Health Insurance Underwriting Flashcards
13 Questions
100 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

How are the $3,000 benefit payments taxable for T?

  • Not taxable
  • Taxable to T (correct)
  • Taxable to both
  • Taxable to employer

Information obtained from a phone conversation to the proposed insured can be found in which of these reports?

Inspection report

How are pre-admission certifications used?

Used to prevent nonessential medical costs

Which of the following are NOT managed care organizations?

<p>Medical Information Bureau (MIB) (B)</p> Signup and view all the answers

Substandard applicants are never declined by underwriters.

<p>False (B)</p> Signup and view all the answers

What action would the insurance company NOT take when the MIB report shows undisclosed information?

<p>Send a notice to the MIB that the applicant was declined</p> Signup and view all the answers

What actions should an agent take if a customer wants to apply for an insurance policy?

<p>Complete the application and review it with the customer</p> Signup and view all the answers

How much of the $2,000 a month Disability Income is subject to federal income tax?

<p>$0</p> Signup and view all the answers

Which action will an insurance company most likely NOT take if an applicant with diabetes applies for a Disability Income policy?

<p>Issue the policy with an altered Time of Payment of Claims provision</p> Signup and view all the answers

What is pre-hospitalization authorization considered an example of?

<p>Managed care</p> Signup and view all the answers

Which type of plan normally includes hospice benefits?

<p>Managed care plans</p> Signup and view all the answers

Which mode of payment is NOT used by health insurance policies?

<p>Single premium (A)</p> Signup and view all the answers

What will the insurance company do next after a producer takes an individual Disability Income application?

<p>Determine if the applicant is an acceptable risk by completing standard underwriting</p> Signup and view all the answers

Study Notes

Disability Income Insurance

  • Benefits from an employer-funded Disability Income policy, such as $3,000/month, are taxable to the recipient.
  • Premiums paid entirely by the employer allow them to deduct the costs, making benefits taxable for the employee.

Insurance Reports

  • Information from phone conversations with the proposed insured is documented in inspection reports.

Pre-admission Certification

  • Used by insurance companies to prevent unnecessary medical expenses.

Managed Care Organizations

  • Medical Information Bureau (MIB) is not classified as a managed care organization.

Applicant Classification

  • Substandard applicants can be rated as such or even declined outright by underwriters, contradicting the incorrect belief that they are never declined.

Medical Information Bureau (MIB)

  • Insurance companies do not need to notify the MIB when an applicant is declined for coverage, even if medical history reveals undisclosed information.

Agent Responsibilities

  • Agents should complete the application and review it with the customer before obtaining their signature, then submit the application to the insurer.

Taxation on Disability Benefits

  • Disability income benefits from an individual policy, fully paid by the policyowner, are not subject to federal income tax.

Diabetes and Disability Income Policies

  • An insurance company will likely not issue a policy with altered Time of Payment of Claims for applicants with diabetes.

Managed Care Benefits

  • Pre-hospitalization authorization is a managed care practice requiring insurer approval before hospital admission.
  • Managed care plans generally include hospice benefits.

Health Insurance Payment Modes

  • Single premium payment mode is not typically used for health insurance policies.

Underwriting Process

  • After an applicant submits an individual Disability Income application and receives a conditional receipt, the next step involves standard underwriting to assess risk.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Description

Test your knowledge of health insurance underwriting concepts with these flashcards. Each card covers important definitions and tax implications related to disability income insurance. Perfect for students and professionals preparing for exams in the insurance field.

More Like This

Use Quizgecko on...
Browser
Browser