| Requirement | Evidence to request | Reason it changes the choice |
|---|---|---|
| Eligible inherited illness | Hereditary/congenital clause plus every relevant exclusion | An accident-only or inherited-disease exclusion would defeat this purpose. |
| A clear history boundary | Written explanation referencing actual fever, ear or other records | The same headline protection can leave different practical uncertainty. |
| Usable continuing care | Specialist, test, medication and recheck benefits in the selected configuration | A large treatment benefit is less complete when supporting services are missing. |
Use these as admission requirements for a shortlist, rather than awarding small points for features that cannot compensate for a decisive exclusion. If a policy cannot answer the history question yet, label that part unresolved. It may still be useful for unrelated future risks, but do not credit it with the disputed protection.