Which clause in a health policy specifies the amount of benefits to be paid?

Study for the Virginia State Life, Health, and Annuities Exam. Use flashcards and multiple choice questions. Prepare with hints and explanations. Ace your exam!

The insuring clause in a health policy is fundamental because it clearly outlines the insurer's promise to pay benefits for covered losses or expenses. This clause is typically where the insurer specifies the coverage provided, the limits of benefits, and under what conditions these benefits will be paid. It serves as the foundation of the policy, establishing the relationship between the insurer and the insured, detailing the specific risks that the policy covers.

In contrast, the consideration clause primarily states the terms of payment, often indicating what the policyholder must pay in premiums for the coverage to remain in force. The free-look clause allows policyholders to review the policy terms after purchase and return it if they are not satisfied, but it does not specify benefits. The payment mode clause addresses how and when premiums are paid but does not define the benefits to be received. Therefore, the insuring clause is key to understanding the benefits provided under a health policy.

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