Health Law 1 (Ch. 29 Law and 9 Underwriting)
Billy Bob and his family are covered under his employer's group health insurance plan. Billy Bob's 16 year old daughter becomes pregnant. The baby is born premature and the Bob family is at a loss as to how they will pay these medical costs. Which statement by the agent would be the most correct? "There is no coverage." "The insurance company will pay after 18 months." "There is coverage on the baby from the moment of birth up to the first 18 months." "Wasn't me."
"There is coverage on the baby from the moment of birth up to the first 18 months."
Which of the following statements concerning the Florida Employee Health Care Access Act are true? 1. It mandates guarantee issue for small group plans. 2. It determines open enrollments for all small group plans. 3. It mandated a modified community rating methodology. 4. It allowed for genetic information to be used during underwriting. 1 & 2 1 & 3 1, 2, & 3 All the above
1 & 3
A "fictitious" group involves organizing any of the following to buy group insurance 1. a group of neighbors 2. several independent realtors 3. an association of electrical contractors 1 only 2 only 3 only 1 and 2
1 and 2
A secondary addressee for a long term care policy may do which of the following? 1. receive a notice of lapse or termination of the policy for nonpayment of premium 2. demonstrate that nonpayment of premium was unintentional and due to the policyowner's cognitive impairment, loss of functional capacity, or confinement in a hospital 3. select a nonforfeiture option or contingent benefit for a lapsed policy 1 only 2 only 1 and 2 1, 2 and 3
1 and 2
When may a small employer carrier deny health insurance coverage in a small-group market? 1. if the insurer does not have the financial reserves necessary to underwrite additional coverage 2. if it is applying the denial uniformly to all employers in the small-group market 3. if the insurer can prove that the small employer group has had claims experience and health status-related factors that would create an adverse selection for the insurer 1 only 3 only 1 and 2 1 and 3
1 and 2
Under a family health policy issued in Florida, a handicapped child must continue to be covered in which of the following circumstances? 1. when the child become an adult 2. when the child is incapable of employment because of a mental or physical handicap 3. when the child is chiefly dependent upon the policyholder for support and maintenance 1 1 & 2 1 & 3 1, 2 & 3
1, 2 & 3
A Medicare supplement Notice to Buyer must be displayed: 1. on the first page of the application 2. on the first page of the policy 3. on the first page of the Outline of Coverage 1 only 2 only 2 and 3 1, 2 and 3
2 and 3
Which of the following are losses not covered in a typical health insurance policy? 1. cleft palate 2. cosmetic surgery 3. private aviation 4. act of war 1, 2, 3, & 4 1, 2, & 3 1, 2, & 4 2, 3, & 4
2, 3, & 4
The free-look provision for Medicare supplements is how long? 10 days 14 days 30 days 31 days
30 days
For the benefit of a lower premium, Tommy stated on his insurance application that he was five years younger than his actual age. The policy was issued as applied for and 15 months later Tommy died in an automobile accident. Which course of action would the insurance company take? The claim would be denied. The full benefit would be paid. The higher premium would be subtracted from the benefit. A reduced benefit would be paid.
A reduced benefit would be paid.
The Florida Health Insurance Coverage Continuation Act (FHICCA): Applies to companies with 20 or more employees Coverage may be extended for 24 months Allows insurance companies to charge 115% of the regular group rate Big Dawg is trying to fool us, no such thing
Allows insurance companies to charge 115% of the regular group rate
Which of the following may not be limited or excluded in a long term care policy? Schizophrenia Preexisting conditions or diseases Nervous disorders Alzeimer's disease
Alzeimer's disease
Which of the following is true? An insurer may not cancel or nonrenew for diagnosis of HIV/AIDS, but it may cancel or nonrenew for treatment of HIV/AIDS. An insurer may cancel or nonrenew for diagnosis of HIV/AIDS, but may not cancel or nonrenew for treatment of HIV/AIDS. An insurer may cancel or nonrenew for diagnosis or treatment of HIV/AIDS. An insurer may not cancel or nonrenew for diagnosis or treatment of HIV/AIDS.
