Under what condition could an insurance policy's coverage be modified?

Study for the New York Life, Accident, and Health Test. Use flashcards and multiple choice questions, each accompanied by hints and explanations. Get prepared for your exam success!

The coverage of an insurance policy can be modified in the scenario where the applicant is deemed a substandard risk. This refers to individuals who may have health issues or other factors that increase the likelihood of a claim being made. When an applicant is classified as a substandard risk, insurance companies may modify the terms of the policy to account for the increased risk they pose. This could include higher premiums, reduced coverage, or specific exclusions from the policy.

In comparison, a clean medical history usually indicates a lower risk to the insurer, which does not necessitate modifications to coverage. Agreeing to a higher premium may lead to additional options or enhanced coverage, but it does not inherently modify the policy terms based on risk factors. Finally, a policy nearing renewal may present opportunities for adjustments based on previous claims or changes in the insured's circumstances, but this is not a direct cause for coverage modification like being classified as a substandard risk is.

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