Chapter 7 (Health)

Which type of plan normally includes hospice benefits?

Managed care plans

Which of the following are NOT managed care organizations?

Medical Information Bureau (MIB)

Which of the following statements about the classification of applicants is INCORRECT?

Substandard applicants are never declined by underwriters

A producer takes an individual Disability Income application, collects the appropriate premium, and issues the prospective insured a conditional receipt. The next step the insurance company will take is to

determine if the applicant is an acceptable risk by completing standard underwriting procedures

Pre-hospitalization authorization is considered an example of

managed care

A prepaid application for individual Disability Income insurance was recently submitted to an insurer. When the insurer received the Medical Information Bureau (MIB) report, the report showed that the applicant had suffered a stroke 18 months ago, something that was not disclosed on the application. Which of the following actions would the insurance company NOT take?

Send a notice to the MIB that the applicant was declined

Which of the following BEST describes how pre-admission certifications are used?

Used to prevent nonessential medical costs

Which of the following actions will an insurance company most likely NOT take if an applicant, who has diabetes, applies for a Disability Income policy?

Issue the policy with an altered Time of Payment of Claims provision