What information is NOT included in the outline of coverage for a health policy?

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The outline of coverage for a health policy is designed to provide potential policyholders with essential information about the terms and conditions of the insurance policy, enabling them to make informed choices. It typically includes key elements such as renewal and cancellation provisions, principal exclusions and limitations, and a clear outline of the benefits and coverage provided by the policy.

Contractual governing provisions generally refer to the overarching legal terms and conditions that govern the relationships and obligations of the parties involved in the insurance contract. While these provisions are indeed crucial for understanding the contract's framework, they tend to be more detailed and complex, outlining the legal aspects rather than succinctly presenting the coverage specifics. This type of information may be found in the full policy document rather than the outline of coverage, which focuses more on practical details that a prospective policyholder might need for quick reference. This distinction is why contractual governing provisions are not typically included in the outline of coverage.

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