An insurer may not cancel or nonrenew for diagnosis or treatment of HIV/AIDS.
Which of the following statements is not true concerning the Florida Health Insurance Coverage Continuation Act? Applies to groups of less than 20 Applies to groups of 20 or more Allows insureds to continue coverage for up to 18 months Applies to dependents as well as insureds
Applies to groups of less than 20
When would the insurance company require a statement of the insured's good health? At the delivery of the policy if a conditional receipt was given At the delivery of the policy if no money was given with the application At anytime when the policy is delivered if the agent feels the applicant's health has changed At no time will this be needed
At the delivery of the policy if no money was given with the application
A producer notices the applicant made an error on the application. The producer should: Verify the error with the applicant and submit the application to underwriting. Modify the error as correct and submit the application to underwriting. Correct the error and have the applicant initial the correction, then submit the application to underwriting. Get a new, corrected application signed by the applicant and submit that application to underwriting.
Correct the error and have the applicant initial the correction, then submit the application to underwriting.
All of the following statements concerning the Florida Health Insurance Coverage Continuation Act are true except: Designed for groups of 50 or less Provides for extended coverage for up to 18 months Restricts the premium to 115% of the groups rate May be extended for 29 months in some cases
Designed for groups of 50 or less
A single-employer self-insured health plan covering the employers, employees and their dependents is directly regulated by: The state ERISA Both the state and ERISA Neither the state nor ERISA
ERISA
Which of the following may qualify for Florida Health Kids Corporation? Family income less than 200% of the federal poverty limit. Family income less than 400% of the federal poverty limit. Family income less than 450% of the federal poverty limit. Family income less than 500% of the federal poverty limit.
Family income less than 200% of the federal poverty limit.
Which of the following is not true regarding grandfathered health plans? Grandfathered health plans are not subject to ACA requirements. Grandfathered group insurance may not establish annual limits for essential benefits. Grandfathered group insurance may establish annual limits for essential benefits. Grandfathered individual insurance may have annual limits.
Grandfathered group insurance may establish annual limits for essential benefits.
Which is not a key requirement of the Florida Employee Health Care Access Act? All small groups must be issued on a "guarantee-issue" basis. Groups which have 2-50 workers may exclude pre-existing conditions for up to 24 months. Group plans covering 1 worker may exclude late enrollees up to 24 months. An initial open enrollment period and annual open enrollments must be at least 30 days long.
Groups which have 2-50 workers may exclude pre-existing conditions for up to 24 months.
ERISA is concerned with which of the following? Commercial Banking Securities Commerce Health Insurance
Health Insurance
Quack Inthebox has turned 65 and is enrolled in both Medicare Parts A and B. She had a major stroke last year, and now is considering purchasing a Medicare supplement policy but is concerned that her health issues will make the policy unaffordable. What should the agent tell her? Her premium will only be rated if she received advice or treatment within the 6 months prior to the date she purchased the policy, and it will only be rated for the first 6 months of coverage. Her premium will only be rated if she received advice or treatment within the 6 months prior to the date she purchased the policy, and it will only be rated for the first year of coverage. Her premium will only be rated if she received advice or treatment within the 6 months prior to the date she purchased the policy, and the policy will exclude coverage for the preexisting condition for the first year of coverage. Her health issues will not effect the premium rate.
Her health issues will not effect the premium rate.
