Chapter 17: Health Insurance Underwriting
This flashcard set reviews important procedures and outcomes related to insurance applications, managed care, medical reports, and taxation of benefits. Perfect for reinforcing key agent responsibilities and underwriting principles.
pre-hospitalization authorization is considered an example of
managed care
Key Terms
pre-hospitalization authorization is considered an example of
managed care
which type of plan normally includes hospice benefits
managed care plans
information obtained from a phone conversation to the proposed insured can be found in which of these resorts
inspection report
which of the following correctly explains the actions an agent should take if a customer wants to apply for an insurance policy
complete the application and review the information with the customer prior to obtaining the customers signature, then send the application off to ...
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 ont he application. which of the following actions would the insurance company not take
send a notice to the MIB that the applicant was denied
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
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| Term | Definition |
|---|---|
pre-hospitalization authorization is considered an example of | managed care |
which type of plan normally includes hospice benefits | managed care plans |
information obtained from a phone conversation to the proposed insured can be found in which of these resorts | inspection report |
which of the following correctly explains the actions an agent should take if a customer wants to apply for an insurance policy | complete the application and review the information with the customer prior to obtaining the customers signature, then send the application off to the insurance company |
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 ont he application. which of the following actions would the insurance company not take | send a notice to the MIB that the applicant was denied |
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 |
agent J takes an application and initial premium from an applicant and sends the application and premium check to the insurance company. the insurance company returns the check back to J because the check is made out to J instead of the insurance company. what action should J take | return to customer collect a new check made out to the insurance compnay and send the new check to the insurance company |
T is receiving 3K a month from a disability income policy in which T’s employer had paid the premiums. how are the 3K benefit payments taxable | benefits are taxable to T premiums are deductible to the employer and the benefits are taxable to the recpient when disability income insurance is paid entirely by the employer |
which of the following are NOT managed care organizations | medical information bureau (MIB) |
which mode of payment is NOT used by health insurance policies | single premium |
which of the following BEST describes how to pre admission certification is used | used to prevent nonessential medical costs |
which of the following BEST describes how to pre admission certification is used | used to prevent nonessential medical costs |
which of the following statements about the classification of applicants is correct | substandard applicants are never declined by underwriters |
an agent take 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 to | determine if the applicant is an acceptable risk by completing standard underwriting procedures |
an agent take 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 to | Begin underwriting the application. |