QUESTIONS SOLUTIONS GRADED A+
◉ What is the best way to make a change on an application for
insurance? Answer: Start over with a fresh application
◉ What information are the members of the Medical Information
Bureau required to report? Answer: Application
◉ Who must sign the insurance application? Answer: The policy
owner, insured, and agent
◉ What is the entire contract in health insurance underwriting?
Answer: The application and policy issued
◉ What information are the members of the Medical Information
Bureau required to report? Answer: Adverse medical information
about the applicants or insured
◉ What is the term used for a written request for an insurer to issue
an insurance contract based on the provided information? Answer:
Application
,◉ If an underwriter requires extensive information about the
applicant's medical history, what report will best serve the purpose?
Answer: Attending Physician's Statement (APS)
◉ If an Insurer decides to obtain medical information from different
sources in order to determine the insurability of an applicant, who
must be notified of the investigation? Answer: The applicant
◉ When should an agent obtain a Statement of Good Health from the
insured? Answer: When premium was paid upon policy delivery and
not at the time of application
◉ If an agent makes a correction on the application for health
insurance, who must initial the correct answer? Answer: The
applicant
◉ Who is responsible for paying the cost of a Medical Examination
required in the process of underwriting? Answer: The Insurer
(company providing the policy)
◉ Whose responsibility is it to inform an applicant for health
insurance about the insurer's information gathering practices?
Answer: The Agent
,◉ What entities make up the Medical Information Bureau? Answer:
Insurers
◉ In Insurance policies the insured is not legally bound to any
particular action in the insurance contract, but the insurer is legally
obligated to pay losses covered by the policy. What contract element
does this describe? Answer: Unilateral
◉ The proposed insured makes the premium payment on a new
insurance policy. If the insured should die, the insurer will pay the
death benefit to the beneficiary if the policy is approved. This is an
example of what kind of contract? Answer: Conditional
◉ Contracts that are prepared by one party and submitted to the
other party on a take-it-or-leave-it basis are classified as... Answer:
Contracts of Adhesion
◉ When an insured makes truthful statements on the application for
insurance and pays the required premium, it is known as which of
the following? Answer: Consideration
◉ What type of hospital policy pays a fixed amount each day that the
insured is in the hospital? Answer: Hospital Indemnity
, ◉ Who chooses a primary care physician in an HMO plan? Answer:
The Insured
◉ Under what type of care do insurers negotiate contracts with
health care providers to allow subscribers access to health care
services at a favorable cost? Answer: PPO- Preferred Provider
Organization
◉ What is a fee-for-service health plan? Answer: Providers receive
payment for each service provided
◉ What is the purpose of COBRA? Answer: To allow continuation of
health insurance coverage for terminated employees
◉ What is the role of the gatekeeper in an HMO plan? Answer: To
control costs for the services for specialists
◉ What is the purpose of respite care in long-term care insurance?
Answer: To provide relief for a major caregiver (usually a family
member)
◉ What is the capital sum in Accidental Death and Dismemberment
(AD&D) coverage? Answer: A percentage of the principal sum