If an insurer changes any of these provisions, they must make sure it does not:Insurers include provisions in contracts to help reduce unnecessary claims and the overpayment of claims. Consideration Clause. Which of the following will have to meet an insurable interest requirement in order for a policy to issue?? and career path that can help you find the school that's right for you.Get the unbiased info you need to find the right school.© copyright 2003-2020 Study.com. An agreed amount clause is a property insurance provision where the insurer agrees to waive the coinsurance requirement for the insured. Which of the following is NOT an operating goal of an insurer? What happens if Charles has a claim?Only one policy will pay, the premiums for the other contracts will be returnedMandatory Second Surgical Opinion is when the physician submits claim information prior to treatment, to determine in advance if the procedure is coveredAnna has a contract that includes the Non-Emergency Hospital Preauthorization Admissions Provision.

Which of the following is not one of those provisions?All of the following are Optional Uniform Provisions, except:An insurer has the right to request a physical exam or an autopsy to determine its liability to pay benefits.

You can test out of the imaginable degree, area of Uniform policy provisions provide insurance carriers with a list of required and optional items to include when writing insurance policies.

The purpose of the quiz/worksheet combo is to assess your knowledge of optional health insurance provisions. Marriage is not a mandatory or optional provision. What are the three core functions that exist within a typical insurer? This request may be made under which provision?If the insurer cancels an individual health plan, what happens to the unearned premium?If the insured is receiving regular disability income payments, the insurer can require notice of continuance of claim every ______ months.Failure to obtain ____________ in a managed care plan can result in denial of coverage, or a substantial reduction in the coverage normally provided.Notice of claim is required within _____ days of loss.Which of the following is not a Mandatory Uniform Provision?Under the Uniform Individual Accident and Sickness Policy Provisions, what happens when a health policy contains provisions that have gone out of compliance because of changes in state law?The policy will be construed as if it conformed to the lawWhen admission to a hospital's facilities is __________, the insurer may require pre-authorization approval under a managed care plan before claims will be paid.When an insured is discharged from the military, what happens to health insurance coverage that was in place prior to being called up for active military service?The insured will be permitted to resume coverage and premiums without any waiting periodsThe Unpaid Premiums Optional Uniform Provision allows an insurer to:Reduce the amount of a claim payment by the premium dueProof of loss is required within _____ days of loss.The Guaranteed Renewable Provision states that the policy is:Renewable with premiums that may be increased for entire classes of insuredsRenewable with adjustable premiums, by classification onlyThe Legal Actions provision preserves the insured's right to bring suit against his/her own insurer, but the insured must wait at least _____ days after filing a proof of loss before pursuing this action.Which provision states that the insurance company must pay claims immediately?Abigail has a preexisting condition noted in her new A & H policy.

The benefit and premium changes take place as soon as a person changes jobs. The 11 optional provisions tend to place more of a burden on the insured to comply with certain requirements than on the insurer.

Waiver of premium for disability is an insurance policy provision that says a policyholder will not be required to pay premiums if seriously injured. Standard Policy Provisions and Optional Riders . A non-contestability (incontesability) clause is designed to prevent feuding beneficiaries by writing them out of the will.

credit by exam that is accepted by over 1,500 colleges and universities. Optional Provisions in Articles of Incorporation.

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