Chapter Eleven Quiz Flashcards
Which renewal option does not guarantee and allows the insurance company to refuse renewal of a policy at any premium due date?
Optionally renewable
The provision that provides for the sharing of expenses between the insured and the insurance company is:
Coinsurance
Who is involved in completing the agents report?
Only the agent
Health insurance underwriting is the best defined as:
Selection, classification, and rating of risks
What type of group rating do the Blue Cross and Blue Shield organizations use as a factor in developing the rates to be charged?
Experience rating
A health insurance policy that pays a lump sum if the insured suffers a heart attack or stroke is known as:
Critical illness
A producer is acting in what capacity when he or she is trying to obtain credible information about an applicant for health insurance?
Field underwriter
On a health insurance application, a signature is required from all of the following individuals:
- The agent
- The policyowner
- The proposed insured
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?
Preferred
In group insurance, what is the policy called?
Master policy
All of the following are true regarding copayments:
- 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
The factor added to the net premium to cover the costs of the insurer in obtaining and maintaining the business is called:
Expenses