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Agreement To Provide (Insurance)
"I need an Agreement to Provide (Insurance) for a group health insurance policy covering 500 employees of a technology company in Bangalore, with special provisions for international travel coverage and telemedicine services, to be effective from March 1, 2025."
1. Parties: Identification of the insurer and the insured party with complete details
2. Background: Context of the agreement and brief description of the insurance requirement
3. Definitions: Detailed definitions of terms used throughout the agreement
4. Scope of Coverage: Detailed description of what is covered under the insurance policy
5. Premium and Payment Terms: Details of premium amount, payment schedule, and payment methods
6. Term and Renewal: Duration of the policy and conditions for renewal
7. Exclusions: Specific circumstances and situations not covered under the policy
8. Claims Process: Procedure for filing and processing claims
9. Obligations of the Insured: Duties and responsibilities of the insured party
10. Obligations of the Insurer: Duties and responsibilities of the insurance provider
11. Termination: Conditions and process for termination of the policy
12. Dispute Resolution: Procedure for handling disputes between parties
13. Governing Law and Jurisdiction: Applicable laws and jurisdiction for the agreement
14. Notices: Method and addresses for official communications between parties
15. General Provisions: Standard contractual provisions including force majeure, assignment, and amendments
1. Co-Insurance Provisions: Required when multiple insurers share the risk
2. Reinsurance Arrangements: Needed when part of the risk is transferred to reinsurers
3. Additional Services: For policies that include value-added services like health checkups or roadside assistance
4. International Coverage: Required for policies extending coverage beyond India
5. Group Insurance Provisions: Needed for group insurance policies
6. Premium Financing: When premium payment is facilitated through financing arrangements
7. Digital Services: For policies with online claim processing or digital service provisions
1. Schedule of Benefits: Detailed breakdown of coverage amounts and sub-limits
2. Premium Schedule: Detailed premium calculations and payment schedule
3. Claims Documentation Requirements: List of documents required for different types of claims
4. Network Providers: List of approved service providers or healthcare facilities
5. Exclusion Details: Comprehensive list of exclusions with examples
6. Service Level Standards: Timeframes for various services and claim settlements
7. Risk Assessment Report: Detailed evaluation of insured risks and mitigation measures
8. KYC Documentation: List of required KYC documents and compliance requirements
Authors
Applicable Law
Beneficiary
Claim
Commencement Date
Coverage
Coverage Period
Effective Date
Exclusions
Force Majeure Event
Grace Period
Insured
Insured Event
Insurer
IRDAI
Loss
Material Change
Notice
Policy
Policy Period
Policy Schedule
Premium
Premium Due Date
Proposal Form
Regulatory Authority
Renewal
Risk
Sum Insured
Term
Territory
Third Party Administrator
Underwriting
Waiting Period
Working Day
Policy Year
Pre-existing Condition
Endorsement
Deductible
Co-payment
Sub-limit
Network Provider
Non-Network Provider
Insurance Certificate
Premium Loading
Policy Holder
Group
Nominee
Reinsurer
Insurance Broker
Cancellation
Definitions
Premium Payment
Coverage Scope
Policy Terms
Exclusions
Claims Procedure
Subrogation
Cancellation
Renewal
Representations and Warranties
Obligations and Duties
Confidentiality
Data Protection
Force Majeure
Indemnification
Limitation of Liability
Dispute Resolution
Governing Law
Assignment
Notices
Amendment
Severability
Entire Agreement
Compliance with Laws
Anti-Money Laundering
Termination
Premium Refund
Policy Administration
Documentation Requirements
Fraud Prevention
Regulatory Compliance
Third Party Rights
Electronic Communications
Currency and Payment
Record Keeping
Audit Rights
Territorial Limits
Language
Waiver
Time of the Essence
Financial Services
Healthcare
Manufacturing
Real Estate
Transportation
Retail
Technology
Construction
Energy
Agriculture
Education
Hospitality
Legal
Risk Management
Compliance
Insurance Operations
Claims Processing
Underwriting
Product Development
Regulatory Affairs
Business Development
Contract Administration
Policy Administration
Insurance Underwriter
Risk Manager
Legal Counsel
Compliance Officer
Insurance Broker
Claims Manager
Policy Administrator
Corporate Insurance Manager
Chief Risk Officer
Insurance Operations Manager
Business Development Manager
Contract Manager
General Counsel
Insurance Product Manager
Regulatory Affairs Specialist
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