Chapter 14
In Missouri, an insurer may defer a death benefit payment for up to: A 6 months B 3 months C 12 months D 18 months
A 6 months
Which of the following statements best describes an insurer's use of advertisements for a Medicare supplement policy? A Ads for Medicare supplement coverage must first be approved by the Director B Insurers are not permitted to advertise Medicare supplements C Insurers have no restrictions with respect to Medicare supplement ads D Ads for Medicare supplement coverage are the responsibility of the producer
A Ads for Medicare supplement coverage must first be approved by the Director
Graded Death benefits may grade in excess of the first 3 years for ages up to 65 as long as the first-year death benefit is at least ____________. A 50% B 40% C 55% D 35%
A 50% For an insured up to and including age 65, the Graded life insurance policy may not grade the death benefit in excess of 3 years unless the policy provides at least 50% of the ultimate face amount as a first-year death benefit.
In Missouri, an insurer may defer a death benefit payment for up to: A 6 months B 18 months C 3 months D 12 months
A 6 months
A converted policy is not required under each of the following circumstances, except: A The terminated employee has a spouse who was covered under the original group policy B The terminated employee requires more hospital, surgical or medical coverage than the original policy C The terminated employee is eligible for Medicare D The terminated employee was not fully employed during the 3-month period ending in termination
A The terminated employee has a spouse who was covered under the original group policy The converted policy will cover the employee and dependents who were covered by the terminated policy, and at the insurer's option, a separate converted policy may be issued to cover any dependent.
How many days does a licensed producer have to notify the Director of a residence or business address change? A 90 B 31 C 30 D 60
C 30
Which of the required health provisions provides coverage for outpatient treatment to the same extent as any other illness and inpatient hospitalization treatment for up to 90 days per benefit period? A Autism/Applied Behavioral Analysis B Antigen Testing for Bone Marrow Transplants C Substance abuse/alcoholism D Mental health
D Mental health Mental Health coverage will include inpatient hospitalization treatment for up to 90 days per benefit period and outpatient treatment to the same extent as any other illness.
Which of the following is NOT a qualification for obtaining an insurance producer license? A Not committing a prohibited act B Passing a licensing exam C Being at least 18 years old D Paying a $200 license fee
D Paying a $200 license fee
Life insurance policies in Missouri may contain a suicide exclusion for up to: A 1 year after the policy's issue date B 10 years after the policy's issue date C 3 years after the policy's issue date D 2 years after the policy's issue date
A 1 year after the policy's issue date Missouri policies may exclude or limit death benefits for suicide in the policy's first year.
In Missouri, the insurer's liability is limited to a refund of premium if suicide is committed within what period of time? A 1 year of policy issuance B 3 years of policy issuance C 4 years of policy issuance D 2 years of policy issuance
A 1 year of policy issuance Missouri law limits the period to 1 year. If suicide is committed within 1 year of a policy issuance, the insurer's liability is limited to a refund of premium.
Health policies in Missouri may exclude pre-existing conditions within what period of time, prior to the effective date of coverage? A 12 months B 18 months C 6 months D 24 months
A 12 months Health policies in Missouri may exclude a pre-existing disease or physical condition not already specifically excluded if applicable medical treatment or advice was received within 12 months prior to the effective date of coverage.
How many hours of approved continuing education must Missouri insurance producers complete during a license renewal period? A 16 B 14 C 12 D 24
A 16
The free look period is _______ days for a LTC policy. A 30 B 60 C 21 D 45
A 30 Policies may be returned within 30 days of receipt of the LTC and Medicare Supplement policies if, after examination of the policy, the applicant is not satisfied for any reason.
Which of the following is not required to be given to the applicant by the producer replacing a life insurance policy? A A reminder that there is no requirement for evidence of insurability B A Notice of Replacement signed by the producer and applicant C A copy of the sales proposal D A completed comparison statement
A A reminder that there is no requirement for evidence of insurability If the policyowner decides to replace a policy or policies, the replacing producer is required to give to the applicant at time of application a reminder that new evidence of insurability may be required.
A copy of the insurer's grievance procedures must be filed with the Director, including which of the following? A All forms used to process a grievance B All forms used to process new patients C All forms used to process a claim D All forms used to process new inquiries
A All forms used to process a grievance A copy of the insurer's grievance procedures, including all forms used to process a grievance, must be filed with the Director.
