Chapter 17-Uniform Individual Health Provisions Flashcards
required by the state because the protect the public from the company
Required Provision
protect the insurance company from the insured but not required
Optional Provision
the entire policy itself, the application and any attachments
Entire Contract & Changes
gives the insurance company 2 years to challenge or contest the information on the application before it becomes incontestible
Time Limit on Certain Defenses
31 day period the insured has to pay the premium after due
Grace Period
after lapse; the company can charge no more than 60 days back premium; insurer has 45 days to accept or reject application; insurer can place a 10 day waiting period for sickness
Reinstatement
insured given at least 20 days to inform the insurer of a claim or as soon as reasonably possible
Notice of claim
insurer has ______ days to provide claim forms to the insured once notice of claim is received
15
insured has 90 days after the date of loss to submit
Proof of Loss
claims must be paid within ______days
60 (time of payment of claims)
specifies to whom the claims should be paid
Payment of claims
allows the insurer the right and opportunity to examine the insured at their expense
Physical Exam & autopsy
insured must allow the insurer 60 days after filing a written proof of loss, before any action can be instigated against the insurance company
Legal Action
the right designate and change the beneficiary designation
Change of Beneficiary
written to protect the insurer in the event that the insured changes occupation while the policy is in effect
Change of Occupation
