Readiness exam
Which risk classification is representative of the majority of people in a certain age group and with similar lifestyles
standard
When is the intial enrollment period for Medicare Part A
starting 3 months before turning 65 and ending 3 months after the 65th birthday
if an applicants health is poorer than that of an average applicant the policy may be issued
substandard
Which of the following are characteristics of term life insurance?
temporary protection, renewability, no cash value
insurance policy that provides pure life insurance protection without a savings element
term
low income and high insurance needs
term insurance
which of the follwing types of insurance products would be good for an individual with a low income and high insurance needs
term insurance
what happens to the face amount of a whole life policy if the insured reaches the age of 100?
the cash value and the face amount are paid to the insured
Who would be the insured in business disability insurance?
the employer
in a group policy, all of the following can be the policy owner EXCEPT
the insurance company
According to the common disaster clause, if the insured and primary beneficiary are killed in the same accident and it cannot be determined who died first, which of the following will be assumed?
the primary beneficiary died before the insured
Viatical Settlement
the sale of a life insurance policy by a terminally ill insured to another party, typically to investors or investor groups, who hope to profit by the insured's early death
what is true regarding benefits paid to disabled employees
they must be subject to taxation if the premium was paid by the employer
purpose of medicare supplement plans?
to fill in the gaps in medicare coverage
What is the purpose of a disability buy-sell agreement
to help the business meet overhead expenses in case of the owner's disability
purpose of respite care in long-term care insurance
to provide relief for a major caregiver, like a family member
the insurer owes the insured $500 in medical claims, however the last premium of $200 was never paid. how much does the insured receive in claims?
$300
maximum civil penalty per violation of the insurance code
$5,000
once an insurer receives a claim, within how many days must the insurer provide claim forms to the insured?
10 business days
what is the minumum age to apply for a resident producer's license in this state?
18 years
an agents first year commision cannot exceed what percentage of the renewal commsion for servicing a medicare supplement policy in its second year
200%
An insurer must notify the consumer in writing that an investigative consumer report has been requested, within how many days of the initial request?
3 days
A person receives his medicare supplement policy and is not satisfied with the provisions. He can return the policy for a full premium refund if he does so within how many days?
30 days
Policy loan requests for payment of due premiums, may be deferred for a period of up to
6 months
Elimination Period (Waiting Period)
A period of days (time) that must pass after the onset of an illness or occurrence of an accident before benefits will be payable.
in which medicare supplemental policies are the core benefits found
All Plans
spendthrift provision
All rights of the beneficiary to change time of payment or amount of installments, surrender for cash, borrow against, or assign for any purpose, are withdrawn and those parts of the policy that may give the beneficiary such rights are declared inoperative and void.
The entire contract includes all of the following EXCEPT
Buyers guide
he purchases an annuity and wishes to receive payments beginning in 2 months. What did he buy?
single premium immideate annuity
Agents may be found guilty of defamation if they make false statements that are intended to
Maliciously criticize another insurance company
cash value guarantees in a whole life policy are called
Nonforfeiture VALUES
what medicare part helps pay for inpatient hospital care, impatient care in a skilled nursing facility, home health care and hospice care?
Part A
What medicare will cover lab services or diagnostic tests
Part B
What is another name for medicare advantage plans?
Part C
what dental care would cover the cost of fillingsq
restorative
Annuties can be used to fund which of the following?
retirement plans
which is not a characteristic of a managed care plan
risk retention
A viatical settlement is a transaction outside the life insurance company where the owner sells the life insurance policy for which of the following?
a percentage of the face amount of the policy
The benefits for group disability plans are based on
a percentage of the worker's income
The OBRA requires that large group health plans must provide primary coverage for disabled individuals under
age 65 who are not retired
Who acts on behalf of the principal
agent
how long must a company maintain a complete file of all advertisements used
at least 4 years
answers to questions in an insurance application are called representations and, as such, they are
believed to be true to the best of the applicant's knowledge
an applicant misstates his age on his application for a health insurance policy. he states that he is 30, but is actually 49. what will happen?
benefits paid will be those that would have been purchased at the correct age
how is part b medicare funded?
