Examfx
It would not occur in a deferred annuity
Which of the following is NOT true regarding the accumulation period of an annuity?
The medicare Part A deductible
Which of the following is not covered under plan A in Medigap insurance?
A minor son of the insured
Which of the following named beneficiaries would NOT be able to receive the death benefit directly from the insurer in the event of the insurers death
Medicaid
Which of the following programs expands individual public assistance programs for people with insufficient income and resources?
The Fair Credit Reporting Act
Which of the following protects consumers against the circulation of inaccurate or obsolete personal or financial information?
Payment of claims
Which of the following provisions would prevent an insurance company from paying a reimbursement clean to someone other than the policyholder?
The employer is the policy holder
Which of the following statements concerning group health insurance is CORRECT
The mode of the premium payment
Which of the following will vary the length of the grace period in health insurance policies?
Automatic premium loan
A policyowner fails to pay the premium due on his whole life policy after the grace period passes, nut the policy remains in force. This is due to what provision?
Pay the policy proceeds only if it would have issued the policy.
A prospective insured receives a conditional receipt but dies before the policy is issued. The insurer will
Reduction of premium
According to the state nonforfeiture law for life insurance policies, insurers must offer at least one of the following nonforfeiture options EXCEPT
The interest is not taxable since it remains inside the insurance policy
All of the following are TRUE statements regarding the accumulation at interest option EXCEPT
Upon conversion, the death benefit of the permanent policy will be reduced by 50%
All of the following are True regarding the convertibility option under a term life insurance policy EXCEPT
Fixed-period installments
All of the following are dividend options EXCEPT
Buy-sell agreement
All of the following are personal uses of life insurance EXCEPT
All licensed agents must comply by January 1 of even numbered years
All of the following statements about the continuing education requirement in this state are true EXCEPT
Death benefits are paid only if death occurs within 24 hours of an accident
All of the following statements concerning Accidental death and dismemberment coverage are correct EXCEPT
The policy is owned by the company
All of the following statements concerning the use of life insurance as an Executive Bonus are correct EXCEPT
15-year level term
An individual covered under a group life insurance policy may convert the policy to any of the following EXCEPT.
Have the insured sign a statement acknowledging that they are aware of the change
Before an agent delivers a policy, the insurer makes a last-minute change to the policy. The agent informed the insured of this change, and they accept it. In response the agent must
6 months to 2 years
Benefit periods for individual short-term disability policies will usually continue from
No, the group must be formed for a purpose the other than obtaining group insurance
Can a group that is formed for the sole purpose of obtaining group insurance qualify for group coverage?
Presumptive disability
Certain conditions, such as dismemberment or total and permanent blindness, will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe?
Small employer
Company Y had 20 employees on staff last year. Which of the following terms most precisely labels the company's group insurance classification?
Contracts of adhesion
Contracts that are prepared by one party and submitted to the other party on a take it or leave it basis are classified as
100% participation of members is required in noncontributory plans
Group life insurance is a single policy written to provide coverage to members of a group. Which of the following statements concerning group life is CORRECT
They are not included as income for the employee, but are taxable upon distribution
How are contributions to a tax-sheltered annuity treated with regards to taxation?
Within 90 days or as soon as reasonably possible, but not to exceed 1 year
How soon following the occurrence of a covered loss must an insured submit written proof of such loss to the insurance company?
5 days
If a consumer requests additional information concerning an investigative consumer report, how long does the insurer or reporting agency have to comply?
30 days
If an HMO policy is cancelled for nonpayment of the amounts due under the contract, how long of a notice must the insurer give the insured?
Settlement option
If an immediate annuity is purchased with the face amount at death or with the cash value at surrender, this would be considered a?
It is only taxable if the cash value exceeds the amount paid for premiums
If an insured surrenders his life insurance policy, which statement is true regarding the cash value of the policy
Assets
In a replacement situation, all of the following must be considered EXCEPT
50/50
Ray has an individual major medical policy that requires a coinsurance payment. Ray very rarely visits his physician and would prefer to pay the lowest premium possible. Which coinsurance arrangement would be the best for Ray?
100%
S is a sole business proprietor who owns a medical expense plan. What percentage of the cost of the plan may he deduct
Insurable Interest
Stranger-oriented life insurance policies are in direct opposition to the principle of
Gradually Increases each year by the amount that the cash value increases
The death benefit under the universal life option B
A right to return the policy for a full premium refund
The free-look provision allows for which of the following
Entire contract
The insurance policy, together with the policy application and any added riders form what is know as
The method of premium payment
The insuring clause of a disability policy usually states all of the following EXCEPT
Taxable
The interest earned on policy dividends is
Insurance companies from adverse selection by high risk persons
The medical information bureau (MIB) was created to protect
The beneficiary
The primary beneficiary of her husbands life policy found that no settlement option was stated in the policy on the date of her husbands death. Who will select the settlement option in this case.
legal benefits
Under Worker's Compensation, which of the following benefits are NOT included?
Must be informed of the source of the report
Under the Fair Credit Reporting Act, individuals rejected for insurance due to information contained in a consumer report
90 days of loss
Under the uniform required provisions, proof of loss under a health insurance policy normally should be filed within
Cash surrender
Under which nonforfeiture option does the company pay the surrender value and have no further obligations to the policyowner?
Premium always stay the same
Underwriting is a major consideration when an insured wishes to replace her current policy for all of the following reasons EXCEPT
The original age is used for premium determination
What is the advantage of reinstating a policy instead of applying a new one?
Guaranteed renewal
What is the minimum renewability standard for long-term care policies issued in this state?
Giving a client $25 pen with the insurers logo during the insurance application process
Which of the following would NOT be considered rebating?
