Chapter 18-Connecticut Laws and Rules Pertinent to Insurance

All of these are a pre-requisite for becoming a licensed produceer in Connecticut except

High School Diploma

What does a Medicare Supplement policy cover?

allowable amounts under Medicare part B

A television advertisement features a health insurance product that's endorsed by a specific group. In this advertisement,

any control by the insurer over this group must be disclosed.

A(n) _____ agent is a producer who writes and places coverage for a specific insurance company

appointed

An admitted company in Connecticut MUST

be licensed in Connecticut

Medical costs in birthing centers are lowered by using

certified nurse midwives.

Under the Pregnancy Discrimination Act of 1978 employers MUST treat pregnancy

in the same mannger as any other covered disability

If a producer fails to remit collected premiums to the insurance company, the producer may be in violation of

misappropriation

James the producer has sold a life insurance contract to a client without using an illustration, even though his insurer offers one. For this particular transaction, the applicant

must sign a statement that no illustration was provided

How would preventative care be encouraged in a dental plan?

no deductible on routine examinations

A medicare Supplement policy can be cancelled by the insurer for

nonpayment

An accelerated (living) benefit is payable based upon the occurence of qualifying event. This qualifying event is certified by a(n)

physician

An accelerated (living) benefits is payable based upon the occurence of a qualifying event. This qualifying event is certified by a(n)

physician

Which of these is NOT a standard provision in qualified long-term care policies sold in Connecticut?

prior hospitalization

An insurance company appoints a(n) ______ to transact insurance

producer

A medicare supplement policyholder has ______ days to return the policy and receive a full premium refund

30 days

A group life insurance policy insured may assign up to _____ of the insured's coverage

100%

What's the MINIMUM benefit period that must be offered by a Long-term care policy?

12 months

If an employer decides to cancel a group life insurance plan, it must give at least ____ days notice to the employees prior to the date of cancellation or discontinuation

15

A temporary producer license is valid for a maximum of ______ days

180

A producer must notify the Commissioner with _____ days of an address change

30

B and his family are covered under a family health policy. B and his wife recently had a daughter. B must provide notice of birth and payment of premium to the insurer with ____ days after birth to maintain coverage on the newborn.

31

B is covered by a group health plan. B's employment is terminated and decides to convert the coverage to an individual policy. How many days does B have to convert?

31 days

To be classifiedl as a smaller employer an employer must employer must employ

50 or fewer

The MAXIMUM time period that pre-existing conditions can be excluded in long-term care policies is

6 months

The waiting period for a pre-existing condition under a Medicare Supplement policy may NOT go beyond

6 months

What is the enrollment period for a Medicare beneficiary who would like to apply for a Medicare Supplement policy?

6 months beginning on the date she first enrolls for Medicare Part B

A life policy loan in Connecticut can't charge a rate of interest higher than

8%

In connecticut, the maximum fixed interest rate a life insurance policy may charge is

8%

A producer is holding a meeting with a poential client about replacing an existing group health insurance policy. The topic that should be included in the conversation is

A comparison of benefits between the current and proposed plans

A producer's license may be issues without taking an examination for which of these individuals?

An individual who holds an approved professional designation

Which of these terms best describes the obligations involved with handling and managing other people's money

Fiduciary responsiblity

When is a Group Health policy required to provide coverage for a newborn child?

At the moment of birth

According to connecitcut law, when must a producer deliver the Outline of Coverage to a Medicare Supplement applicant?

At the time of application

Which of these Must be given to a life insurance applicant upon policy delivery?

Buyer's Guide

A person who charges a fee for giving insurance advice is called a(n)

CIC(certified Insurance consultant)

In Connecticut which of the following is considered an unfair trade practice?

Coercion

All of the following MUST be included in a life insurance illustration EXCEPT

Company's mortality table

Health providers are compensated by a PPO for normal dental procedure by what means?

Decreased fee schedules

An example of an Unfair Claims Settlement Practice is

Failing to promptly investigate and settle legitimate claims

A consumer who has been recently denied insurance, credit, or employment based on an unfavorable consumer report MUST be advised as such. Which of the following does that statute originate from?

Fair Credit reporting act

Which of the following is NOT classified as an "employee" under a group employer insurance plan?

Independent contractors

During the course of a Medicare Supplement sale, T the agent determines there is an existing policy being replaced. Which of these actions is T not required to perform?

Notify the replaced insurance company

If a Medicare Supplement policy involved replacement, it must be verified on a question located

On the application

Which of the following MUST be delivered with a Medicare Supplement policy?

Outline of coverage

Which of these is a legitimate form of life insurance advertisement?

Paid celeberty endorsement

What is the purpose of the Insurance Guaranty Association?

Pays authorized claims for liquidated life and insurance insurers

Which of the following triggers an accelerated (living) benefit?

Qualifying event

When an insurer markets it Medicare Supplement products in Connecticut, which method is acceptable?

Replacing an existing policy with one that has greater benefits. Permitted but highly regulated

Which of these statements is true about an insurance broker?

Represents more than 1 insurer

An example of rebating would be

Returning a portion of a premium as inducement to purchase insurance

Which of these individuals is eligible for a temporary producer's license?

Spouse of a disabled producer

Which of the following is NOT a valid cause for termination of an employee's group health coverage?

The coinsurance limit has been exceeded

Mentally or physically handicapped dependent children MUST be covered under an individual health insurance policy

Until they become self-supporting

At what point must insurable interest exist on a life insurance policy?

Upon the application being taken

Which of these products does standard nonforfeiture law apply to

Whole Life policies. Because of the cash value that accumulates

The commissioner of Insurance may NOT suspend or revoke a producer's license until

a hearing is conducted and an order issued

Jerry has an indemnity plan which covers dental expenses. Typically, these type of plans

cover preventative care once every six months

According to the Affordable Care Act, which of the following coverages is NOT required?

coverage for cosmetic surgery

Connecticut's 10-day free look period for life insurance policies begins at the

date of delivery

An example of endodontic treatment is a

root canal

A long-term care lapse notice must be delivered to both the applicant and

secondary addressee

A group health certificate for coverage issued in Connecticut MUST contain a(n)

summary of policy features and benefits

Essential benefits without annual and lifetime limits are required on any health policy purchased

though the Federal Marketplace

Reinsurance is

used by insurance companies to share risks.