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Florida Life Insurance Health Provisions
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Florida Life Insurance Health Provisions
- The Notice of Claims provision requires a policyowner to
Answer: notify an insurer of a claim within a specified time
- An insured must notify an insurer of a medical claim within how many days after an
accident?10
Answer: 20
- Which of the following health insurance policy provisions specifies the health care services
a policy will provide?
Answer: Insuring clause
- Which health policy clause specifies the amount of benefits to be paid?
Answer: Insuring
- An insurer receives proof of loss for an acceptable medical expense claim under an
Individual Health Insurance Policy. Under the Time of Payment of Claims provision, the insurer MUST pay the benefits
Answer: immediately
- Which of the following statements about a Guaranteed Renewable Health Insurance policy
is CORRECT?
Answer: Premiums normally increase at time of renewal
- What is the purpose of the Time of Payment of Claims provision?
Answer: Prevents delayed claim payments made by the insurer
- Which health policy clause stipulates that an insurance company must attach a copy of the
application to the policy to ensure that it is part of the contract?
Answer: Entire Contract
- Which of the following provisions specifies how long a policyowner's health coverage will
remain in effect if the policyowner does not pay the premium when it is due?
Answer: Grace Period
- K has a health policy that must be renewed by the insurer and the premiums can only be
increased if applied to the entire class of insureds. This type of policy is considered
Answer: guaranteed renewable
- Health insurance benefits NOT covered due to an act of war are
Answer: excluded by the insurer in the contract provisions
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