Attempt 1

Under special circumstances, continuing education requirements may be extended beyond the 2-year period for a maximum period of

12 months

Following hospitalization because of an accident, Bill was confined in a skilled nursing facility. Medicare will pay full benefits in this facility for how many days?

20

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

A corporation can be considered a "small group employer" if it has at least one and a maximum of how many employees?

50

How long is an open enrollment period for medicare supplement policies?

6 months

An HMO that is found to be in violation by committing an unfair trade practice as defines in the act, may suffer the penalty of

Any of the above (suspension of certificate of authority, revocation of license, administrative fine)

Which of the following is NOT required to be stated in the outline of coverage provided with a long-term care policy?

Basic information about supplementary policies

Which of the following is NOT an essential element of an insurance contract?

Counter offer (Agreement, consideration, competent parties, legal purpose)

A health insurance policy that pays a lump sum if the insured suffers a heart attack or stroke is known as

Critical illness

Which of the following is NOT a responsibility of the Office of Insurance Regulation?

Enacting new insurance laws

long-term care coverage may be available as any of the following options except

Endorsement to a health policy (Individual long-term care, endorsement to a life policy, group long-term care)

An insurance company has published a brochure that inaccurately portrays the advantage of a particular insurance policy. What is this an example of?

False Advertising

The agent in charge of an agency must hold which of the following license?

General Lines

What statement best describes the free look provision?

It allows the insured to return the policy within 10 days for a full refund of premiums if dissatisfied for any reason

Every insurer marketing Long-Term care insurance must establish marketing procedures to ensure all of the following EXCEPT

LTC policies are marketed effectively to prospective insureds.

Which of the following programs expands individual public assistance programs for people with insufficient income and resources?

Medicaid

An insured purchased an insurance policy 5 years ago. Last year, she received a dividend check from the insurance company that was not taxable. This year, she did not receive a check from the insurer. From what type of insurer did the insured purchase the policy?

Mutual

In long-term care insurance, what type of care is provided with intermediate care?

Occasional nursing or rehabilitation care

An insured pays her Major Medical Insurance premium annually on March 1. Last March forgot to mail her premium to the company. On March 19, she had an accident and broke her leg. The insurance company would

Pay the Claim (because the accident occurred during the grace period, the insurance company will pay the claim)

A medical insurance plan in which the health care provider is paid regular fixed amount for providing care to the insured and does not receive additional amounts of compensation dependent upon the procedure performed is called

Prepaid Plan

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

Disability income policies can provide coverage for a loss of income when returning to work only part time after recovering from total disability. What is the benefit that is based on the insured loss of earnings after recovery from a disability?

Residual Disability

An insured wants to name her husband as the beneficiary of her health policy. She also wishes to retain all of the rights of ownership. The insured should have her husband named as what type of beneficiary?

Revocable

An agent's appointment has been denied. Which of the following is true?

State taxes may be refunded upon written request

Your client wants to know what 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 may NOT be included in an insurance company's advertisement?

That it's policies are covered by a state Guaranty Association

An insured who has an Accidental Death and Dismemberment policy loses her left arm in an accident. What type of benefit will she most likely receive from this policy?

The capital amount in a lump sum

Who chooses a primary care physician in an HMO plan?

The individual member

Insured Z's health insurance policy year begins in January. His policy contains a carry-over provision. In November, he has a small claim which is less than his deductible. Which of the following is true?

The insured may carry over the amount of this year's expenses to next year , which will help satisfy next year's deductible.

which of the following will vary the length of the grace period in health insurance policies?

The mode of the premium payment

Long-term care policies require that in addition to the applicant at least one person must be designated in the policy. What is the role of that designated person?

To receive notice of policy lapse or termination

In individual health insurance coverage, the insurer must cover a newborn from the moment of birth, and if additional premium payment is required, how many days should be allowed for payment?

Within 30 days of birth

The section of a health policy that states the causes of eligible loss under which an insured is assumed to be disabled is the

insuring clause