Group Life & AnnuitiesQuestion 121 of 716

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, because the employee left the plan before any conversion application was filed
b.Refuse the claim because no individual conversion policy was ever issued to or paid for by the former employee
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, since group coverage ended on the employee's last day of work

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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Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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