Master Policy
The single policy issued to the policyholder (such as an employer or association) in group insurance, under which certificates of insurance are given to covered members.
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Practice This Concept
In group life insurance, which statement correctly describes the master policy and the certificate?
The employer holds the master policy, and each insured employee receives a certificate describing the coverage — In group life insurance, the insurer issues a master policy to the group policyholder, typically the employer or association, and that master policy is the actual contract between the insurer and the group policyholder. Each covered employee receives a certificate of coverage that summarizes the benefits, conditions, and the employee's rights under the master policy. The certificate is evidence of coverage, not a separate contract, and its terms are governed by the master policy. The group structure allows many individuals to be covered under one contract.
National insurance concept
In a group life insurance plan, each covered employee receives a certificate of coverage. Which of the following best describes the legal effect of that certificate?
It is evidence of the employee's coverage under the master policy, but it is not itself the insurance contract — In group life insurance, the master policy is the single contract between the insurer and the group policyholder, usually the employer. Each covered employee receives a certificate that summarizes the benefits, beneficiary designation, and conversion rights; the certificate is evidence of coverage, not a contract, and the employee is not a party to the master contract. The employer holds the contract and administers the plan, while the certificate simply documents the benefits to which the employee is entitled.
National insurance concept
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