AIL - Health and Life Insurance State Exam Study Guide - Part 6

According to HIPAA regulations, which of the following may reduce a medical plan's pre-existing conditions exclusion?

Any of prior coverage

When does a family accident and health policy's coverage for a newborn child begin?

At the moment of birth

The guarantee of insurability option provides a long-term care policyowner the ability to

Buy additional coverage at a later date

Linda is covered with long-term care insurance and has early-stage Alzheimer's. She is still able to reside in her home while receiving primary care, as opposed to moving into a nursing home. All of the following long-term benefits encourage home health care EXCEPT

Custodial Care

Death proceeds from a life insurance policy are typically included in a deceased insured's gross estate?

For federal income tax reasons

Which of the following causes of disability is NOT covered under Arizona workers compensation laws?

Intentional, self inflicted injuries that occur on the worksite

How is a community rating used for underwriting purposes?

The same rates are charged for individual and group plans in the same geographical area

A life insurance policy can usually be contested by the insurer only during the first __ years of the contract

Two

If group Health benefit levels are too high, what could be the end result?

Overutilization of the plan

When a lapsed policy's premium has been paid current, it has the potential of being

Reinstated

Rick provides a notice of claim to his health insurer. If he does not receive a claim form within within 15 days, he may comply with the proof of loss provision by

Submitting written proof of loss

Greg had recently been terminated from his job that covered him for group life insurance. How long does he have to convert his coverage to an individual policy?

31 days

Which of the following describes coverage for the Medicare Part B coinsurance?

A Medicare Supplement core benefit?

The coinsurance for skilled nursing facility services covered by Medicare after the 100% Medicare coverage ends is

A flat dollar amount per day

A teacher recently retired at age 63 and has a tax sheltered annuity (TSA). Periodic deposits total. $120,000 and the value of the contract is now worth $200,000. How much is taxed if the current value is surrendered today?

$200,000