Time of payment claims
Which provision states that the insurance company must pay medical expense claims immediately
Replacement rule
Which rule would apply if an agent knows an applicant is going to cash in an old policy and use the funds to purchase new insurance?
Insurer
Whoo must pay for the cost of a medical examination required in the process of underwriting?
To help the insured understand aspects of the contract
Why should the producer personally deliver the policy when the first premium has already been paid?
Conditional
when both parties to a contract must perform certain duties and follow rules of conduct to make the contract enforceable, the contract is
The applicant must be informed of the sources contacted and how the information is being gathered
which is true regarding obtaining underwriting sources
When the agent delivers the policy, collects the initial premium, and the applicant completes an acceptable Statement of Good Health
An agent and an applicant for a life insurance policy fill out and sign the application. However, the applicant does not wish to give the agent the initial premium, and no conditional receipt is issued. When will coverage begin?
Twisting
An insurance agent wants for a client to replace her current annuities plan with another one. He presents the new one in an incomplete and dishonest way, which makes the new contract seem far more appealing than the original one. The policy owner ends up surrendering the original contract and replacing it with the new one. Which term best describes what the agent did?
false advertising
An insurance company has published a brochure that inaccurately portrays the advantages of a particular insurance policy. What is this an example of?
Stop loss limit
An insured had endured multiple surgeries and hospitalizations for an illness during the summer months. Her insurer no longer bills her for medical expenses. What term best describes the condition she has met?
Paid-up additions
An insured has a life insurance policy from a participating company and receives quarterly dividends. He has instructed the company to apply the policy dividends to increase the death benefit. The dividend option that the insured has chosen is called?
0%
An insured owns a general disability policy and is injured during a war, rendering him disabled. what will be the extent of benefits that he will receive.
10 days
An insured pays a monthly premium of $100 for her health care. What would be the duration of the grace period under her policy?
The insured is in an accident and incurs a large claim
An insured purchased a noncancellable health insurance policy 1 year ago. which of the following circumstances would NOT be a reason for the insurance company to cancel the policy
Revocable
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?
The applicant
An insurer is attempting to determine the insurability of an applicant and decides to obtain medical information from several different sources. Which entity must be notified of the investigation?
Rebating
Any inducement offered in the sale of insurance products that is not specified in the policy is an unlawful practice known as
The insured may carry over the amount of this year's expenses to next year, which will help satisfy next year's deductible
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?
$900 ( deductible + 20% of the bill after the deductible [20% of 2,000)]
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have to pay?
Endorsement to a healthy policy
Longterm care coverage may be available as any of the following options EXCEPT
$0
What is the typical deductible for basic surgical expense insurance?
On the first page
Where in the long-term care policy must the insurer state the renewal provision?
Divorce
Which of the following is considered a qualifying event under COBRA
Both the principle and interest will be liquidated over a select period of time
which of the following best describes fixed period settlement option
Cash to the owner's business partner to accomplish a buyout
A small business owner is the insured under a disability policy that finds a buy-sell agreement.IF the owner dies or becomes disabled, the policy would provide which of the following?
Interest only option
The policyowner wants to make sure that upon his death, the life policy will pay a portion of the proceeds annually to his spouse, but that the principal will be paid to their children when they reach a certain age. What settlement option should the policyowner choose?
Convertible term policy
The type of policy that can be changed from one that does not accumulate cash value to the one that does is a
The agent
if an applicant does not receive a copy of the new insurance policy, who would be held responsible?
Disability income
A waiver of premium provision may be included with which kind of health insurance policy.
The customers associates, friends, and neighbors provide the reports data
In comparison to consumer reports, which of the following describes a unique characteristic of investigative consumer reports?
Elimination period
In disability income insurance, the time between the onset of an injury or sickness and when benefits begin is known as the
Is not covered
In health insurance, if a doctor charges $50 more than what the insurance company considers usual, customary and reasonable, the extra cost
Entire contract clause
The provision in a health insurance policy that insures that the insurer cannot refer to any document that is not contained in the contract is the
Legal actions
The provision which prevents the insured from bringing any legal action against the company for at least 60 days after proof of loss is known as
The producer
The responsibility of making certain that an application for insurance is filled out completely, correctly, and two the best of his or her knowledge is the responsibility of whom?
Between 100% and 400%
To be eligible for tax credits under the ACA, individuals must have income that is what percent of the Federal Poverty Level?
Unlimited access to providers
Which characteristic does NOT describe managed care
War or military service
What is the name of a clause that is included in a policy that limits or eliminates the death benefit if the insured dies as a result of war or while serving in the military?
They determine how death proceeds will be paid
What is the purpose of settlement options?
50%
What percentage of continuing education hours must be in a classroom setting?
Grace period
What provision in a life or health insurance policy extends coverage beyond the premium due date?
It allows the insured to return the policy within 10 days for a full refund of premiums if dissatisfied for any reason.
What statement best describes the free look provision
Discrimination
When twin brothers applied for life insurance from company A, the company found that while neither of them smoked and both had similar lifestyles, one of the twins was in a much stronger financial position than the other. Because of this, the company charged him a higher rate for his insurance. This practice is considered
Payment is limited to a certain period of time
Which of the following applies to partial disability benefits?
The death benefit is fixed
Which of the following is NOT true regarding a Variable Universal life policy?
The application given to a prospective insured
Which of the following is Not the consideration in a policy?
Its goal is to channel patients to providers that discount services
Which of the following is true of a PPO?
Continuation Provision
Which of the following provisions states the insurers right to change premium accounts
Insurer
which of the following entities can legally bind coverage?