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An applicant cannot be refused simply because of some

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An applicant cannot be refused simply because of some adverse informationdiscovered through the MIB.Know This!Insurers cannot refuse coverage solely on the basis of adverseinformation on an MIB report.Medical Examinations and Lab Tests Including HIV
7/22/2021The Exam Simulator for the Web!20/26Medical examinations, when required by the insurance company, are conducted byphysicians or paramedics at the insurance company's expense. Usually suchexams are not required with regard to health insurance, thus stressing theimportance of the agent in recording medical information on the application. Themedical exam requirement is more common with life insurance underwriting. If aninsurer requests a medical examination, the insurer is responsible for the costs ofthe exam.It is common among insurers to require an HIV test when an applicant is applyingfor a large amount of coverage, or for any increased and additional benefits. Toensure proper obtaining and handling of results, and to protect the insureds'privacy, states have enacted the following laws and regulations forinsurers requiring an applicant to submit to an HIV test:Prior to testing, the insurer must disclose the use of testing to the applicant, andobtain written consent from the applicant on the approved form;The insurer must establish written policies and procedures for the internaldissemination of test results among its producers and employees to ensureconfidentiality;The test must be administered in a manner that meets the protocol of the U.S.Department of Health and Human Services;The insurer must disclose the test results as authorized by the applicant inwriting;If the applicant has not identified a physician to receive test results, the positivetest results and the identity of the applicant must be sent to the stateDepartment of Health; andThe reporting of test results must include the name and address of the reportingcompany.Requiring an HIV test is not considered unfair discrimination as long as thefollowing conditions are met:The testing is required for all individuals in the same class;Proposed insured is not denied coverage on the basis of such testing alone (if noother conditions specified in the Insurance Code apply); andThe tests and testing procedures have been approved by the United States Foodand Drug Administration (FDA) and otherwise comply with applicable state andfederal laws.Insurers are permitted to ask a proposed insured whether he or she has testedpositive on an AIDS-related test.Use and Disclosure of Insurance InformationWhen insurers plan to seek and use information from investigators, they mustfirst provide the applicant or insured with awritten Disclosure AuthorizationNotice. The notice must state the insurer’s practice regarding collection and useof personal information. The disclosure authorization form must be written in plainlanguage, and must be approved by the head of the Department of Insurance.

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Term
Spring
Professor
Edmunds,JohnC
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