Highlight both the Coverage Grant and the Exclusions block
Whether reviewing personal health/home insurance or a startup D&O/Cyber policy, select the specific section governing your scenario.
How to decode insurance policy exclusions, deductibles, and EOB statements.
Highlight health, auto, or business insurance policy clauses, riders, and Explanation of Benefits (EOB) statements to see what is actually covered vs excluded.
Best fit
Best for founders reviewing commercial Cyber/D&O/E&O policies and individuals decoding health insurance Summary of Benefits and EOB statements.
On-screen walkthrough
How this looks on a real webpage.
Instead of switching tabs and rebuilding context, highlight the exact passage that slowed you down and press your shortcut (default: Ctrl+Shift+X or Cmd+Shift+X on macOS, fully customizable in settings).
1. Highlighted on page (Commercial Cyber / E&O Policy — Defense & Settlement ('Hammer Clause'))
If the Insured refuses to consent to any settlement recommended by the Insurer and acceptable to the claimant, the Insurer's liability for Loss on account of such Claim shall not exceed the amount for which the Insurer could have settled such Claim plus Defense Costs incurred up to the date such settlement was proposed in writing by the Insurer ('Modified 80/20 Co-Insurance Applies Thereafter').
Ctrl+Shift+X“What is this clause called and what happens if we reject a $100k settlement and lose $500k at trial?”
2. Vezz me on-screen answer overlay
1. **Clause Name**: A **Modified Hammer Clause (80/20 Defense & Settlement Clause)**.
2. **How it works**: If the insurer recommends a **$100,000** settlement acceptable to the plaintiff and you refuse so you can fight at trial:
- Under a *full/hard* hammer clause, the insurer caps its payout at $100k + defense costs incurred up to that date.
- With the **Modified 80/20** rider noted at the end, the insurer typically pays 80% (and you pay 20% out of pocket) of defense costs and judgment amounts above the rejected $100k settlement.
3. Suggested follow-up questions in thread
- “What is the difference between a 'Duty to Defend' policy and a 'Duty to Pay / Indemnify' policy?”
- “Does Defense Costs erode the policy limit here ('wasting / eroding policy')?”
Step-by-step workflow
How to run this workflow in place.
Ask for a concrete dollar walkthrough
Press Ctrl+Shift+X and ask Vezz me to walk through the exact dollar math of what the insurer pays vs what you pay on a hypothetical claim.
Check claim-reporting deadlines and prior-auth rules
Ask Vezz me what notice window, retroactive date, or prior authorization is required to avoid a procedural denial.
Key details
Why this approach works better than switching tabs.
Comparison Matrix
Understanding Insurance Policies & EOBs
Comparing on-demand clause translation with manual reading and support calls.
| Method | Strengths | Tradeoffs |
|---|---|---|
| Vezz me on Policy Clause / EOB | Instant plain-English translation, out-of-pocket math, and spotting sublimit/hammer traps | Educational reading assistant—always confirm binding coverage with your licensed broker |
| Reading 60-page policy PDF alone | Reviewing the full contract text | Easy to miss how capitalized Defined Terms narrow coverage 20 pages later |
| Calling insurer customer support | Checking claim processing status | 20–45 minute hold times; reps rarely explain commercial legal endorsements |
Frequently asked questions
Common questions about personal finance & risk review.
Can Vezz me explain why an EOB says 'Not Covered' vs 'Patient Responsibility'?
Yes. Highlight the EOB table rows and remark codes (CARC/RARC codes) and ask Vezz me to explain whether the charge was denied, bundled, or applied to your deductible.
Does Vezz me work for startup E&O, Cyber, and General Liability policies?
Yes. Founders frequently use Vezz me to understand claims-made vs occurrence triggers, retroactive dates, and sublimits.
Is this formal insurance or legal advice?
No. Vezz me explains policy language and arithmetic in plain English to help you ask better questions of your broker, insurer, or counsel.
Related workflows & guides
Explore connected pages.
Ready to try this workflow on your own reading?
Install Vezz me free, highlight text on any webpage, and press your customizable shortcut (default: Ctrl+Shift+X or Cmd+Shift+X on Mac) to get an answer right beside the source.
