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Which of the following sources of information for health insurance underwriting is NOT acceptable?

  1. A physical exam conducted by the insured

  2. A genetic test conducted in a medical lab without full disclosure

  3. A statement from the insured's physician

  4. Employment history provided by the insured

The correct answer is: A genetic test conducted in a medical lab without full disclosure

In health insurance underwriting, the integrity and ethics of the information collected are paramount. The use of a genetic test conducted without full disclosure is not acceptable because it raises serious ethical concerns regarding informed consent and privacy. Insured individuals must be adequately informed about the implications of genetic testing, including how the results could impact their coverage and premiums. Full disclosure means that the individual understands the purpose of the test, what the results could indicate about their health, and how those results might affect their insurance status. If this process isn't followed, it can lead to misuse of personal health information and potential discrimination against the insured based on their genetic predispositions, which is against ethical underwriting practices. In contrast, other sources of information, such as a physician's statement, the insured's employment history, or a physical exam conducted by the insured, are typically acceptable as they follow standard practices of disclosure and consent. These sources provide pertinent medical and lifestyle information that help underwriters evaluate risk while adhering to ethical guidelines.