Health Ins Underwriting - Lesson 17 Flashcards

0
Q

What is morbidity?

A

The frequency of illness, sickness, and disease.

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1
Q

Health insurance industry are concerned with:

A

Morbidity

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2
Q

And applicant’s lifestyle can affect insurability. Heavy drinking and a poor credit rating are examples of:

A

Moral hazard

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3
Q

The underwriter can classify the applicant in how many ways?

A
  1. Standard risk
  2. Preferred risk
  3. Substandard risk
  4. Uninsurable
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4
Q

If an underwriter finds an applicant to be a substandard risk, what would be an alternative?

A
  1. Limit the type of policy
  2. Charge a higher premium
  3. Use a restrictive rider
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5
Q

An employer who provides disability income insurance for his employees may include this cost as a deductible business expense. True or false?

A

True

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6
Q

Given example of someone who could be rated as a preferred risk.

A

A secretary who jogs three times a day, does not smoke, and is physically fit.

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7
Q

What are some risk factors to be considered during the underwriting process?

A
  1. Avocations
  2. Occupation
  3. Age
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8
Q

A substandard risk can be considered an insurable risk by the underwriting department. True or false?

A

True

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9
Q

What is used to determine health insurance premiums?

A
  1. Morbidity
  2. Interest
  3. Expense
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10
Q

When are disability income benefits taxable to employee?

A

If the employer has paid for the insurance premiums.

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11
Q

A table that reflects the average number of disabilities due to sickness and accidents at various ages is a:

A

Morbidity table

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12
Q

Which of the following is not used to determine disability insurance rates: loading, morbidity, interest, or mortality.

A

Mortality

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13
Q

Insurers may use which of the following as a basis for rate structure and disability insurance: sex, person’a color, natural origin, or medical history.

A

Sex and medical history

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