California Life and Health Insurance Practice Exam

What is typically needed next if an applicant reveals health conditions requiring more information?

1. Medical exam

2. Attending physician's statement

3. Insurance history report

4. Health questionnaire

The correct answer is: Attending physician's statement

When an applicant discloses health conditions that necessitate further investigation, obtaining an Attending Physician's Statement (APS) is typically the necessary next step. An APS provides detailed information directly from the applicant's healthcare provider regarding their medical history, current health status, and treatment plans. This statement is crucial for the insurer to accurately assess the applicant’s health risks and determine the appropriate coverage and premium rates. The APS is considered a standard practice in the underwriting process, especially when there are potential high-risk factors involved, such as chronic illnesses or significant medical histories. The insurer relies on this professional opinion to make informed decisions regarding coverage approvals or denials. While other options might also contribute information during the underwriting process, they do not replace the need for an APS when there are specific health concerns that need to be clarified. A medical exam might be required in some cases, a health questionnaire is often completed by the applicant themselves, and an insurance history report focuses on previous insurance coverage rather than current health conditions. Therefore, the Attending Physician's Statement is the most direct and applicable resource in this context.