In the case of a claim for medical expenses, what provision deducts past-due premium amounts from the claim payment?

Prepare for the Louisiana Financial Advisor Exam with practice questions and study resources. Discover hints and detailed explanations. Ace your test with confidence!

The correct answer pertains to a provision that addresses the situation where there are past-due premium amounts related to a claim for medical expenses. The unpaid provision allows an insurance company to deduct any premium that has not been paid from the total claim payment. This provision serves as a safeguard for insurers, ensuring that they are compensated for any unpaid premiums before issuing payment for claims.

When a policyholder has not fulfilled their premium obligations, the insurance company retains the right to reduce the amount it must pay on a claim by the amount of those overdue premiums. This is vital for both the insurer, which must manage its risk and revenue, and for the policyholder, who must ensure that their premiums are up to date to receive full benefits from their policy.

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