particulars sufficient TO identisv
me sns insured shall be deemed to he notca ~ az
49, allure TO give notice within the time nrc
II II sbl, 'ns poncy shall not invaldate any claim
shIs l De snown not to have been reasonably nos
stoie 70 give such notice and that notice was oys
. fR TSOn as was g, reasonably possible
inserting in Lieu OF the words ..anv su,hor4e9
asen. o. tne insurer" the following
agent OF the insurer at rd :. ~ :. anu, z
the blank before the word agent With ana y ming
.h name OF an agent and by filling the blank After
eas woEo at with post-ofAce address both tn h
oua4eAI 10 assure the delivery Of mail to slch s0ert
l0l A standard provision relative t. fSlrn,sbins
TOT the convenience Of the insured in submttinr
PROOF OF loss follows: - s
(6l The insurer upon RECENT NJ .,ct $3.50. -,
sulasn 70 tne Claimant such forms as are usually
furnished by 1t Tor filing proofs OF loss II such forms
are not so furnished within fifteen DAVIS after the 70
ceipt OF such notice the claimant shall be deemed IN
nave complied with the requirements Of this polirv
as to proof Of loss upon submitting within the tis
Aeu LII the policy FOR filing proofs Of loss written
proof covering the occurrence character and extent
ol 1 ine loss for which claim is made
W a standard provision relative to filing proof OF
Joss which shall be In such one Of the following
loFms as may be appropriate to the indemnities pro-
| tA):-(7) Affirmative proof Of loss mist i. az
nished to the insurer its said office within ninety
Gays afer the date Of the loss for which claim is
| (BlE(7) Affirmative proof Of loss must be fur
sneo 70 tne insurer at its said Office within ninety
Gays sIter the termination Of the period OF disa-
DlnV TOT which the company Is liable
tC):-U) Affirmative proof Of loss must be fur
nshed to the insurer at its said office in case Of
days after the termination of the period for which the
insurer Ia liable and in Of claim for any other
loss wlnln ninety days after the date Of such loss
(Sl standard provision relative to examination
OF the person Of the insured and relative autopsy
which shall be in the following form:
| (8 The insurer shall have the right and opnor-
tunity to examine the person the insured when and
| so often it may reasonably require during the
tendency of claim hereunder and also the right and
| opportunity to make autopsy In case Of death
where it is not forbidden by law.
49, standard provision relative 10 the time with
In which payments other than those for loss Of time
on account Of disability shall be made. which pro-
vision be In either OF the following two forms
and which be omitted from any policy providing
only Indemnity for loss Of time account Of disa-
bility The insurer shall insert In the blank space
either the word Immediately, or appropriate Lam
guage to designate such period of time not more
than sixty days. as 1t desire; Form (A) to be
used IN policies which do not provide indemnity for
loss Of time account Of disability and Form tBl
to be used in policies which do provide
Al;-ts) All indemnities provided in this policy
WI Oe pald Al after receipt o. t due proof
for loss other than that of time account Of dis
of proof.
QO) standard provision relative to periodical
payments of indemnity for loss OF time Of
disability. which provision shall be In the following
FORM and which may be omitted from any policy not
providing for such indemnity The insurer shall In
sert in the first blank space Of the form. appropriate
language to designate the proportion Of accrued In
demIdty 1t may desire TO pay which proportion may
be all any not less than half. and In the
second blank space shall insert period Of time
not exceeding sixty days;
| (1O) Upon request Of the insured and subject to
due proof OF loss accrued indemnity
for loss Of time account Of disability will be paid
tinuance Of the period for which insurer liable and
any balance remaining unpaid at the termination Of
such period viii be paid Immediately upon receipt Of
due proof
QD standard provision relative to indemnity
payments which may in either OF the following
forms: Form A) to be used In policies which desig
nate beneficiary and Form (B) to be used in
policies which do not designate any beneficiary other
{A):-(1D Indemnity for loss Of life Of the In
sured is payable to the beneficiary surviving the
insured and otherwise the estate Of the insured.
All other indemnies Of this policy are payable TO the
insured.
ODD All the indemnihes Of this policy are
(12) standard provision providing for cancella-
ton Of the policy the instance of the insured which
shall be in the following form:
(12) II the insured shall at any time change his
occupation to classified by the insurer as less
hazardous than that in the policy the insurer
upon written request of the insured and surrender Of
the policy. will cancel the same and Will return 70
the insured the unearned premium.
(I3) standard provision relative 70 the rights
of the beneficiary under the policy which shall be In
the following form and which may be omitted from
al
(l3) Consent OF the beneficiary SHAH not be
requisite to surrender assignment OF this policy
or to change Of beneficiary or to any other changes
in the policy.
GAY A standard provision limiting the time within
which suit may be brought the policy as follows
14) No action at law in equity shall be brought
TO recover on this policy prior TO the expiration OF
sixty days after proof Of loss has been filed In accord
ance with the requirements of this policy nor sna
such action be brought at all unless brought WITHIN
two years from the expiration OF the time within
which proof of loss is required by the policy
f5l A standard provision relative to time nmlta-
lions OF the policy as follows; ~.
Q5l If any time limitation Of this policy Win
resnect to giving notice OF claim or furnishing proof
Of loss is less than that permitted by the law OF the
state in which the insured resides at the time tnis
nolicy is issued such limitation is hereby EXTENDED
10 agree with the minimum period permitted by such
law su.sd
vbieh contains any provision ~ relative to cancel
ation at the instance Of the insurer t2l limiting
the amount of indemnity to sum less than the
amount stated in the policy and for which the pre-
Mum has been paid or. tS providing for the de-
d,Iction OF any premium from the amount pa1u n
settlement Of claim; "a relative 70 otner IN
srance by the same insurer: or, 5 relative % .ne
are limits Of the policy; unless such provisions Wmc
arc hereby designated optional standard PROVISIONS
shall he in the words and in the order IN winch tney
are hereinafter set forth, but the insurer may at us
ont;on omit from the policy any such oplonal stanu
ara nroyison Such optional standard PROVISIONS II
inserted in the policy shall Immediately succeed tne