Page 317 - Ebook health insurance IC27

Sashi Publications

known as a contract of insurance (under individual contracts) and a master contract
(under group contracts).

Policy wording
Each insurer has its own printed policy wordings. Although the actual wordings and the
structure might vary between each company, in essence they all cover the heading,
preamble clause, definition, exclusions and conditions in addition to other provision. In
the following pages we will discuss the main parts, which are usually contained in health
and life insurance contracts.

Heading
This part shows the name and registered address of the insurer at the top of the front
page or, sometime, in a separate front.

Preamble Clause
The preamble clause section usually can be found on the first page of the policy or on a
policy insert, but its actual wordings vary between one insurer to another. It may refer to
the parties of the contract and to the basis on which the contract is based. The following
clause gives an example of such wordings:

"This Policy is a contract between the Insurance Company and the Policyholder named
in the Membership Certificate.

The basis for this contract shall be: any information provided to the Company by or on
behalf of Policyholder in the Application, addenda thereto or subsequent correspondence,

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