Which of the following is not an optional health policy provision issued in Pennsylvania?

The option that is not an optional health policy provision in Pennsylvania is the change of beneficiary. This provision typically applies to life insurance policies rather than health insurance. In health insurance, the nature of coverage and benefits tends to be more focused on medical services and conditions rather than beneficiaries, which are more relevant in life insurance contexts.

The other options listed are related to general provisions that can be included in health insurance policies. For example, retaining the right to change the beneficiary allows policyholders flexibility in specifying to whom benefits will be paid, and coverage for preexisting conditions pertains to underwriting and risk assessment in health policies, which can vary based on state regulations. Notice of claim requirements outlines the process a policyholder must follow to make a claim for benefits, ensuring that claims are made timely and correctly.

In summary, the change of beneficiary is specific to life insurance and not typically applicable as an optional provision in health policies, which is why it is the correct answer to this question.