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State RegulationsMI specificDifficulty 2/5

A Lansing applicant for individual disability income coverage voluntarily discloses the results of a genetic test showing an elevated risk of a hereditary condition, although the applicant is in good health today. How may the insurer treat this information under M.C.L. 500.3407b of the Michigan Insurance Code?

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

Why D is correct

M.C.L. 500.3407b forbids Michigan insurers from using genetic test results in underwriting decisions, so the disclosed result cannot support a decline, a rate increase, or a coverage limitation aimed at the hereditary condition. The insurer must underwrite on other lawful information about the applicant's present health. The practical effect is that voluntary disclosure of a genetic test cannot be turned into a coverage penalty for a disability income applicant who is currently healthy.

Why the other options are wrong

  • A) Rating up because of the genetic result is precisely the underwriting use the statute prohibits.
  • B) Declining solely on the genetic test result is a prohibited underwriting use.
  • C) Imposing an exclusion rider keyed to the genetic result would be using the result to limit coverage, which the statute forbids.

Memory hook

A genetic test result is an underwriting dead end.

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