General Insurance✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
For a loss to be insurable under a health policy, it must generally be:
Select an option to reveal the answer and the full 3-part explanation — free, no signup.
Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Insurable losses must be fortuitous — accidental, unexpected, and beyond the insured's control. If the loss were intentional or certain, the arrangement would be a wager or a guaranteed payment rather than insurance. Health insurers rely on fortuity because it prevents the moral hazard of insureds creating losses to collect benefits.
Why the other options are wrong
- B) Intentional losses are excluded by policy and by law; they are not fortuitous.
- C) A certain loss is uninsurable because there is no contingency to insure against.
- D) Speculative ventures involve a chance of gain and are outside insurable pure-risk losses.
Memory hook
Fortuity = accidents only. If you planned it, the insurer will not pay for it.