If an insurance license authorizes a producer to transact business in Missouri, what type of license authorizes an insurer? A Certificate of authority B Limited lines license C Surplus lines license D Reinsurer certificate of licensure
A Certificate of authority
Which is TRUE of chiropractic coverage under Missouri law? A Coverage must be provided for up to 26 office visits per policy period; co-pay cannot exceed 50% B Chiropractic coverage is always an optional feature C Coverage must be provided for up to 10 office visits per policy period; co-pay cannot exceed 20% D Chiropractic care must be offered, but coverage is not mandated
A Coverage must be provided for up to 26 office visits per policy period; co-pay cannot exceed 50%
Which of the following actions/circumstances is not sufficient grounds for the suspension or revocation of a producer's license? A Informing the Director of unfair trade practice after self-audit B Signing a client's name to fast-track an amended application C Having an insurance license suspended in another state D Disregarding a court order to pay income tax
A Informing the Director of unfair trade practice after self-audit
Which of the following statements best describes Missouri law about the offer of inflation protection benefits with respect to LTC insurance? A Insurers must obtain rejections of inflation protection in writing B Inflation protection coverage is required for all applicants age 80 or older C Inflation protection coverage must be automatically included in all policies D Insurers do not have to offer inflation protection
A Insurers must obtain rejections of inflation protection in writing
As part of the insurer's utilization review process, an enrollee (or a provider on behalf of an enrollee) must be allowed to appeal for coverage of what services? A Medically necessary pharmaceutical prescriptions and durable medical equipment B Emergency services C Only services provided by attending physician D All rendered services
A Medically necessary pharmaceutical prescriptions and durable medical equipment An insurer must permit enrollees (or a provider on behalf of an enrollee) to appeal for the coverage of medically necessary pharmaceutical prescriptions and durable medical equipment.
A health policy is not obligated to cover which of the following? A Pre-existing conditions B Chiropractic care C Second opinion of a cancer diagnosis D Treatment of autism disorders
A Pre-existing conditions
If a producer offers any special favor in dividends or other benefits to an insured, the producer is guilty of which of the following marketing practices? A Rebating B Defamation C Intimidation D Twisting
A Rebating Rebating is giving the insured a rebate of premium, special favors in benefits, or other inducement not otherwise specified in the policy.
Replacement is defined in which of the following statements? A Replacement is any transaction in which new life insurance or an annuity is to be purchased, and it is known, or should be known to the producer that the existing contracts will be lapsed, forfeited, surrendered or terminated B Replacement is any attempt by the existing insurer or producer to keep a policy in force C Missouri does not regulate replacement D Replacement is any explanation of changes in the policy, such as death benefits or cash values, due to Long-Term Care benefits being paid out
A Replacement is any transaction in which new life insurance or an annuity is to be purchased, and it is known, or should be known to the producer that the existing contracts will be lapsed, forfeited, surrendered or terminated
Which of the following statements pertains to the purpose of replacement regulations in Missouri? A To regulate the activities of insurers and producers B The insurer must pay interest on any claims not paid within 15 days C The insurer must pay interest on any claims not paid within 30 days D Missouri has no regulation on policy replacement
A To regulate the activities of insurers and producers
In personal insurance transactions, producers must do all of the following EXCEPT: A Use professional designations to instill confidence about advising senior clients B Inform the insured if the insurer needs information before renewal or policy change C Inform the applicant if coverage cannot be secured within 30 days of application D Handle applications and amendment requests as soon as reasonably possible
A Use professional designations to instill confidence about advising senior clients
Unclassified violations of Missouri insurance law will be considered which level of violation? A 2 B 1 C 3 D 4
B 1 Unclassified violations of Missouri insurance law are considered level 1 violations. These do not call for a specific penalty.
Group life insurance contracts must contain a grace period provision of how many days? A 60 days B 31 days C 90 days D 14 days
B 31 days
All of the following persons would be exempt from taking the Missouri licensing exam, EXCEPT: A An individual currently licensed in Kansas B An individual who fails to appear for an exam as scheduled C An individual with Nebraska license that expired 60 days ago D An individual applying for a limited lines producer license
B An individual who fails to appear for an exam as scheduled Producers currently licensed in another state, or with a recently-expired (90 days or less) license from another state, are exempt from taking the Missouri exam, as are persons applying for a limited lines producer license.
