Field Underwriting Process

In a replacement situation, all of the following must be considered except

assets

Notice to Applicant

informs applicant a report will b ordered concerning past credit report history and any other life and health insurance for which they have applied

What is the term used for an applicant's written request to an insurer for the company to issue a contract, based on the information provided?

Application

An agent is ready to deliver a policy to an applicant but has not yet received payment. Upon delivery, the agent collects the applicant's premium check, answers any questions the applicant may have, and then leaves. What did he forget to do?

Ask her to sign a statement of good health

Under the Privacy Rule for HIPAA, protected information includes all individually identifiable health information

Held or transmitted in any form

An applicant for a health insurance policy returns a completed application to her agent, along with a check for the first premium. She receives a conditional receipt two weeks later. Which of the following has the insurer done by this point?

Neither approved the application nor issued the policy

What is the best way to change an application?

Start over with a fresh application.

Whose responsibility is it to determine if all of the questions on an application have to be answered?

The agent

Which is true regarding obtaining underwriting sources?

The applicant must be informed of the sources contacted and how the information is being gathered.

An insurance agent is in the process of replacing the insured's current health insurance policy with a new one. Which of the following would be a proper action?

The old policy should stay in force until the new policy is issued.

Which of the following is true regarding health insurance underwriting for a person with HIV?

The person may not be declined for medical coverage solely based on HIV status.

An agent makes a mistake on the application and then corrects his mistake by physically entering the necessary information. Who must then initial that change?

applicant

An insurer is attempting to determine the insurability of an applicant and decides to obtain medical information from several different sources. Which entity must be notified of the investigation?

applicant

Which of the following entities can legally bind coverage?

insurer

Who must pay for the cost of a medical examination required in the process of underwriting?

insurer

On a health insurance application, a signature is required from all of the following individuals except

the spouse of the policyowner