insurance exam

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how long does a carrier have to acknowledge a grievance review

10 days

how long is illniss not covered in reinstatemnt

10 days

what is the monthly grace period

10 days

what % of premiums is charged for cobra

102%

in how many days must a consumer be notified that a investigation report will take place

3

how long must an issure retain a LTC ad

3 years

how much will early intervention service cover

3000

how many years must an individual be in a group plan to convert to an individual

5

if a consumer request additional info conerening an investigation requprt how long does the insurer have to comply

5 days

grading policies for persons over 75 must have a first year benift of __% of the face value

50

what is the time requiremnet for a pre existing condition

6 mo group is 12 mo

what is the time between health policies for no pre existing

63

usually how long must death as a result of an acident be to get the double indemnity benefit

90 days

early distributions are always subject to penalty

False

what plan must individuals be inroled in to get a perscription drug plan

a

what is an example of a limited accident and health policy

a dread disease policy

love it or leave it is refered to as

adhesion

what is done when a insured gets a haz job

adjust the benift in accorance with the increased risk

which of the following statements is true concerning the alteration of optional policy provisions

an insurer may change the wording of optional provisions as long as the change does not adversely affect the policyholder

how often must vaiable policies detemin changes in death ben.

annually

in a LTC policy pre existing limitations must

appear as a seperate pareagraph and be clearly labed

what must be done if insuance is not provided within 30 days

applicant must be informed in writing

the clasification of small employer means

at least 2 and not more than 50 plp

what is not an enrollment period for part a

auto

what is a manditory coverage in all health plans

bone marrow trans.

which is not excluded in a medical expense insurance policies

chiropractic care

what provision allows an insurer to nonrenew health insuance if certain events occur

coditionally renewable

filling the app and paying premiums is

condideration

a contract that requires the insurer and policy owner to meet certain conditions

conditional

If a policy has a 3 year pre existing condition clause this indicates that an insured will be covered for a

congenital condition of which the client was not aware

what is the practice of dissuade a pollicy holder from the replacement of a policy

conservation

the purpose of managed care health insuance is to

control health insuance claims expenses

who is the benificary in a credit life policy

creditor

who is the owner in a credit life policy

creditor

who is the insured in a credit life policy

debtor

if a person is non insurabe then they are

declined

SS disability defines disablility as

disability expected to last for at least 6 mo

who can provide skilled nursing care

doctor

how is the policy holder in a group policy

employer

which nonforfeiture option has the highest amount of insuance protection

extended term

what is no deductable

first dollar basis

if a specific dollar amount is to be paid in a settlement it is called

fixed amount

what is a probationary period in a group heath plan

for people who join after the effective date used for new employees before benifits start

a new employee who meets hippa requirments must be issued health coverage on what basis

guarenteed

what kind of premium does level term have

highest

what are the three basic coverages of med insurance

hospital surgical and med.

what rider is used for defined pre existing

impairment rider

here is skilled care administered

in an institutional setting

key person insurance does not reimburse for

increased pension liability resulting in the death of a key person

what is the heart of the policy

insuing clause

who can make changes to a policy

insureres executive officer

what is the mo health insunace pool

is a non profit whoes members are all insurers issuing health insurance

what is the significance of a conditional receipt

it is intended to provide coverage on thea date earlier than the date of the insuance of the policy

what term makes it easiest to qualify for total disability

liberal own occupation

how may pre exisiting conditons be treated in major med

may not be covered

who is not required to provide early intervention services for children

medicaid

ommision of statments that may mislead or deceive is

misrepersentation

what is the first dollar coverage

no deductible

is a policy loan taxable or not

not

when does acceptance usually occureq

on approveal of a pre paid app

what provision allows an insurer to terminate a policy or increase premiums

optionally renewable

what releaves minors from premiums in case of parnets death

payor benifit

certain conditions will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe

persumtive disablility

what is manditiory for health policies

physical exam and autopsy

what is not covered by part a

physician and surgeon services

what is not a benifit of survivorship life

protection from credtors

A large employer decides to self insure their employee health care program. to protect against the financial risk of self insuring the company should

purchase stop loss insurance

another name for substandard risk is

rated

what types of discrimination are illigal

rates premiums and pollicy benifits for the same class or life exp.

mo extends privileges to producers of other states that do the same this is called

reciprocity

the right to seek recovery from a third party

subrogation

cashvalues in excess of premiums paid upon surneder are taxable or not

tax

death benifits included to the estate tax or not

tax

interest on death benefit proceeds

tax

if a spouse is covered under both health policies how are med expenses paid

the benefits will be coordinated

a person is inroled in part a and not b. he applies for madicare sup. what can happen

the insurer can deny coverage

what is the purpose of a disclosure statement in life insuance policies

to help consumers make informed desisions

what is the purpose of disclosure statement

to help make informed dicisions

why must LTC have marketing procedures

to insure that insuance is identifed and excessive insuance is not sold

what type of life insuance allowes flex premiums

universal

how many exams are allowed under the exam and autopsy prov.

unlimited

what does the exteded term nonforfeiture option do

uses the cash value to purchase term for the face value for the time period that the cash will alow


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