The insuring clause of a health insurance policy:
Explanation
The insuring clause is the insurer's core promise: it states that the insurer will pay benefits for the losses the policy covers and broadly defines the coverage being provided. Listing what is not covered is the function of the exclusions. Setting the premium schedule is a separate provision, and naming the producer is not part of the insuring clause. The insuring clause establishes the fundamental agreement to provide coverage, from which the rest of the policy elaborates.
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Related questions on this topic
- Under the misstatement of age provision in a health policy, if the insured's age was understated on the application, the benefits are:
- A 'probationary period' in a health insurance policy is:
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- An impairment (exclusion) rider attached to a health insurance policy:
- The optional provision addressing 'other insurance in this insurer' is concerned with:
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