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

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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