Health Only
Cobra termination-extension of benefits
60 days
Legal action (cannot take legal action until a certain amount of days from submitted proof of loss)
60 days
Grace period weekly premium
7 days
Most policies will pay the accident death benefits as long as the death is caused by the accident and occurs within
90 days
Proof of loss
90 days
Free look for health policy
10 days
Grace period Monthly premium
10 days
For how many days of skilled nursing facility care will Medicare pay benefits?
100 days
How many consecutive months of coverage (other than in an acute care unit of a hospital) must LTC insurance provide in this state?
12
Claim forms
15 days
Disability income policies- highest premium
15 days waiting period/10 year benefit period
Continuation of coverage under a group health -termination
18 months
What is the maximum elimination period in long term care policies issued in Florida?
180 days
Cobra employers
20
Medicare pay full benefit if hospitalized in an accident
20 days
Notice of claim (loss)
20 days
Pay out of pocket Medicare A and B outpatient basis
20%
If a parent would like to enroll a child over the age of 5 into the Florida Healthy Kids program, their family income must be under a certain percentage of the federal poverty level.
200%
Relation of earning to insurance (look at the average earn to earn that benefit)
24 months = 2 years
In order for an employee to be considered eligible for small group insurance, he/she must work at least how many hours per week?
25
Within how many days of requesting an investigative consumer report must an insurer notify the consumer in writing that the report will be obtained?
3 days
Retain advertisement for its long term care policies
3 years
What is the maximum age for qualifying for a catastrophic plan?
30
Free look period LTC and Medical Supplement (senior disability after 65)
30 Days
An agent has been convicted of a crime punishable by a 1-year imprisonment. Within how many days must the agent notify the department of insurance?
30 days
Elimination Period
30 days
If a licensee changes his or her residence address, within how many days must the department be notified?
30 days
Conversion from group to employee
31 days
Grace period all other modes (annually) premium
31 days
Proof of dependency -child
31 days
What is the period of coverage for events such as death or divorce under COBRA?
36 months (full amount + 2% interest)
Time of payment of claims (pay after notification and proof of loss)
45 days
Hours of continuing education on ethics and regulatory updates
5
If a consumer requests additional information concerning an investigative consumer report, how long does the insurer or reporting agency have to comply?
5 days
What is the statue of limitation on lawsuits for health insurance policies?
5 years
Benefit period for individual short term disability policies will usually continue from
6 months to 2 years
eyes
One exam, one glasses, every 12 months
