West Virginia Health Insurance Licensing
Study online at https://quizlet.com/_e4wsc6
1. When should an agent obtain a statement of When the premium was paid
good health from the insured? upon policy delivery and not at the
time of application
2. What information are the members of the med- Adverse medical information
ical information bureau required to report? about the applicants or insured
3. Who must sign a health insurance application? The policyowner, the insured (if
different), and the agent
4. If an insurer decides to obtain medical informa- applicant
tion from different sources, in order to deter-
mine the insurability of an applicant, who must
be notified of the investigation?
5. What is the entire contract and health insurance The application and the policy is-
underwriting? sued
6. If an agent makes a correction on the application applicant
for health insurance, who must initial the correct
answer?
7. In health insurance, the policy itself, and the in- Entire Contract
surance application form what?
8. Whose responsibility is it to inform an applicant Agent
for health insurance about the insurer's informa-
tion gathering practices?
9. What entities make up the medical information Insurers
bureau?
10. application
, West Virginia Health Insurance Licensing
Study online at https://quizlet.com/_e4wsc6
What is the term used for a written request for
an insurer to issue an insurance contract based
on the provided information?
11. Who is responsible for paying the cost of a med- insurer
ical examination required in the process of un-
derwriting?
12. If an underwriter requires extensive information Attending physician's statement
about the applicant's medical history, what re-
port will best serve this purpose?
13. What is the best way to make a change on an Start over with a fresh application
application for insurance?
14. In health insurance, what is considered a sick- An illness that first arises while the
ness? policy is in force
15. What type of hospital policy pays a fixed amount Hospital indemnity
each day that the insured is in the hospital?
16. With key person, disability insurance, who pays The business (employer)
the policy premiums?
17. What is the purpose of respite care in long-term To provide relief for a major care-
care insurance? giver (usually a family member)
18. How are HMO territories typically divided? geographic areas
19. Why do HMOs encourage members to get regu- To help catch health problems
lar check ups? early when treatment has the
greatest chance for success
20. Who are the parties in a group health contract? The employer and the insurer
, West Virginia Health Insurance Licensing
Study online at https://quizlet.com/_e4wsc6
21. In group insurance, what is the name of the pol- Master policy
icy?
22. What types of groups are eligible for group Employer-sponsored and associ-
health insurance? ation-sponsored groups
23. How can an HMO member see a specialist? Referral by the primary care physi-
cian
24. Who chooses a primary care physician in an HMO The individual member
plan?
25. What is the term for a period of time immediately Elimination period
following a disability, during which benefits are
not payable?
26. In what type of health plans are providers paid Prepaid plans
for services in advance, regardless of the services
provided?
27. Can Alzheimer's disease be excluded from cover- No, organic cognitive disorders,
age under a long-term care policy? such as Alzheimer's or Parkinson's
must be covered
28. What is the main principle of an HMO plan? preventive care
29. What is the capital sum in accidental death and A percentage of the principal sum
dismemberment (AD&D) coverage?
30. What are the three types of basic medical ex- Hospital, surgical and medical
pense insurance?
31. What is a free for service health plan?
Study online at https://quizlet.com/_e4wsc6
1. When should an agent obtain a statement of When the premium was paid
good health from the insured? upon policy delivery and not at the
time of application
2. What information are the members of the med- Adverse medical information
ical information bureau required to report? about the applicants or insured
3. Who must sign a health insurance application? The policyowner, the insured (if
different), and the agent
4. If an insurer decides to obtain medical informa- applicant
tion from different sources, in order to deter-
mine the insurability of an applicant, who must
be notified of the investigation?
5. What is the entire contract and health insurance The application and the policy is-
underwriting? sued
6. If an agent makes a correction on the application applicant
for health insurance, who must initial the correct
answer?
7. In health insurance, the policy itself, and the in- Entire Contract
surance application form what?
8. Whose responsibility is it to inform an applicant Agent
for health insurance about the insurer's informa-
tion gathering practices?
9. What entities make up the medical information Insurers
bureau?
10. application
, West Virginia Health Insurance Licensing
Study online at https://quizlet.com/_e4wsc6
What is the term used for a written request for
an insurer to issue an insurance contract based
on the provided information?
11. Who is responsible for paying the cost of a med- insurer
ical examination required in the process of un-
derwriting?
12. If an underwriter requires extensive information Attending physician's statement
about the applicant's medical history, what re-
port will best serve this purpose?
13. What is the best way to make a change on an Start over with a fresh application
application for insurance?
14. In health insurance, what is considered a sick- An illness that first arises while the
ness? policy is in force
15. What type of hospital policy pays a fixed amount Hospital indemnity
each day that the insured is in the hospital?
16. With key person, disability insurance, who pays The business (employer)
the policy premiums?
17. What is the purpose of respite care in long-term To provide relief for a major care-
care insurance? giver (usually a family member)
18. How are HMO territories typically divided? geographic areas
19. Why do HMOs encourage members to get regu- To help catch health problems
lar check ups? early when treatment has the
greatest chance for success
20. Who are the parties in a group health contract? The employer and the insurer
, West Virginia Health Insurance Licensing
Study online at https://quizlet.com/_e4wsc6
21. In group insurance, what is the name of the pol- Master policy
icy?
22. What types of groups are eligible for group Employer-sponsored and associ-
health insurance? ation-sponsored groups
23. How can an HMO member see a specialist? Referral by the primary care physi-
cian
24. Who chooses a primary care physician in an HMO The individual member
plan?
25. What is the term for a period of time immediately Elimination period
following a disability, during which benefits are
not payable?
26. In what type of health plans are providers paid Prepaid plans
for services in advance, regardless of the services
provided?
27. Can Alzheimer's disease be excluded from cover- No, organic cognitive disorders,
age under a long-term care policy? such as Alzheimer's or Parkinson's
must be covered
28. What is the main principle of an HMO plan? preventive care
29. What is the capital sum in accidental death and A percentage of the principal sum
dismemberment (AD&D) coverage?
30. What are the three types of basic medical ex- Hospital, surgical and medical
pense insurance?
31. What is a free for service health plan?
