Exclusions From Medical Benefits Exemption
Definition of "Exclusions from medical benefits exemption"
Found under the "Exceptions and Exclusions Section for All Medical Benefits" in many health insurance policies that exclude:
- complications arising from elective, nontherapeutic voluntary abortion.
- necessary cosmetic surgery for the immediate repair of a nonoccupational disease, illness, accident, or injury.
- custom-built orthopedic shoes, wedges, or arch supports.
- speech therapy ordered by a physician to restore partial or complete loss of speech resulting from stroke, cancer, radiation laryngitis, orcerebral palsy.
- services, supplies, or treatment in connection with or related to endogenous obesity or obesity resulting from external causes thatthe physician certifies is associated with a serious or life-threatening disorder.
Popular Insurance Terms
Special insurance that covers warehousers liability to customers whose property is damaged by an insured peril while in the custody of an insured warehouser. Policy deductibles may range ...
Same as term Cost-Of-Living Adjustment: automatic adjustment applied to Social Security retirement payments when the consumer price index increases at a rate of at least 3%, the first ...
Excess coverage for employers who use self insurance for routine workers compensation risks. Many employers consider workers compensation exposure to be routine and predictable and set up a ...
Agents, managers, and office personnel serving in the branches of an insurance company. ...
Costs associated with the selling of a new insurance policy to a policyholder. The costs include the acquisition commission as a percentage of the first year's premium, underwriting ...
Individual action or failure to act as a reasonably prudent person would under similar circumstances, resulting in harm to another. Also called negligence. A reasonably prudent person is ...
Dividends paid historically, currently, and projected. ...
Amount added to the basic premium (expectation of loss) to cover an insurance company's expenses. These expenses include agent commissions, premium taxes, costs of putting a policy on the ...
New pension-accounting rule (Employers Accounting for Post retirement Benefits Other Than Pensions) which mandates that employers that provide post retirement benefits to include life ...
Have a question or comment?
We're here to help.