When replacing group insurance, the replacing policy must cover ongoing claims from the former policies under which of the following?

Study for the New Jersey Laws and Rules Exam. Prepare with flashcards and multiple choice questions, each question includes hints and explanations. Boost your confidence and get ready to ace your test!

The correct choice is the continuity of coverage rule. This rule is designed to protect individuals who are switching from one group insurance policy to another by ensuring that any ongoing claims will continue to be covered without interruption. It addresses concerns about gaps in coverage that could occur during the transition from one policy to another.

When a person has an ongoing claim under their previous insurance, the continuity of coverage rule mandates that the new policy must honor those existing claims, thereby providing a seamless transition and maintaining the benefits that the insured has already begun to use. This is particularly important in healthcare scenarios, where lapses in coverage can result in significant financial burden or interruptions in necessary medical treatment.

The other options mentioned do not specifically address the requirement for covering ongoing claims from former policies during a replacement of group insurance. The no loss no gain law typically relates to ensuring that a policyholder does not benefit or lose out financially when switching policies. The guaranteed issue provision refers to the assurance that individuals can obtain a policy regardless of their health status but does not specifically relate to covering ongoing claims. Minimum benefits regulation usually pertains to the baseline coverage requirements for policies but does not directly involve the continuity of care during the replacement process.

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