6 - (Questions) Health Insurance Underwriting
What is the effect of an impairment rider attached to a health insurance policy?
An impairment rider waives the insurance company's liability for all future claims on a pre-existing condition.
All of the following are primary risk factors in underwriting individual health insurance policies EXCEPT Geographical location Moral hazard Occupation Physical condition
Geographical Location
Which of the following would probably NOT be considered in underwriting a health insurance risk? Personal habits Credit rating Medical history Marital status
Marital Status
Major risk factors in health insurance underwriting include all of the following EXCEPT Physical condition Habits or lifestyle Marital status Occupation
Marital Status Three of the most important factors in classifying risks for health insurance are physical condition, moral hazards, and occupation. Marital status is not included in this.
Which of the following is NOT considered to be insurer expenses? Maintenance costs Policy premiums Employees' salaries Utilities
Policy Premiums All of these are insurer expenses EXCEPT policy premiums.
Which of these factors do NOT affect the rates of medical insurance? Health Race Occupation Gender
Race All of these affect the rates of medical insurance EXCEPT race.
Which of the following is NOT a factor in determining the morbidity of a group of individuals? Health Occupation Age Race
Race Relevant factors in determining the morbidity of a group of people include all of these EXCEPT race.
Which of the following is the purpose of medical cost management? To influence hospital charges and doctors' fees To discourage individuals from utilizing health care services To control health claim expenses To encourage individuals to seek medical help only as a last resort
To control health claim expenses.
Jim is the insured on a health insurance policy and holds 2 jobs. If "occupation" is used to classify the risk, the insurer will most likely classify Jim according to the occupation that
is most hazardous Where a person has more than one occupation, they should be rated for the occupation that represents the higher risk.
What is the term used to describe the frequency and severity of certain illnesses and accidents? Morbidity Mortality Malaise Insurability
The frequency and severity of certain illnesses and accidents is known as morbidity.