Question

T is covered by a group major medical policy with his employer. He leaves his employer and converts the coverage to an individual policy. All of these statements about the new policy are true EXCEPT:

A) The individual policy may have different terms and conditions than the group policy.
B) The individual policy may have different premium rates compared to the group policy.
C) The individual policy will continue to provide the same group coverage without any changes.
D) The individual policy allows T to maintain coverage after leaving his employer.

Answer 1

The false statement regarding the conversion from a group major medical policy to an individual policy is that the individual policy will continue to provide the same group coverage without any changes. The individual policy will differ in terms and conditions, as well as premium rates, but will allow the individual to maintain health insurance coverage.

Step-by-step explanation:

When an employee covered by a group major medical policy through their employer leaves and converts their coverage to an individual policy, certain changes are to be expected. It is true that the individual policy may have different terms and conditions compared to the group policy, and the premium rates are likely to differ as well. However, the statement that the individual policy will continue to provide the same group coverage without any changes is false. The correct statement is that the individual policy allows the individual to maintain some form of health coverage after leaving their employer, though the specific benefits and costs may vary from the original group policy.