2-15 test

Jamco industries has purchased insurance on the lives of Jamcos owner

Business interruption

A _ is the specified dollar amount that an HMO subsciber

Co payment

Which act requires health care providers to preserve patients medical information

Hppa

The office of financial regulation has regulatory oversight for Floridas financial service providers

To contribute to Floridas growth with effective regulation of the financial services industry

Which if any of the following are correct regarding notice to the department

a licensee is required to provide a copy of any order a licensee is required to report top the department within 30 days

Jill insured wants to purchase a policy that will pay her dependents in the event of her accidental death

accidental death and dismemberment

a medicare supplement policy must indemnify against losses resulting from sick ness

accidents

Which NAIC rule regarding health insurance '' coordination of benefits'' determine

active/inactive

Jill insurance has made her first monthly payment on her new disability income policy and is

aleatory

Which of the following is correct regarding the common disaster provision in a life insurance

allows the policyholder to control

What are the four elements for a contract

an offer and acceptance, consideration, legal purpose, competent parties

Cancer dread disease hospital indemnity shirt term

are paid directly to the insured

_insurance pays a stated amount to offset the loss of revenue if the

business overhead

A sole proprietor will want to establish a plan to ensure that her heirs receive a fair value of her

buy- sell agreement

serge's hmm uses an insurer specialist to review his condition

case managment

A licensee has thirty days to place the department on formal notice of which of the following

change of name adress phone

Which of the following are requirements for an agent to maintain their license

continuing education 24 hours responding to the department place the department

the _ provision in group health plans is in place to remove the moral and morale

coordination

What are the tax consequences for the beneficiary of either an individual or group life insurance death benefits

death benefits received from individual or group

_ is knowingly making, publishing, disseminating

defamation

Group life insurance may offer _ spouses limits up to the same amount as the

dependent

the relation of earnings to insurance provision comes into play when an insured death

excess premiums are paid back to the insured

Which of the following is true regarding fraternal?

fRATERNALS CAN BE SET UP AS FOR PROFIT

_are individuals or organizations that are required to operate under the duties of

fiduciaryes

Which of the following free-look periods are correct

fixed annuities medicare supplements health insurance long term life insurance

Due to economy of scale in selling expenses and cost of plan

group health insurance plans are less expensive than individual health insurance plans

Small employer plans must disclose provisions regarding the renewability of the plan and all

guaranteed-issue

high deductible health care plans are normally paired with which types of accounts

health savings flexible spending

all of the following are good reasons for an agent to personally deliver to the life insurance policy

iN PERSON DELIVERY DEMONSTRATES THE AGENTS COMMITMENT TO THE INSURED

Which provision permits an insurer to refuse any claims payment or benefits to the insured if thw

illegal occupation provision

This clause/provision specifies the duration of time after which the insurer cannot

incontestable clause

Which of the following life insurance policy types is tied to the NASDAQ 100

indexed universal life

an insurance advertisement has over stretched the benefits of a new health insurance

insurance ad are not allowed

The office of insurance regulation strives to ensure

insurance rates are adequate insurance rates are not excessive or unfairly

The payor provision rider provides for waiver of premiums if the adult premium payor of

juvenile

An insurance license can be revoked for all but which of the following

licensee fraud or dishonest practice

These types of policies have level premiums that are payable

limited

Basic surgical expense plans cover the cost of surgery on a reasonable and customary approach

location

Medicare part a coverage covers all but which of the following

long term care

A small employer health insurance carrier is an insurance company offering health benefit plans covering employees

many

A medicare supplement insurer ___ deny an application for a medicare supplement policy

may not

which of the following are correct regarding a lapse of a long term care insurance

minimum of 30 day non-payment

An insurer may non-renew an individual or group health insurance policy for which of the following reasons

non payment premiums The insurer has ceased fRADULENT

These Group Life Insurance plans are paid entirely by employer

non-contributory plans

the _ provision entitles an insurance company to periodic reasonable exams during

physical exam and

Which of the following occupations are most likely to have non-occupational language

police officer, stuntman, killer whale trainer

Test for hiv/aids must be disclosed to a health insurance applicant

prior

all of the following are duties and powers of the department

regulation of property taxes

What do we call the transaction between an insurance company which cedes a portion of its excess loss exposure

reinsurance

Each application is required to be signed by the proposed insured

representations

_care is the continuous around the clock care provided by license medical professional under the direct

skilled nursing care

statement 1 insurable interest state meant 2 insurable interest

statement 1

_Are owned by shareholders who elect a board of directors which oversees

stock insurance

Which of the following is not a personal use of life insurance

survivors income

Alice agent is a life insurance agent in the agency you work for

that their appt is regarding insurance

Joe insured applied for insurance but did not submit a payment with the application. the insurance company required a medical exam and how was approved

the date of the policy approval

What is the main benefit for an employee and/or their dependents regarding the conversion on

the employee or eligible dependents do not have to prove

Jill insured has a policy which is ''guaranteed renewable''. the insurance company has the oprion

