Second attempt missed insurance questions

The minimum grace period for a monthly premium health policy is

10 days

The commissioner just issued a cease and desist order. How soon will this order going to effect?

2 days

Under the uniform, required provision, proof of loss under a health insurance policy normally should be filed within

90 days of a loss

If a carrier offers multiple health plans, who gets to choose which plan each employee takes?

The employee

Which of the following is another term for an authorized insurer?

Admitted Insurers who meet the state's financial requirements and are approved to transact business in the state are considered authorized or admitted into the state as a legal insurer.

A small employer carrier may cancel an employers health benefit plan for all of the following, except

An increase of 1% of plan participants

In the event of an insurance company is unable to meet it's financial obligations, how does the association response to pay claims?

Assesses other member companies

What coverage, written in conjunction with the hospital, expense, policies, cover, surgeon, fees, anesthesiologist, and the operating room?

Basic surgical expense

Which of the following provisions must be included on the first page of a Medicare supplement policy, which states the insurance right to change premium account?

Continuation provision

In the event of a loss, after a notice of claim is submitted to the insurer who is responsible for providing claim forms and to which party?

Insurer to the insured.

Which of the following entities has the authority to make changes to an insurance policy?

Insurer's executive officer

No insure can refuse to renew any long-term care, contract or coverage. However, after written approval of the commissioner, an insurer may discharge, it's obligation to renew by

Obtaining for the insured coverage with another insurer, which coverage provides equivalent benefits for value paid

Which of the following provisions would prevent an insurance company from paying a reimbursement claim to someone other than the policy owner?

Payment of Claims

Under the accidental death and dismemberment coverage, what type of benefit will be paid to the beneficiary in the event of the insured's accidental death?

Principal sum

Which of the following would be a lawful reason for the commissioner to suspend a producers license?

Producer failed to pay child support.

An insured wants to name her husband is the beneficiary of her health policy. She also wishes to retain all of the rights of ownership. The insured should have her husband named as what type of beneficiary?

Revocable

An employee insured under a group health policy is injured in a car wreck while performing her duties for her employer this results in a long hospitalization period. Which of the following is true?

The group plan will not pay because the employee was injured at work.

Which of the following is true about group disability insurance policies?

The policy may stipulate that benefits be paid directly to the hospital providing services.

Nick purchases a Medicare supplement policy in March and decides to replace it with another in May. Nick's history of coronary artery disease is considered to be a pre-existing condition. Which of the following is true?

The preexisting condition waiting period that he served on the old policy will be transferred to the new policy, the new one picking up where the old one left off.

Which provision states that the insurance company must pay medical expense claims immediately?

Time of Payment of Claims

Social Security, supplement, or Social Security riders would provide for the payment of income benefits, and each of the situation below, except

When the amount payable under Social Security is more than the amount payable under the rider

No insurer may offer a long-term care contract, unless, in addition to any other inflation, protection option, the insurer offers to the policyholder the option to purchase a contract that provides for benefit levels to increase

Which are meaningful to count for reasonably anticipate an increase in the cost of long-term care services covered by the contract.

An insurance producer has not been appointed to an insurance company. Who is the producer considered to represent?

client

Applications for policies, advertised by what method must include a statement announcing that the policy excludes pre-existing conditions from coverage?

direct response