Financial Services _Çô Client Services RFC121 Chapter Notes - Chapter 9: Life Insurance

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Major Provisions in a Health Insurance Policy
Eligibility
age, marital status & dependency requirements
Assigned Benefits
Internal Limits
Co-Payment
the amount the patient pays after deductible
Exclusions & Limitations
Co-ordination of Benefits
Guaranteed Renewable
Cancellation and Termination
Health Insurance Trade-offs
Reimbursement vs. Indemnity
reimbursement policy provides benefits based on actual expenses
your incur
indemnity policy provides specified benefits
Internal Limits vs. Aggregate Limits
internal limits specifies maximum benefits for specific expenses
aggregate policies limit total amount of coverage
Deductible and Co-Insurance
affects cost of policy
Out-of-Pocket Limit
Summary of Learning Objectives
Define life insurance and describe its purpose and principle.
Contract between life insurance company and policyholder under
which the company agrees to pay a specified sum to the beneficiary
upon the insured’s death
Purchased to protect someone who depends on them from the
financial loss caused by their death
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