Which of the Following Is Most Likely True Regarding Sally's

question 34

Multiple Choice

Which of the following is most likely true regarding Sally's reliance on an incontestability clause if typical state laws are in effect?

• A) Sally is correct, and the insurance has been in effect over one year, a sufficient length of time for the incontestability clause to bar any defense by the insurer based on her failure to mention Bobby on the application.
• B) Sally is incorrect because the incontestability clause does not generally apply until coverage has been in effect for at least two years.
• C) Sally is incorrect because the incontestability clause operates to deny her the right to dispute inaccuracies on the application, not as a bar against the insurer.
• D) Sally is correct because the incontestability clause acts to bar an insurer from denying coverage in cases in which any driver with permission is driving an insured's vehicle.
• E) Sally is incorrect because incontestability clauses were barred by federal law a number of years ago.

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Definitions:

Assignment of Benefits Clause

A provision in insurance policies allowing the insured to direct payment of benefits directly to a healthcare provider.

Third-Party Reimbursers

Entities or organizations that provide payment for healthcare services on behalf of the beneficiaries, typically insurance companies or government programs.

Electronic Claims Tracking

A system used for monitoring the processing status of medical insurance claims electronically.

Electronic Media Claims

Claims related to healthcare services that are submitted electronically, often through specialized software, to insurance providers for reimbursement.