Chapter 4 Flashcards
Preferred Risks
Individuals demonstrating lower mortality risk features
Framingham Risk factors
Age, gender, and smoking status, blood pressure, cholesterol, HDL, diabetes and LVH on resting EKG
Conservation of Deaths Method
- Range of mortality in a standard class
- Mortality is defined as 100%
- if a subset of those risks have lower mortality expectation
- by definition the remaining risks will have higher mortality
According to the conservation of deaths method, the fewer individuals that qualify for the preferred class:
The greater the mortality discount
A method of setting mortality which assumes a correlation between the percent qualifying for a preferred risk class and the mortality discount
Conservation of deaths method
Accidental death risk
driving, hazardous avocations, occupations
The risk stratification model that uses debits and credits to determine risk classes is:
point system
The risk stratification model that uses a series of rules associated with each factor whereby the proposed insured either qualifies for the risk or is “knocked out”
Knock-out
Challenges of preferred risk underwriting (6)
- build, blood pressure and lipid panels are required
- additional testing increases expenses
- more potential for proposed insured’s to be disappointed
- Underwriters are under additional scrutiny to stay within the guidelines
- More potential for underwriter error
- appeals from the field are more common
A coronary artery disease (CAD) risk factor not included in the Framingham CAD risk factors:
build