Section 60. Certification

Filings subject to this chapter (14VAC5-110-10 et seq.) shall be accompanied by the appropriate certification. If the score is lower than the minimum required, the insurer may request that the policy form be approved in accordance with 14VAC5-110-70.

To confirm the accuracy of any certification, the Commission may require the submission of further information to verify the certification in question.

VIRGINIA READABILITY COMPLIANCE CERTIFICATION

For use with policy forms submitted on or after July 1, 1982

Name and Address of Insurer _______________________________________

Title of Form __________________________

Policy Form Number _____________

I hereby certify that the Flesch reading ease score of the above policy form is ______. It contains ______ sentences, ______ words and ______ syllables. The type size of the text of the policy forms is ______ point type, ______ point leaded.

I also certify to the best of my knowledge and belief that the policy form is in compliance with Section 38.2-3404 of the Code of Virginia and with the Rules and Regulations for Simplified and Readable Accident and Sickness Insurance Policies adopted pursuant thereto.

______________________________ Signature of an Officer of the Insurer

______________________________ Name (Print)

______________________________ Title

______________________________ Date

VIRGINIA READABILITY COMPLIANCE CERTIFICATION

For use with policy forms filed or approved before July 1, 1982

Name and address of Insurer _____________ _____________ _____________

Listing of Previously Filed or Approved Policy Forms
Title of Form	Form No.	Date Filed or Approved	Flesch Score
_____________	_____________	_____________	_____________
_____________	_____________	_____________	_____________
_____________	_____________	_____________	_____________
_____________	_____________	_____________	_____________
_____________	_____________	_____________	_____________

I hereby certify that the Flesch reading ease scores for the policy forms listed above.

I also certify to the best of my knowledge and belief that the policy forms is in compliance with Section 38.2-3404 of the Code of Virginia and with the Rules and Regulations for Simplified and Readable Accident and Sickness Insurance Policies adopted pursuant thereto.

______________________________ Signature of an Officer of the Insurer

______________________________ Name (Print)

______________________________ Title

______________________________ Date

Historical Notes

Derived from Regulation 18, Case No. INS800061, § 7, eff. January 1, 1977; amended eff. January 1, 1981.

Statutory Authority

§ 38.2-3404 of the Code of Virginia.