Life & Health Insurance Exam (National Portion)Health InsuranceEasy

A 68-year-old client is concerned about the costs of long-term care in the future. They are considering a Long-Term Care (LTC) insurance policy. Which of the following is a primary factor an insurer uses to determine eligibility and premiums for LTC insurance?

  1. AThe client's driving record and credit score.
  2. BThe client's current health status and medical history.
  3. CThe client's current income level and financial assets.
  4. DThe client's marital status and number of dependents.
Show answer & explanation

Correct answer: B. The client's current health status and medical history.

An applicant's current health status and medical history are primary underwriting factors for Long-Term Care insurance, as they directly indicate the likelihood of needing care and the potential cost to the insurer.

Why the other options are wrong

  • A. Driving record and credit score are not typical underwriting factors for health-related insurance like LTC.
  • C. While financial status might influence affordability, it's not a primary underwriting factor for eligibility/premiums.
  • D. Marital status and dependents are generally not primary factors for LTC underwriting.

LTC Underwriting Factors

Key elements insurers assess to determine eligibility and premium rates for Long-Term Care insurance.

  • Current health status is paramount.
  • Medical history, including pre-existing conditions, is reviewed.
  • Age at application significantly impacts premiums.
  • Cognitive function assessments are common.

Memory trick: Health and Age are the main stage.

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