Which clause outlines the conditions not met by an applicant who fails to complete medical history questions?

Study for the Health Insurance Policy Provisions Exam. Prepare with flashcards and multiple choice questions, each accompanied by hints and explanations. Get ready to excel in your exam!

The consideration clause is essential in health insurance policies as it outlines the exchange of value between the insurer and the insured. Specifically, it details the terms under which the insurer agrees to provide coverage in return for the premiums paid by the policyholder. When an applicant fails to complete the medical history questions as required, it is relevant to the consideration clause because the insurer bases the premium and the policy's terms on the information provided by the applicant. If not all required information is supplied, it could affect whether the insurer is willing to provide coverage or how much they charge for it, thus potentially impacting the validity of the contract.

In this context, the failure to fully disclose medical history could lead to issues of misrepresentation or non-disclosure, which are typically addressed under the consideration clause as it ties directly to the promised exchange between the insurer and the insured.

Other clauses mentioned, such as the entire contract clause, would focus more on the completeness and cohesiveness of the entire agreement, while the exclusions clause specifies what is not covered under the policy. The claims handling clause primarily deals with the process and requirements for filing claims once coverage is in place, rather than the initial conditions for entering into the contract.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy