Important Days/ Dollars
When does the internal appeal for an ACA urgent care must be completed
3 days or less depending on the medical urgency
A commissioner will issue or deny temporary license
30 days
An insurer must wait __ days from the date a new rate increase is filed for it to be put into effect
30 days
An insurer needs to file a Notice of Appointment within _ days from the date the agency contract is executed/ first application is submitted
30 days
Children under 26 can rejoin a parents Health plan by providing a written notice to insurer and enroll in their Special Enrollment Period
30 days
Commissioner will send a copy of report to the party examined before filing the report
30 days
Demand for Commissioner to hold a hearing
30 days
How long is the Free Look period on LTC and Medicare Supplement contacts
30 days
How many day's notice is required by in insured to rescind a policy due to a misrepresentation
30 days
In a Life/ Health Insurance Guaranty Corporation, it requires a __ day notice before paying an assessment
30 days
Insurer must update the producer registry after termination of an appointment
30 days
Internal appeal for a pre-service claim
30 days
Party examined may request hearing on a report
30 days
Special Enrollment Periods
30 days
Time to report change of name or address/email
30 days
Time to report felony convictions to the Commissioner
30 days
Within __ days before filing the report with the office of commissioner, the commissioner will give a copy of the report to the party that was examined
30 days
An employer is required to provide health coverage to an employee with kidney disease for how many months before medicare becomes primary coverage
30 months
Adopted/ Birthed children are automatically covered for _ days after their birth/ adoption
31 days
Do not Call List must be referred to every _ days
31 days
How long does someone have to convert their group life insurance (conversion privilege)
31 days
Prove that a dependent child over 26 has a disability within _days
31 days
When does a birth of a child need to be notified to insurers
31 days
Time that must lapse between failing the producer exam and retaking It
4 days
The federal minimum time set to file an external claim review for recession of coverage
4 months
Reinstatement is typically automatically within __ days
45 days
Amount of time an insurer/ reporting agency has to provide an insured with any requested information
5 days
How many days must each party give for a written notice of cancellation
5 days
How Long is the elimination period for Social Security Disability Benefits
5 months
Continuing Education in each L&H and P&C; producers licensed in both
6 hours
Imprisonment for willfully failing to attend, answer a producer evidence requested by the commissioner
6 months
Benefit Periods for Individual Short Term Disability policies
6 months to 2 years
An insurer is required to provide a newly marries employee __ days to add the spouse to the plan
60 days
Examiner will prepare final report
60 days
Within _ days of the Commissioner's Examination, the examiner in charge will prepare a final report of the results
60 days
When can someone take legal action against insurer
60 days after proof of loss and till 3 years
All but __ hours of continuing education may be waived for producers continuously licensed for 25 years
8 hours
Years of imprisonment for felony insurance fraud
15 years
Imprisonment for misdemeanor insurance fraud
18 months
Under ACA, you have _ days to file an appeal in regard to the denial of his claim
180 days
Continuing Education for producers selling LTC
2 hours
Time a Producers license is valid for
2 years
Notice of a Claim
20 days of the loss
How often will the commissioner examine domestic insurers
Every 5 years
External Review Decision: Federal/ NAIC standards
Federal : 45 days NAIC: 60 days
How many days will Medicare pay for full benefits of a skilled nursing facility
20 full benefits, 100 total
Continuing Education every 2 years
24 hours & 3 of ethics
The HMO act states that employers that provide health benefits for their workers must have at least __ employees to offer HMO
25 employees
A insured must be notified within _ days of the date a Investigative consumer report was requested
3 days
Maximum benefits in a Major Medical Plan
Around $1,000,000
Insurer must notify producer(agent) and commissioner of a termination notice
15 days
Fine for willfully failing to attend, answer or producer evidence requested by the commissioner
$1,000 and/ or imprisoned for 6 months
Producer convicted of fraud (misdemeanor) is charged with
$1,000 or less
Producer convicted of fraud (felony) is charged with
$1,000 or more
How much is the Reinstatement Fee?
$100
Maximum fine for willful violation of Maryland Insurance Laws
$100,000
Bond required of advisors
$1000
How much is the Anti Fraud Fee?
$15
Maximum fine for violating the Fair Credit Report
$2,500
Up to what amount may be put into a flexible spending account
$2,500 for Health Care and $50,000 for dependent care
What amount can disability benefits not be less than
$200
Rebating is considered to be any inducement values at more than __
$25
If a single working parent dies at age 40, their child would receive a lump sum of
$255
How much money does a Dental Plan Organization need to maintain
$50,000
Maximum fine/ jail time for being involved in a felony involving dishonesty or breach of trust
$50,000
Maximum fine for violating a Security Rule & Privacy Rule
$50,000 and 1 year in jail
Maryland State income tax credit equal to the premiums paid or __, whichever is less
$500
How much is the license fee?
$54
Time a temporary license is valid for
15 months
How many days must the commissioner notify a party regarding a hearing
10 days
Right to Examine: Free Look Provision
10 days
Amount of Days insurance expires after a Credit Disability Loan is satisfied
15 days
How many days must an insurer supply an insured with claim forms within __ days after the notice of a claim
15 days
Days That accidents are covered after reinstatement and Sickness
Accidents: covered immediately Sickness: covered after 10 days
Any licenses person who intentionally makes false material statements affecting commerce (jail time)
Up to 10 years, and 15 if it jeopardizes the security of an insurer ; min fine $500
Grace Period For weekly payments, monthly, other
Weekly: 7 days Monthly: 10 days Other: 31 days
When do Disability income benefits stop
When a person returns to work and makes $500 per month
Proof of the Loss
Within 90 days
When must an appeal to an internal health claim denial be made
within 60 days after their service was received
