Common use of Multiple Policies Clause in Contracts

Multiple Policies. i. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. Is fixed in nature; 2. Does not have ant relation to the treatment costs; ii. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the insurer shall make the claim payments independent of payments received under other similar policies. iii. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his claim in terms of ant of his policies 1. In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. 2. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by whom the claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the policy.

Appears in 3 contracts

Sources: Insurance Policy, Insurance Policy, Insurance Policy

Multiple Policies. i. a. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : o Is fixed in nature; 2. ; o Does not have ant any relation to the treatment costs;; Page 7 Kotak Mahindra General Insurance Company Ltd., Kotak Health Super Top Up UIN: KOTHLIP18011V011718; Policy Wording ii. b. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the th terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. c. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. o In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. o Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2. d. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. e. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 3 contracts

Sources: Health Insurance Policy, Health Insurance Policy, Health Insurance Policy

Multiple Policies. i. a. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : o Is fixed in nature; 2. ; o Does not have ant any relation to the treatment costs;; Page 14 Kotak Mahindra General Insurance Company Ltd., Kotak Health Premier UIN: KOTHLIP18089V011718 Policy Wording ii. b. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. c. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. o In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. o Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2. d. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. e. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 2 contracts

Sources: Health Insurance Policy, Health Insurance Policy

Multiple Policies. i. If two tw o or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where w here the cover/ benefit offered: 1. : - Is fixed in nature; 2. ; - Does not have ant any relation to the treatment costs; ii. In case of multiple policies which w hich provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. If two tw o or more policies are taken by an insured during a period from one fromone more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. - In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within w ithin the limits of and according to the terms of the chosen policy. - Policyholder having multiple policies shall also have the right to prefer claims fromother policy/ policies for the amount disallow ed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2iv. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by whom the fromw homhe/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. v. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 2 contracts

Sources: Insurance Policy, Insurance Policy

Multiple Policies. i. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. Is fixed in nature; 2. Does not have ant relation to the treatment costs; ii. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the insurer shall make the claim payments independent of payments received under other similar policies. iii. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his claim in terms of ant of his policies 1. In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. 2. If if the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by whom the claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the policy.

Appears in 1 contract

Sources: Insurance Policy

Multiple Policies. i. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : - Is fixed in nature; 2. ; - Does not have ant any relation to the treatment costs; ii. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. Page 13 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect – Micro Insurance UIN: KOTPMGP22116V022122; - In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. - Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2iv. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. v. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Insurance Policy

Multiple Policies. i. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : - Is fixed in nature; 2. ; - Does not have ant any relation to the treatment costs; ii. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. Page 13 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect UIN: KOTPAGP22075V022122; Policy Wordings - In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. - Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2iv. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. v. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Insurance Policy

Multiple Policies. i. a. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : o Is fixed in nature; 2. ; Page 12 of 23 Kotak Mahindra General Insurance Company Ltd. Kotak Group Health Care UIN: IRDAI/HLT/KMGI/P–H (G) / V.I / 58 /2016 - 17; Policy Wordings o Does not have ant any relation to the treatment costs; ii. b. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. c. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. o In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. o Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2. d. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. e. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Health Insurance Policy

Multiple Policies. i. V3: Page 7: Kotak Mahindra General Insurance Company Ltd., Kotak Health Super Top Up UIN: KOTHLIP19062V021819: Policy Wording a. If two or more policies are taken by an Insured during a period from one or more insurers, the contribution clause shall not be applicable where the cover/ benefit offered: 1. : o Is fixed in nature; 2. ; o Does not have ant any relation to the treatment costs; ii. b. In case of multiple policies which provide fixed benefits, on the occurrence of the Insured event in accordance with the th terms and conditions of the policies, the each insurer shall make the claim payments independent of payments received under other similar policies. iii. c. If two or more policies are taken by an insured during a period from one more insurers to indemnify treatment costs, the insurer shall not apply the contribution clause, buy the policyholder shall have the right to require a settlement of his his/her claim in terms of ant any of his his/her policies 1. o In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim without insisting on the contribution clause as long as the claim is within the limits of and according to the terms of the chosen policy. o Policyholder having multiple policies shall also have the right to prefer claims from other policy/ policies for the amount disallowed under the earlier chosen policy / policies, even if the sum insured is not exhausted. Then the Insurer(s) shall settle the claim subject to the terms and conditions of the other policy / policies so chosen. 2. d. If the amount to be claimed exceeds the Base Annual Sum Insured under a single policy after considering the deductible or co-pays, the policy holder shall have the right to choose insurers by from whom the he/she wants to claim to be settled. In such cases, the insurer may settle the claim with contribution clause. Except in benefit policies, in cases where balance amount. e. Where an insured has policies from more than one insurer to cover the same risk on indemnity basis, the insured shall only be indemnified the hospitalization costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Insurance Policy