Subrogation shall mean the right of an insurer to assume the rights of the insured person to recover expenses paid out under the policy that may be recovered from any other source.
Tag: RAW
Common Clauses Health Insurance : Surgical Operation
Surgery or Surgical Procedure means manual and/or operative procedure (s) required for treatment of an illness or injury, correction of deformities and defects, diagnosis and cure of diseases, relief of suffering or prolongation of life, performed in a hospital or day care centre by a medical practitioner.
Common Clauses Health Insurance : Unproven/Experimental Treatment
Unproven/Experimental treatment is treatment including drug experimental therapy which is based on established medical practice in India, is treatment experimental or unproven.
Common Clauses Health Insurance : Waiting Period
The initial period within which any claims made will not be entertained. Normally, all the new policies come with a minimum 30 days waiting period wherein the insured person cannot make a claim for the disease contracted during the first 30 days. This is to avoid someone taking a policy in order to get a hospitalization claim immediately after purchase of the policy. The waiting period does not usually apply to accidental injuries, or to renewals of policies. Specific waiting periods: 12, 24 or 48 months for named diseases. After 48 months all diseases are covered.
Common control
Under the Health Insurance Portability and Accountability Act (HIPAA), this management exists if an entity has the power, directly or indirectly, significantly to influence or direct the actions or policies of another entity.
Common data file
Abstract of all recent insurance claims filed for a patient.
Common Disaster
A situation in which the insured and the beneficiary appear to die simultaneously with no clear evidence of who died first.
Common disaster clause
Provision in a life insurance policy that states that the primary beneficiary must survive the insured by a specific period such as 60 or 90 days to be eligible to receive the policy proceeds. Otherwise, the proceeds will be paid as if the primary beneficiary had died before the insured.
Common disaster clause (Life Insurance)
A clause used to establish the procedure of paying out on the policy, should the insured and his or her beneficiary die at the same time.
Common inn
Defined in the Hotel Proprietors Act 1956. Essentially an establishment open to ‘all and sundry’, which does not pick and choose its guests. Special responsibilities attach to its proprietor including strict liability in respect of the property of guests who have booked sleeping accommodation. However, innkeepers who have displayed a statutory notice in pursuance of the Act benefit from limited liability.