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Difficulty: EasySources of Underwriting Information

A life insurance underwriter notes that an applicant answered 'yes' to having a recent major surgery. To properly evaluate this physical risk, the underwriter needs detailed surgical records, recovery progress notes, and a direct professional opinion from the surgeon who performed the operation. Which of the following is the appropriate source for the underwriter to obtain this specific information?

  1. Attending Physician's Statement (APS)Answer
  2. B
    Medical Information Bureau (MIB) report
  3. C
    Investigative Consumer Report
  4. D
    Agent's Report

Answer

Attending Physician's Statement (APS)
The correct answer is the Attending Physician's Statement (APS) because it is specifically designed to obtain detailed medical information, such as surgical notes and professional prognoses, directly from the medical professionals who treated the applicant. This requires the applicant's signed HIPAA authorization.

Step-by-Step Solution

1
Identify the specific information needed by the underwriter.
The underwriter requires detailed surgical records, recovery notes, and a surgeon's professional opinion.
Understanding what data is missing determines which underwriting source must be consulted.
2
Evaluate the standard sources of underwriting information against the requirement.
Only an Attending Physician's Statement (APS) provides direct, detailed medical files from the applicant's own treating doctor or hospital.
Other sources like the MIB, Agent's Report, or Investigative Consumer Reports serve different distinct purposes (coded history, personal observation, and lifestyle investigation, respectively).

Key Concept

Sources of Underwriting Information
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Sources of Underwriting Information

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