(215 ILCS 5/343) (from Ch. 73, par. 955)
Sec. 343.
Certificate form.
(1) Every burial society shall issue a certificate of membership to
each member, agreeing to pay upon death a specified sum of money not to
exceed $1,000, which specified amount shall not be
diminished during the existence of the contract. The form of certificate
shall be submitted to the Director for his or her approval before the same
shall be issued. Each certificate issued after the effective date of
this Code, shall contain the following provisions, and shall be printed
in clear readable type of uniform size except that the words in capital
letters in the following form may be in larger type:
............, Illinois.
Certificate Number
..................
..............................
(A Burial Insurance Society)
Incorporated under the Illinois Insurance Code.
HEREBY INSURES the life of ...., hereinafter called the Member.
The society hereby agrees to pay to .... Beneficiary, the sum of $....,
upon receipt of due proof of the death of the member, such
payment to be paid only in lawful money of the United States.
This certificate is issued in consideration of the application and
the payment in advance of a first .... premium of .... which maintains
this certificate in force for a period ending .... following its date of
issue, and the payment of a like sum on the .... day of each ....
thereafter during the lifetime of the member.
CHANGE OF BENEFICIARY. The member may change the beneficiary at any
time by giving notice at the principal office of the society.
INCONTESTABLE CLAUSE. This certificate shall be incontestable after
it has been in force during the life-time of the member for 2 years
except for non-payment of premiums provided herein.
GRACE PERIOD. A grace period of 30 days shall be allowed for the
payment of any premium after the first, during which time this
certificate shall be continued in full force. Should the member die
during such grace period, the unpaid premium may be deducted from the
amount otherwise payable. This certificate shall be regarded and
accepted by the society and the member as cancelled and terminated upon
failure to pay any premium before the expiration of the grace period.
REINSTATEMENT. This certificate, after default in payment of any
premium, may be reinstated at the discretion of the Board of Directors
upon the member furnishing to the society satisfactory evidence of good
health and paying the delinquent premiums.
CONTRACT. This certificate and the application therefor, a copy of which
is attached hereto, shall constitute the entire contract with the member.
MISSTATEMENT OF AGE. If the age of the member has been misstated, the
amount payable under the certificate shall be such as the member would
have been entitled to at the true age.
IN WITNESS WHEREOF, the society has caused this certificate to
be signed by its duly authorized officers, on (insert date), which shall be the effective date of this certificate.
.................
(Secretary)
.................
(President)
(2) If the society is operating on an assessment plan, it may
substitute in lieu of the word premium the word assessment in each case
and may substitute in lieu of the consideration clause contained in the
form the following:
This certificate is issued in consideration of the application and
the payment in advance of the first .... assessment and the further
payment of such assessments as may be levied from time to time during
the lifetime of the member.
(Source: P.A. 91-357, eff. 7-29-99.)
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