However, as the Insurance Information Institute warns, there are several rare exceptions.
MICHIGAN, United States — The internet is virtually abuzz with misinformation about coronaviruses and vaccines, swirling with questions that cover everything from how the pandemic started to how it could affect health insurance coverage. an individual.
The 13 ON YOUR SIDE Verification Team put one of the most common claims to the test.
Edward from Newaygo County asked the team to check if it was true “Life insurance will not pay if not vaccinated even if [the patient] died of other ailments.”
- Rebecca Barens – President, Willow Insurance Group
- Scott Holeman – Director of Media Relations, Insurance Information Institute
No, an insurer cannot refuse to process a claim for any reason not stated in the policy, including vaccination status or if the policyholder had COVID.
“If you already have an active life insurance policy and you die of a pandemic-related illness like COVID, your family would still receive the death benefit,” Holeman explained. “Life insurance covers pandemics.”
“We don’t have any life insurance policy that excludes COVID as a cause of loss or has some type of endorsement or some type of exclusion,” Barens added.
This is because an insurance policy is considered a legally binding contract.
Once it’s signed and the money has changed hands, the provider can’t just step in and retroactively revise the coverage.
“It is what it is,” Barens said. “They can change minute things, they can change where your payments go, something that doesn’t impact coverage, but they can’t come in and change anything to do with coverage.”
However, there are a few rare exceptions:
“If you weren’t honest about your plans to travel to high-risk places when you buy life insurance, that could lead to a problem,” Holeman explained. “Any request that contains false information or is incomplete is problematic…always be honest when answering these questions.”
So our team can verify, no, an insurer cannot refuse to process a claim for a reason not stated in the policy, including vaccination status or if the policyholder had COVID.
Insurance companies can, however, decline to issue new coverage based on underwriting requirements, but our sources said the practice is not that widespread.
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