Georgia Health Insurance Practice Exam

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What policy provision specifies that coverage may be restored if a renewal premium is paid after the deadline?

Reinstatement

The concept of reinstatement is key to understanding how coverage can be restored after a lapse due to non-payment of the renewal premium. This provision allows policyholders the opportunity to regain their insurance coverage even after the specified deadline for payment has passed, provided they fulfill certain conditions, such as paying the overdue premium along with any applicable interest. This is particularly beneficial to individuals who may have forgotten to make a payment or faced temporary financial difficulties that prevented timely renewal.

In contrast, options that refer to renewal clauses or grace periods pertain to different aspects of policy management. A renewal clause typically defines the terms under which a policy may be renewed at the end of its term, rather than addressing late payments. The grace period is the time frame in which insured individuals can pay their premiums without losing coverage, but it generally does not extend coverage once this period has lapsed. An exclusion clause, on the other hand, outlines specific circumstances or events that are not covered by the policy, which does not relate to reinstating coverage after a payment deadline has passed. Therefore, reinstatement is the applicable provision for restoring coverage after a late renewal premium payment.

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Renewal Clause

Grace Period

Exclusion Clause

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