Massachusetts Health & Accident Insurance Practice Exam

What does an agent’s report typically include in the underwriting process?

1. general and medical information

2. only medical history

3. a statement from the applicant

4. the final policy decision

The correct answer is: general and medical information

An agent's report in the underwriting process includes general and medical information about the applicant. This comprehensive approach allows underwriters to assess the overall risk of insuring an individual. The general information typically encompasses factors such as the applicant's age, occupation, lifestyle, and any relevant personal details that might influence risk assessment. Meanwhile, the medical information provides insight into the applicant's health conditions, history, and any treatments that could impact their insurability. This dual perspective ensures that underwriters have a well-rounded view of the applicant's situation, enabling informed decision-making regarding coverage and premium rates. In contrast, focusing only on medical history would not provide the full context necessary for risk assessment. A statement from the applicant, while valuable, does not encompass the broader range of information required. The final policy decision, meanwhile, is an outcome that comes after evaluating the comprehensive data presented in the agent’s report, rather than being part of the report itself.