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Medical ExpenseSeen in 2 questions

Noncancelable Policy

A disability policy the insurer must renew at the same premium and with the same benefits to a stated age, with no unilateral changes.

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An insured has an individual health policy that is guaranteed renewable. Which statement about the insurer's rights is correct?

The insurer may not cancel the policy for health reasons, but may increase premiums for an entire class of policies — Under a guaranteed renewable policy, the insurer must renew coverage as long as premiums are paid and may not cancel because the insured's health deteriorates. The insurer may, however, increase premiums by class — applying an increase to all policies in the same class — but may not single out an individual based on personal claims. Cancellation remains possible only for defined causes such as nonpayment of premium or fraud. This is what separates guaranteed renewable coverage from a noncancelable policy.

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Which statement about a guaranteed renewable health insurance policy is correct?

The insurer cannot cancel or decline renewal, but may increase premiums by class for insureds similarly situated — A guaranteed renewable policy guarantees the right to continue coverage as long as premiums are paid: the insurer cannot cancel or refuse renewal because of the insured's health, claims, or age. However, unlike a noncancelable policy, the insurer retains the right to increase premiums by class, meaning for all insureds in the same classification rather than for a single individual. The guaranteed renewable level is common in individual disability income insurance and still gives the insured substantial renewal protection against individual adverse action while leaving the insurer room to reprioritize rates for an entire block of business.

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