A person covered by a group major medical policy, leaves the group and converts the coverage to an individual policy. Which of the following statements is INCORRECT about the new policy?

The statement that the new individual policy pays the same benefits as the group policy is incorrect. When an individual converts their coverage from a group major medical policy to an individual policy, there are often differences in benefits between the two types of plans. Group policies generally provide enhanced benefits due to the collective bargaining power of larger groups, and such features may not carry over to an individual policy.

In contrast, options that highlight potential differences in deductibles, premiums, and scope of coverage are accurate. When transitioning to an individual policy, the insured may face different deductibles since individual plans can be structured quite differently from group plans. It is also common for premiums to be higher with individual policies due to the lack of group risk pooling. Additionally, individual policies may limit coverage in certain areas compared to a comprehensive group plan. Thus, this makes the assertion that the benefits remain consistent between the group and individual policies false.