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A premium refund is a clause in some insurance policies that grants the beneficiaries a refund to the total amount of premiums paid to date. Depending on the contract and type of insurance, it will grant a refund of the premiums you paid if you die before that term runs out or if you voluntarily end your coverage.
A hospital indemnity policy pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance.
In insurance terminology, a rebate is a discount offered to the policyholder upon their insurance premium. A higher sum assured could get you a rebate, as the cost of servicing the policy reduces for the insurer.
The insurer is subject to refund the unearned premium if the insured decides to terminate the policy before the policy period ends. The unearned premium is to be returned when the insured item is lost, and the coverage for the item is no longer required or when the insurer cancels the coverage.
When a provider does not have an agreement with the insurer for payment, they will be reimbursed a usual, customary, and reasonable fee.
A waiting period is the amount of time an insured must wait before some or all of their coverage comes into effect. The insured may not receive benefits for claims filed during the waiting period. Waiting periods may also be known as elimination periods and qualifying periods.
13. Who is responsible for making payment for healthcare claims on behalf of the company? Rationale: Third party administrator is responsible for making payment for health claims.
First dollar coverage is a type of insurance policy with no deductible where the insurer assumes payment once an insurable event occurs. While there is no deductible, the amount the insurer will pay out is often lower than on similar plans that have a deductible, or premiums for the first dollar plan will be higher.
Often companies offer a discount on the premium rate payable on the basis of sum assured (SA) and the mode of payment of premium. In insurance jargon these discounts are called rebates.
Mode rebate is the rebate given on the premium amount if you pay the premium yearly or half yearly. The logic behind this rebate is to encourage the customer to pay in yearly mode as LIC prints only one receipt in a year and there are less administrative expenses.