Common use of Multiple Policies Clause in Contracts

Multiple Policies. 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, We shall make the claim payments independent of payments received under other similar polices. If two or more policies are taken by an insured during a period from one or more insurers to indemnify treatment costs, the policyholder shall have the right to require a settlement of his/her claim in terms of any of his/her policies. o In all such cases the insurer who has issued the chosen policy shall be obliged to settle the claim as long as the claim is within the limits of and according to the terms of the chosen policy. o Claims under other policy/ies may be made after exhaustion of Sum Insured in the earlier chosen policy / policies o If the amount to be claimed exceeds the sum insured under a single policy after considering the deductibles or co-pay, the policyholder shall have the right to choose insurers from whom he/she wants to claim the balance amount. 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, Overseas Travel Insurance Policy

Multiple Policies. (Applicable for Section 1 - Hospitalisation Expenses dueto Accident) i. 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, We shall make the claim payments independent of payments received under other similar polices. If two or more policies are taken by an insured person during a period from one or more insurers to indemnify treatment costs, the policyholder insured person shall have the right to require a settlement of his/her claim in terms of any of his/her policies. o In all such cases the insurer who has issued chosen by the chosen policy insured person shall be obliged to settle the claim as long as the claim is within the limits of and according to the terms of the chosen policy. ii. o Claims Insured person having multiple policies shall also have the right to prefer claims under this policy for the amounts disallowed under any other policy/ies may be made after exhaustion policies even ifthe sum insured is not exhausted. Then the insurer shall independently settle the claim subject to the terms and conditions of Sum Insured in the earlier chosen policy / policies o this policy. iii. If the amount to be claimed exceeds the sum insured under a single policy after considering the deductibles or co-paypolicy, the policyholder insured person shall have the right to choose insurers insurer from whom he/she wants to claim the balance amount. iv. Where an insured person has policies from more than one insurer to cover the same risk on indemnity basis, the insured person shall only be have indemnified the hospitalization treatment costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Insurance Policy

Multiple Policies. i. 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, We shall make the claim payments independent of payments received under other similar polices. If two or more policies are taken by an insured Insured Person during a period from one or more insurers Insurers to indemnify treatment costs, the policyholder Insured Person shall have the right to require a settlement of his/her claim in terms of any of his/her policies. o In all such cases the insurer who has issued Insurer chosen by the chosen policy Insured Person shall be obliged to settle the claim as long as the claim is within the limits of and according to the terms of the chosen policy. ii. o Claims Insured Person having multiple policies shall also have the right to prefer claims under this policy for the amounts disallowed under any other policy/ies may be made after exhaustion of policies, even if the Sum Insured in is not exhausted. Then the earlier chosen policy / policies o Insurer shall independently settle the claim subject to the terms and condition of this policy. iii. If the amount to be claimed exceeds the sum insured Sum Insured under a single policy after considering the deductibles or co-paypolicy, the policyholder Insured Person shall have the right to choose insurers Insurer from whom he/she wants to claim the balance amount. iv. Where an insured Insured Person has policies from more than one insurer Insurer to cover the same risk on indemnity basis, the insured Insured Person shall only be indemnified the hospitalization treatment costs in accordance with the terms and conditions of the chosen policy.

Appears in 1 contract

Sources: Group Health Policy