86. The required 'entire contract' uniform provision of an accident and health policy states that
Answer: A
The policy, endorsements and the attached applications constitute the entire contract.
The 'entire contract' provision of an accident and health policy specifies that the complete agreement consists of the policy itself, any endorsements, and the applications that are attached. This ensures that all parties are clear on the terms and conditions outlined in these documents.
A) the policy, endorsements and the attached applications constitute the entire contract
This option is correct as it accurately describes the 'entire contract' provision in insurance policies, which ensures that no other documents or oral statements can alter the agreed-upon terms.
B) the policy must contain a coordination of benefits provision in order to be an entire contract
This option is incorrect because while a coordination of benefits provision may be important in some policies, it is not a requirement for the definition of the 'entire contract' provision. The essence of the entire contract is about the completeness of the governing documents, not specific provisions.
C) payment of claims for the entire contract may be waived by the insured
This option is incorrect as it misrepresents the nature of the 'entire contract' provision. The insured cannot waive payment of claims; rather, the contract outlines the obligations of both parties, including the payment of claims.
D) nonpayment of premium by the due date revokes the entire contract
This option is incorrect because, while nonpayment of premiums can lead to cancellation of coverage, it does not define what constitutes the 'entire contract.' The definition is focused on what documents make up the agreement rather than the consequences of premium nonpayment.
Conclusion
The correct answer, A, clearly defines the 'entire contract' provision by stating that it includes the policy, endorsements, and attached applications. Other options fail to correctly describe this provision, focusing instead on unrelated aspects of policy management, thus reinforcing A as the definitive answer.