What must a surgery insurance policyholder notify the insurer of concerning mid-term changes?

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In a surgery insurance policy, it is essential for the policyholder to notify the insurer of any changes that could potentially increase the risk. This is because insurance is based on the principle of utmost good faith, or "uberrima fides," which requires both parties to act honestly and openly with each other. If a policyholder makes alterations that may raise the likelihood of a claim occurring—such as changes in practice facilities, staff qualifications, or the types of surgeries performed—these must be disclosed to the insurer.

Failing to communicate such increases in risk could lead to consequences, including claim denial or policy cancellation. Insurers need to assess their exposure accurately, and undisclosed changes could impair their ability to provide coverage effectively. While improvements or regulatory changes might be important to consider, they do not carry the same requirement for notification as those aspects causing a potential rise in risk.

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