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Insurance & Risk Management
13. Chapter 15: Healthcare Reform—Individual Health Insurance Coverages/Individual health insurance contractual provisions
13. Chapter 15: Healthcare Reform—Individual Health Insurance Coverages Illustration
Syllabus Slides

Individual health insurance contractual provisions

01.Core Concepts

Payment of claims: Death benefits are paid to the beneficiary Physical exam and autopsy provision: Gives the insurer the right to examine the insured at its own expense when a claim is pending Legal action provision: Requires the insured to wait at least 60 days after proof of loss is submitted before legal action can be brought against the insurer Change of beneficiary: Consent of the beneficiary is not required unless the beneficiary designation is irrevocable ‹#›