All the following benefits from a major medical policy could be expected to be paid except: Dentists Optometrists Chiropractors Homeopath
Homeopath
An Outline of Coverage: I. must accompany every individual or family health or accident policy II. can be delivered at the time the application is taken III. accompany every group health or accident policy I only III only I, II and III I and II only
I and II only
Which of the following statements about the MIB (Medical Information Bureau) is not correct? It is a non-profit central information agency The applicant must sign authorization forms for information from the MIB files to be given to a member company Information obtained by the MIB is available to all physicians Applicants must be notified in writing that the insurance company may make a report on their health
Information obtained by the MIB is available to all physicians
Where does the company get general character and reputation info on the proposed insured? The proposed application Medical report Inspection report MIB
Inspection report
To help protect a Long Term Care policy from an unintentional lapse, all of the following are true except: There must be a grace period of at least 30 days. A notice must be sent to the policy owner and a secondary addressee. The insured may reinstate for at least five months from the date of lapse if lapse was due to a cognitive impairment or confinement in a care facility for more than 60 days. Insurance companies must notify the owner of the right to designate a secondary addressee at least every six months.
Insurance companies must notify the owner of the right to designate a secondary addressee at least every six months.
If a long term care insurance policy uses the term "preexisting condition," it must meet which definition? It can not be more restrictive than for conditions for which advice or treatment was recommended or received within 6 months preceding the date of application. It can not be less restrictive than for conditions for which advice or treatment was recommended or received within 6 months preceding the date of the application. It can not be more restrictive than for conditions for which advice or treatment was recommended or received within 6 months preceding the effective date of the policy. It can not be less restrictive than for conditions for which advice or treatment was recommended or received within 6 months preceding the effective date of the policy.
It can not be more restrictive than for conditions for which advice or treatment was recommended or received within 6 months preceding the effective date of the policy.
All of the following are true regarding a Notice of Replacement of Medicare Supplement Coverage except: It must be furnished to the applicant prior to issuance or delivery of the Medicare supplement. It must be furnished to the applicant upon delivery of the Medicare supplement. A copy of the notice signed by the applicant and the agent must be provided to the applicant. A copy of the notice signed by the applicant and the agent must be kept by the insurer.
It must be furnished to the applicant upon delivery of the Medicare supplement.
Which of the following statements about the Fair Credit Reporting Act is correct? It prohibits insurance companies from obtaining reports on applicants from outside investigative agencies It provides that consumers have the right to question reports made about them by investigative agencies It applies to reports about applicants that are made by insurance agents to their companies It prohibits insurance companies from rejecting an application based on a credit report
It provides that consumers have the right to question reports made about them by investigative agencies
Flack Inthebox is the 23 year old unmarried child of Jack and Quack Inthebox, who are married. Flack is covered as a dependent under Jack's group coverage at ABC Company as well as under Quack's group coverage at XYZ Company. Jack's birthday is January 13 and Quack's birthday is July 6. When Flack is hospitalized with pneumonia, how will the policies pay? Jack's coverage under the ABC Company group plan would pay first because his birthday is earlier in the year. Quack's coverage under the XYZ Company group plan would pay first because her birthday is later in the year. ABC Company's group coverage and XYZ Company's group coverage would split the cost of the hospitalization 50/50. Neither plan would pay anything because flack has reached the limiting age.
Jack's coverage under the ABC Company group plan would pay first because his birthday is earlier in the year.
John's individual health insurance policy was reinstated effective November 15. He was injured in an accident the following day. How will the insurance company respond? There would be no coverage for ten days after reinstatement. John would be covered as accidents are covered immediately after reinstatement. There would be no coverage until the probationary period has expired. John would be covered as there is no new waiting period for sickness or accidents following reinstatement.
John would be covered as accidents are covered immediately after reinstatement.
Which of the following is not true regarding Long Term Care policies in Florida? The maximum waiting period is 180 days. LTC policies may restrict coverage solely to nursing home confinement. Long Term Care policies cannot increase premiums based solely on age. Long Term Care policies cannot condition the receipt of benefits on the insured being unable to perform at least three activities of daily living (ADLs).
LTC policies may restrict coverage solely to nursing home confinement.
