Which clause in a health insurance policy specifies the amount of benefits to be paid?

The insuring clause in a health insurance policy outlines the insurer's commitment to provide coverage and specifies the conditions under which benefits will be paid. This clause effectively establishes the legal foundation of the policy by detailing the scope of coverage, including the specific benefits payable when a claim is made. It stipulates the types of services covered and confirms the insurer's obligation to fulfill the claims process as per the terms agreed upon in the policy.

While the other options serve important functions in an insurance policy—like the benefit schedule, which lists specific amounts or categories of covered services, the coverage clause that defines the terms of coverage, and exclusions that outline what is not covered—they do not define how benefits will be paid regarding the overall agreement and obligations between the insurer and the policyholder. The insuring clause is crucial because it encapsulates the insurer's promise to provide financial support within the framework of the policy's guidelines.