Question

21 yuming applied for a critical illness (ci) insurance policy and her agent delivers the final contract. she notices that the contract mentions quite a few restrictions about the payment of benefits. she asks the agent to share some key points to keep in mind before making a claim. which of the following explanations is the agent least likely to provide? a2rvdtjwdytyefledwdycna0ngpudz09 a. for a claim to be accepted, yumings diagnosis must occur more than 30 days after policy issue. b. yuming must provide medical proof of the qualifying condition within 90 days of filing a claim. c. yuming must make a claim within 90 days of diagnosis of the qualifying condition to receive benefits. d. for a claim to be accepted, yuming must survive the diagnosis of a covered condition for at least 30 days. a2rvdtjwdytyefledwdycna0ngpudz09

Explanation:

To solve this, we analyze typical critical illness (CI) insurance claim requirements:

• Option a: A 30 - day waiting period after policy issue for diagnosis is common in CI insurance to prevent immediate claims for pre - existing or planned illnesses.
• Option b: Requiring medical proof within 90 days of filing a claim is a standard procedure to verify the illness.
• Option c: Most CI policies do not have a strict "must claim within 90 days of diagnosis" rule. The focus is more on the diagnosis meeting policy terms and survival (if applicable), not a tight claim - filing time from diagnosis.
• Option d: A 30 - day survival period after diagnosis of a covered condition is a common CI policy clause to ensure the illness is severe enough.

Answer:

c. Yuming must make a claim within 90 days of diagnosis of the qualifying condition to receive benefits.