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LLQP (Life Licence Qualification Program) Practice Exam · Question

An insurance advisor is completing an application for a critical illness policy for a client, David, who runs a small construction company in Alberta. David asks why he needs to disclose all his prior medical consultations, even for minor issues from several years ago. What is the advisor's most accurate response regarding the importance of full disclosure?

Full and accurate disclosure of medical history is crucial because non-disclosure of material facts could lead to a claim being denied, the policy being rescind

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Question: An insurance advisor is completing an application for a critical illness policy for a client, David, who runs a small construction company in Alberta. David asks why he needs to disclose all his prior medical consultations, even for minor issues from several years ago. What is the advisor's most accurate response regarding the importance of full disclosure?

Answer options: ✅ Full disclosure helps the insurer determine if any pre-existing conditions exist that could lead to claim denial or policy rescission.

  • The insurer requires this information solely for statistical analysis and has no bearing on actual claim payouts.
  • Only hospitalizations or surgeries need to be disclosed; minor consultations are irrelevant.
  • The information is primarily used to assess the client's financial stability, not their health.

Correct answer: Full disclosure helps the insurer determine if any pre-existing conditions exist that could lead to claim denial or policy rescission.

Explanation: Full and accurate disclosure of medical history is crucial because non-disclosure of material facts could lead to a claim being denied, the policy being rescinded, or benefits being reduced, based on principles of utmost good faith.

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