Disposiciones de Pólizas A&SPregunta 511 de 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
Explicación
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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Preguntas relacionadas de este tema
- Under the 'claim forms' provision, if the insurer fails to furnish claim forms within the required time (usually 15 days) after receiving notice of claim, the insured may:
- The mandatory 'proof of loss' provision generally requires the insured to submit proof of loss within:
- The mandatory 'time of payment of claims' provision requires the insurer to pay claims:
- The mandatory 'physical examination and autopsy' provision gives the insurer the right, at its own expense, to:
- The mandatory 'legal actions' provision prevents an insured from bringing a lawsuit against the insurer until:
- The optional 'change of occupation' provision allows the insurer to adjust benefits or premiums if the insured:
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Revisado por John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verificar)