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
