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Lapse - Health Insurance Definition

A Lapse is that period of time after your insurance premium is due. Typically, insurance providers allow a brief grace period - usually a few days past the due date for you to pay whatever is due. Even if you have every intention of paying the premium at a later date, a lapse can be very serious for several reasons.

Once your policy has officially expired, the insurance company has the legal right to deny the renewal or to renegotiate your policy. If your provider is seeking to stop a particular kind of coverage, you may find that you lose that coverage if you let your policy lapse. If you’ve had significant claims on your insurance, the insurance provider may opt to deny your renewal. If you are part of a group of insured, you may not have the opportunity to renew your policy until the next open enrollment period - which could mean a long wait for health insurance coverage.

If you allow your health insurance to lapse - even briefly - you may have to go through the certification steps. You could pay a higher premium than you were paying because you are now older. If there are pre-existing conditions, you may find those are excluded from your new coverage, even if you had been originally received benefits for that particular health issue.
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