In Missouri, an LTC policy MAY do which of the following? A Only provide coverage for skilled nursing care B Be terminated for non-payment of premium C Exclude pre-existing conditions for more than 6 months D Be terminated because of the insured's age
B Be terminated for non-payment of premium
Which of the following is not one of the requirements of telehealth services? A All policies are prohibited from denying or excluding coverage for services provided through telehealth if the same services are covered face-to-face B Coverage for services from out-of-network providers must be the same as in-network providers C Deductibles, copayments, and coinsurance cannot be higher or imposed differently that for services provided in person D Benefits must be provided on the same basis as that service would be provided if delivered in person
B Coverage for services from out-of-network providers must be the same as in-network providers
Health policies must provide coverage for all of the following, except: A Cancer screenings B Dental care for children up to age 18 C Low protein modified food products D Chiropractic care
B Dental care for children up to age 18 Coverage must be provided for anesthesia and hospital dental charges for children up to age 5.
Missouri is a member of the Interstate Insurance Product Regulation Commission, which has the purpose of: A Creating an insurance fund for insolvent insurers B Improving coordination between state insurance departments regarding uniform standards C Providing coverage to individuals who cannot obtain health insurance through normal markets D Promoting and protecting the interests of insurance producers
B Improving coordination between state insurance departments regarding uniform standards
Which of the following is NOT a required disclosure provision in a LTC policy? A Renewability B Investment options C Status as tax-qualified D Benefit triggers
B Investment options
Which of the following is NOT a qualification for obtaining an insurance producer license? A Being at least 18 years old B Paying a $200 license fee C Passing a licensing exam D Not committing a prohibited act
B Paying a $200 license fee
The Missouri Life and Health Insurance Guaranty Association's primary purpose is to provide protection for which of the following? A Policyowners and beneficiaries if the Director becomes insolvent B Policyowners and beneficiaries if an insurer becomes insolvent C Applicants and beneficiaries if a producer becomes insolvent D Insurers and the Director against insolvency
B Policyowners and beneficiaries if an insurer becomes insolvent
Which of the following statements is true regarding the LTC disclosure provisions? A Replacement of a LTC will occur within 30 days of the expiration of the replaced policy B Preexisting conditions or diseases are not covered C An individual LTC policy renewal is guaranteed D Conversion from a group to individual LTC policy waives evidence of insurability for 2 years
B Preexisting conditions or diseases are not covered
An insurer in Missouri is permitted by law to pay commissions to each of the following, except: A Property and casualty producer for the sale of surplus lines insurance B Property and casualty producer for the sale of life insurance C Licensed producer with a compensation agreement based on loss experience D Licensed producer who negotiates an insurance contract
B Property and casualty producer for the sale of life insurance Commission can only be paid to a producer duly licensed for the appropriate line.
All of the following coverages must be offered by health insurers in Missouri, except: A Chemotherapy for breast cancer B Testing for lead poisoning C Loss or impairment of speech or hearing D Coverage for mental health services
B Testing for lead poisoning Coverage for lead testing must be offered to all pregnant women and children up to age 6.
If a group changes its health insurance carrier and the new plan contains deductibles or waiting periods, which of the following applies? A The employer shall give credit for the satisfaction or partial satisfaction of the same or similar provisions under a prior plan providing similar benefits B The new plan shall give credit for the satisfaction or partial satisfaction of the same or similar provisions under a prior plan providing similar benefits C The new carrier is not required to give the credit for the satisfaction of the same or similar provisions under a prior plan providing similar benefits D The new carrier must offer the maximum level of benefits applicable to the level of benefits of the prior carrier's plan
B The new plan shall give credit for the satisfaction or partial satisfaction of the same or similar provisions under a prior plan providing similar benefits The succeeding carrier, in applying any deductibles or waiting periods in its plan, shall give credit for the satisfaction or partial satisfaction of the same or similar provisions under a prior plan providing similar benefits.
Encouraging a client to lapse one policy to take out another while the agent inflates the benefits of the policy is known as which of the following? A Defamation B Twisting C Coercion D Intimidation
B Twisting An agent is guilty of twisting is he encourages a client to lapse, forfeit, exchange, convert or surrender an existing policy and then replaces the policy with another using incomplete comparisons of benefits, features, clauses, etc. to the client's detriment.
In personal insurance transactions, producers must do all of the following EXCEPT: A Inform the insured if the insurer needs information before renewal or policy change B Use professional designations to instill confidence about advising senior clients C Handle applications and amendment requests as soon as reasonably possible D Inform the applicant if coverage cannot be secured within 30 days of application
B Use professional designations to instill confidence about advising senior clients It is an unethical and dishonest business practice to use a professional designation implying special certification in advising senior clients as a sales tactic.
