Group Life & AnnuitiesQuestion 121 of 315

An employee with group life coverage dies 10 days after leaving the job, having not yet applied for conversion. What is the insurer's obligation?

a.Pay 50% of the group amount as a compromise
b.Refuse the claim because no individual policy was issued
c.Pay the group amount as if conversion had already taken place, because death occurred within the 31-day conversion window
d.Pay only the unearned premium back to the estate

Explanation

Death during the 31-day conversion window after group coverage ends is paid as if the conversion had already been completed, even if no individual policy was actually issued. This is a statutory protection in California group life law.

Law Reference: Cal. Ins. Code §10209

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Sen Lin, PrepPass Founder · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 verify)
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