On May 8, a prospect filled out an application for an insurance policy but paid no premium. The insurance company approved the application on May 14 and issued the policy on May 15. The agent delivered the policy on May 26 and collected the first premium. The coverage became effective on: May 8 May 14 May 15 May 26
May 26
Which of the following statements is true of nongrandfathered plans? Nongrandfathered plans do not pertain to HMO contracts. Nongrandfathered plans are subject to the federal Affordable Care Act (ACA) requirements. Nongrandfathered plans do not have to provide "essential health benefits" as defined in the law. Nongrandfathered plans do not pertain to major medical plans.
Nongrandfathered plans are subject to the federal Affordable Care Act (ACA) requirements.
Which of the following best describes how premiums are paid for coverage under Florida Healthy Kids Corporation? Parents don't pay any premium - it is entirely funded by the government. Parents and federal government share the cost. Parents and state government share the cost. Premiums are paid with local, state, federal and family money.
Premiums are paid with local, state, federal and family money.
Quack Inthebox has been covered by the same Medicare supplement with HelpU Insurance company for the last two years, and 3 months ago suffered a stroke. This afternoon, she has an appointment with an insurance agent from Insurance4Less insurance company who says his company has a better supplement. Quack is worried that issues related to her stroke will not be immediately covered. When she tells the agent from Insurance4Less about her stroke, what should be the agent's response? Quack will have immediate coverage, including coverage of the stroke. Quack will have immediate coverage for other issues but will have to wait 6 months before she has coverage for the stroke because it happened within the previous 6 months. Quack will have to wait through a 10-day probationary period for coverage for sickness but 6 months wait before the stroke is covered because it happened within the previous 6 months. Quack will have to wait 6 months before any claims for any sickness, including the stroke, are covered.
Quack will have immediate coverage, including coverage of the stroke.
Lisa was covered under an individual health insurance policy for the last five years which lapsed February 28. Six weeks later she felt dizzy and her vision blurred. Thinking better of her situation she immediately purchased an individual health insurance policy. On April 15th, she was diagnosed with a brain tumor. Which statement reflects poor Lisa's plight? She is fully covered. There is no coverage because this is a pre-existing condition. The insurance company will adjust the benefit. The insurance company will adjust the premium.
She is fully covered.
Where would the insurance company find the number of hours a pilot has flown over the last year? The FAA The Office of Homeland Security The Inspection Report The Special Questionnaire
The Special Questionnaire
When a mistake has been made in the application, which would be the best course of action taken by the agent? The agent should have the applicant complete a new application The agent should erase and correct the mistake The agent should correct the mistake and have the applicant initial it The applicant should correct the mistake and have the agent initial it
The agent should correct the mistake and have the applicant initial it
What is on part 3 of the application? The agent's report The medical report The inspection report Special questionnaires
The agent's report
When considering if a long term care policy is suitable for an applicant, all of the following should be considered except: The applicant's marital status and the values, benefits and costs of the spouse's existing insurance, if any. The values, benefits and costs of the applicant's existing insurance, if any. The applicant's goals or needs with respect to long term care insurance. The applicants ability to pay for the proposed coverage.
The applicant's marital status and the values, benefits and costs of the spouse's existing insurance, if any.
If an applicant has been denied coverage based on a credit report, then the Fair Credit Reporting Act says that the insurance company must provide: The credit reporting agency's name, phone number, & address, & url The nature & substance of all information contained in the consumer's file The credit reporting agency's name and address The forms necessary for correcting the information
The credit reporting agency's name and address
Jack Inthebox has a long term care policy, and the premium is due on February 1. Jack has forgotten to pay his premium, and on February 25 he suffers a stroke and is admitted to a skilled nursing facility. How will the insurance company respond? The full benefit will be paid. A contingent paid-up benefit will be paid. A shortened benefit period will be paid. The full benefit, less the premium with an interest rate of up to 8% per year will be deducted from the claim.
