State RegulationsFL specificDifficulty 2/5
A Florida consumer replaces her existing Medicare supplement policy with a new one from a different insurer. What must the new insurer do about preexisting conditions?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Under Fla. Stat. 627.6741, when a person replaces existing Medicare supplement or other qualifying health coverage with a new Medicare supplement policy, the new insurer must waive any preexisting condition, waiting, or probationary period that would otherwise apply. Without this waiver, seniors could never switch policies without restarting coverage clocks. The waiver makes replacement safe when it genuinely benefits the consumer.
Why the other options are wrong
- B) A new 6-month exclusion cannot be imposed on a qualifying replacement; the exclusion periods must be waived.
- C) Replacement of qualifying coverage does not give the new insurer grounds to decline for preexisting conditions.
- D) Benefits are not reduced by prior claim amounts on a qualifying replacement.
Memory hook
Switch Med Supp plans, the waiting clock is forgiven.