Health and Accident Insurance

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Across
  1. 2. compulsory insurance plan administered by a federal or state government agency with the primary emphasis on social adequacy.
  2. 5. Portion of the insured loss (in dollars) paid by the policy holder
  3. 7. the cause of property damage or personal injury, origin of desire for insurance. "Cause of Loss"
  4. 8. health insurance issued to employers, associations, trusts, or other groups covering employees or members and/or their dependents, to whom a certificate of coverage may be provided.
  5. 11. an amendment to a policy agreement.
  6. 13. an insurance company selling policies in a state other than the state in which they are incorporated or domiciled.
  7. 14. situation where an insurer, on behalf of the insured, has a legal right to bring a liability suit against a third party who caused losses to the insured. Insurer maintains the right to seek reimbursement for losses incurred by insurer at the fault of a third party.
  8. 15. policies issued in association with the Federal/State entitlement program created by Title XIX of the Social Security Act of 1965 that pays for medical assistance for certain individuals and families with low incomes and resources.
Down
  1. 1. a hospital/surgical/medical expense contract that provides comprehensive benefits as defined in the state in which the contract will be delivered.
  2. 3. a life insurance and annuity provision limiting the time within which the insurer has the legal right to void the contract on grounds of material misrepresentation in the policy application.
  3. 4. an individual who may become eligible to receive payment due to will, life insurance policy, retirement plan, annuity, trust, or other contract.
  4. 6. an individual who sells, services, or negotiates insurance policies either on behalf of a company or independently.
  5. 9. person who identifies, examines and classifies the degree of risk represented by a proposed insured in order to determine whether or not coverage should be provided and, if so, at what rate.
  6. 10. a medical group plan that provides physician, hospital, and clinical services to participating members in exchange for a periodic flat fee.
  7. 12. supplementary private health insurance products to Medicare insurance benefits.