The full benefit, less the premium with an interest rate of up to 8% per year will be deducted from the claim.
Sam's father had sickle-cell anemia, as well as his uncle. Sam otherwise represents a very favorable risk to the insurance company. Which course of action would the insurance company most likely pursue? The insurance company would deny Sam coverage because of his propensity to sickle-cell anemia. The insurance company would charge him a higher premium. The insurance company would reduce the benefits applied for. The insurance company would issue the policy as applied for.
The insurance company would issue the policy as applied for.
Before the incontestable period, the insurer discovers an error on the application. Which course of action might the insurer take? Nothing, the contract is a unilateral contract The insurer can adjust the benefit down to what ever they feel is appropriate The insurer can raise the premium to reflect the increased risk The insurer can void the contract
The insurer can void the contract
Which of the following is not correct concerning the insurer's obligation to the applicant regarding HIV testing? The insurer must disclose its intent to test a person for HIV prior to testing for HIV/AIDS The insurer must get the person's written consent to administer the test The insurer must notify the insured of any positive results The insurer may inquire whether a person has been tested positive for exposure to the HIV infection
The insurer must notify the insured of any positive results
Which of the following standards does not apply to long term care nonforfeiture benefits? The minimum nonforfeiture credit must not equal less than 30 times the daily nursing home benefit. The minimum nonforfeiture credit must not equal more than 120 times the daily nursing home benefit. The standard nonforfeiture credit must be equal to 100% of the sum of all premiums paid in. Additional shortened benefit period nonforfeiture options may be offered by the insurer, so long as benefits at least equal the standard (100% of premiums).
The minimum nonforfeiture credit must not equal more than 120 times the daily nursing home benefit.
Jack Inthebox is 66 has worked for ABC Company for 15 years, where he has maintained creditible coverage through the company's group health plan during that time. On August 1, 2014 he suffers a major heart attack and decides to retire. Upon retiring on August 20, 2014, he immediately enrolls in a Medicare supplement the same day. Which of the following is true? The supplement plan may deny coverage of the preexisting condition for the first 6 months of coverage because treatment was received within 6 months before the effective date of coverage. The supplement plan would cover the preexisting condition because the issue arose within six months before the effective date of coverage. The insurance company must cover the preexisting condition because they can only deny coverage for preexiting conditions if the insured takes more than 63 days between coverages to apply for the supplement. The supplement must cover the preexisting condition because Jack had creditible coverage for more than six months as of the date of the application for the supplement.
The supplement must cover the preexisting condition because Jack had creditible coverage for more than six months as of the date of the application for the supplement.
Which of the following is true regarding required provisions of a blanket policy? They must be at least as favorable to individual insureds as comparable provisions for individual health insurance policies. They must be at least as favorable to insurers as comparable provisions for individual health insurance policies. There are no provisions in blanket health plans because the insureds are not named. They only apply to an HMO covering the subscribers
They must be at least as favorable to individual insureds as comparable provisions for individual health insurance policies.
