Guarantee Exam Missed Questions
Coverage for the services of licensed midwives is
a mandatory benefit in individual and group policies
The elimination period in a disability income policy is better known as
the period of time an insured must wait after the onset of an illness or injury before benefits begin
What is the purpose of the impairment rider in a health insurance policy?
to exclude coverage for a specific impairment
The guaranteed purchase option is also referred to ask the
future increase option
All of the following must sign an application for health insurance EXCEPT the
insurer
A producer's spouse was issued a temporary license after the death of the producer. She sold the insurance business 120 days later. What will happen to the temporary license?
it will terminate upon the sale of business
Guaranteeing future dividends is considered to be an unfair or deceptive act known as
misrepresentation
When may HIV-related test results be provided to the MIB?
only if the individual is not identified
An insured purchased a health insurance policy with a renewability clause that states the policy is "Guaranteed Renewable". This means that as long as the required premiums are paid, the policy will continue until the insured
reaches age 65
In order for an alumni association to be eligible to purchase group health insurance for its members, all of these statements must be true EXCEPT when the association
has been active for 5 years minimum
An insurer that issues contracts for health care coverage that include a provision for the coordination of benefits must comply with any written requests for reimbursement within
45 days
Which of the following best defines the Probationary Period in group health policies?
a specified period of time that a person joining a group has to wait before becoming eligible for coverage
When is the producer required to disclose information about producer compensation to the insured?
before the insurance transaction goes in effect
Company C is developing its own advertising script to be used in their radio advertising campaign for their LTC policies. Which of the following words or phrases would be allowed?
benefits paid directly to you
In addition to participation requirements, how does an insurer guard against adverse selection when underwriting group health?
by requiring that the insurance be incidental to the group
All of the following are features of a health insurance plan purchased on the health insurance marketplace EXCEPT
dollar limits on essential benefits
All of the following health insurance disability benefits are income tax free EXCEPT
employer-paid group disability
Which of the following is NOT a Medicaid qualifier?
insurability
An insurance producer is selling coverage that is not fully insured by any domestic or foreign company. The producer has properly disclosed the lack of coverage to the applicant. When will the disclose requirement NOT apply
when the producer is under jurisdiction of another department of the state
The Life and Health Guaranty Association will over the contractual obligations of an insolvent insurer to an individual up to what amount?
$300,000
Long term care coverage may be sold in all of the various ways EXCEPT
as part of a Medicare Supplement policy by use of an endorsement
All of the following are requirements to obtain an insurance producer license in this state EXCEPT
attend an approved relicensing education course
A husband and wife both incur expenses that are attributed to a single major medical insurance deductible. Which type of deductible do they have in their policy?
family
An insured was diagnosed two years ago with kidney cancer. She was treated with surgeries and chemotherapy and is not in remission. She also has a 30 year smoking history. The insured is not healthy enough to work and has just started a full-time job. Which describes the health insurance that she will most likely receive?
she would be covered under her employer's group health insurance plan, without higher premiums
Insureds have the right to do which of the following if they have NOT received the proper claim forms within 15 days of their notice to the insurer of a coverage red loss under a major medical policy?
submit the description in the own words o na plain sheet of paper
If a basic medical insurance plan's benefits are exhausted, what type of plan will then begin covering those losses?
supplementary major medical
Which of the following statements is incorrect?
the insurer does not have the right to conduct an autopsy
According to the Time Limit on Certain Defenses provision, statements or misstatements made in the application at the time of issue cannot be used to deny a claim after the policy has been in force for a minimum of how many years?
2 years
An employee has a Flexible spending Account (FSA) with a $5,000 annual benefit. This year the employee used $3,000. What would be the amount of the benefit available to the employee next year?
$5,000
