Group Life & AnnuitiesQuestion 251 of 716

A California employee with $80,000 of group term life coverage is terminated. Under the standard group conversion right, the converted INDIVIDUAL policy:

a.May be any type of individual policy regularly issued by the insurer EXCEPT term insurance, generally without evidence of insurability if the application and premium are submitted within 31 days
b.Must automatically carry over the disability waiver and accidental death riders from the group certificate, since every group benefit is guaranteed on conversion
c.Is available only if the employee passes a new physical examination and submits current lab work, because the insurer must fully re-underwrite each departing member before it will issue a contract
d.Must be the identical group term contract simply re-rated to individual mortality, because the conversion right changes only who pays the premium and leaves the form, face amount, and expiry date untouched

Explanation

Under California Insurance Code §10209 and the standard group life conversion provision, a terminating employee may convert group life coverage to an individual permanent policy (whole life, universal life, etc.) — but NOT to another term policy — issued by the same insurer, generally without proving insurability, provided the application and first premium are submitted within 31 days of termination. The face amount cannot exceed the group amount being lost. The response requiring the identical group term contract merely re-rated to individual mortality is incorrect — conversion is to an individual policy, generally permanent, not group. The response guaranteeing carry-over of the disability waiver and accidental death riders is wrong — supplemental riders are not guaranteed on conversion. And the response requiring a new physical examination and current lab work misses the point — the entire purpose of the conversion right is to bypass a new medical exam, making coverage available even to uninsurable workers.

Law Reference: Cal. Ins. Code §10209 (group life conversion)

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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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