Which of the following is not a required coverage in the state of Florida? Cleft lip & Cleft palate Diabetes self-management Optometrists & Podiatrists Veteran's Administration treatment
Veteran's Administration treatment
Which of the following does NOT constitute "constructive delivery"? Mailing the policy to the agent and the agent delivers it Mailing the policy to the agent and the agent does not deliver it Mailing the policy to the client When the policy is delivered and an inspection receipt obtained
When the policy is delivered and an inspection receipt obtained
Jack Inthebox is 66 and on Medicare, and also works for ABC Company and is enrolled in their group health plan. His wife, Quack Inthebox, works for XYZ Company, and she and Jack are both covered under the XYZ Company's group health plan with Jack as a dependent on her coverage. XYZ Company's group health plan covers substancially more than ABC Company's health plan. Jack is hospitalized for several weeks after an occupational accident. Which of the following accurately describes how benefits will be determined? Medicare pays first, ABC Company's group plan pays second, XYZ Company's group health plan pays third and Worker's Comp pays fourth Medicare pays first, XYZ Company's group health plan pays second, ABC Company's health plan pays third and Worker's Comp pays fourth XYZ Company's group health plan pays first, ABC Company's health plan pays second, Worker's Comp pays third, and Medicare pays fourth Worker's Comp pays first, ABC Company's health plan pays second, XYZ Company's health plan pays third, and Medicare pays fourth
Worker's Comp pays first, ABC Company's health plan pays second, XYZ Company's health plan pays third, and Medicare pays fourth
May a long term care insurance policy exclude coverage for preexisting conditions? Yes, if the preexisting condition causes the loss within the first 30 days of coverage. Yes, if the preexisting condition causes the loss within 60 days of coverage. Yes, if the preexisting condition causes the loss within 6 months of coverage. Long term care policies may not exclude coverage for preexisting conditions under Florida law.
Yes, if the preexisting condition causes the loss within 6 months of coverage.
When an agent is soliciting for Medicare supplement insurance, what form needs to be signed? a form asking the prospect whether he is covered by another supplemental plan a suitability form a form acknowledging the prospect's understanding of the benefits provided a form attesting the prospect's eligibility for Medicare
a form asking the prospect whether he is covered by another supplemental plan
Blanket policies would cover all of the following except a group of engineers a school bus covering the children riding it a playground an airline covering its passengers
a group of engineers
The Florida Employee Health Care Access Act would consider all of the following to be an eligible employee except: sole proprietor a partner of a partnership an employee working 25 hours a week or more a part-time employee working less than 25 hours a week
a part-time employee working less than 25 hours a week
Through the Florida Health Kids Corporation, what percentage of the premium does the family pay? 200% 100% 50% a portion
a portion
All of the following must be contained in the Outline of Coverage except: a statement identifying the applicable category of coverage in the policy a statement specifying that dental and vision coverage are not covered in the policy a statement of the principal exclusions and limitations in the policy a summary of the renewal and cancellation provisions
a statement specifying that dental and vision coverage are not covered in the policy
Who is responsible for completing the application? The insurer The insured The applicant The agent
agent
Which of the following statements concerning the coordination of benefits provisions is/are true? 1. It is a cost containment measure. 2. It is required among group policies. 3. It prevents benefits from exceeding 100% of expenses incurred. 4. It does not apply to Medicare supplement policies. 1 & 2 1 & 3 1, 2 , & 3 all the above
all the above
A STANDARD RISK applicant submits an application REQUIRING a medical exam and receives a CONDITIONAL RECEIPT for his premium. The policy is first effective: as of the date of the application. as of the date the policy is issued. as of the completion of the required medical examination. as of the delivery date of the policy.
as of the completion of the required medical examination.