The insured, who is insured under a group health policy, is getting divorced. Will the ex-spouse be able to continue health coverage under the group health policy? A No, the divorce eliminates the chance for coverage B Yes, if the ex-spouse informs the group within 60 days after the divorce is final C Only if the insured approves the continuation of coverage D Not unless the ex-spouse requests coverage within 30 days after the divorce is final
B Yes, if the ex-spouse informs the group within 60 days after the divorce is final A divorced spouse must inform the group plan administrator of the divorce and the desire to continue coverage within 60 days after the divorce becomes effective. Failure of the legally separated or divorced spouse to exercise the election to continue coverage will terminate the right to continue the policy.
How many hours of continuing education are required to maintain an insurance license in Missouri? A 24 every 2 years B 16 hours annually C 16 hours every 2 years D 24 hours annually
C 16 hours every 2 years
An insurer making an adverse determination must notify the provider within what time period of making the decision? A One working day B 2 working days C 24 hours D 48 hours
C 24 hours In the event of an adverse determination, the insurer must notify the provider within 24 hours and must provide official notification to both the enrollee and the provider within 1 working day.
In Missouri, the insurer must keep a copy of all replacement documents for what period of time? A 90 days B 2 years C 5 years D 7 years
C 5 years
A small employer must have from 2 to _______ eligible employees. A 65 B 15 C 50 D 25
C 50
LTC premium increases will cease when the insured reaches what age? A 70 B 60 C 65 D 55
C 65 The LTC premium will also not increase based on the duration of coverage, the purchase of additional coverage, or a reduction of benefits.
In Missouri, a life insurance policy loan interest rate can be up to ________ APR. A 3% B 5% C 8% D 11%
C 8%
What is the maximum life insurance policy loan interest rate in Missouri? A 5% B 12% C 8% D 2%
C 8%
Which of the following statements is correct? A A health policy may not continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee B A health policy may continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee C A health policy must continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee D A health policy has the option to continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee
C A health policy must continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee A health policy must continue coverage for a dependent child after the child attains any limiting age if the child is incapable of self-sustaining employment due to physical/mental handicap and continues to be a dependent on the enrollee.
Choose the false statement about LTC provisions. A Accelerated death benefits may be taxable B Activities of daily living and cognitive impairment will measure the need for LTC C A non-qualified LTC contract includes an IRS disclosure regarding tax implications D An endorsement added after the date of issue must be signed by the insured
C A non-qualified LTC contract includes an IRS disclosure regarding tax implications
In Missouri, how often are Variable death benefits determined? A At least once every 2 years B At least every six months C At least once a year D At least once every 3 years
C At least once a year
Which is TRUE of chiropractic coverage under Missouri law? A Chiropractic care must be offered, but coverage is not mandated B Coverage must be provided for up to 10 office visits per policy period; co-pay cannot exceed 20% C Coverage must be provided for up to 26 office visits per policy period; co-pay cannot exceed 50% D Chiropractic coverage is always an optional feature
C Coverage must be provided for up to 26 office visits per policy period; co-pay cannot exceed 50% Under Missouri law, chiropractic coverage is a mandate--meaning it must be included and cannot be declined by the person buying the policy.
Which of the following policies is subject to the regulations regarding replacement? A Group health insurance B Credit life insurance C Individual life insurance D Group life insurance
C Individual life insurance
Who is responsible for issuing utilization review decisions and obtaining all information required to make a utilization review decision? A Director B Producer C Insurer D Underwriter
C Insurer
Required coverages for Cancer Screenings apply to which of the following policies? A Long-Term Care B Medicare Supplement C Major Medical D Short-term Major Medical of less than 6 months
C Major Medical
Making a false statement about the benefits or the nature of an insurance policy is what unfair trade practice? A Twisting B Unfair discrimination C Misrepresentation D Defamation
C Misrepresentation
Anyone who wants to transact business as an insurance producer must do which of the following? A Submit a sealed certification letter 6 months before the producer license is received B Be at least 21 C Pay the required $100 licensing fee D Present a certificate of auto insurance
C Pay the required $100 licensing fee
A health policy is not obligated to cover which of the following? A Treatment of autism disorders B Chiropractic care C Preexisting conditions D Second opinion of a cancer diagnosis
C Preexisting conditions Health policies in Missouri may exclude a disease or physical condition not already specifically excluded if applicable medical treatment or advice was received within 12 months prior to the effective date of coverage.
