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FINAL EXAM PA LIFE, HEALTH AND ACCIDENT

Exam (elaborations) Feb 26, 2026
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FINAL EXAM PA LIFE, HEALTH AND ACCIDENT

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: If the insurance department determines that the issuance of a temporary producer license serves in the publics best interest, the license may be issued to

Answer:

an executor of a deceased producer's estate

Question 2: All of the following are functions of an insuring clause EXCEPT

Answer:

Primarily describes the free-look period

Question 3: Claim Forms

Answer:

  • It is the company's responsibility to supply a claim form to an insured within 15 days after receiving
  • notice of claim

  • If the insurance company fails to send out the claim forms within the time period required by the
  • provision, the insured should submit the claim in any form, which must be accepted by the company as adequate proof of loss Question 4: Which of these describes the result of a modified endowment contract that failed to meet the seven pay test?

Answer:

Pre Death distributions are typically taxable

Question 5: Owner's Rights Provision

Answer:

Defines the person who may name and change beneficiaries, select options available under the policy, and receive any financial benefits from the policy.Question 6: Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. Which of the following is the likely result?

Answer:

Care is covered

Question 7: Insuring Clause

Answer:

The insurer's basic promise to pay specified benefits to a designated person in the event of a covered loss. The purpose is to specify the scope and limits of the coverage provided.Question 8: Loans obtained by a policy-owner against the cash value of a life insurance policy

Answer:

Would not be treatable as taxable income

Question 9: What is the nonforfeiture value of an annuity before annuitization?

Answer:

All premiums paid, plus interest, minus any withdrawals and surrender charges Question 10: An employee under a group insurance policy has the right to name a beneficiary

Answer:

Convert to an individual policy in the event of employment termination Question 11: Which of these annuities require premium payments that vary from year to year?

Answer:

Flexible Premium Deferred Annuity

Question 12: Premium mode is a term used to describe the?

Answer:

Frequency of the premium payment

Question 13: Karissa purchases a 10-year level term life insurance policy that has a death benefit of $200,000 which of these statements is true?

Answer:

The face amount and premium will remain constant over the 10-year period Question 14: In an accident and heath plans, premiums paid less frequent than monthly require a minimum grace period of at least

Answer:

31 days Question 15: The term which describes the fact that both parties of a contract may NOT receive the same value is referred to as

Answer:

Aleatory Question 16: Which type of plan would be most appropriate for an individual on Medicare and is concerned that Medicare will NOT pay for charges exceeding the approved amount?

Answer:

Medicare Supplement Plan F Question 17: Under a life insurance policy, what does the insuring clause state?

Answer:

The insures obligation to pay a death benefit upon an approved death claim Question 18: Which of these is NOT a characteristic of the Accelerated death benefit option?

Answer:

The benefit can be offered as a rider at a specific extra cost or may be at no cost Question 19: Phil is shopping for an annuity that guarantees he CANNOT outlive the benefits.Which of these benefit options would he choose?

Answer:

Guaranteed lifetime withdrawal benefit

Question 20: Assignment Clause or Provisions

Answer:

The right to transfer policy rights to another person or entity. The new owner is known as the assignee.Question 21: Pat owns a 20-pay life policy with a paid-up dividend option. Which of the following statements is true?

Answer:

The policy may be paid up early by using policy dividends Question 22: All of the following are included as a part of a contract in the entire contract provision EXPECT the?

Answer:

Change made by the producer Question 23: Every Pennsylvania insurer, upon receiving notification of a claim, must acknowledge receipt of the notice within

Answer:

10 days

Question 24: Reinstatement Provision

Answer:

Permits the policy owner to reinstate a policy that has lapsed as long as the policy owner can provide of insurability and pays back all the premiums, outstanding loans, and interest. Most states allow reinstatement up to 3 years after the policy has lapsed

Question 25: The waiver of premium does NOT include which provision?

Answer:

All future premiums are waived if the insured recovers from the disability Question 26: A permanent life insurance policy where the policy owner pays premiums for a specified number of years is called an?

Answer:

limited pay policy

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