The optional provision addressing 'other insurance in this insurer' is concerned with:
Explanation
This optional provision applies when an insured has more than one policy of the same kind with the same insurer; it lets the insurer limit the total benefits payable (often refunding the premium for the excess coverage) so the insured cannot be overinsured and profit from a loss. It does not concern separate life insurance, the deductible, or the elimination period. The provision reflects the principle that health coverage should reimburse loss, not create a gain from duplicate policies.
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Related questions on this topic
- The free-look provision in a health insurance policy allows the policyowner to:
- The insuring clause of a health insurance policy:
- An impairment (exclusion) rider attached to a health insurance policy:
- The mandatory 'notice of claim' provision generally requires the insured to notify the insurer of a claim within:
- Under the 'claim forms' mandatory provision, if the insurer fails to furnish claim forms within a set time (often 15 days) after notice, the insured may:
- The 'proof of loss' mandatory provision typically requires the insured to furnish written proof within:
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