Life & Health Insurance Exam (National Portion)Health InsuranceEasy

A client is reviewing their health insurance policy and notices a provision that states the insurer cannot cancel the policy, but they can increase the premium for the entire class of policyholders. Which type of renewability provision does this describe?

  1. AOptionally Renewable
  2. BConditionally Renewable
  3. CNon-cancelable
  4. DGuaranteed Renewable
Show answer & explanation

Correct answer: D. Guaranteed Renewable

A Guaranteed Renewable provision allows the insurer to increase premiums on a class basis but guarantees continued coverage. The policy cannot be canceled by the insurer, except for non-payment of premiums.

Why the other options are wrong

  • A. Optionally Renewable policies allow the insurer to refuse renewal for any reason on the policy anniversary date.
  • B. Conditionally Renewable policies allow the insurer to refuse renewal under certain conditions specified in the policy.
  • C. Non-cancelable policies guarantee both renewability and premiums cannot be increased.

Guaranteed Renewable Provision

A health insurance policy provision that guarantees the insured's right to continued coverage, but allows the insurer to increase premiums for an entire class of policyholders.

  • Insurer cannot cancel the policy (except for non-payment).
  • Premiums can be increased, but only for an entire class of insureds, not individually.
  • Common in health insurance policies, especially long-term care and disability income.

Memory trick: Renewability is about the insurer's right to say 'no' and 'how much'.

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