Questions With 100% Correct Answers |
Verified | Updated 2024.
If an agent makes a correction on the application for health insurance, who must initial the correct
answer?
The applicant
What is the term used for a written request for an insurer to issue an insurance contract based on the
provided information?
Application
What information are the members of the Medical Information Bureau required to report?
Adverse medical information about the applicants or insured.
When should an agent obtain a Statement of Good Health from the insured?
When the premium was paid upon policy delivery and not the time of application.
What is the entire contract in health insurance underwriting?
The application and policy issued.
What entities make up the Medical Information Bureau?
Insurers
What is the best way to make a change on an application for insurance?
Start over with a fresh application
In health insurance, the policy itself and the insurance application form what?
The entire contract
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?
The applicant
Who must sign a health insurance application?
The policyowner, the insured (if different), and the agent
If an underwriter requires extensive information about the applicant's medical history, what report
will best serve this purpose?
, Attending Physicians statement
Who is responsible for paying the cost of a medical examination required in the process of
underwriting?
Insurer
Whose responsibility is it to inform an applicant for health insurance about the insurer's information
gathering practices?
The agent
What type of hospital policy pays a fixed amount each day that the insured is in the hospital?
Hospital indemnity
What is the term for a period of time immediately following a disability during which benefits are not
payable?
Elimination period
What is the primary purpose of disability income insurance?
To replace income lost due to a disability
Who are the parties in a group health contract?
The employer and the insurer
Under what type of care do insurers negotiate contracts with health care providers to allow
subscribers have access to health care services at a favorable cost?
Preferred Provider Organization (PPO)
How are HMO territories typically divided?
geographic areas
Why do HMOs encourage members to get regular checkups?
To help catch health problems early when treatment has the greatest chance for success (i.e. preventive
care)
Who chooses a primary care physician in an HMO plan?
The individual member
What is a fee-for-service health plan?
Under a fee-for-service plan, providers receive payments for each service provided
What are the three types of basic medical expense insurance?
Hospital, surgical, and medical