Illinois Health Insurance Practice Exam

Question: 1 / 400

What is the concept of medical underwriting in health insurance?

Assessing the applicant's credit history

Evaluating an applicant's health history to determine coverage eligibility

Medical underwriting is a critical process in health insurance that involves evaluating an applicant's health history to determine their eligibility for coverage. This includes a detailed review of the individual's medical records, pre-existing conditions, past treatments, and other relevant health information. The main objective of medical underwriting is to understand the risk associated with insuring a particular individual, which helps insurers make informed decisions about coverage options and premiums.

By assessing health history, insurers can determine the level of risk—if an applicant has a history of serious health issues, for instance, they may be considered a higher risk for claims and this may impact the terms of their coverage or their premium rates. Medical underwriting plays a significant role in ensuring that insurance companies can maintain financial viability while providing coverage to individuals based on their specific health needs.

The other options, while related to various aspects of assessing an applicant's background, do not accurately reflect the primary aim of medical underwriting. Options related to credit history or lifestyle choices do not focus on the health aspects that are central to the underwriting process itself.

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Determining the insurance premium based on occupation

Reviewing the applicant's social factors and lifestyle choices

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