insurance exam
how long does a carrier have to acknowledge a grievance review
10 days
how long is illniss not covered in reinstatemnt
10 days
what is the monthly grace period
10 days
what % of premiums is charged for cobra
102%
in how many days must a consumer be notified that a investigation report will take place
3
how long must an issure retain a LTC ad
3 years
how much will early intervention service cover
3000
how many years must an individual be in a group plan to convert to an individual
5
if a consumer request additional info conerening an investigation requprt how long does the insurer have to comply
5 days
grading policies for persons over 75 must have a first year benift of __% of the face value
50
what is the time requiremnet for a pre existing condition
6 mo group is 12 mo
what is the time between health policies for no pre existing
63
usually how long must death as a result of an acident be to get the double indemnity benefit
90 days
early distributions are always subject to penalty
False
what plan must individuals be inroled in to get a perscription drug plan
a
what is an example of a limited accident and health policy
a dread disease policy
love it or leave it is refered to as
adhesion
what is done when a insured gets a haz job
adjust the benift in accorance with the increased risk
which of the following statements is true concerning the alteration of optional policy provisions
an insurer may change the wording of optional provisions as long as the change does not adversely affect the policyholder
how often must vaiable policies detemin changes in death ben.
annually
in a LTC policy pre existing limitations must
appear as a seperate pareagraph and be clearly labed
what must be done if insuance is not provided within 30 days
applicant must be informed in writing
the clasification of small employer means
at least 2 and not more than 50 plp
what is not an enrollment period for part a
auto
what is a manditory coverage in all health plans
bone marrow trans.
which is not excluded in a medical expense insurance policies
chiropractic care
what provision allows an insurer to nonrenew health insuance if certain events occur
coditionally renewable
filling the app and paying premiums is
condideration
a contract that requires the insurer and policy owner to meet certain conditions
conditional
If a policy has a 3 year pre existing condition clause this indicates that an insured will be covered for a
congenital condition of which the client was not aware
what is the practice of dissuade a pollicy holder from the replacement of a policy
conservation
the purpose of managed care health insuance is to
control health insuance claims expenses
who is the benificary in a credit life policy
creditor
who is the owner in a credit life policy
creditor
who is the insured in a credit life policy
debtor
if a person is non insurabe then they are
declined
SS disability defines disablility as
disability expected to last for at least 6 mo
who can provide skilled nursing care
doctor
how is the policy holder in a group policy
employer
which nonforfeiture option has the highest amount of insuance protection
extended term
what is no deductable
first dollar basis
if a specific dollar amount is to be paid in a settlement it is called
fixed amount
what is a probationary period in a group heath plan
for people who join after the effective date used for new employees before benifits start
a new employee who meets hippa requirments must be issued health coverage on what basis
guarenteed
what kind of premium does level term have
highest
what are the three basic coverages of med insurance
hospital surgical and med.
what rider is used for defined pre existing
impairment rider
here is skilled care administered
in an institutional setting
key person insurance does not reimburse for
increased pension liability resulting in the death of a key person
what is the heart of the policy
insuing clause
who can make changes to a policy
insureres executive officer
what is the mo health insunace pool
is a non profit whoes members are all insurers issuing health insurance
what is the significance of a conditional receipt
it is intended to provide coverage on thea date earlier than the date of the insuance of the policy
what term makes it easiest to qualify for total disability
liberal own occupation
how may pre exisiting conditons be treated in major med
may not be covered
who is not required to provide early intervention services for children
medicaid
ommision of statments that may mislead or deceive is
misrepersentation
what is the first dollar coverage
no deductible
is a policy loan taxable or not
not
when does acceptance usually occureq
on approveal of a pre paid app
what provision allows an insurer to terminate a policy or increase premiums
optionally renewable
what releaves minors from premiums in case of parnets death
payor benifit
certain conditions will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe
persumtive disablility
what is manditiory for health policies
physical exam and autopsy
what is not covered by part a
physician and surgeon services
what is not a benifit of survivorship life
protection from credtors
A large employer decides to self insure their employee health care program. to protect against the financial risk of self insuring the company should
purchase stop loss insurance
another name for substandard risk is
rated
what types of discrimination are illigal
rates premiums and pollicy benifits for the same class or life exp.
mo extends privileges to producers of other states that do the same this is called
reciprocity
the right to seek recovery from a third party
subrogation
cashvalues in excess of premiums paid upon surneder are taxable or not
tax
death benifits included to the estate tax or not
tax
interest on death benefit proceeds
tax
if a spouse is covered under both health policies how are med expenses paid
the benefits will be coordinated
a person is inroled in part a and not b. he applies for madicare sup. what can happen
the insurer can deny coverage
what is the purpose of a disclosure statement in life insuance policies
to help consumers make informed desisions
what is the purpose of disclosure statement
to help make informed dicisions
why must LTC have marketing procedures
to insure that insuance is identifed and excessive insuance is not sold
what type of life insuance allowes flex premiums
universal
how many exams are allowed under the exam and autopsy prov.
unlimited
what does the exteded term nonforfeiture option do
uses the cash value to purchase term for the face value for the time period that the cash will alow
