Which clause in an Accident and Health policy defines the benefit amounts the insurer will pay?

The insuring clause in an Accident and Health policy is critical as it outlines the insurer's commitment to provide coverage under the policy. This clause specifies the risks that are covered, the types of benefits provided, and often the circumstances under which the benefits will be paid. This establishes the groundwork for how benefits are structured, including the maximum coverage amounts.

The other options serve different purposes within the context of the policy. The indemnity clause generally details the nature of benefits in relation to the insured's loss or injury, ensuring that the payment reflects the actual expenses incurred or the salary lost due to an accident or health issue, but it doesn’t specifically outline the benefits amounts. The benefit schedule clause, while it may list specific dollar amounts for various types of covered services or medical treatments, operates as a structured specification within the broader context of the insuring clause. Lastly, the claims payment clause describes the procedures and timelines for how the insurer pays out claims, but does not define the benefit amounts payable.

In summary, the insuring clause is fundamental to establishing the overall benefits of the policy, including how much the insurer will pay, which is why it is the most appropriate choice in this context.