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Showing posts with the label Health Insurance Basics

What entities make up the Medical Information Bureau?

What entities make up the Medical Information Bureau? Answer: Insurers

What are the common exclusions in most health insurance policies?

What are the common exclusions in most health insurance policies? Answer: War, self-inflicted injuries, pre-existing conditions, elective cosmetic surgeries, injuries caused by participating in illegal activities, and workers compensation benefits.

In insurance, when is the offer usually made on a contract?

In insurance, when is the offer usually made on a contract? Answer: When the insurance application is submitted

During the application process for health insurance, a producer is trying to obtain credible information about the applicant that would help underwriters determine if the risk is insurable. In what role is the producer acting

During the application process for health insurance, a producer is trying to obtain credible information about the applicant that would help underwriters determine if the risk is insurable. In what role is the producer acting Answer: Field underwriter

What is a warranty in an insurance contract?

What is a warranty in an insurance contract? Answer: An absolute true statement upon which the validity of the insurance contract is based

Under a credit disability policy, payments to the creditor will be made for the insurer until what point in time?

Under a credit disability policy, payments to the creditor will be made for the insurer until what point in time? Answer: Until the period of disability ends or until the debt is repaid

What is the capital sum in Accidental Death Dismemberment (AD and D) coverage?

What is the capital sum in Accidental Death Dismemberment (AD and D) coverage? Answer: A percentage of the principal sum

If an underwriter requires extensive information about the applicant's medical history, what report will best serve this purpose?

If an underwriter requires extensive information about the applicant's medical history, what report will best serve this purpose? Answer: Attending Physician's Statement

What are the four elements of an insurance contract?

What are the four elements of an insurance contract? Answer: Agreement (offer and acceptance), consideration, competent parties, and legal purpose

What information are the members of the Medical Information Bureau required to report?

What information are the members of the Medical Information Bureau required to report? Answer: Adverse medical information about the applicants of the insured

During which stage in the insurance process do insurers evaluate information that identifies adverse selection risk?

During which stage in the insurance process do insurers evaluate information that identifies adverse selection risk? Answer: Underwriting

How can health insurance policies be delivered to the insured?

How can health insurance policies be delivered to the insured? Answer: Personally delivered to the agent or mailed

What type of health insurance plans cover all accidents and sicknesses that are not specifically excluded in the policy?

What type of health insurance plans cover all accidents and sicknesses that are not specifically excluded in the policy? Answer: Comprehensive plans

What entity provides underwriters with information concerning an applicant's health history?

What entity provides underwriters with information concerning an applicant's health history? Answer: MIB - Medical Information Bureau

Health contracts are prepared by insurers and must be accepted by the insured on an 'as is' basis. This describes what aspect of a health insurance contract?

Health contracts are prepared by insurers and must be accepted by the insured on an 'as is' basis. This describes what aspect of a health insurance contract? Answer: Contract of adhesion

In medical expense contracts, what is the term that describes the payment method when the insured is responsible for paying the medical expenses, and then the insurer pays directly to the insured?

In medical expense contracts, what is the term that describes the payment method when the insured is responsible for paying the medical expenses, and then the insurer pays directly to the insured? Answer: Reimbursement

If an applicant does not receive his or her insurance policy, who would be held responsible?

If an applicant does not receive his or her insurance policy, who would be held responsible? Answer: The agent

What type of hospital policy pays a fixed amount each day that the insured is in the hospital?

What type of hospital policy pays a fixed amount each day that the insured is in the hospital? Answer: Indemnity

What type of group health insurance is used to provide accident coverage on a group of persons that are participating in a particular activity, when the individual insureds are unknown, and are covered automatically?

What type of group health insurance is used to provide accident coverage on a group of persons that are participating in a particular activity, when the individual insureds are unknown, and are covered automatically? Answer: Blanket

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?

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