Ask the Car Insurance Expert
Is a driver required to notify the auto insurance company if he has had a stroke and is still driving?
Probably not, but there's a small chance you'd need to.
Typically, you're not required to inform your auto insurance company unless it sends out a medical questionnaire or your policy states specifically that you must inform your carrier of medical conditions that could affect your driving.
Some states require you (or your physician) to self-report certain medical conditions to the DMV if they affect your driving. For example, in Maine you would need to report a stroke. Then the insurer will likely find out when it next pulls your driving record.
And if the medical issue affects your license, your license status could affect your ability to keep your insurance.