Question 97

Changes in a health insurance contract may only be made when approved in writing by an officer of the insuring company.

Changes to a health insurance contract require written approval by an officer of the insuring company to ensure that all modifications are formally recognized and documented.

A) Only when approved in writing by an officer of the insuring company

This option is correct because it emphasizes the necessity of obtaining formal, written approval from an authorized individual within the insurance company. Such a requirement protects both the insurer and the insured by ensuring that any changes are legitimate and enforceable.

B) Only when approved by the agent

This option is incorrect because while agents play an important role in facilitating communication between the insurer and the insured, they do not have the authority to approve changes to the contract. Only officers of the company have that level of authority to ensure compliance with company policies and regulations.

C) Only if the insured does so within five years from the date of issue

This option is incorrect as it suggests a time limitation on when changes can be made, which is not a standard practice in health insurance contracts. Changes are not contingent on a time frame but rather on formal approval from authorized personnel.

D) Only if the insured provides evidence of insurability

This option is also incorrect because requiring evidence of insurability pertains to underwriting processes rather than the approval of changes to an existing policy. Changes to a contract do not necessitate re-evaluating the insured's health status unless specified otherwise by policy terms.

Conclusion

In summary, the correct answer is A, as it accurately reflects the requirement for formal written approval from an officer of the insuring company for any changes to be valid. The other options fail to recognize the necessary authority and procedures involved in making modifications to health insurance contracts.