Life Policy ProvisionsQuestion 266 of 716

After an insured's death, the insurer discovers that the insured understated his age by 5 years on the original application. Under the misstatement-of-age (or sex) provision, the insurer will:

a.Pay the full face amount and then bill the insured's estate for the underpaid premium plus interest
b.Pay nothing, because a misstatement of age is treated as a material misrepresentation that voids the contract
c.Rescind the policy and refund all premiums paid, because the incontestable clause never applies to age
d.Adjust the death benefit to the amount that the premium actually paid would have purchased at the insured's correct age

Explanation

The misstatement-of-age (and now misstatement-of-sex) provision required by California Insurance Code §10113.7 provides an EQUITABLE adjustment, not a rescission, so adjusting the death benefit to the amount the premium actually paid would have purchased at the insured's correct age is the right remedy. Because life insurance premium varies with age, an understatement means the insured underpaid; the death benefit shrinks accordingly. Paying nothing on the theory that a misstated age is a material misrepresentation voiding the contract is too harsh — California treats this as an arithmetic adjustment, not contract fraud, because age is universally verifiable. Paying the full face amount and then billing the insured's estate for the underpaid premium plus interest is not the chosen remedy. And rescinding the policy and refunding all premiums fails as well: misstatement of age is specifically EXCLUDED from the incontestability defense; it can be used at any time, but only for arithmetic adjustment, not rescission.

Law Reference: Cal. Ins. Code §10113.7 and §10128.4 (misstatement of age/sex)

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PrepPass team · 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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