Health Insurance Policy Provisions
The Notice of Claims provision requires a policyowner to
notify an insurer of a claim within a specified time
Which of these is considered a mandatory provision? -Payment of Claims -Insurance with Other Insurers -Misstatement of Age -Change of Occupation
Payment of Claims
An insured must notify an insurer of a medical claim within how many days after an accident?
20
According to the Mandatory Uniform Policy Provisions, what is the maximum amount of time after the premium due date during which the policy remains in force even though the premium has not been paid?
31 days
After an insured gives notice of loss, what must he/she do if the insurer does not furnish forms?
File written proof of loss
Which of the following statements BEST describes what the Legal Actions provision of an Accident and Health policy requires? -An insured must settle a claim within 60 days after Proof of Loss is submitted -An insured must wait at least 30 days after Proof of Loss has been submitted before a lawsuit can be filed -An insured must wait at least 60 days after Proof of Loss has been submitted before a lawsuit can be filed -An insured must settle a claim within 30 days after Proof of Loss is submitted
An insured must wait at least 60 days after Proof of Loss has been submitted before a lawsuit can be filed
Which health policy clause specifies the amount of benefits to be paid?
Insuring
The clause in an Accident and Health policy which defines the benefit amounts the insurer will pay is called the
Insuring clause