Coverage that is available to all employees without evidence of insurability (proof of good health). These plans permit enrollment to all regardless of health status, gender, or other factors that would predict the use of the policy. The purpose of guaranteed issue is to control how health insurance is sold and allow health insurance to be obtained for individuals with pre-existing conditions.   

Under the Affordable Care Act, all health insurance policies must be sold on a guaranteed basis.

Guaranteed issue life insurance is typically a small life insurance policy with a cash death benefit of $2,000 to $25,000 paid to beneficiaries. These life insurance policies were designed for people with serious health conditions and have higher health insurance premiums because the policyholders are in poor health.