Simulate your exam part 2
Under the Physical Exam And Autopsy provision, how many times can an inurer have the insured examined, at its own expense, while a claim is pending?
Unlimited
What is the maximum penalty for habitual willful non compliance with the Fair Credit Reporting Act?
$2,500
What is the amount a physician or supplier for a particular service or supply?
Actual Charge
All of the following are licensing requirements for a business entity.
Applying for a license in the same lines of authority as held by licensed designees, Demonstrating general fitness, competence, and reliability, Maintaining on staff at least 1 licensed person in a good standing.
Automatic, Initial, Special, and General enrollment: out of the 4 which one is NOT an enrollment period for Medicare Part A?
Automatic
What is NOT a characteristic or a service of an HMO?
Contracting with insurance companies
An insurer wishes to compare the information given in an insurance application with previous insurance applicants by the same applicant but for different companies. What organization can help the insurer accomplish this?
Medical Information Bureau
HMOs may pay for services not covered by what?
Medicare
Your client wants to know the tax implications are for contributions to a Health Savings Account. You should advise her that the contributions are?
Tax deductible
Which of the following is Not covered under a "core" policy, Plan A in medigap insurance
The medicare Part A deductible.
Adopting parents must inform their insurer that a child has been added to the family within how many days?
31 days
If a consumer request additional information concerning an Investigative Consumer Report, how long does the insurer or reporting agency have to comply
5 days they have to comply in regards to An Investigative Consumer Report.
The term "chronically ill" means an individual who is unable to preform two daily acts of living for at least how long?
90 days
What is not Considered an exception to the National Do Not Call List?
Calls based from outside of the United States
Combinaion plans are comprised of two types of plan features: basic and?
Comprehensive
Which of the following provisions must be included on the first page of a medicare supplement policy which states the insurers right to change premium amounts?
Continuation Provision
The provision which prevents the insured bringing any leagal action against the company for at least 60 days after proof of loss is known as?
Legal actions
In which of the following locations would skilled care most likely be provided?
In an institutional setting
Medicare Advantage
Offers expanded benefits for a fee through a private health insurance program
These three things are covered by part A of medicare...
Post-Hospital nursing care, Home health service, Inpatient hospital services
A LTC shoppers guide must be presented at what point?
Prior to the time of application
Anyone caught violating the requiements of long term care insurance will be subject to
a civil penalty of up to 3 times the amount of commisions paid for each policy involved or 10,000 whichever is Greater
The benefits received by the business in a Disability Buy-Sell policy are?
income tax free
How soon after the due date should the insurer pay the agent appointment fees?
within 30 days
Which of the following is Not a cost saving service in a medical plan? Denial of coverage, Preventive care, Second surgical opinions, or risk sharing?
Denial of coverage
An insurer devises a intimidation strategy in order to corner a large portion of the insurance market. What best describes this Practice?
Illegal
When is it legal to limit coverage based on a marital status?
It is never legal to limit coverage on marital status.
What kind of plan is true regarding a term health policy?
It is non renewable
Which of the following is true regarding a term health policy?
It is non renewable
What is the initial period of time specified in a disability income policy that must pass, after the policy is in force, before a loss can be covered?
Probationary period
In order to minimize adverse selection, employer group dental plans may require employees who enroll after they were initially eligible to participate to do all of the following
Satisfy a longer probationary period, Submit evidence of insurability, Reduce benefits for a period such as one year.
Which type of Medicare policy requires insureds to use specific healthcare providers and hospitals EXCEPT emergency situations?
Select
Which of the following best details the underwriting process for life insurance?
Selection, classification, and rating of risks
Who is responsible for paying producer appointment fees?
The appointing insurer
What is not a feature of guaranteed renewable provision?
The insurer can increase the policy premium on an individual basis
What is true regarding benefits paid to disabled employees?
They may be subject to taxation if the premium was paid by the employer.
Income replacement contracts agree?
To replace the insured's income up to a stated percentage if the insured suffers a loss due to a covered accident or sickness