SW Healthcare 101 - Private Medical Insurance

Which medical underwriting style requires an application form to be completed/submitted in order to join a PMI scheme?
Full Medical Underwriting
Medical History Disregarded
Moratorium
What is the new business commission for Aviva? (PMI)
20%
15%
25%
10%
Which of the below UK PMI insurers provide Worldwide Travel Cover as an add-on product??
Aviva and Bupa
Aviva and AXA
AXA and VitalityHealth
VitalityHealth & Bupa
Which UK PMI insurer offers a stress counselling line for free as an added value service?
Aviva
VitalityHealth
Freedom
WPA
Which of the below is the correct new business/retention commission rates for Bupa?
15% new business / 10% retention
20% new business / 10% retention
15% new business / 8% retention
12.5% new business / 8% retention
Which UK PMI insurer considers a child dependant to be 'overage' following their 21st birthday?
Bupa
AXA
Aviva
VitalityHealth
'Business Health' is a UK PMI product offered by which insurer?
Bupa
VitalityHealth
AXA
Freedom
WPA
Aviva
'Select' is a UK PMI product offered by which insurer?
Bupa
VitalityHealth
AXA
Freedom
WPA
Aviva
Which UK PMI insurer offers the following hospital list options - 'Key', 'Extended' and 'Expert Select'?
Aviva
Bupa
AXA
VitalityHealth
Which UK PMI insurer offers a 'community rated' product?
Bupa
Freedom
VitalityHealth
Aviva
'Business Healthcare' is a UK PMI product offered by which insurer?
AXA
WPA
Freedom
Bupa
VitalityHealth
When adding a new member to an existing PMI policy on 'Moratorium' underwriting, what information is always required?
Full name and home address
Home address and DOB
Full name, DOB and home address
Nickname, DOB and company address
Which UK PMI insurer has one main hospital list option, known as 'Directory'?
Bupa
Aviva
AXA
VitalityHealth
Freedom
Bupa offer two hospital lists - 'Partnership' and 'Participating'. Which is the most comprehensive?
Partnership
Participating
When 'prepping' a PMI renewal, which insurer provides you with 'loss ratios'?
VitalityHealth
Bupa
AXA
Aviva
Which UK PMI insurer offers a self-referral pathway for physiotherapy named 'Back2Better'?
AXA
Bupa
Aviva
VitalityHealth
Freedom
WPA
Scenario > A Group Administrator calls you requesting details of the current cover under their UK PMI policy. Which document would be most suitable to send to the client?
Sutton Winson Membership List from Acturis
Last years renewal terms
Group Certificate and policy wording/membership guide
The latest monthly invoice
 
'Solutions' is a UK PMI product offered by which insurer?
Bupa
Aviva
VitalityHealth
Freedom
A 'family status' PMI premium is typically "...." the single status premium
X1.5
X2
X2.5
X1.7
Scenario > A member from a UK PMI policy which you look after calls you and queries how much additional cost it would be to add another child aged 3 years old to their existing family status cover. How would you find out the additional premium?
Call the insurer
Obtain a quote on the broker portal
Guess a random figure
Tell the member there would be no additional premium to pay
A UK PMI switch declaration which is completed by the group administrator typically only needs to be completed to the best of their knowledge
True
False
'Countrywide' & 'London Care' are both hospital lists offered by which UK PMI insurer?
AXA
Bupa
Freedom
VitalityHealth
Aviva
WPA
When discussing at pre-renewal with a Group Administrator, they inform you that one member is currently claiming for cancer. The holding insurer has already advised that no discount will be available regardless of market feedback due to a high claims loading on the policy. The client understands this and agrees they will remain with their existing insurer without a market review due to the ongoing cancer claim. Considering the significant increase in premium, is there anything else you could do? (Two correct answers)
Remove all members but the one claiming for cancer and switch them to a new policy with the same insurer
Provide alternative cover options - I.e. Introduce an excess
As the policy is with AXA, remind the client that they could save 5% by paying annually rather than monthly
Conduct a full market review anyway
Which two UK PMI insurers will quote for a 1 person group scheme?
Bupa and AXA
Bupa and Aviva
Aviva and AXA
AXA and VitalityHealth
Which UK PMI Insurer offers a self-referral pathway for mental health treatment called 'Stronger Minds'?
Aviva
Bupa
AXA
VitalityHealth
For in/day patient mental health treatment, which cover options are typically offered by insurers (if not full refund)?
25 days or 50 days
15 days or 30 days
28 days or 45 days
26 days or 42 days
Which UK PMI insurer offers 80% of your dentist’s charges as described in the handbook up to £400 a year as a dental cashback benefit?
Aviva
Bupa
VitalityHealth
AXA
What benefit amount can Aviva PMI members claim for a new-born baby cash benefit?
£200
£150
£250
£100
VitalityHealth pay 'employer cashback' following renewal as a reward for the members engagement throughout the previous policy year. But how many months following renewal is this typically paid?
1 month
2 months
3 months
6 months
Explain the 6 week option
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