Life Policy ProvisionsQuestion 264 of 315

Two years after a California life insurance policy is issued, the insurer discovers that the insured deliberately concealed a serious heart condition on the application. The insured then dies of unrelated causes. What is the insurer's remedy under the incontestability clause?

a.The insurer may rescind the policy and refund only premiums
b.The insurer must pay the death benefit; after the 2-year contestability period has expired, even material misrepresentation cannot be used to rescind (except for limited fraud exceptions)
c.The insurer may pay a reduced amount under the misstatement-of-age clause
d.The insurer may rescind because concealment is fraud, regardless of the time elapsed

Explanation

California Insurance Code §10113.5 requires every life policy to be incontestable after it has been in force during the lifetime of the insured for 2 years from the date of issue, EXCEPT for nonpayment of premium. Once the 2-year contestable period expires, the insurer cannot rescind for misrepresentation or even concealment — the death benefit must be paid. The 2-year window balances insurer protection against ongoing fraud risk to consumers. Option A applies only WITHIN the 2-year period. Option C is the wrong remedy (misstatement-of-age adjusts face amount, not for concealment of health). Option D is incorrect under California law — even fraudulent concealment generally cannot be raised after 2 years in life insurance (a key California consumer protection, contrasting with general contract-fraud rules).

Law Reference: Cal. Ins. Code §10113.5 (incontestability)

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