Question

Difficulty: EasyCompleting the Application

Broker Lin is reviewing a client's health insurance paperwork before sending it to the home office. He notices that the client completely skipped a question about recent surgeries, and a prescribed medication is misspelled. Which of the following are legally acceptable procedures for handling these issues? (Select all that apply)

  1. Have the applicant cross out the misspelled medication, write the accurate term, and provide their initials next to the revision.Answer
  2. B
    Correct the spelling error himself without contacting the client, since it is an obvious clerical mistake.
  3. C
    Forward the paperwork to the insurer with the blank space remaining, assuming the underwriter will ignore the omission.
  4. Meet with the applicant again to fill in the omitted surgery information and have them initial the new entry.Answer

Answer

The correct procedures are to have the applicant cross out and initial the spelling correction, and to meet with the applicant to fill in the missing information and initial the addition.
The application is a binding legal document. Any alterations or additions must be made by the applicant and verified with their initials to ensure they agree with the representations being submitted to the insurance company.

Step-by-Step Solution

1
Review the application for missing information and mistakes.
Identified a blank question regarding surgeries and a misspelled medication.
Agents act as field underwriters and are responsible for ensuring applications are complete and accurate before submission.
2
Apply insurance regulations regarding application alterations.
Determined that only the applicant can make or authorize changes by initialing them.
The application is a legal document that forms the basis of the insurance contract, requiring applicant consent for all statements.
3
Apply rules for handling incomplete applications.
Determined that the missing information must be provided and initialed by the applicant.
Insurers will delay or reject incomplete applications because unanswered questions create underwriting blind spots.

Key Concept

Application Completeness and Alterations
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