215
Sliding
Charging an applicant for ancillary coverage without their knowledge or advising that such additional coverage is required by law with the purchase of insurance.
what is the purpose of cobra
To provide continuation of coverage for terminated employees
If an insurance company offers Medicare supplement policies, it must offer which of the following plans?
A
Which of the following is available to employers of all sizes?
HRAs
Consideration
Insured offers one thing, Insurer offers another
Subrogation
The substitution of a third person in place of a creditor to whose rights the third person succeeds in relation to the debt
"illustration" in a life policy refers to?
a presentation of nonguaranteed elements in a policy
premiums paid for life insurance are not tax deductible except when
an employer buys a group policy
least expensive first year premium policy
annually renewable term
in order to be eligible for long term care you must
be unable to preform some activities of daily living
An insurance contract requires that both the insured and the insurer meet certain conditions in order for the contract to be enforceable. What contract characteristic does this describe?
conditional
According to the entire contract provision, what document must be made part of the insurance policy?
copy of original application
A waiver of premium provision may be included with which kind of health insurance policy?
disability income
The provision that states that both the printed contract and a copy of the application form the contract between the policyowner and the insurer is called the
entire contract
The Office of Insurance Regulation is responsible for all of the following insurer activities EXCEPT
issue of securities
Under an individual disability policy, the MINIMUM schedule of time in which claim payments must be made to an insured is
monthly
Are premiums paid for personally owned disability policies tax deductible
no
is workers compensation a basic type of health insurance plan?
no
A rider attached to a life insurance policy that provides coverage on the insured's family members is called the
other-insured rider
what is correct concerning the taxation of premiums in a key person life policy
premiums are not tax deductible as a business expense
What method do insurers use to protect themselves against catastrophic losses?
reinsurance
Which benefit is based on the person's Primary Insurance Amount (PIA)?
social security
Which benefit is based on the person's Primary Insurance Amount (PIA)?
social security daily benefit
what happens if an agents appointment is denied
state taxes may be refunded upon a written request
The insuring clause does not state what?
the method of premium payment
The Florida Health Insurance Coverage Continuation Act requires insurers that sell health plans to small employers to offer in those plans a right to elect to continue coverage, without providing evidence of insurability, to employees who lose their coverage and are unable to replace it. The premium rate for this coverage may NOT exceed
115% of the regular group rate.
All of the following are examples of third-party ownership of a life insurance policy EXCEPT
An insured borrows money from the bank and makes a collateral assignment of a part of the death benefit to secure the loan.
A father purchases a life insurance policy on his teenage daughter and adds the Payor Benefit rider. In which of the following scenarios will the rider waive the payment of premium?
If the father is disabled for more than 6 months
Attending Physician's Statement (APS)
Includes medical history, including diagnosis and treatments
Which of the following terms means a result of calculation based on the average number of months the insured is projected to live due to medical history and mortality factors?
Life expectancy
Medicare doesn't cover what?
Long Term Care
Which Universal Life option has a gradually increasing cash value and a level death benefit?
Option A
Medicare Part A doesn't include?
Outpatient Hospital Treatment
What is not required for life insurance illustrations
They must be part of the contract
Commingling
failing to separate premium monies from his own personal fund
No insurance policy form can be issued, delivered, or used in this state unless it has been
filed with an approved by the office of insurance regulation
What is true about the cash surrender nonforfeiture option
funds exceeding the premium paid are taxable as ordinary income
where is skilled care provided?
in a institutional setting
Annually renewable term policies provide a level death benefit for a premium that
increase annually
what does not have to be disclosed in a long term care policy
the amount of premiums due
Under a disability income policy, if someone changes to a more hazardous occupation after the policy is issued, what happens
the benefit is adjusted in accordance to the increased risk
When an HMO knowingly makes any misleading representations, incomplete or fraudulent comparisons for the purpose of inducing any person to lapse, forfeit, terminate, surrender or convert any insurance policy or contract with another insurance company or HMO, they are in violation of the unfair trade practice of
twisting
Which type of misrepresentation persuades an insured, to their detriment, to cancel, lapse, or switch policies from one to another?
twisting
when does a survivorship life policy pay the benefit
upon the last death
Health insurance Grace Period
weekly payment= 7 days monthly payment= 10 days other payment= 31 days *free look period =30 days
If a licensee changes his or her residence address, within how many days must the department be notified?
30
How often must domestic insurance companies be examined by the Chief Financial Officer in Florida?
5 years
Max period for a temporary license
6 months
A paid up nonforfeiture benefit will become effective as specified in the policy unless person entitled elects another available option within how many days after the due date of premium is in default?
60 days
Most policies will pay the accidental death benefits as long as the death is caused by the accident and occurs within
90 days
Under the uniform required provisions, proof of loss under a health insurance policy normally should be filed within
90 days of loss
Rebating
Any inducement offered in the sale of insurance products that is not specified in the policy.
Another term used to describe "no deductible" is
First-dollar basis
what insurance is issued on those groups whose members are constantly changing
blanket
When an insured makes truthful statements on the application for insurance and pays the required premium, it is known as which of the following?
consideration
In the event of a loss, business overhead insurance will pay for
rent
What helps a universal policy from lapsing
target premium
the interest earned on policy dividends are
taxable
Whose responsibility is it to determine if all of the questions on an application have been answered?
the agent
who is responsible for agent licensing and administrative supervision
the office of insurance regulation
In a life settlement contract, whom does the life settlement broker represent?
the owner
Producer's Fiduciary Duty
the trust that a client places in a producer in regards to handling premium
All of the following are requirements for life insurance illustrations EXCEPT
they must be apart of the contract
Aleatory
unequal amounts are exchanged