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Guaranteed Issue vs Simplified Issue Life Insurance

  • Christopher Sakamoto
  • Apr 17
  • 1 min read

These terms describe how hard it is to get the plan:

  • Guaranteed Issue: They cannot turn you down based on your health history. This is common during "Open Enrollment" at work.

  • Simplified Issue: There is no full medical exam, but you have to answer a few big health questions (e.g., "Have you been treated for cancer in the last 5 years?").

 

Pre-existing Condition Exclusion

Even "Guaranteed Issue" plans often have this. It states that the plan won't pay for a condition you already had for a certain window of time (usually the first 6 to 12 months of the policy).

Example: If you buy a plan today and try to claim a benefit for a back injury you've been seeing a doctor for all year, they will likely deny the claim under this clause.


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