Which Accident and Health policy provision addresses preexisting conditions?
Time Limit on Certain Defenses
Which of the following individual health insurance policies will provide the
broadest protection?
Major Medical
Which of the following situations does NOT apply to the Florida Replacement
Rule?
An existing policyholder purchases an additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and sends the
application and premium check to the insurance company. The insurance company
returns the check back to J because the check is made out to J instead of the
insurance company. What action should J take?
Return to the customer, collect a new check made out to the insurance company,
and send the new check out to the insurance company
Under which of the following circumstances will the benefits under COBRA
continuation coverage end?
All group health plans are terminated by the employer
Which type of renewability best describes a Disability Income policy that covers
an individual until the age of 65, but the insurer has the right to change the
premium rate for the overall risk class?
Garunteed Renewable
An incomplete life insurance application submitted to an insurer will result in
which of these actions?
Application will be returned to the writting agent
The waiting period for a pre-existing condition under a Medicare Supplement
policy may NOT go beyond
6 Months
Which of these statements is INCORRECT regarding the federal income tax
treatment of life insurance?
Entire cash surrender value is taxable
Which of these is considered a mandatory provision?
Payment of Claims
Which of the following actions will an insurance company most likely NOT take if
an applicant, who has diabetes, applies for a Disability Income policy?
Issue the policy with an altered Time of Payment of Claims provision
Which of the following phrases refers to the fees charged by a healthcare
professional?
Usual, customary, and reasonable expenses
D was actively serving in the Marines when he was killed in an automobile
accident while on leave. His $100,000 Whole life policy contains a War Exclusion
clause. How much will D’s beneficiary’s receive?
The full face amount
N is covered under an individual Disability policy with a 30-day Elimination
period and a monthly benefit of $500. N is totally disabled for 3 1/2 months. N’s
total benefit received on this claim is:
$1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance?
The insurance company
Which of the following costs would a Basic Hospital/Surgical policy likely cover?
Sugically removing a facial birthmark
The federal income tax treatment of employer-provided group Medical Expense
insurance can be accurately described as:
Employee’s premiums paid by the employer is tax-deductible to the employer as a
business expenditure
Premiums paid by an employer for an employee’s coverage are deductible by the
employer as a buisness expense
What must the policyowner provide to the insurer for validation that a loss has
occurred?
proof of loss
Association Plans that are designed to provide health benefits to their members are
regulated by the state because
They are insured by and authorized insurer
Which of the following statements is CORRECT about the period in which a Term
Policy can be converted?
It varies according to contracts
When does a life insurance contract become effective if the initial premium is not
collected during the application process?
When producer delives policy and collects initial premium
A provision in a life insurance policy that pays the policyowner an amount that
does not surpass the guaranteed cash value is called the:
Policy Loan Provision
Medicare Part A and Part B do no pay for:
Dental Work
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