CII Certificate in Insurance - Healthcare Insurance (IF7) Practice Test

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What is a 'premature termination' clause in a health insurance policy?

A provision allowing coverage to continue indefinitely

A stipulation for automatic renewal of a policy

A clause allowing termination under specific conditions

A 'premature termination' clause in a health insurance policy refers to a specific clause that allows for the termination of the policy under defined circumstances before it normally ends. This means that the insurer may have the right to cancel the policy or cease coverage if certain conditions, as stipulated in the policy, are met.

For instance, these conditions might include situations such as non-payment of premiums, fraudulent claims, or changes in the insured's circumstances that invalidate the policy. The purpose of this clause is to protect the insurer from financial risks associated with continued coverage when certain risks are realized.

This clause is essential for both insurers and policyholders, as it outlines clear terms under which the coverage will no longer be available, thus establishing mutual understanding and expectations regarding the policy's duration. It's critical to review such clauses to understand the conditions that could lead to the termination of coverage before the intended end date.

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A section involving annual audits of policy effectiveness

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