Chapter 11 part 1

Where on the policy form should individual long-term care insurance policies contain an appropriate captioned renewability provision?

first page

For policyholders in the same risk classification, it is unlawful to

Charge different premiums

A temporary producer license is effective for

180 days

The Commissioner must examine the financial affairs of each admitted insurer operating in Louisiana at least once every how many years?

5

A Medicare supplement policy cannot deny claims for losses occurring more than how long after the effective date of coverage because of a pre existing condition

6 months

An insurance license to do business in Louisiana is called

A certificate of authority

The Louisiana health plan is best described as

A health insurance plan for individuals who have been denied health coverage elsewhere

Which is true about the licensing of business entities in Louisiana

A licensed producer must be designated as responsible for compliance with state insurance laws and regulations

Fran is currently uninsured. Which of the following would allow Fran to qualify for a special enrollment in his small employer's health benefit plan?

Adoption of a child

All of the following are unfair claims settlement practices except

An attempt to settle a claim by arbitration

What must the insurer provide to certificate holders when a group Medicare Supplement insurance policy is terminated and not replaced?

An offer of conversion to individual coverage

Someone who sells, solicits, or negotiates insurance contracts for compensation on behalf of an insurer is called:

And insurance producer

A child's inclusion in a family health insurance policy begins

At Birth

In small group accident and health plans a late enrolling is an individual who

Elects coverage after the initial eligibility period

When replacing individual health insurance a producers should compare existing benefits with the proposed new policy to determine if

Existing benefits would be maintained under the new plan

The "Notice to buyer" on the first Paige of each long term care policy delivered in Louisiana

Explains the some of long term care costs may not be covered

After completing and application for insurance the insurance producer collects the premium but deposit the check in the insurance producers checking account. What crime has been committed

Fraud

Which type of Medicare supplement information can be used without prior state approval

Government publications

Which license is required in order to solicit long term care insurance in the state of Louisiana

Health insurance producer license

Which of the following statements about long term care insurance is correct

Individual long term care policies must contain a renewability provision on the first page of the policy

When my a producer first solicit insurance

When appointed by and insurer

If a group health policy terminates the policy may be converted to another health insurance policy if the group member

Makes a written application within 31 days after receiving notification of eligibility for conversions

In a health insurance contract changes my be made

Only when approved in writing by and officer of the insuring company

If a producer chooses to conduct business under an assumed name, when must notification be given to the Commissioner?

Prior to using the assumed name

A cease and desist order issued by the superintendent against an agent

Prohibits a specific practice listed in the order

In order to qualify for a company convention an insurance producer agrees to pay the first quarterly premium for the applicant for new insurance this is call a

Rebate

In general practice which statement is true of the power of the commissioner of insurance with respect to access to a producers business records

Records must be produced upon the request of the commissioner to the producer

Before and insurance company may sell insurance in Louisiana the company must

Secure a certificate of authority from the department of insurance

The commissioner may suspend a producers license for all of the following reasons except

Sharing commissions with other licensed producers

Claims settlement practices of insurers are regulated by:

State insurance departments

Family health group and accident insurance policies can cover children under age 26 if the children are

Unmarried,full time student

Under which circumstances must a producers insurance business records be provided to the Louisiana state insurance commissioner

Upon request of the commissioner

An insurance producer is BEST defined as

a person who has a contract with an insurance company to represent it

An insurer operating in the U.S. but headquartered outside the U.S. is

an alien insurer

Which of the following does restorative dental treatment cover

crowns