3.10. Waivers. - All insurance policies subject to this rule, written after February 28, 1983, shall include mine subsidence insurance UNLESS waived in writing by the policy holder. Insurance Companies shall retain a copy of each signed waiver for a period of five years from the date of the waiver. The Board recommends the following waiver clause be used: WAIVER OF INSURANCE
I (we) do not desire Coal Mine Subsidence Insurance coverage and hereby waive any right to such coverage, under this policy or any future policy concerning my (our) interest in the property described in the policy (in the application), unless I (we) request Coal Mine Subsidence Insurance coverage, in writing, at some future date.
Signature of Named Insured(s)
Policy Number (If Renewal)
Date Signed
3.11. Exclusion. --Insurance companies holding a signed waiver under the date of the previous rule, April 1, 2007, will not be required to obtain a new waiver, and waivers shall not be required on property located in the following fifteen (15) counties: Berkeley, Cabell, Calhoun, Hampshire, Hardy, Jackson, Jefferson, Monroe, Morgan, Pendleton, Pleasants, Ritchie, Roane, Wirt or Wood.