What is the name of the section in a health policy that outlines the causes of eligible loss under which an insured is considered disabled?

The section in a health policy that outlines the causes of eligible loss under which an insured is considered disabled is known as the insuring clause. This clause is crucial because it establishes the conditions under which the insurer agrees to provide coverage and the specific terms of the insurance contract. It details the scope of coverage, including what constitutes a disability and the types of incidents that will be covered, which directly ties to the insured's eligibility for benefits.

By clearly defining these terms, the insuring clause helps both the insurer and the insured understand the boundaries of the policy. This section plays a critical role in determining the rights and responsibilities of both parties, establishing a fundamental understanding of what scenarios will lead to a claim for disability benefits.

Other options do not play the same role: the exclusion clause generally lists what is not covered or situations that would negate the policy, while coverage statements and benefit provisions describe the benefits provided but do not specify the conditions of disability eligibility like the insuring clause does.