等于欺诈?:探讨在人寿保险申请中不披露遗传信息作为保单撤销的理由。

Anya E R Prince
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引用次数: 0

摘要

许多遗传咨询师建议,在进行预测性基因检测之前,个人应该获得所需的保险政策,比如人寿保险。然而,有人认为,这种做法“等同于欺诈”,不披露基因检测结果,或在检测前串谋获得一项政策,将使个人面临法律追索。这种争论使受影响的个体陷入了两难境地。如果他们申请人寿保险并公开基因检测结果,他们可能会被拒绝。如果他们在申请时没有披露信息,他们可能犯了欺诈罪。人寿保险欺诈的后果是严重的:如果在申请中发现欺诈,人寿保险公司可以撤销保单,在某些情况下甚至在个人去世后。这种撤销可能使家庭成员或受益人在个人死亡后得不到人寿保险给付的好处,并使他们陷入经济困难。虽然很明显,在回答有关基因检测的直接问题时撒谎等同于欺诈,但目前人寿保险申请中很少(如果有的话)包含有关基因检测的广泛问题。本文调查了不披露未经要求的遗传信息是否构成欺诈,并探讨了不同类型的保险问题,可以想象被解释为寻求遗传信息。人寿保险申请人一般没有义务在申请中披露未经要求的信息,包括遗传信息。然而,考虑到遗传信息的复杂性,尽管诚实地尝试真实和完整地回答所有申请问题,个人可能会暴露于欺诈和撤销他们的人寿保险单。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TANTAMOUNT TO FRAUD?: EXPLORING NON-DISCLOSURE OF GENETIC INFORMATION IN LIFE INSURANCE APPLICATIONS AS GROUNDS FOR POLICY RESCISSION.

Many genetic counselors recommend that individuals secure desired insurance policies, such as life insurance, prior to undergoing predictive genetic testing. It has been argued, however, that this practice is "tantamount to fraud" and that failure to disclose genetic test results, or conspiring to secure a policy before testing, opens an individual up to legal recourse. This debate traps affected individuals in a Catch-22. If they apply for life insurance and disclose a genetic test result, they may be denied. If they apply without disclosing the information, they may have committed fraud. The consequences of life insurance fraud are significant: If fraud is found on an application, a life insurer can rescind the policy, in some cases even after the individual has passed away. Such a rescission could leave family members or beneficiaries without the benefits of the life insurance policy payment after the individual's death and place them in in economic difficulty. Although it is clear that lying in response to a direct question about genetic testing would be tantamount to fraud, few, if any, life insurance applications currently include broad questions about genetic testing. This paper investigates whether non-disclosure of unasked for genetic information constitutes fraud and explores varying types of insurance questions that could conceivably be interpreted as seeking genetic information. Life insurance applicants generally have no duty to disclose unasked for information, including genetic information, on an application. However, given the complexities of genetic information, individuals may be exposed to fraud and rescission of their life insurance policy despite honest attempts to truthfully and completely answer all application questions.

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