What this worksheet is for

Use this while reading the exclusions and definitions sections of a sample policy.

Keep the quote, sample policy, carrier email, or claim notice beside the worksheet so every answer can be tied to actual policy language.

Fields to complete

  • General exclusions
  • Pre-existing-condition definition
  • Hereditary, congenital, chronic, and bilateral-condition language
  • Orthopedic and dental exclusions
  • Preventive, elective, breeding, grooming, or cosmetic exclusions
  • Waiting-period exceptions or waivers
  • Sublimits or benefit schedules
  • State endorsements that change the base policy

Decision notes

QuestionYour note
What could make you choose a different plan?
Which term still needs written clarification?
Which document should you save before proceeding?

Before you rely on the answer

Verify any unclear term in the current sample policy or with the carrier. If the issue involves a complaint or insurance regulation, use your state insurance department as the regulator starting point.