Florida Life and Health Insurance License Practice Test

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What action will the insurer take if a policyholder does not make the required premium payment and dies after the due date?

  1. Pay a reduced claim amount

  2. Pay the full claim amount

  3. Require repayment of past premiums for claim

  4. Deny the claim

The correct answer is: Deny the claim

If a policyholder does not make the required premium payment and dies after the due date, the insurer will likely deny the claim. This is because the policyholder did not fulfill their obligation to pay the premium, and therefore the insurance company is not obligated to pay the full claim amount or any claim amount at all. Paying a reduced claim amount or requiring repayment of past premiums would not be a fair resolution as the policyholder did not fulfill their end of the contract.

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