The clause in an accident and health policy which defines the benefit amounts the insurer will pay is called the:

The clause in an accident and health policy which defines the benefit amounts the insurer will pay is called the Insuring clause.
Insuring clause is a provision in an insurance policy that stipulates the risks assumed by the insurer. The insurer agrees to pay on behalf of the insured all sums that the insured shall become legally obligated to pay as damages because of bodily injury, sickness or disease, wrongful death, or injury to another person's property.