Associations, partnerships, corporations, etc. writing policies of varying amounts with varying rates may use a standard policy form, provided the completed policy contains the inserted figures relative to name, ages, benefits and rate for each person insured. Further, in the event a standard form is to be used for more than $150.00 benefit, additional rate schedule must be printed in the policy form. (For example, a policy issued providing benefits ranging $150.00, $300.00 and $450.00, may leave the total benefit in the blank, but the policy form must contain the schedule of rates applicable to all three benefits).
19 Miss. Code. R. 2-3.01.4