Exclusions
Policy provisions that eliminate coverage for specified perils, losses, or property, such as aviation hazards or war clauses, clarifying the boundaries of coverage.
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Practice This Concept
Life insurance policy general exclusions typically include all of the following EXCEPT:
Death from natural causes during the first policy year — Life insurance policies commonly exclude or limit death caused by war or military service, aviation (under certain aviation exclusions), illegal activity, and hazardous occupations or avocations that are excluded by endorsement. Death from natural causes is the core risk the policy is designed to cover and is never a general exclusion; if the insured dies from natural causes in the first year, the policy pays, subject only to the suicide and incontestability provisions.
National insurance concept
Most medical expense policies exclude custodial care primarily because...
It assists with activities of daily living rather than treating a medical condition, so it is not medically necessary care. — Custodial care — help with bathing, dressing, eating, and other activities of daily living — is excluded from medical expense policies because it does not treat or cure a medical condition; it maintains the person's daily life. Medical insurance is designed to pay for medically necessary treatment of injury or illness, not for supportive assistance that does not require a physician or a skilled professional. Custodial care is instead the province of long-term care insurance. This exclusion is a standard common-exclusions point in the individual medical expense outline and is distinct from experimental or cosmetic exclusions already covered in the validated bank.
National insurance concept
- Life InsuranceLife insurance policy general exclusions typically include all of the following EXCEPT:
- Medical ExpenseMost medical expense policies exclude custodial care primarily because...
- Medical ExpenseWhich statement about pre-existing condition exclusions is correct?
- Medical ExpenseAn individual medical expense policy typically lists standard exclusions. Which exclusi…
- State RegulationsWhich of the following is an unfair or deceptive practice under California law?
- General InsuranceA windstorm tears the roof off a house and the homeowner files a claim. For insurance c…
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