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Top Health Insurance Policy Resources

A Health Insurance Policy is the written evidence of a contract between the insurer and the policy-owner who can be an individual or a corporation as the case may be. It sets forth the terms of the agreement between the two parties to the contract. The details of the contract terms are clearly laid out in various policy provisions. It is very important for advisers to help their clients to fully understand the various policy provisions to avoid any dispute on policy claims.

There are basically seven sections in a Health Insurance Policy contract. They are namely: policy schedule,insuring clause and definitions, general conditions, benefit provisions, general exceptions or excursions, claims conditions and endorsements. The sequence, titles and others of the sections in a policy document may vary among different insurers.

Policy Schedule contains details of the policy-owner, insured as well as tje insurance coverage. The policy schedule gives the specific details of the policy contract. When advisers deliver the policy to their clients, they need to go through this schedule with the policy-owner thoroughly to ensure that there are no typographical errors and that the insurance coverage tallies with what their clients had agreed to purchase.