Health Insurance Underwriting Practice Test 2025 - Free Practice Questions and Study Guide

Question: 1 / 400

How is a community rating used for underwriting purposes?

The same rates are charged for individual and group plans in the same geographical area

Community rating is a method used in health insurance underwriting where insurers charge the same premium rates for all policyholders within a specific geographic area, regardless of individual characteristics, such as age or health status. This approach aims to ensure that everyone has access to health insurance with similar costs while promoting the principle of equity in the healthcare system.

By implementing community rating, insurers create a more stable risk pool. Since everyone pays the same rate, it prevents discrimination against individuals based on their health conditions or demographic factors, which can lead to higher premiums for those with greater health risks. This practice is particularly relevant in the context of certain types of coverage, such as individual and small group health plans.

The other options reflect different rating strategies not associated with community rating. Options that indicate varying rates based on age, health, or risk, such as charging higher rates for high-risk individuals or adjusting rates based on claims history, would not align with the essence of community rating, which seeks to provide uniform rates across a demographic area.

Get further explanation with Examzify DeepDiveBeta

Rates vary by the age and health of the insured

Higher rates are charged for high-risk individuals

Only group plans are rated differently based on claims history

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