by monthly premiums and from revenues of federal govt
whole life policy=
cash accumulation
in a variable life insurance policy, all of the following assests are help in the insurance company;s general account EXCEPT
cash surrender values
in an employer group health insurance plan, the covered employee receives
certificate of insurance
A producer who fails to separate premium monies from his own personal funds is guilty of
commingling
policy delivery refers to the delivery of the
completed insurance policy to the policyowner
to be valid, an insurance policy must have all of the following EXCEPT
countersignature
which of the following features would most likely appear on a dental plan?
diagnostic and preventitive care
If an employee remains on an employer group health plan within a company that has 20 employees and signs up for Medicare, which of the following coverages will be primary?
employer group health plan
what benefits are provided by medicare part c?
expanded benefits for a fee through private insurance programs such as HMOs or PPOs
the presumptive disability provision assumes that the insured is totally disabled upon loss of all of the following EXCEPT
feeling
when acting as a field underwriter, a producer is
seeking credible info about an applicant for health insurance
principal
firm who employs an agent
which of the following is a correct statement about annuities?
fixed annuities do not provide protection against inflation
an insurer incorportated under the laws of another state but doing business in this state is considered
foreign
where are premiums from fixed annuities invested
general account
if a soliciting producer suspects that there could be misrepresentation on the part of the applicant for insurance, what must the producer do?
inform the insurance company
which of the following is NOT a medicaid qualifier?
insurability
Which of the following is the primary source of info that an insurer uses to evaluate an insured's risk for life insurance?
insurance application
Who makes up the medical info bureau?
insurance companies
according to law of agency, insurance producers represent
insurers
Which source of underwriting information includes information on an applicant's character, reputation, habits, and mode of living
investigative consumer report
Which of the following best describes pure life annuity?
it provides the highest monthly benefits
if a retirement plan or annuity is qualified, this means
it satifies IRS requirements
who would be the insured in business disability insurance
key employees
what does an annuity protect the annuitant against
living longer than expected
Which of the following riders provides for the payment of part of the policy death benefit if the insured is diagnosed with a terminal illness that will result in death within 2 years
living needs rider
what is another name for medicare supplement plans
medigap
Guaranteeing future dividends is considered to be an unfair or deceptive act known as
misrepresentation
activities of daily living
mobility, bathing, dressing, eating, toileting, and continence
annuities must be a
natural person
dividends received on participating life insurance policies are
not taxable because they are a return of unused premiums
An insurer can decide not to renew an Optionally Renewable policy
on premium due dates
when may HIV-related test results to be provided to the MIB?
only if the individual is not identified
under a group medical policy, prescription drug plans are
optional benefits
what part of medicare is known as hospital insurance
part A
what medicare part provides a prescription drugs benefit?
part D
what part of medicare is known as medical insurance
part b
in order to reinstate a life insurance policy the insured must do all oft he follwoing except
pay next years premium in advance
who qualifies for medicare coverage
people 65 or older, or anyone who has been entitled to social security disability income benefirs for 2 years, or who has chronic kidney disease
if a life insurance company uses HIV testing as a part of its underwriting, when must an applicant be notified of the procedure?
prior to performance of the test
who provides medigap policies
private insurers
a licensee who has moved to PA from out of state must provide what beforoe becoming licensed as a resident in this state
proof of licensing or a letter of clearance from the previous home state
The guaranteed insurability rider allows the owner to purchase additional amounts of life insurance without proof of insurability at all of the following EXCEPT
purchase of a new home
variable insurance and variable annuities are regualted by
qqq
"guarenteed renewable" means that as long as the required premiums are paid, the policy will continue until the insured
reaches age 65
All of the following are true regarding the federal Fair Credit Reporting Act EXCEPT
reports may be sent to anyone who requests one
An agent who knowingly misrepresents material information for the purpose of inducing an insured to lapse, forfeit, change or surrender a life insurance policy or annuity has commiteed an illegal practice known as
twisting
which department of an insurance company is responsible for the selection, evaluation, and distribution of risks?
underwriting
which would not be provided by an HMO
unlimited coverage for treeatment for drug rehabilitation
which insurance is investement based, has a level fixed premium, and a nonguarenteed cash value?
variable whole life
Which of the following types of insurance policies would perform the function of cash accumulation?
whole life
how soon after the due date should the insurer pay the agent appointment fees?
within 30 days