Financial Consultant
In non contributory health insurance, what % of eligible employees must participate in plan before a plan can be effective?
100%
HIPAA applies to groups of
2 or more
Following hospitalization, because of an accident, Bill was confined in SNF. Medicare will pay full benefits in this family for how nany days?
20
Dept. of insurance contacts agent about a claim that was settled 2 months ago. Within that time frame must the agent issue a complete response?
21 Days
Penalty for IRA distributions that are below the required minimum of the year?
50%
What is the penalty for excessive contributions to an IRA?
6%
With continuing education requirements, what's the minimum number of hours of continuing education specific to LTC Insurance to be completed prior to each license renewal?
8 hours
According to the Medical Loss Ratio (MLR), what is the minimum percentage of health coverage premium that must be applied to actual medical care in an individual health plan?
80%
A person caught violating provisions regarding misrepresentation could be subject to
A fine up to $25,000
Insurance policy is
A written instrument in which a contract of insurance is set forth
If an annuitant dies during accumulation period, what benefit will be included in the annuitants case?
Accumulated Cash Value
Medicare supplement policies are the core benefits found?
All plans
Bob was rendered totally disabled at the time his group health insurance plan was discontinued. Since benefits began to be paid while the policy was in force, which of the following would be required?
An Extension of benefits
If an insurer makes a statement that its policies are guaranteed by the existence of the insurance Guaranty Association, that would be considered
An unfair trade of practice
Who is eligible to purchase an IRA?
Anyone under the age of 70 1/2 who has earned income
Employer contributions made to a qualified plan
Are subject to vesting requirements
When must insurable interest exist in a life insurance policy?
At the time of application
The risk management technique that is used to prevent a specific loss by not exposing oneself to that activity is called
Avoidance
Which of the following is a generic consumer publication that explains life insurance policies in general term to help applicants make educated decisions?
Buyer's guide
An insurer must obtain in order to transact insurance within a given state?
Certificate of Authority
Best describes the effect of Accelerated Benefit provisions would have benefits paid to beneficiary?
Decreased benefits paid to beneficiary
Agreement specifies how a business will transfer hands when one of the owners dies or become disabled?
Disability buy sell
Under which of the following employer-provided plans are the benefits taxable to an employee in proportion to the amount of premium paid by the employer?
Disability income
Because of the history of cancer in her family, Julie purchased a policy that specifically covers the expense of treating cancer. Her policy would be classified as what type of policy?
Dread Disease Policy
An insured is hospitalized with a back injury. Upon checking his disability income policy, he learns that he will not be eligible for benefits for at least 30 days. This indicates that his policy is written with a 30-day
Elimination period
Who determines the eligibility and contributions limits in HRA?
Employee determines both
How do employers contribute to Health Savings Account affect insured taxes?
Employers contributions are not included in the individuals insured taxable income
A producer is acting in what capacity when he or she is trying to obtain creditable information about an applicant for health insurance?
Field underwriter
If a life policy allows the policy owner to make periodic additions to the face amount at standard rates, without proving insurability, the policy includes a
Guaranteed insurability riders
According to the nonforfeiture law, if the owner decides to surrender a deferred annuity prior to annuitization, the owner is entitled to which of the following?
Guaranteed surrender value
Associations could buy group insurance for its members if it meets all of the following except
Has at least 50 members
First Dollar coverage refers to a type of insurance which
Has no deductions
Medical Savings Accounts (MSAs) are available to small business employees and self-employed individuals who have
High deductible health insurance.
The key factor of representation that allows the injured party to rescind the contract is
If the representation is false in a material point.
.When agents are acting within the scope of their contract, their actions will be assumed to be the acts of the
Insurer
If a retirement plan/annuity is "qualified" this means?
It's approved by IRS
Settlement options which pays throughout the lifetimes of 2 or more beneficiaries is called?
Joint and Survivor
Which one is called a "second-to-die" policy?
Juvenile life
Which law is the foundation of the statistical prediction of loss upon which rates for insurance are calculated
Law of large numbers
Which type of care is NOT covered by Medicare?
Long-term care
Which of the following statements is NOT correct regarding Medicare?
Medicare Advantage must be provided through HMOs.
Which of the following premium modes would result in the highest annual cost for a life insurance policy? a. Monthly b. Quarterly c. Semi-annual d. Annual
Monthly
A person who does not lock the doors or does not repair leaks shows an indifferent attitude. This person presents what type of hazard?
Morale
Attempting to determine how much insurance an individual would require based upon their financial objective
Needs Approach
Shortly after a replacement transaction on a Medicare supplement policy, the insured decided to cancel the policy, but is unsure whether the free-look provision applies. The insured could find that information in the:
Notice Regarding Replacement
Shortly after a replacement transaction on a Medicare supplement policy, the insured decided to cancel policy, but, unsure whether the free look provision applies. The insured could find information where?
Notice of Replacement
Unilateral contract is
One-sided; Only one party makes an enforceable promise
Applicants who are blind may be rated substandard for life insurance?
Only on basis of information unrelated to their blindness
Medicare Part A services do NOT include which of the following?
Outpatient Hospital Treatment
An insured purchased a life policy in 2010 and died in 2017. The insurance company discovers at that time that the insured had concealed information during the application process. What can they do?
