When does the insurer have the right to adjust claims due to age or gender misstatement?

The correct answer is that the insurer has the right to adjust claims due to age or gender misstatement at the time of claim submission. This is important because the terms of an insurance policy often rely heavily on the accurate representation of the insured's age and gender, which are critical factors in determining premium rates and coverage levels.

When a policyholder submits a claim, the insurer reviews the information presented to ensure it aligns with what was originally disclosed during the application process. If there are discrepancies due to misstatements regarding age or gender, the insurer can adjust the benefits accordingly. This could mean recalculating the benefit amount based on the correct age or applying different coverage terms that may have been applicable had the correct information been provided initially.

This procedure protects the insurer from potential losses associated with inaccurate information that could inflate risk. It allows them to ensure that claims are paid accurately based on the underwriting guidelines established at the inception of the policy.