In order for an insurer to pay a commission to a producer for services, which of the following must occur? A Producer or agency must be appointed B Agency must be licensed but an appointment is not required C Producer or agency must be currently licensed and appointed D Producer must be licensed but an appointment is not required
C Producer or agency must be currently licensed and appointed An insurer cannot pay a commission for producer services to anyone other than a currently licensed and appointed producer or agency.
How must commissions for Medicare supplement policies be paid? A Only first-year commissions may be paid B Only in cash C Renewal commissions must be issued for at least 5 years D Only P&C producers can receive commissions
C Renewal commissions must be issued for at least 5 years Renewal commissions cannot be paid for fewer than 5 years.
Which of the following statements about coverage for clinical trials is false? A Routine care costs for FDA-approved drugs are covered B Patient care as a result of phase II-IV of a cancer-related clinical trial is covered C Routine care costs for devices, whether FDA approved or not, are not covered D FDA-approved drugs are covered, even if not specifically approved for the treated condition
C Routine care costs for devices, whether FDA approved or not, are not covered
Which of the following is not true about continuation of group health coverage? A The coverage is not required to cover dental, vision, or prescription drugs. B The plan must pay maternity benefits C The terminated employee must request continuation within 21 days after the date of coverage would terminate D If the terminated employee qualifies for Medicare the continuation is not required
C The terminated employee must request continuation within 21 days after the date of coverage would terminate If a terminated employee is unable to obtain health coverage, the employer offer continuation of coverage at the same premium, and the employee must request and pay for the coverage within 31 days of the date coverage would otherwise terminate.
If an insurer attempts to settle a claim for less than what an insured is entitled, then that insurer is guilty of which of the following? A Deceptive Claim Practice B Felony violation C Unfair Claim Settlement Practice D Violation of arbitration
C Unfair Claim Settlement Practice An example of an Unfair Claim Settlement Practice is if an insurer attempts to settle a claim for less than what an insured is entitled, however, it is not an unfair claim settlement practice to settle claims by arbitration.
Of the following potential life insurance policy exclusions, which does Missouri require to be formatted a certain way on the printed policy? A Hazardous occupation or hobby B Suicide C War/Aviation D Military status Nice try! Formatting requirements include specific language, font size, and location (on the face of the policy).
C War/Aviation Formatting requirements include specific language, font size, and location (on the face of the policy).
If replacement is involved, how soon must the replacing insurer notify the existing insurer? A Within 20 working days B Within 10 days C Within 5 working days D Within 30 business days
C Within 5 working days The replacing insurer must notify the existing insurer of a replacement transaction within 5 business days.
An insurer making an adverse determination must notify the provider within what time period of making the decision? A One working day B 2 working days C 48 hours D 24 hours
D 24 hours In the event of an adverse determination, the insurer must notify the provider within 24 hours and must provide official notification to both the enrollee and the provider within 1 working day.
An insurer may cancel a policy at any time, but must give the insured at least how many days advance notice before the cancellation becomes effective? A 10 B 20 C 15 D 30
D 30
Insurers must notify insureds at least how many days in advance of any covered drug being deleted from coverage? A 15 B 20 C 5 D 30
D 30
The free look period is _______ days for a LTC policy. A 45 B 60 C 21 D 30
D 30 The free look period is 30 days for senior products (such as LTC and Medicare Supplement policies).
Coverage for immunizations must be provided for children up to age ______. A 15 B 18 C 10 D 5
D 5
A producer may not recommend a Variable Life policy unless the recommendation suits which of the following? A Director's approval B Insurer's financial goals C Producer's needs D Applicant's financial goals and needs
D Applicant's financial goals and needs
For chemical dependency, which of the following is not covered under a health policy? A Residential treatment for at least 21 days per benefit period B Medical detoxification for 30 days per benefit period C Social detoxification of at least 6 days per benefit period D At least 30 days of outpatient treatments per benefit period
D At least 30 days of outpatient treatments per benefit period Outpatient treatments through a non-residential program or through partial/full-day program services of at least 26 days per benefit period.
If an insurance license authorizes a producer to transact business in Missouri, what type of license authorizes an insurer? A Surplus lines license B Reinsurer certificate of licensure C Limited lines license D Certificate of authority
D Certificate of authority It is unlawful for any insurance company in Missouri to transact insurance without a certificate of authority from the Director (with certain exceptions).
