Life & Health Insurance Practice Exam 2025 – Your All-in-One Guide to Exam Success!

Question: 1 / 470

What is the primary definition of malingering in the context of insurance?

Delaying the insurance claim process

Making the loss last longer than necessary

Malingering, in the context of insurance, primarily refers to the act of making a loss last longer than necessary. This concept suggests that an individual may intentionally prolong their recovery or the perceived severity of their condition for the purpose of receiving additional benefits or compensation. This behavior can lead to increased costs for insurance companies and may complicate the claims process significantly.

In this context, behaviors associated with malingering do not just involve simply exaggerating symptoms or fabricating injuries; they encompass a broader approach wherein the individual is extending their claim for longer than justified. The intention behind this action is typically to gain more financial benefits from the insurance policy.

In relation to the other options, while exaggerating symptoms does tie into malingering, it is a component of a broader definition that encompasses the intentional prolongation of the issue. Similarly, delaying claims or falsifying documents touches on issues of dishonesty in claim processing but do not capture the essence of the prolonged nature of the claim itself. Thus, the primary definition aligns more closely with the idea of making the loss last longer than necessary.

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Exaggerating the symptoms of an injury

Falsifying documents to receive benefits

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