| Description |
description:
Description: A role played by a party to an insurance policy to which the insurer agrees to indemnify
for losses, provides benefits for, or renders services. A named insured may be either
a person, non-person living subject, or an organization, or a group of persons, non-person
living subjects, or organizations.
Discussion: The coded concept NAMED should not be used where a more specific child concept in
this Specializable value set applies. In some cases, the named insured may not be
the policy holder, e.g., where a policy holder purchases life insurance policy in
which another party is the named insured and the policy holder is the beneficiary
of the policy.
Note: The party playing the role of a named insured is not a claimant in the sense conveyed
by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a
claim under a policy, e.g., e.g., a party that is the named insured and policy holder
under a comprehensive automobile insurance policy may become the claimant for coverage
under that policy e.g., if injured in an automobile accident and there is no liable
third party. In the case of a named insured making a claim, a role type code INSCLM
(insured claimant) subtypes the class to indicate that a
named insured has filed a claim for a loss.
Example: The named insured under a comprehensive automobile, disability, or property and casualty
policy that is the named insured and may or may not be the policy holder.
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Value Set RoleClassNamedInsured 2011‑07‑26
Final
