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 report will best serve this purpose? - answer Attending Physicians statement
Who is responsible for paying the cost of a medical examination required in the process
of underwriting? - answer Insurer
Whose responsibility is it to inform an applicant for health insurance about the insurer's
information gathering practices? - answerThe agent
What type of hospital policy pays a fixed amount each day that the insured is in the
hospital? - answerHospital indemnity
, What is the term for a period of time immediately following a disability during which
benefits are not payable? - answerElimination period
What is the primary purpose of disability income insurance? - answerTo replace income
lost due to a disability
Who are the parties in a group health contract? - answerThe 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? -
answerPreferred Provider Organization (PPO)
How are HMO territories typically divided? - answergeographic areas
Why do HMOs encourage members to get regular checkups? - answerTo 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? - answerThe individual
member
What is a fee-for-service health plan? - answerUnder a fee-for-service plan, providers
receive payments for each service provided
What are the three types of basic medical expense insurance? - answerHospital,
surgical, and medical
What is the capital sum in Accidental Death and Dismemberment (AD&D) coverage? -
answerA percentage of the principle sum
What is the main principle of an HMO plan? - answerPreventive care
In health insurance, what is considered a sickness? - answerAn illness that first arises
while the policy is in force
What do individual insureds receive as proof of their group health coverage? -
answerCertificate of insurance
In what type of health plans are providers paid for services in advance, regardless of the
services provided? - answerPrepaid plans
Can Alzheimer's disease be excluded from coverage under a long-term care policy? -
answerNo, organic cognitive disorders, such as Alzheimer's or Parkinson's must be
covered
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