<?xml version="1.0" encoding="ISO-8859-1"?><section number="31A-22-609"><histories><history>Amended by Chapter <modchap sess="2005GS">78</modchap>, 2005 General Session</history><modyear>2005</modyear></histories><catchline>Incontestability for accident and health insurance.</catchline><subsection number="31A-22-609(1)"><subsection number="31A-22-609(1)(a)">
A statement made by an applicant relating to the person's insurability, except fraudulent misrepresentation, may not be a basis for avoidance of a policy, coverage, or denial of a claim for loss incurred or disability commencing after the coverage has been in effect for two years.</subsection><subsection number="31A-22-609(1)(b)">
The insurer has the burden of proving fraud by clear and convincing evidence.</subsection></subsection><subsection number="31A-22-609(2)">
Except as provided under Section <xref depth="3" refnumber="31A-22-605.1" start="0">31A-22-605.1</xref>, a claim for loss incurred or disability commencing after two years from the date of issue of the policy may not be reduced or denied on the ground that a disease or physical condition existed prior to the effective date of coverage, unless the condition was excluded from coverage by name or specific description in a provision that was in effect on the date of loss.</subsection><subsection number="31A-22-609(3)">
Except as provided in Subsection <xref depth="4" refnumber="31A-22-609(1)(a)" start="0">(1)(a)</xref>, a specified disease policy may not include wording that provides a defense based upon a disease or physical condition that existed prior to the effective date of coverage except as allowed under Subsection <xref depth="4" refnumber="31A-22-605.1(2)" start="0">31A-22-605.1(2)</xref>.</subsection></section>
