WellPoint said some of its plans were hurt by adverse selection, which involves healthy members dropping coverage and leaving a greater concentration of people who generate more in claims than they contribute in premiums.
If genetic information is kept secret from insurers, but individuals have the freedom to add or drop insurance coverage, then problems of adverse selection may arise.
In America, risk selection is tempered by the link between insurance coverage and employment, which means that insurers chosen by employers have to offer coverage to all employees.