General Insurance✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Most health insurance policies define the peril of 'sickness' as:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
The typical policy definition of 'sickness' refers to an illness or disease that first manifests itself (becomes apparent) while the policy is in force. This definition serves two purposes: it identifies the peril the insurer is covering, and it works with the preexisting-condition clause, which addresses conditions that already existed before the policy's effective date. Conditions that first appear during the policy period are generally covered, subject to policy exclusions and any applicable waiting periods.
Why the other options are wrong
- B) An illness that existed before the policy was issued is a preexisting condition, addressed by exclusions and waiting periods — not the definition of the covered peril 'sickness.'
- C) Accidental injuries are a separate peril; 'sickness' is the disease and illness peril, not the accident peril.
- D) Coverage is triggered by a qualifying illness, not by the insured's decision to seek treatment; choosing treatment does not create a covered sickness.
Memory hook
The sickness clock starts at issue: first manifest under the policy = covered peril; already there = preexisting.