Which clause in a health policy specifies the amount of benefits to be paid?

Study for the New York Life, Accident, and Health Test. Use flashcards and multiple choice questions, each accompanied by hints and explanations. Get prepared for your exam success!

The insuring clause in a health policy is critical as it defines the scope of the coverage and specifies the amount of benefits that will be paid to the insured in the event of a covered loss. This clause articulates the insurer's commitment to provide coverage and outlines the circumstances under which benefits will be provided, including the specific monetary limits for various types of claims.

In contrast, the exclusion clause identifies circumstances or conditions under which the insurer does not provide coverage, while the grace period clause allows the policyholder a specified amount of time to pay overdue premiums without losing coverage. The renewal clause, on the other hand, deals with the terms under which a policy can be renewed at the end of its term. Understanding these distinctions helps clarify the role of each clause in a health insurance policy.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy