Health Insurance Policy Provisions

According to the entire contract provision, the entire contract includes all of the following EXCEPT:

• the insurance policy

• the premium payment

The policy become INCONTESTABLE after

• 2 years

• 3 years

All insurance policies may be canceled at any time by:

• the insurer (the company) only

• the insured (the person paying premiums) only

Normally, written proof of loss must be furnished within how may days after the loss?

• 30

• 90

If there is no beneficiary listed on a policy, benefits will be paid to:

• the state

• the insured's estate

When Betty purchased he insurance policy, her age was recorded as 32 when she was actually 34. Assuming her policy includes the misstatement of age provision and the insurance company discovers this 4 years later, Betty's policy:

• limits will be lowered because she has been paying lower premiums

• limits will be raised

If a policyholder has two or more policies from different companies that cover the same expenses and the insurers were not notified that the other coverage existed, each insurer will:

• pay the claims regardless, as long as the premiums have been paid

• pay a proportionate share of any claim

If a policy includes the provision on "conformity" with state statutes, and the state changes the law to be in conflict with another provision of the policy:

• the policy will automatically be void

• the provision will automatically be amended to conform to the minimum requirement of statues.

A pro rata return is one in which the insurer returns

• all of the unearned premium

• some of the unearned premium

Mike allows his policy to lapse, then applies for reinstatement using the company's required application. The company does not inform Mike either that the policy has been accepted or that the policy is being rejected. At what point can Mike consider the policy reinstated?

• Not until the insurer notifies him that the policy has been reinstated

• 45 DAYS