The clause in an Accident and Health policy which defines the benefit amounts the insurer will pay is called?

The insuring clause in an Accident and Health policy is critical as it clearly outlines the insurer's commitment to provide coverage for specific medical expenses or other benefits upon the occurrence of a covered event. This clause serves as the foundation of the policy, detailing what types of incidents or conditions are covered and defining the benefits provided.

In essence, it specifies the circumstances under which the insurance company will pay claims and the maximum amounts payable, thereby establishing the scope of the insurer's obligations. By articulating these terms, the insuring clause helps insured parties understand the extent of their coverage, different scenarios that may trigger payments, and the overall terms of service provided by the insurer.

Understanding this clause is vital for policyholders as it sets expectations regarding the insurance protection they can rely on in case of accidents or health-related incidents.