the insureds attained age specified in the policy such as age 60 or 65

all of the following are eligible group of group health insurance except

the members of the touchdown

Which term rider can be used to cover an insureds children

the other insured term trider

The waiver of premium rider waives premium payments if the insured becomes totally diabled

the period of the disability

What is third party ownership of a life insurance policy

third party ownership is when the insured is not the policyowner

what is the purpose of the use patriot act

to intercept and obstruct terrorism

What is the purpose of the medical information bureau

to reduce insurance fraud

Which if any of the following statements regarding modified endowment contracts

Mecs death benefits are received as

Jill insured has a policy which is cancellable the insurance company has the contractual option

a formal written notice of the cancellation

Which of the following statements, if any, are correct regarding beneficiary

a policy owner can change a revocable the policy owner cannot change

long-term insurance policy _must include the

certificates

insurance contracts are _ contracts both the insured

conditional

all of the following are rights of a life insurance policys policyholder exxcept

construction, design

Which of the following statements regarding managed care organizations

controlling incorporating

Which of the following are social security benefits

disability retirement 255 survivors

a _ policy is an insurance policy in which the insurer is contracted to make

dread disease

the _period is the time frame that must be surpassed

elimination period

small employer carriers are required to offer coverage to

employers located in the small employer

State Workers Compensation provides compensation for medical expenses and lost wages for

employment

the_mandatory provision states that nothing outside of the contract itself can be

entire contract

which provision in an insurance contract which states

entire contract

social security benefits are based on the amount a worker has paid in

fica

you are replacing an annuity what information should you obtain

financial situation financial objectives existing assets`

a variable policy cash value are held in separate accounts which contain can

fine art collectio

this Clause state specifically what the insurance policy will pay for

insuring clause

Jim was hospitaized and used medicare and his medical plan a

neither

all individual long term care policies must be issued as either guaranteed renewable

non cancellable

all small employer carriers must file all forms with the

office of insurance

____insurance is individual insurance that includes many different

ordinary life

Joe insured wishes to exercise the option to convert provision

original aged

_are managed-care organization consisting of medical professionals and

ppo

which medical cost management technique requires

pre-certification

a _ is a medical illness or injury the insured had before the effective date

pre-existing

which risk classification is eligible for the lowest rates life insurance rates based

preferred

you are selling tom jones a variable universal life insurance policy

premium flexibility investment control death benefit

the _ rider in a term life insurance policy pays to the policy pays to the policy

rop

Joe insured has taken out 500,000 policy on his life and has established

sammy

the state requires funds held in trust on behalf of insured

separate account

Hospice benefits are covered under medicare part a for terminally ill patients

seven

When an insurance company pays a benefit to or on behalf of the insured for medical care

subgrogation provision

Joe insured is in the hospital for eleven days and has hospital bill for $2,200

1,375

The free-look provision permits an insured to review a new health insurance policy for up to

10 day

Florida mandates that health insurance companies provide at least a _ day period when a consumer

10 days

Medicare advantage participants receive % of the coverage of medicare

100%

Small employer health insurance plans must have an initial enrollment period of at least _ days and an annual enrollment of at least

30

Group insurance plans are required to allow a terminated employee to convert their

31 days

Small employer carriers must issue all small employer health benefit plans on a guaranteed-issue

50

Acme insurance company has been determined to be insolvent by the department of financial

500,000

Jill insured has a $100,000 whole life policy with an outstanding loan of $8,000

91,850

_plans cover the cost of surgery including surgical expenses

basic surgical expense

William has started his annuity by make one singular lump sum installment payment. William has

single premium

An insurance policy is a _ contract because only the insurer is obligated to perform

unilateral

life insurance presentations are required to represent cash flows

value of money

Which of the following group types are eligible for group life insurance

veterans of foreign wars sunshine state federal the employees of southwest airlines

you are at a baseball game with an insured who initiates a conversation about a long-term

you are not transaction the business of insurance

Julies whole life insurance policy has lapsed.

cash surrender reduce paid up extended

When an insured makes a payment on her universal life policy a portion

cash value

in the ad and d rider accidental death is strictly defined requiring death as a result

90

life insurance policy loan interest rates cannot exceed % annual interest

10%

the insured has 10,000 of medical expenses and his major medical expense policy

1900

to determine long-term care services eligibility

2

florida statute fs 626.9521

2,500

which of the following health insurance claims time frames are correct

20 days 15 days

Florida health kids corporation provides affordable health insurance coverage

200

Brandon has taken out a 16,000 loan on his whole life

234000

the affordable care act mandates that adult children of an insured be eligible

30 years

agents receive their compensation in the payments of commissions

576

Medicare supplement insurance may not exclude benefits based on a pre existing

6 months

Joe insured has $12,000 of medical expenses and his basic medical expense policy

6,500

Legal actions provision requires an insured to wait until _days after filing a proof of loss with the insurance company before

