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LESSON 17: HEALTH INSURANCE POLICY PROVISIONS

The following subjects are contained within Lesson 17:

Description: File Folder - HealthNAIC Model Health Insurance Policy Provisions - Mandatory Provisions (Entire Contract, Time Limit on Certain Defenses, Grace Period, Reinstatement, Notice of Claim, Claim Forms, Proof of Loss, Time Payment of Claims, Physical Exam and Autopsy, Legal Actions, Change of Beneficiary); Optional Provisions (Change of Occupation, Misstatement of Age, Other Insurance In This Insurer, Insurance With Other Insurer, Insurance With Other Insurers, Relation of Earnings To Insurance, Unpaid Premiums, Cancelation, Conformity With State Statutes, Illegal Occupation, Intoxicants and Narcotics)

Common Exclusions or Restrictions - Exclusions (War, Self-Inflicted Injuries, Aircraft, Hernia, Riots, Committing a Felony, Extended Overseas Stays, Illegal Use of Drugs or Narcotics); Restrictions (Maternity Benefits, Preexisting Conditions, Waiver for Impairment)

Renewability Provisions - Cancelable Policies; Noncancelable Policies; Optionally Renewable; Conditionally Renewable; Guaranteed Renewable

Lesson Review - Key Concepts, Quiz


The information contained in Lesson 17 can be found in
Unit 22 of the Florida study manual.