An application for health insurance was submitted on November 1 with the initial premium and a conditional receipt was provided. Due to an existing medical condition, the underwriter requested an Attending Physician Statement, medical exam, and MIB report. After reviewing all sources of insurability, the insurer issued the policy as substandard with a surcharge. The policy was delivered by the producer on December 1 after explaining the coverage and surcharge, obtaining the statement of good health, and collecting the premium. Coverage became effective as of the date the:

A. Medical exam was completed and underwriting reports were received
B. Agent explained the policy coverage, surcharge, and collected the additional premium
C. Policy was mailed to the agent for legal delivery
D. Application and initial premium were submitted, and conditional receipt was provided

Basically the coverage will become effective after the additional premium is collected and all the changes to the policy have been explained to the customer. Insurance policies generally only become effective after the whole premium has been paid. There is no such thing as insurance credit. Imagine if you could purchase insurance on credit, no one would pay the policies if nothing bad happened to them . The whole concept of insurance is about it being prepaid.