Which of the following is not a duty of the Director of Insurance? A Regulate the Department of Insurance affairs B Prescribe forms and procedures C Conduct hearings D Create Missouri insurance laws
D Create Missouri insurance laws The Director of Insurance does not create law. The Director has the authority to make any rules necessary to enforce the insurance laws passed by the state legislature.
Choose the incorrect answer from the following regarding credit life insurance. A Credit life insurance may not extend more than 30 days past the pay-off date B An insurer with a certificate of authority for transacting insurance business can sell a credit life insurance policy C An insurer may not pay a creditor more than 40% of the premium D Credit life insurance must remain level as the debt decreases
D Credit life insurance must remain level as the debt decreases Credit life insurance is insurance on the life of a debtor in connection with a credit transaction, and can either decrease as the debt decreases or remain level during the coverage term.
An LTC policy that only allows the insurer to increase a policy premium if it increases the premiums for all policies issued to the same class of individuals is considered: A Noncancellable B Qualified C Nonqualified D Guaranteed renewable
D Guaranteed renewable In a guaranteed renewable policy, the insurer can only increase the premium if it increases the premium for all insureds of the same class.
Missouri is a member of the Interstate Insurance Product Regulation Commission, which has the purpose of: A Providing coverage to individuals who cannot obtain health insurance through normal markets B Promoting and protecting the interests of insurance producers C Creating an insurance fund for insolvent insurers D Improving coordination between state insurance departments regarding uniform standards
D Improving coordination between state insurance departments regarding uniform standards The Interstate Insurance Product Regulation Commission ("The Compact") was formed develop, review, and approve uniform standards for insurance products and improve the coordination between state insurance departments regarding these products. The Compact works to promote and protect the interests of consumers.
Which of the following statements best describes Missouri law about the offer of inflation protection benefits with respect to LTC insurance? A Inflation protection coverage is required for all applicants age 80 or older B Insurers do not have to offer inflation protection C Inflation protection coverage must be automatically included in all policies D Insurers must obtain rejections of inflation protection in writing
D Insurers must obtain rejections of inflation protection in writing Rejection of LTC inflation protection must be in writing and signed by the policyholder.
Which of the following is NOT a required disclosure provision in a LTC policy? A Benefit triggers B Status as tax-qualified C Renewability D Investment options
D Investment options
Which of the following is NOT a required disclosure provision in a LTC policy? A Status as tax-qualified B Benefit triggers C Renewability D Investment options
D Investment options
An administrator of a utilization review program must be which of the following? A Qualified administrator B Qualified health care professional C Insurance company designee D Medical doctor
D Medical doctor Any medical director who administers a utilization review program or oversees the review decisions must be a qualified health care professional licensed in the state of Missouri.
An insurer in Missouri is permitted by law to pay commissions to each of the following, except: A Licensed producer with a compensation agreement based on loss experience B Licensed producer who negotiates an insurance contract C Property and casualty producer for the sale of surplus lines insurance D Property and casualty producer for the sale of life insurance
D Property and casualty producer for the sale of life insurance
Which of the following statements about coverage for clinical trials is false? A FDA-approved drugs are covered, even if not specifically approved for the treated condition B Patient care as a result of phase II-IV of a cancer-related clinical trial is covered C Routine care costs for FDA-approved drugs are covered D Routine care costs for devices, whether FDA approved or not, are not covered
D Routine care costs for devices, whether FDA approved or not, are not covered
The Director may suspend or revoke a licensee/applicant's license, or deny a license application for which of the following reasons? A The licensee unintentionally submitted an unsigned application to the underwriting department B The applicant/licensee has never been convicted of a felony or crime involving moral turpitude C The applicant has not committed any act that is a ground for denial, suspension or revocation D The applicant/licensee had a license revoked or suspended in another state
D The applicant/licensee had a license revoked or suspended in another state
According to the requirements of coverage for mental illness, how long is treatment for inpatient hospitalization per benefit period? A Up to 60 days per year B Up to 30 days per year C Up to 15 days per year D Up to 90 days per year
D Up to 90 days per year
When replacement is involved, which of the following is incorrect about the duties of the replacing producer? A To retain copies of all records regarding replacement for at least 3 years B To inform the applicant that a new evidence of insurability may be required C To send certain documents to the existing insurer within 30 days D To compile a list of all the applicant's existing policies to be replaced
To send certain documents to the existing insurer within 30 days The producer must send documents to the existing insurer within 5 business days or the policy's issue date, whichever occurs first. - A notice advising of the replacement - Policy identification information for the existing insurance to be replaced - A policy summary or ledger statement that contains data about the proposed replacement policy