Health · Chapter 18 · Necessary Provisions
Insuring Clause (Health)
Definition
States the insurer's promise to pay: the types of benefits provided, the circumstances under which they're paid, and the contract's start date and coverage term. Language isn't regulated and placement isn't mandated, but every policy needs it.
In plain English
The company's half of the bargain, in one paragraph.
Easy to confuse with
These are what this term gets tested against — if you can't tell them apart cold, drill the contrast.
Related terms