Pay the death benefit
HSAs are owned by the individual, not the employer, which means the individual is not dependent on a particular employer to enjoy the advantages of having an HSA. What term is best describes this?
Portable
What is the term for the fee a policyowner must pay to the insurance company to maintain coverage?
Premium
How does a member of HMO see a specialist?
Primary care physician refers
Insurers may change which of the following on a guaranteed renewable health insurance policy
Rates by class
Which of the following is NOT true regarding Blue Cross and Blue Shield organizations?
They are insurance companies.
Which of the following is true regarding commissions for Medicare supplement policies?
They are permitted up to a certain amount each policy
How are employer contributions to health reimbursement accounts treated in regards to taxation?
They are taxed deductible
Which of the following is true about labor unions, fraternal and co-ops?
They may opt for a self-insured medical and disability plan
When must an insurable interest exist in a life insurance policy?
Time of Application
Which of the following is the best reason to purchase life insurance rather than annuities?
To create an estate
What is the purpose of coinsurance provisions?
To help the insurance company to prevent over utilization of the policy.
What is the purpose of key person in insurance?
To lessen risk of financial loss because id the death if key employee
can an individual who belongs to a POS plan use an out-of-network physician?
Yes, and they may use any preferred physician, even if not part of HMO
Bob was rendered totally disabled at the time his group health insurance plan was discontinued. Since benefits began to be paid while the policy was in force, which of the following would be required?
an extension of benefits
The advantage of qualified plans to employer is:
tax deductible contributions
The Commissioner of Insurance supervises and regulates the insurance affairs in the State of California, and is chosen by
the people
The validity of coverage under a life insurance policy may not be contested, except for nonpayment of premium, after the policy has been in force for at least how many years?
2 years
Making use directly or indirectly of any methods of marketing which fail to disclose in a conspicuous manner that a purpose of the method of marketing is solicitation of insurance and that contract will be made by an insurance agent or insurance company is known as
Cold lead advertising
When applying for an individual life insurance policy, an applicant states that he went to the doctor for nausea, but fails to mention that he was also having severe chest pains. This is an example of
Concealment
Gatekeeper of HMO?
Control Specialist Cost
The purpose of managed care health insurance plans is to
Control health insurance claims expenses.
A key person insurance policy can pay for which of the following?
Cost of training a replacement
In the Executive Bonus plan, who is the owner of the policy, and who pays the premium?
Executive is the owner, and the executive pays the premium
What type of group rating do the BCBS organization use as a factor in developing the rates to be exchanged?
Experience rating
An agent selling variable annuities must be registered with
FINRA
To sell variable life insurance policies, an agent must receive all of the following
FINRA registration A securities title A life insurance license
What does "level" refer to in level term insurance?
Face Amount
All of the following entities regulate variable life policies EXCEPT
Federal government
Modified guaranteed annuity?
Owner guaranteed a fixed interest rate for a specific time
What do living benefits riders do?
Pay part of the policy death benefit to insureds in order to helpfund long term care/nursing home
An insured purchased a life policy in 2010 and died in 2017. The insurance company discovers at that time that the insured had concealed information during the application process. What can they do?
Refuse to pay the death benefit because of the fraud
If an agent fails to obtain an applicant's signature on the application, the agent must
Return the application to the applicant for a signature
A policy owner who is also insured wants to name her husband as the beneficiary pf her life policy. She also wishes to retain all of the rights of ownership. The policy owner should have her husband named as the
Revocable beneficiary
Which of the following best describes the underwriting process for life insurance?
Selection, classification, and rating of risks
An employee has group life insurance through her employer. After 5 years, she decides to leave the company and work independently. How can she obtain an individual policy?
She can convert her group policy to an individual policy without proof of insurability within 31 days of leaving the group plan.
An applicant buys a nonqualified annuity, but, dies before starting date. Which beneficiaries would the contract interest not be taxable?
Spouse
The California Insurance Code is
Statues established by the State legislature
The California Insurance Code is
Statutes established by the State Legislature.
The advantage of qualified plans to employers is
Tax deductible contributions
The interest earned on policy dividend is
Taxable
An individual applied for an insurance policy and paid the initial premium. The insurer issued a conditional receipt. Five days later the applicant had to submit to a medical exam. If the policy is issued, what would be the policy's effective date?
The date of medical exam
Which of the following is INCORRECT concerning a noncontributory group plan?
The employees receive individual policies
Which of the following best describes a non-medical application?
The medical portion of an application that asks for medical information but does not require a medical exam
All of the following statements concerning the use of life insurance as an Executive Bonus are correct EXCEPT: a. The policy is owned by the company b. Any type of insurance policy may be used. c. The employer pays a bonus to a selected employee to fund the policy d. It is considered a nonqualified employee benefit.
The policy is owned by the company
What is the purpose of COBRA?
To provide continuation of coverage for terminated employees
HICAP counselors are primarily
Trained and registered volunteers.
When would a 20-pay whole life policy endow?
When the insured reaches age 100
When can earned surplus be returned to policyholder?
Whenever it exits and is not needed for other expense
Which of the following statements regarding the taxation of Modified Endowment Contracts is FALSE? a. withdrawals are not taxable b. Distributions before age 59 1/2 incur a 10% penalty on policy gains. c. Policy loans are taxable distributions d. Accumulations are tax deferred.
Withdrawals are not taxable