When must a health care service plan deliver a Buyer's Guide in the case of soliciting Medicare supplements? at the time of application at the time the policy is delivered upon request by the applicant upon request by the applicant, but not later than at policy delivery
at the time of application
An "outline of coverage" must be given to an applicant only at delivery of the policy only at the time of application along with the proposal or offer to sell at the time of application or time of delivery
at the time of application or time of delivery
Long Term Care policies sold in Florida must include all of the following except: include nonforfeiture benefits in the event of lapse offer inflation protection be tax qualified provide a free look of at least 30 days
be tax qualified
A blanket policy would need to issue certificates of coverage to persons covered in which of the following: blanket policy covering a volunteer fire department blanket policy covering Boy Scouts of America blanket policy covering patients of a health care provider blanket policy covering teachers of a university
blanket policy covering teachers of a university
A long term care policy may do which of the following: be cancelled or nonrenewed based on age or deterioration of health require prior hospitalization as a condition for benefits offer higher benefits for care in a nursing home than for lower levels of care contain an elimination period longer than 90 days
contain an elimination period longer than 90 days
An insurance company may nonrenew or cancel a health insurance policy for all the following reasons except: diagnosis of terminal illness fraud nonpayment of premiums the insurer ceases offering coverage in the market
diagnosis of terminal illness
When soliciting Medicare supplements, the insurance application must ask questions to elicit information as to whether the applicant currently has all of the following types of coverage except: Medicare Advantage disability income insurance Medicaid Medicare Supplement
disability income insurance
If a long term care policy is lapsed, the policyowner may reinstate within how long? 60 days 90 days five months six months
five months
In the formation of a life insurance contract, the special significance of a conditional receipt is that it: guarantees the applicant that a policy will be issued in the amount applied for in the application serves a proof that the agent has determined the applicant to be fully insurable for coverage by the insurance company is given by the agent only to applicants who fully prepay all scheduled premiums in advance of the policy being issued is intended to provide coverage on a date earlier than the date of the issuance of the policy
is intended to provide coverage on a date earlier than the date of the issuance of the policy
A field underwriter: decides who will be issued the policy is responsible to agents in the field is the agent supervises agents in the field
is the agent
The Florida Health Insurance Coverage Continuation Act (FHICCA) is for groups with how many employees? less than 50 less than 40 less than 30 less than 20
less than 20
Medicare supplements: may duplicate benefits provided by Medicare if such benefits are at least as favorable to the insured as those covered by Medicare may duplicate benefits covered by Medicare so long as the insured does not experience a profit from suffering a disability or hospitalization both of the above may not duplicate Medicare benefits
may not duplicate Medicare benefits
Long term care policies must offer coverage for all of the following except: home care mental disorders inflation protection nonforfeiture benefits
mental disorders
When must individuals complete an application for blanket insurance? only for blanket policies issued to an HMO for the subscribers only for blanket policies issued to a health care provider covering patients in both cases of the blanket policy being issued to the HMO and a blanket policy being issued to a health care provider never
never
ABC Company has four employees and is purchasing coverage from a small employer carrier. The four employees' health is as such: 1. Jack has had a stroke within the last year. 2. Bob has had a heart attack within the last six months. 3. Margaret was treated for breast cancer 18 months ago. 4. Morgan is a smoker. The small employer carrier could exclude coverage for which of the following employees from coverage? 2 only 1 and 2 1, 2 and 3 none of the above
none of the above
Which of the following may generally be excluded under a major medical policy in Florida? foster children of the insured treatment for diabetes osteoporosis none of the above
none of the above
Should part or all of the premium not be paid for a long term care policy, all of the following nonfofeiture benefits must be offered except: reduced paid-up extended term one-year term shortened benefit period
one-year term
Where would information relating to the identity of the agent, the company, the policy and each rider be found? buyer's guide declarations page policy summary initial receipt
policy summary
When must a long term care insurance shopper's guide be delivered? prior to presenting the application or enrollment form prior to completing the application or enrollment form prior to the first premium payment prior to issuance or delivery of the policy
prior to presenting the application or enrollment form
Who underwrites the risk for children covered by the Florida Health Kids Corporation? Medicaid State Guarantee Association Department of Financial Services private commercial health insurers
private commercial health insurers
An agent takes an application from a proposed insured without receiving payment of the first premium. The insurance company issues the policy and, when the agent visits the proposed insured to deliver it, she realized that the health of the applicant has deteriorated significantly since the application was taken. The agent should: obtain the premium from the prospect and send it to the company immediately. rate the policy and obtain any additional premium required. deliver the policy as it was issued. refuse to deliver the policy or to accept any premium offered.
refuse to deliver the policy or to accept any premium offered.
The HIV/AIDS written consent form must include all of the following except: meaning of its results its purpose potential uses sexual orientation
sexual orientation
A buyer's guide might also be called a what? shopper's guide purchaser's guide policy summary outline of coverage
shopper's guide