For which of the following losses would an insurance company MOST likely pay benefits under an Accidental Death and Dismemberment policy?

Enhance your knowledge for the General Health Insurance Exam. Utilize flashcards and multiple choice questions, each supplemented with hints and explanations to ace your exam effortlessly!

An Accidental Death and Dismemberment (AD&D) policy provides benefits specifically for injuries resulting from accidents. This type of policy typically pays out in cases where a person suffers from significant bodily harm or death due to unforeseen and unintended events.

The correct scenario involves the loss of eyesight due to an accidental injury. This aligns with the core function of AD&D policies, which are designed to cover significant accidental injuries, including loss of limbs, loss of senses such as sight, or even death as a direct result of such accidents.

In contrast, other scenarios listed do not relate to accidental injuries. A heart attack and a stroke are typically classified as medical conditions rather than accidents. Similarly, the loss of a spleen may not be the result of an accidental incident; it could be due to medical issues or conditions that are not covered under an AD&D policy. Thus, only the loss of eyesight from an accident fits the criteria for benefits under an AD&D policy.

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