60

Judy insured has $100,000 life insurance policy with the longterm care rider

65,000

Peggy White is 55 years old and the rate per thousand for Peggy Is $8

$2,000

Jane insures has a 200,000 20 year term life

0

what is the minimum number of lives required for a group life insurance

1

_care is at-home care and community based services such as adult day care

Alternative care

The Florida health insurance coverage continuation act extends health

COBRA

applicants who pay their premium with their life insurance applications are entitled

a binding receipt

the guaranteed insurability rider allows the insured to purchase specific

additional

ambiguities in insurance contracts are ruled in favor of the insured

adhesion

when is long-term care medically necessary and appropriate

adl

which plan or type of care provides health-related services during the day in a community group

adult day care

false_ is knowingly making

advertising

select from below all unfair claims practices

all

which of the following is/are true regarding warranties and representations

all are right

Which of the following are required of an insurance company/agent selling medicare

all of them

which if any of the following are correct regarding beneficiary changes in a policy

an iirevocable

you have replaced an insured life insurance policy. who is a pecipient

applicant

what is an applicant required to do to obtain

apply for the license pass a state pass a department

this type of conditional receipt is more restrictive with coverage not sharing until the

approval language

which if any of the following qualify as etc

assisted living adult day vfw

this policy provision keeps a policy in force even if the insured is unable

automatic premium loan

which if any of the following are correct regarding the taxation of disability income premium

benefits are paid by group

which of the following if any are correct regarding authorized and unauthorized insurers

both

as regards twisting and churning which if any of the following statements are correct

both statements are correct

what documents must be provided to a life insurance applicant when the applicant

buyers guide policy summary

Jill insured is sixty-six years old and has her sister Betty listed on her policy

by listing Betty as secondary addressee Jill has the benefit

what special questionnaires and reports may be utilized as part of the life insurance underwritting

credit reports specia; questionaire physical examination

Betty buckle has purchased a 100,000 face amount 10-year term policy which will pay 100,000

decreasing term

_insurers are companies doing business in states other than the one in

fraternals

Florida mandates that health insurance companies provide at least a ten

free

consumers have rights regarding the accuracy, fairness, and privacy

give their consent the right to know what is in their file

which of the following are essential activities to an licensee

good faith

Which of the following statement s are correct regarding grandfather health insurance plans

grandfather health plans do not have to meet grandfather health plans may 23 2010 plans that are not

Which of the following statements regarding certificates of coverage are correct

group health certificates of coverage must contain

which disability income insurance rider allows the insured to purchase additional amounts

guaranteed insurability

small employer carriers must offer and issue all plans on a

guaranteed-issue

what is the simple difference between immediate annuities and deferred annuities

immediate annuities are funded with a single

health care obtained by service members outside of the ppo

increased

which of the following is a not a common policy exclusions

injury or illness

Jack and Jill a married couple want to purchase an insurance policy that will

joint life last to die

Americans are living longer than ever with advanced age often comes health care related issues

long term

which of the following are death benefit payment options

lump sum interest only life income

what can an agent do to avoid inappropriate life insurance policy

maintain educate ask

Jill insured, your client wants an insurance policy which will provide comprehensive health care coverage

major medicak

fraud is knowingly _ any false material statement

making

Floridas long-term care partnership permits an insured who has purchased long-term

medicaid

medicare supplement insurance may not be sold if the insured is eligible for medicaid

medicaid

jack has listed his spouse, Michele as primary beneficiary, and his daughter

michele

The following disclosure statement is for which type of policy

mom-qualified

which if any of the following are characteristics of health maintenance organizations

prepaid plans organizations health service/care directly focus on preventative care have no/fe/or or small deductibles

all of the following typical reinstatement provision requirements except

proof of financial

Joe insured is eligible to receive policy dividend. he wants to use

purchase paid-up purchase one-year-term

policy replacement in recent years has been under great

purchasing insurance

which of the following if any of the following statements are correct regarding

qualified plans meet certain federal

the small employer rating renewability and portability act

reasinable

All but which of the following are included in a health insurance outline of coverage

the cost of the health insurance policy

Jill insured has a policy which is non-cancellable

the end of the policys

What can an insurer do if the insured has misstated her age or sex

the insurance company can modify the premium commensurate

Jill insured has applied for insurance by completing an application and tendering the

the promise to pay

Jill insured failed to make her scheduled monthly payment and she did not make the payment

there is a 10 day elimination period

the _ mandatory provision disallows any bar to coverage after the incontestable

time limit on certain defenses

Joe insured has a $100,000 whole life insurance policy with estate as the beneficiary

to joes estate exempt from any claims his creditors

the office of financial regulation has all but

to slow floridas

An/a _ is a licensed agent who is not appointed with any insurer who acts on behalf of an insured

unaffiliated agent

group dental and vision coverage may be on either a

usual, customary, scheduled fee

which annuities provide an opportunity to hedge their returns to out-pace

variable annuities

_are policy addendums that specifically exclude an underlying condition

waiver of impairments

attorney Joe insured was involved in a serious automobile accident and is no longer

yes...if he cannot

_ requires employers with 20 or more employees to offer group medical expense coverage

COBRA

Which health insurance plan type is characterized by direct delivery of medical care with an emphasis

HMO

an agent can demonstrate ethical behavior

knowing knowing practiing

Agent Jill adds accidental; death and dismemberment

none

Employees and members must be offered a converted health insurance policy if a group health

200