Guaranteed Issue (GI) / Conversion
Guaranteed Issue (GI) or Conversion refers to an insurance option that allows individuals leaving a group benefits plan to obtain personal coverage without completing medical questionnaires or providing evidence of insurability. This feature guarantees approval as long as the individual applies within a specific time frame, usually 60 to 90 days after group coverage ends. It ensures continuity of protection and prevents gaps in coverage during employment changes, retirement, or loss of eligibility under a group plan.
Guaranteed Issue or Conversion plans typically offer moderate levels of health and dental insurance. They are designed to provide essential coverage rather than replicate the full scope of a group plan. Premiums are generally higher, and benefit maximums lower, compared to medically underwritten plans that require health information. These plans are especially valuable for people with pre-existing medical conditions who might otherwise be declined for new insurance.
Example:
If your employment ends on June 30, you can apply for a Guaranteed Issue health and dental plan by August 29 to continue coverage. You will be automatically accepted without medical questions, and your new plan will begin as soon as your previous coverage ends.
What to Watch For:
Apply within the insurer’s stated conversion window to qualify for guaranteed approval. Missing the deadline usually means you must apply for a medically underwritten plan, which may require health questions or result in exclusions. Review the new plan’s coverage limits, as conversion plans often focus on core benefits like prescription drugs, dental care, and vision, with potentially lower maximums than group plans.
