Producer Clara is finalizing an individual health insurance application for her client, Julian, who is both the applicant and proposed insured. He has already signed the paperwork and paid the initial premium. Before submitting the documents to the insurer, Clara discovers that Julian's weight was recorded incorrectly and a question regarding his history of tobacco use was left completely blank. Which of the following statements outline the legally correct principles and procedures for handling this situation? (Select all that apply)
- Clara must have Julian personally initial the correction to his recorded weight on the application.Cevap
- BClara may obtain Julian's verbal authorization over the phone to fill in the unanswered tobacco use question to expedite underwriting.
- If the application is submitted with the unanswered question and the insurer issues the policy, the insurer legally waives its right to contest a future claim based on Julian's tobacco use.Cevap
- DClara has implied authority to unilaterally correct obvious clerical errors, such as height and weight, as long as she notifies the insurer.
Cevap
The legally correct procedures require the applicant to personally initial any corrections, and if the insurer issues the policy with unanswered questions, they waive their right to contest claims based on that missing information.
Insurance regulations strictly dictate that any changes to a signed application must be physically initialed by the applicant. A producer cannot alter the document independently, even with verbal consent. Additionally, if an insurer chooses to issue a policy based on an application with blank answers, they legally waive the right to later contest a claim regarding those unanswered questions.
Adım Adım Çözüm
Anahtar Kavram
Application Changes and Omissions