Oklahoma resident Joe served in the military the past 4 years. When he returned and tried to reinstate his individual health insurance policy, he was denied coverage. His producer stated that because he was covered under a government plan he would be required to be reunderwritten as a new applicant subject to more restrictive coverage and increased premiums. Which of the following is TRUE?
Joe cannot be denied reinstatement into his same individual health plan that lapsed as a result of Joe becoming covered by a government-sponsored health plan.
When Joe tried to reinstate his individual health insurance policy after serving in the military, he was denied coverage due to his government plan coverage. This denial was based on the transition from his previous individual plan to the government plan, triggering the need for reunderwriting.
This statement is incorrect. The denial of reinstatement was not based on federal government denial related to health conditions but rather on Joe transitioning to a government plan.
This choice is incorrect. Joe's situation indicates that he is subject to more restrictive coverage and increased premiums upon reinstatement, highlighting the opposite scenario.
This is the correct answer. Despite being covered by a government plan, Joe has the right to be reinstated into his previous individual health plan that lapsed due to his government coverage.
This option is incorrect. Joe's denial of reinstatement was not based on pre-existing conditions but rather on the change in coverage from an individual plan to a government-sponsored plan.
In this scenario, Joe is entitled to be reinstated into the individual health plan that lapsed due to his government plan coverage. The denial he faced was not due to pre-existing conditions or federal government denial but rather the transition between different types of health coverage.
Related Questions
View allWhich of the following events will terminate group health insurance co...
When selling a policy, a producer is required to get all the following...
When would a supplemental attending physician's statement be appropria...
Which clause promises to pay in the event of a covered loss?
Both husband and wife have group health insurance through their employ...
Related Quizzes
View allVirginia Life and Health Insurance Exam Prep
Life and Health Insurance Producer License Arizona
Arizona Life Accident and Health Insurance License Exam Manual
Life Accident and Health or Sickness Producer Online Exam Arizona
Property and Casualty Producer Arizona Exam
British Columbia Insurance Adjuster Licensing
California Life Accident and Health Practice Exam
California Life Accident and Health Agent Practice Exam
Life Accident and Health Insurance Exam California
California Life Insurance Exam Practice Tests
- ✓ 500+ Practice Questions
- ✓ Detailed Explanations
- ✓ Progress Analytics
- ✓ Exam Simulations