While investigating a current claim, an insurance company learns the insured claimant had not included their full medical history on the application and that the current claim results from a condition that was probably pre-existing 4 years ago, when the application was approved. The company will:

a. Reduce the percentage of payment for the current claim

b. Pay the current claim, but void the policy, based on misrepresentation

c. Deny payment of the claim and cancel the policy, based on misrepresentation

d. Pay the claim

d. Pay the claim

Question

Business

Vasquez

8 February, 17:56

While investigating a current claim, an insurance company learns the insured claimant had not included their full medical history on the application and that the current claim results from a condition that was probably pre-existing 4 years ago, when the application was approved. The company will:

a. Reduce the percentage of payment for the current claim

b. Pay the current claim, but void the policy, based on misrepresentation

c. Deny payment of the claim and cancel the policy, based on misrepresentation

d. Pay the claim

d. Pay the claim

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Answers (1)

Know the Answer?

Malachi Potts · Answer 1

"D"

Explanation:

Health insurance claims are the bills of medical treatment that health care providers sent to the insurance company on behalf of the insured. It is guided by health law

In some cases, the policy holder may bear a certain percentage of the cost depending on the contract agreement.

The right to claims can not be denied because of a pre existing condition. Even though it was not disclosed in the application, it is not a justified reason to deny the claim.