Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
The conditions , times, and cirumstances under which an insured is NOT covered by a health policy are called? |
exclusions |
|
the insurer has the option of terminating a health insurance policy on a date stated in the contract . What type of policy is this? |
optionally renewable |
|
Under a health insurance policy, the provision that states the kind of benefits provided and the circumstances under which they will be paid is called the ? |
insuring clause |
|
The misstatement of age provision in a health policy states that if an insured gives the wrong age at the time of application, what action can the insurance company take ? |
benefits can be adjusted |
|
which type of health insurance policy cannot be cancled by the insurer nor increase the premiums ? |
noncancellable |
|
under a noncancallable health insurance policy, an insurer can |
cancel the policy for nonpayment of premium |
|
Under the payment of claims provision , when are benfits typically payable after proof of loss is recieved |
immediately |
|
what type of changes can be made to a guaranteed renewable health insurance policy ? |
the premium rates of the policyowner |
|
Bruce is involved in an accident and becomes totally and permately diabled. His insurance plicy continues in force without payment of further premiums. Which policy provision is repsonsible for this? |
wavier of premium proivison |
|
which is not required unifrom provision in indivdual health polices ? |
change of occupation |
|
christine has a health insurance policy that has been in force beyond the incontestable period. The insuer has discovered that a fradulent statemnt was made on the application. What would the insurer have to pay on a claim, assuming this was'nt a guaranteed renewable policy? |
nothing |
|
A health insurance policy paid on a quarterly basis has a grace period of |
31 days |
|
In whatsituation does a waiver of premium provision keep a health insurance policy in force without premium payments ? |
when an insured becomes totally diabled |
|
In group health care, what is the purpose of the coordination of benefits provision? |
determines what is paid by the primary and secontary insurers is the event of a claim |
|
This MANDATORY health policy provision states that the policy, including endorsements and attched papers, constitues |
the entire contract provision state the policy, including endorsements and attached papers, constitutes the entire insurance contract between the parties . |