Health Insurance Policy Provisions Flashcards
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Health Insurance Policy Provisions Flashcards

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Questions and Answers

A provision in a life insurance policy that pays the policyowner an amount that does not surpass the guaranteed cash value is called the

  • Death Benefit provision
  • Policy Loan provision (correct)
  • Cash Surrender Value provision
  • Premium Payment provision
  • What does the incontestable clause allow an insurer to do?

    Contest a claim during the contestable period

    If D was killed in an accident and had a War Exclusion clause in his Whole Life policy, how much will D's beneficiary receive?

    The full face amount

    When does a Guaranteed Insurability Rider allow the insured to buy additional coverage?

    <p>At future dates specified in the contract with no evidence of insurability required</p> Signup and view all the answers

    Which provision of P's life insurance policy will pay a stated benefit amount for his industrial accident?

    <p>Accidental Death and Dismemberment clause</p> Signup and view all the answers

    If a young teacher wants an increasing death benefit to protect against inflation, which Dividend Option should be selected?

    <p>Paid-Up Additional Insurance</p> Signup and view all the answers

    How do life insurance companies handle cases where the insured commits suicide within the contract's stated contestable period?

    <p>Claims are denied under the Suicide clause of the policy</p> Signup and view all the answers

    In a life insurance contract, what is an insurance company's promise to pay stated benefits called?

    <p>Insuring clause</p> Signup and view all the answers

    What provision in a life insurance policy states that the application is considered part of the contract?

    <p>Entire Contract provision</p> Signup and view all the answers

    How are policyowner dividends treated in regards to income tax?

    <p>Interest on accumulations is taxed</p> Signup and view all the answers

    What action will an insurer take if an interest payment on a policy loan is not made on time?

    <p>Automatically add the amount of interest due to the loan balance</p> Signup and view all the answers

    If M has an outstanding policy loan at the time of death, what will the insurer deduct from the policy proceeds?

    <p>Policy proceeds</p> Signup and view all the answers

    All of these statements about the Waiver of Premium provision are correct EXCEPT

    <p>Insured must be eligible for Social Security disability for claim to be accepted</p> Signup and view all the answers

    Whose life is covered on a life insurance policy that contains a payor benefit clause?

    <p>Child</p> Signup and view all the answers

    What type of Whole Life policy would a 40-year-old client want to accumulate cash value at a faster rate?

    <p>Not specified</p> Signup and view all the answers

    Study Notes

    Health Insurance Policy Provisions

    • Policy Loan Provision: Allows policyowners to borrow against the guaranteed cash value of their life insurance policy, with interest not exceeding this value.

    • Incontestable Clause: Ensures that after two years, insurers cannot contest the validity of the life insurance policy, as long as the policy remains in force.

    • War Exclusion Clause: In cases of death due to war-related activities, beneficiaries will still receive the full death benefit, as seen in situations like D's automobile accident while on leave from the Marines.

    • Guaranteed Insurability Rider: Permits the insured to purchase additional coverage at specified future dates without needing to provide evidence of insurability.

    • Accidental Death and Dismemberment Clause: Provides benefits for death or loss of limbs/eyes resulting from an accident, applicable to situations like P's industrial accident.

    • Dividend Option of Paid-Up Additional Insurance: A recommended choice for those, such as a teacher with a Whole Life policy, who wish to ensure an increasing death benefit to offset inflation.

    • Suicide Clause: Claims will be denied if the insured commits suicide within the contestable period stated in the policy.

    • Insuring Clause: Represents the insurer's basic promise to pay stated benefits in the life insurance contract.

    • Entire Contract Provision: Stipulates that the policy document, application, and any attached riders form the complete contract between the insurer and insured.

    • Taxation of Policyowner Dividends: Dividends exceeding total premium payments are taxable, with interest on accumulations subject to income tax.

    • Policy Loan Interest Payment: If interest payments on a policy loan are not made on time, the due amount is automatically added to the total loan balance.

    • Deduction of Loan Balance from Policy Proceeds: Upon the insured's death, any outstanding loan balance and accrued interest are deducted from the policy proceeds.

    • Waiver of Premium Provision: Benefits are available after a waiting period, without requiring Social Security disability eligibility, but the insured must be totally disabled.

    • Payor Benefit Clause: Often included in policies covering children, ensuring continued coverage if the premium payer becomes deceased or totally disabled.

    • Faster Cash Value Accumulation: Important for potential clients, especially those in their 40s, considering policies like Whole Life that allow for rapid cash value growth in early years.

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    Description

    Test your knowledge on key provisions in health insurance policies with these flashcards. Each card provides a specific term and its definition, helping you understand important concepts in life insurance. Ideal for students and professionals studying insurance policies.

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