QUESTIONS WITH 100% CORRECT
ANSWERS L LATEST VERSION 2025/2026.
Consumers must be made aware of all of the following in replacement sale, except? -
ANS The financial ratings from each rating service
Policy replacement is the process of: - ANS Cancelling an existing policy and issuing a new
policy
Edward applies for a disability insurance policy. He pays the initial premium at the time of
application and receives a conditional receipt. Three days after the insurance company conducts
a medical examination, but before it issues a policy, Edward suffers a stroke. Upon reviewing the
results of his medical exam, the company discovers that Edward has been diagnosed with high
blood pressure and atherosclerosis. Under the terms of the conditional receipt, the insurance
company: - ANS Denies the claim becuase the insurer would not have issued the policy as
applied for as standard or better
If the insurer issues a policy after receiving an application for health insurance in which
questions regarding preexisting conditions were left blank, what would be the consequence to
the insured's coverage if a preexisting condition caused a claim shortly after the policy was
issued? - ANS Coverage would be as stipulated in the policy because the company issued the
policy even though the question was left blank
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,All of the following are examples of insurable interest between the insured and policyowner,
except: - ANS College roommates
In the event there is a policy issued and there are questions on the insurance application that
went unanswered: - ANS It will be assumed that the insurer waived their right to have
answers to those questions
A producer gathers information about the applicant for the insurer in order to avoid adverse
selection. This is considered to be: - ANS Field underwriting
Which of the following is not an underwriting factor for health insurance? - ANS Place of
birth
Accidental Injury is a: - ANS Sudden, unexpected and unforeseen event
What is the primary source of underwriting information for an individual health insurance
policy? - ANS The application
Which of the following would be considered a pre-existing condition? - ANS Diabetes
The agent's primary underwriting role is: - ANS To make sure the application provides the
proper information
During the underwriting process, an underwriter was alerted that the applicant previously failed
a medical exam by testing positive for marijuana while applying for a disability income policy 2
years ago. Which of the following sources provides this type of information to assist member
companies when determining the eligibility of an individual risk? - ANS Medical Information
Bureau
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,The insurer's underwriter may find information about an applicant's moral character, hobbies,
work and general reputation from a: - ANS Consumer Investigative Report
Which one of the following is not a factor when an insurer underwrites a policy? -
ANS Marital status
After K completed an application for health insurance, a paramedical scheduled an appointment
to check height, weight, blood pressure, and collect blood and urine samples. This is an example
of which source of underwriting? - ANS Medical exam
An applicant for accident and health insurance works two jobs. Which of the applicant's jobs will
be used to underwrite the policy? - ANS The most hazardous of the two
Which of the following items does not become part of the insurance contract as defined in the
entire contract clause? - ANS The agent's report
Which of the following is not considered an underwriting factor when determining insurability
for health insurance? - ANS Spouse's occupation
If a premium is collected at the time of the application, the producer will issue a: -
ANS Conditional receipt
An application for health insurance includes all of the following information, except: -
ANS Attending physician's statement
When Harry completed his insurance application, the agent discovered that he was under
treatment for a chronic condition. In order to gather the necessary information, Harry's agent
ordered a/an: - ANS An attending physician statement
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, If a change or correction must be made on the application for insurance, which of the following
applies? - ANS The Producer can make the change and have the insured initial the change
Which of the following has primary responsibility for ensuring that the application is filled out
completely? - ANS Producer
When a policy is mailed to an agent by an insurer after being accepted as applied for and the
initial premium paid, it is considered to be: - ANS Legally Delivered
If an application is submitted with a question left unanswered, which of the following should
occur? - ANS The insurer would require an answer before issuing a policy
Which of the following are included in Part II of a Health Insurance Application? -
ANS Present health and medical background of applicant and family
Ultimately, insurability of an applicant is determined by the - ANS Insurer's home office
underwriter
If a premium was not paid at the time of application and a policy is issued, all the following are
responsibilities of the agent/producer, except: - ANS Pay the first premium
An application for health insurance was submitted on November 1 with the initial premium and
a conditional receipt was provided. Due to an existing medical condition, the underwriter
requested an Attending Physician Statement, medical exam, and MIB report. After reviewing all
sources of insurability, the insurer issued the policy as substandard with a surcharge. The policy
was delivered by the producer on December 1 after explaining the coverage and surcharge,
obtaining the statement of good health, and collecting the premium. Coverage became effective
as of the date the: - ANS Agent explained the policy coverage, surcharge, and collected the
additional premium
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.