Plain-English meaning

A policy structure that can cover eligible new accidents plus eligible new illnesses, subject to exclusions and waiting periods.

Why the exact wording matters

This is broader than accident-only coverage, but it still does not mean every diagnosis, treatment, exam fee, dental service, or pre-existing condition is eligible.

Where to verify it

  • Definitions section
  • Coverage or insuring agreement
  • Exclusions
  • Benefit or limit schedule
  • Claims section
  • State endorsement when applicable

Write this down when comparing policies

FieldPolicy APolicy B
Accident and Illness Plan
Where defined
What changes a claim
Question for the carrier