Evidence Clause

A clause in a policy which requires the insured to cooperate in the investigation of a claim by producing records and submitting to examinations. This is required to help Surveyor/Loss Adjuster to establish the validity of a claim. An Evidence Clause in a health policy requires the insured to submit to physical examination.
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A clause that obligates the insured to assist the adjuster in determining the legitimacy of a claim by producing documents and being examined. In a health insurance policy, the evidence clause obligates the insured to be physically examined.

Evidence of Health

Evidence of good health is required by insurers at the outset of a health insurance and when a lapsed policy is to be revived. In group schemes it is sometimes waived. It is not required on renewal of a permanent health insurance. Policies with options to effect additional insurance may grant the option without further evidence of health being required.