Chapter Eleven Quiz Flashcards

1
Q

Which renewal option does not guarantee and allows the insurance company to refuse renewal of a policy at any premium due date?

A

Optionally renewable

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2
Q

The provision that provides for the sharing of expenses between the insured and the insurance company is:

A

Coinsurance

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3
Q

Who is involved in completing the agents report?

A

Only the agent

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4
Q

Health insurance underwriting is the best defined as:

A

Selection, classification, and rating of risks

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5
Q

What type of group rating do the Blue Cross and Blue Shield organizations use as a factor in developing the rates to be charged?

A

Experience rating

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6
Q

A health insurance policy that pays a lump sum if the insured suffers a heart attack or stroke is known as:

A

Critical illness

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7
Q

A producer is acting in what capacity when he or she is trying to obtain credible information about an applicant for health insurance?

A

Field underwriter

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8
Q

On a health insurance application, a signature is required from all of the following individuals:

A
  • The agent
  • The policyowner
  • The proposed insured
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9
Q

An applicant for health insurance has not had a medical claim in 5 years. He exercises daily and does not smoke or drink. What classification do you assume the applicant would receive from his insurer?

A

Preferred

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10
Q

In group insurance, what is the policy called?

A

Master policy

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11
Q

All of the following are true regarding copayments:

A
  • They are arrangements between the insured and the insurer
  • The insured pays a specific amount for a claim, regardless of the actual cost of the service
  • They are typically due at the time of receiving the service
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12
Q

The factor added to the net premium to cover the costs of the insurer in obtaining and maintaining the business is called:

A

Expenses

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