North Carolina Health Insurance Practice Exam 2025 – Comprehensive Prep

Question: 1 / 400

What happens if a person submits incorrect information on a health insurance application?

The application will be automatically approved

The person may face penalties or denial of coverage

Submitting incorrect information on a health insurance application can lead to serious consequences, including potential penalties or denial of coverage. Insurance companies rely heavily on the accuracy of the information provided during the application process to assess risk and determine eligibility for coverage. If an applicant intentionally or unintentionally misrepresents facts—such as their health status, age, or prior medical history—it could ultimately invalidate their policy.

When discrepancies are identified, insurers may investigate further and may choose to rescind a policy, meaning the coverage can be canceled retroactively. This denial of coverage can leave the insured without benefits at a crucial time, such as when they need healthcare services. Therefore, accuracy on applications is paramount, and insurers typically reserve the right to decline claims based on incorrect or misleading information provided by the applicant. The emphasis on the integrity of applicant details is a fundamental principle deeply rooted in insurance underwriting practices.

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Nothing, as insurers do not verify applicant information

The insurer will provide a grace period for correction

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