A&H Policy ProvisionsQuestion 511 of 716

The mandatory 'payment of claims' provision specifies:

a.The number of days in the elimination period that must elapse after a loss before benefits begin to accrue
b.To whom benefits are paid, generally the insured, with death benefits going to a named beneficiary
c.The dollar amount of premium the insured must pay each month to keep the coverage in force
d.The size of the deductible the insured must satisfy before the policy pays any benefits

Explanation

The payment of claims provision states who receives the benefit money: benefits are ordinarily paid to the insured, while any death benefit under the policy is paid to the designated beneficiary (or the estate if none is named). It does not set the premium, the deductible, or the elimination period, which are addressed elsewhere. This provision ensures there is a clear, contractually defined recipient for each type of benefit.

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PrepPass team · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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