among its producers and employees to ensure confidentiality;The test must be administered in a manner that meets the protocol of the U.S. Department of Health andHuman Services;The insurer must disclose the test results as authorized by the applicant in writing;If the applicant has not identified a physician to receive test results, the positive test results and the identityof the applicant must be sent to the state Department of Health; andThe reporting of test results must include the name and address of the reporting company.Requiring an HIV test is not considered unfair discrimination as long as the following conditions are met:The testing is required for all individuals in the same class;
10/20/21, 11:28 AMThe Exam Simulator for the Web!24/31Proposed insured is not denied coverage on the basis of such testing alone (if no other conditions specified inthe Insurance Code apply); andThe tests and testing procedures have been approved by the United States Food and Drug Administration(FDA) and otherwise comply with applicable state and federal laws.Insurers are permitted to ask a proposed insured whether he or she has tested positive on an AIDS-relatedtest.In Ohio, an insurer may require an applicant for coverage under the policy to submit to an HIV test only inconjunction with tests for other health conditions. However, an applicant may not be required to submit to anHIV test on the basis of the applicant's sexual orientation or through questions designed to ascertain theapplicant's sexual orientation.2. Selection CriteriaInformation the companies obtain relating to risk factors aid the underwriters in determining the extent ofthe risks involved. In order to avoid adverse selection, the company will discriminate in favor of good risksand against poor risks. However, insurance companies cannot unfairly discriminate between individuals ofthe same class and equal life expectancy in the rates, benefits, or any terms and conditions of the contract.The following are examples of underwriting practices in life and health insurance that would constituteunfair discriminationbetweenindividuals of the same class:Discriminating in policy rates and benefits based solely onAge or gender;Physical or mental impairment;Blindness or partial blindness; orGenetic characteristics or genetic testing.Investigating as part of the underwriting process a proposed insured's sexual orientation.3. Classification of RisksIn classifying a risk, the Home Office underwriting department will look at the applicant’s past medicalhistory, present physical condition, occupation, habits and morals. If the applicant is acceptable, theunderwriter must then determine the risk orrating classificationto be used in deciding whether or not theapplicant should pay a higher or lower premium. A prospective insured may be rated as one of the threeclassifications:standard, substandard,orpreferred.
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