If an agent makes a correction on the application for health insurance, who must initial the
correct answer? - *answers * The applicant
What is the term used for a written request for an insurer to issue an insurance contract based
on the provided information? - *answers * Application
What information are the members of the Medical Information Bureau required to report? -
*answers * Adverse medical information about the applicants or insured.
When should an agent obtain a Statement of Good Health from the insured? - *answers * When
the premium was paid upon policy delivery and not the time of application.
What is the entire contract in health insurance underwriting? - *answers * The application and
policy issued.
What entities make up the Medical Information Bureau? - *answers * Insurers
What is the best way to make a change on an application for insurance? - *answers * Start over
with a fresh application
In health insurance, the policy itself and the insurance application form what? - *answers * 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? - *answers * The
applicant
Who must sign a health insurance application? - *answers * The policyowner, the insured (if
different), and the agent
,Arkansas Health insurance exam
If an underwriter requires extensive information about the applicant's medical history, what
report will best serve this purpose? - *answers * Attending Physicians statement
Who is responsible for paying the cost of a medical examination required in the process of
underwriting? - *answers * Insurer
Whose responsibility is it to inform an applicant for health insurance about the insurer's
information gathering practices? - *answers * The agent
What type of hospital policy pays a fixed amount each day that the insured is in the hospital? -
*answers * Hospital indemnity
What is the term for a period of time immediately following a disability during which benefits
are not payable? - *answers * Elimination period
What is the primary purpose of disability income insurance? - *answers * To replace income lost
due to a disability
Who are the parties in a group health contract? - *answers * 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? - *answers * Preferred
Provider Organization (PPO)
How are HMO territories typically divided? - *answers * geographic areas
Why do HMOs encourage members to get regular checkups? - *answers * To help catch health
problems early when treatment has the greatest chance for success (i.e. preventive care)
, Arkansas Health insurance exam
Who chooses a primary care physician in an HMO plan? - *answers * The individual member
What is a fee-for-service health plan? - *answers * Under a fee-for-service plan, providers
receive payments for each service provided
What are the three types of basic medical expense insurance? - *answers * Hospital, surgical,
and medical
What is the capital sum in Accidental Death and Dismemberment (AD&D) coverage? - *answers
* A percentage of the principle sum
What is the main principle of an HMO plan? - *answers * Preventive care
In health insurance, what is considered a sickness? - *answers * An illness that first arises while
the policy is in force
What do individual insureds receive as proof of their group health coverage? - *answers *
Certificate of insurance
In what type of health plans are providers paid for services in advance, regardless of the
services provided? - *answers * Prepaid plans
Can Alzheimer's disease be excluded from coverage under a long-term care policy? - *answers *
No, organic cognitive disorders, such as Alzheimer's or Parkinson's must be covered
With key person disability insurance, who pays the policy premiums? - *answers * The business
(employer)