FIELD AND HOME OFFICE UNDERWRITING AND POLICY ISSUANCE Flashcards

1
Q

In order to represent an insurer, an agent must be _____ by that company.

A

appointed

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2
Q

What does the fair credit reporting act allow?

A

It gives a consumer or applicant the right to dispute credit reporting information

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3
Q

What methods are used to insure a substandard risk?

A

Higher premium, exclusion rider, lower benefit, and lower benefit time frame.

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4
Q

Who pays for the cost of an applicant’s medical exams and lab fees?

A

the insurer underwriting the application

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5
Q

What is the rating method that increases premiums by increasing the age classification of the insured?

A

the step up in age rating method

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6
Q

The MIB is an intercompany ___ bank that stores information collected from previous ___

A

data bank, applications

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7
Q

Whenever a premium is paid by an applicant, the agent should provide a _____.

A

receipt

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8
Q

When must the applicant be notified that consumer/credit background checks will be performed?

A

within 3 days following a request for information

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9
Q

T or F: women statistically live longer than men; therefore, they have lower life insurance premiums.

A

true

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10
Q

Is coverage provided during the grace period?

A

yes

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11
Q

What individual has better than average risk?

A

A preferred risk

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12
Q

What are some of the negative results of submitting an incomplete application?

A

It’s unprofessional, creates issuance delays, and may result in business lost to competitors or in lost commissions.

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13
Q

When is a trial application used?

A

When an application is submitted to the insurer without an initial premium

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14
Q

If requested by an applicant, what credit information must be provided to the applicant?

A

The information report, the source of information, and how to challenge the information.

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15
Q

When does coverage begin if a policy has conditional receipt based upon insurability?

A

Coverage begins on the receipt date provided the application is approved as applied for.

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16
Q

What tables predict the probability of death?

A

mortality tables

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17
Q

If a conditional receipt requires the applicant to take a medical exam, when is the earliest date coverage may begin?

A

The date of the exam itself.

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18
Q

When does the “notice to the applicant” regarding the fair credit reporting act need to be given?

A

at the time of application

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19
Q

what methods are used to insure a substandard risk?

A

higher premium, exclusion rider, lower benefit, and lower benefit time frame.

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20
Q

What provision begins on the date a policy is delivered to an insured?

A

The free-look provision

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21
Q

When may changes to an application be made?

A

changes may only be made prior to application submission

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22
Q

what information may be found in section 1 of a life insurance policy?

A

name, address, date of birth, salary, and occupation of the applicant (basic information)

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23
Q

A ____ party contract requires three signatures.

A

third

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24
Q

when should an agent review the possibility of various background checks such as credit, MIB, or HIV?

A

at time of original application

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25
Q

In order to represent an insurer, an agent must be ___ by that company

A

appointed

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26
Q

what is the most common method used to insure a substandard risk?

A

charging higher premiums

27
Q

list some approved policy delivery methods.

A

certified registered mail, first class mail with signed receipt, personal delivery.

28
Q

name the receipt that provides coverage “as long as a specific condition has been met or performed.”

A

a conditional receipt

29
Q

for applications submitted without premium, applicants must pay premium and complete a ____.

A

statement regarding good health

30
Q

if proven untrue, may information obtained through a credit check be used to deny an application?

A

no

31
Q

an insurability type of conditional receipt, dated 6/15 is approved as applied for on 9/1. when did coverage begin?

A

6/15 - with conditional type receipt, coverage is effective on date of application if policy is issued as applied for.

32
Q

what is a binding receipt?

A

one that provides on the date the premium is received.

33
Q

what is a declined risk?

A

an application for insurance that has been turned down

34
Q

what is a morbidity table?

A

a table used to predict the probability of illness for disability

35
Q

APS stands for:

A

Attending physician’s statement

36
Q

an approval type conditional receipt dated 6/15 is approved on 9/1 as applied for. when did the coverage become effective?

A

9/1 - the date the policy is approved

37
Q

who is the field underwriting agent?

A

the agent who determines which risks are desirable and submits them to the underwriting department for approval

38
Q

which would have a lower premium, a standard or substandard risk?

A

a standard risk would have a lower premium

39
Q

T or F: anyone may gain access to MIB information

A

False, access is only available to approved company representatives/underwriters.

40
Q

an applicant’s health history is usually found in ____ of a life insurance policy.

A

section ll

41
Q

What are the primary duties of an underwriter?

A

assess risks, approve or deny applications, determine premiums, and protect the insurer against adverse selection

42
Q

What is the principal tool used in determining an individual’s eligibility for insurance coverage?

A

the application

43
Q

when does coverage begin on a conditional receipt policy?

A

if the application is approved as applied for, coverage is immediately provided.

44
Q

name some items that effect policy premium.

A

age, gender, health, occupation, hobbies, habits, family health, travel outside of country

45
Q

at policy delivery, what should the agent review with the insured?

A

coverage, coverage effective date, provisions, beneficiaries, premium, exclusions, riders, and ownership rights

46
Q

what are representations?

A

statements made by an applicant when answering questions on the application

47
Q

A _____ application requires no information other than what is provided by the applicant

A

nonmedical

48
Q

define the term warranty

A

a statement made by an applicant that is guaranteed to be absolutely true

49
Q

T or F: the producer issues the insurance policy

A

False. Producers solicit appointments, complete applications, collect premiums, and submit applications for approval.

50
Q

What is the primary source of underwriting information?

A

the original application

51
Q

the date listed on a receipt will always be a date that is ___ than the policy issue date.

A

earlier

52
Q

What is another name for an average or ordinary risk?

A

standark risk

53
Q

what type of receipt provides coverage only on the date the application is approved?

A

an approval type conditional receipt

54
Q

how does the percentage of normal rate method work?

A

by simply increasing the premium by a percentage of the standard rate

55
Q

what does the delivery of a policy to an insured constitute?

A

policy issue and acceptance

56
Q

is signed authorization required from the application in order to test for the HIV virus?

A

yes

57
Q

when should the agent review and collect signatures on a notice regarding replacement form?

A

no later than time of application

58
Q

who is a substandard risk?

A

an individual with higher than average risk

59
Q

T or F: An agent may not make changes to a life insurance application

A

True - technically, only the applicant may make changes, and only prior to the application being submitted.

60
Q

What is the purpose of the MIB?

A

To compare collected health information in order to avoid adverse selection

61
Q

what does the fair credit reporting act allow?

A

It gives a consumer or applicatnt the right to dispute credit reporting information

62
Q

where would an agent record personal observations regarding the applicant

A

in the agent report

63
Q
A