California Accident and Sickness Practice Exam

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1 / 20

What does the term "policyholder" refer to in the context of insurance?

An entity that is under investigation for fraud

The individual or entity that owns an insurance policy and is entitled to its benefits

In the context of insurance, the term "policyholder" refers specifically to the individual or entity that owns an insurance policy. This ownership grants them certain rights and responsibilities, including the ability to dictate the terms of the policy and directly access the benefits associated with it. The policyholder is the person or organization responsible for paying the premiums, and they have the authority to make changes to the policy, such as updating coverage levels or beneficiaries.

Recognizing the significance of the policyholder is crucial in understanding the structure of insurance agreements. They are the primary party involved in the policy, as opposed to other roles that may interact with or assess the policy, such as investigators looking into fraud or third parties who may process claims. The role of the policyholder is foundational, serving as the basis for the contractual relationship established in insurance.

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A third party assessing the policy

The claims processor for insurance benefits

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