Commercial Health and Accident Insurance Industry: Hearings, Ninety-second Congress, Second SessionU.S. Government Printing Office, 1973 |
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Common terms and phrases
accident and health Accident Insurance Aetna American amount application benefit-cost ratio benefits Blue Cross plans Blue Cross-Blue Shield Blue Shield Casualty claims commercial health insurance company's complete recovery consumer contracts cost and quality coverage Cutting operation DENENBERG disability income disease disorder Doctors office building dollars earned premiums employees Federal going group health group policies Group Practice plans health care health care delivery health insurance companies health insurance policies Home Office hospital income policy incurred indemnity individual accident Individual Practice Insurance Co insured's issue rider issue standard JOHNSON major medical Medicare member companies Miss FLETCHER Mutual of Omaha NAIC National P.O. Box PABST paid payable payment Pennsylvania percent PETTENGILL physician policy forms policyholder premium quality control risk secure rider semi-annual accident policy Senator GURNEY Senator HART Senator KENNEDY SHARP sickness Subcommittee surgery surgical tion underwriting WILBERDING
Popular passages
Page 643 - If such forms are not furnished within fifteen days after the giving of such notice the claimant shall be deemed to have complied with the requirements of this policy as to proof of loss upon submitting, within the time fixed in the policy for filing proofs of loss, written proof covering the occurrence, the character and the extent of the loss for which claim is made.
Page 643 - ... days after the date of such loss. Failure to furnish such proof within the time required shall not invalidate nor reduce any claim if it was not reasonably possible to give proof within such time, provided such proof is furnished as soon as reasonably possible and in no event, except in the absence of legal capacity, later than one year from the time proof is otherwise required.
Page 497 - Physical examinations and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death where it is not forbidden by law.
Page 643 - No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action shall be brought after the expiration of three years after the time written proof of loss is required to be furnished.
Page 430 - The commissioner may within 30 days after the filing of any such form disapprove such form (1) if the benefits provided therein are unreasonable in relation to the premium charged...
Page 312 - ... commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf of the insured or the beneficiary to .the insurer at...
Page 643 - Entire contract ; changes : This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be endorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of its provisions.
Page 643 - ... provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnities for loss for which this policy provides periodic payment will be paid...
Page 324 - CLAIM FORMS: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within fifteen...
Page 512 - ... or such agent requires an application for reinstatement and issues a conditional receipt for the premium tendered, the policy...