PassSprint

One rule, 2 ways the exam asks it. Same knowledge point, different phrasing — work through all of them, because the exam rarely reuses the wording.

Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 1/5

An 'extension of benefits' provision in a medical expense policy generally:

Select an option to reveal the answer and the full 3-part explanation — free, no signup.

Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

An extension of benefits provision protects an insured who is totally disabled or confined to a hospital when the policy terminates, for example because of nonrenewal or a change of coverage. Benefits continue for the covered condition for a stated limited period, often up to a maximum number of months, so that the insured is not cut off in the middle of treatment. It does not extend the policy generally, extend employment-related coverage, or add new people to the contract.

Why the other options are wrong

  • A) A guarantee of renewal at the same premium relates to renewability provisions, not to continuation of benefits after termination.
  • B) Continuing coverage while employed describes employer-group continuity, not the extension-of-benefits clause in a policy.
  • D) Adding dependents after the policy ends would be an open enrollment or late application feature, not an extension of benefits.

Memory hook

If the policy dies while you are sick in bed, extension of benefits keeps paying until you recover or the limit runs out.

Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 2/5

An insured is hospitalized when his individual major medical policy is terminated. Under an extension of benefits provision, the insurer will generally:

Select an option to reveal the answer and the full 3-part explanation — free, no signup.

Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

The extension of benefits provision protects an insured who is disabled or confined to a hospital when the policy terminates. The insurer continues to pay benefits for that same sickness or confinement for a limited period — commonly up to 90 days or until discharge — even though the policy is no longer in force. The clause prevents the insurer from terminating benefits mid-treatment and is a standard contract protection in individual and group medical expense policies. Some contracts also extend benefits when the insured becomes disabled as a result of the sickness, and the continuation generally applies without an additional premium because it carries forward rights that vested while the policy was still in force.

Why the other options are wrong

  • B) Extension of benefits continues claim payments for an ongoing confinement; it does not trigger a refund of premiums.
  • C) The clause has nothing to do with converting the policy; conversion is a separate contractual right found in group plans.
  • D) Denying all claims after termination is precisely what the extension of benefits provision exists to prevent for an ongoing confinement.

Memory hook

Already sick when the policy dies? Extension of benefits keeps the check coming for a limited curtain call.

Related Practice Questions