Questions Fully Solved.
If an agent makes a correction on the application for health insurance, who must initial the
correct answer? - 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? - Answer Application
What information are the members of the Medical Information Bureau required to report? -
Answer Adverse medical information about the applicants or insured.
When should an agent obtain a Statement of Good Health from the insured? - Answer When
the premium was paid upon policy delivery and not the time of application.
What is the entire contract in health insurance underwriting? - Answer The application and
policy issued.
What entities make up the Medical Information Bureau? - Answer Insurers
What is the best way to make a change on an application for insurance? - Answer Start over
with a fresh application
In health insurance, the policy itself and the insurance application form what? - Answer 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? - Answer The
applicant
Who must sign a health insurance application? - Answer The policyowner, the insured (if
different), and the agent
If an underwriter requires extensive information about the applicant's medical history, what
, Whose responsibility is it to inform an applicant for health insurance about the insurer's
information gathering practices? - Answer The agent
What type of hospital policy pays a fixed amount each day that the insured is in the hospital? -
Answer Hospital indemnity
What is the term for a period of time immediately following a disability during which benefits
are not payable? - Answer Elimination period
What is the primary purpose of disability income insurance? - Answer To replace income lost
due to a disability
Who are the parties in a group health contract? - Answer 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? - Answer Preferred
Provider Organization (PPO)
How are HMO territories typically divided? - Answer geographic areas
Why do HMOs encourage members to get regular checkups? - Answer 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? - Answer The individual member
What is a fee-for-service health plan? - Answer Under a fee-for-service plan, providers receive
payments for each service provided
What are the three types of basic medical expense insurance? - Answer Hospital, surgical, and
medical
What is the capital sum in Accidental Death and Dismemberment (AD&D) coverage? - Answer
A percentage of the principle sum