[eu]cite

Home› Insurance› VVG (EN)

Part 2 · Individual classes of insurance  ›  Chapter 8 · Health insurance › Section 196

Time limit on daily sickness allowance insurance

(1) It may be agreed in the case of daily sickness allowance insurance that the insurance expires when the insured person reaches the age of 65. The policyholder may demand in such cases that the insurer accept an application to take out a new daily sickness allowance to commence after he or she reaches the age of 65, and to expire when he or she reaches the age of 70 at the latest. The insurer notifies the policyholder of this right in writing six months at the earliest before the insurance expires, enclosing the text of this provision. If the application is made before two months have elapsed after the policyholder reaches the age of 65, the insurer grants the insurance cover without risk assessment or qualifying periods, insofar as the insurance cover is not higher or more comprehensive than under the previous tariff.

(2) If the insurer has not informed the policyholder that the insurance will expire in accordance with subsection (1) sentence 3, and the application is made before the policyholder reaches the age of 66, subsection (1) sentence 4 applies accordingly, whereby the insurance begins when the insurer receives the application. If the insured event has already occurred before the insurer receives the application, the insurer is not obliged to effect payment.

(3) Subsection (1) sentences 2 and 4 apply accordingly if, immediately after an insurance policy is taken out in accordance with subsection (1) sentence 4, or subsection (2) sentence 1, an application for a new daily sickness allowance insurance is made which expires when the policyholder reaches the age of 75 at the latest.

(4) The contracting parties may agree a later age than that set out in the subsections.

←→ also move between sections