Arizona Life and Health Insurance
Participants of a small group medical plan MUST be given advance notice of at least ____ days prior to the plans discontinuation
180
After an annuity has been in force for ______ years, it becomes incontestable.
2
In Arizona, at least ___ employees are needed for s small employer medical expense plan.
2
a life insurance policy can usually be contested by the insurer only during the first ____ years of the contract
2
What year was the mental health parity and addiction equity act established
2008
An insurer must keep advertising materials and records for at least how many years?
3 years
Any administrative action taken against a producer MUST be reported to the director within ___ days after the final disposition.
30
How many days notice does the Affordable Care Act require insurers to give before rescinding coverage?
30
New born children are automatically covered under an existing families medical plan at the moment of birth for a period of _____ days
31
Greg had recently been terminated from his Job that covered him for group life insurance. How long does he have to convert his coverage to an individual policy.
31 days
If an insured legally adopts a baby within ____ months of birth, the maternity coverage for the child's birth is covered.
6
A policy owner decides to surrender the cash value of a whole life insurance policy. The insurer has up to ___ months to delay this payment
6 months
An insured must wait _____ days to bring legal action against an insurer after written proof of loss has been received by the insurer.
60
What is the actuarial value of a bronze level health plan
60
According to the telemarketing sales rule, what is the earliest time of the day that telemarketing calls can be received?
8 AM
How many hours of initial long term care training must a producer complete before soliciting long term care products?
8 hours
The telemarketing sales rules states that _______ is the LATEST time of the day that telemarketing calls may be received
9 PM
Which of the following actions is considered to be an unfair trade practice
A producer who sells insurance to an individual by means of threat
A loss of minimum essential coverage usually counts as a qualifying event that triggers what?
A special enrollment period
An individual is seeking coverage for nursing home (custodial) care that does NOT require any previous period of hospitalization. Which program offers these specifications?
AHCCCS
Which of these individuals may NOT obtain a temporary producers license?
An employee of a retired licensed producer
All of these are considered to be a violation of the federal fraud and false statements act EXCEPT
Claims reimbursement
Prepaid dental plans differ from most other types of dental plans in what way?
Closed panel of dentists can only be used
If replacement was involved in the sale of a life insurance policy, a producer must provide a replacement notice no later than the
Application date
An insured has been court ordered to provide a child's health insurance, Upon this order, the insurer must allow the enrollment of this child
At any time
When does a family accident and health policy's coverage for a new born child begin?
At the moment of birth
Who manages the premiums collected from a groups members for a reciprocal insurer?
Attorney in fact
A ________ Company is licensed by the department of insurance to conduct insurance business in Arizona.
Authorized
The purpose of the "No-Loss No-Gain" provision is to avoid duplication of ______ and _______ when an individual is covered under multiple group health insurance plans
Benefit payments and overinsurance
The refusal of doing business with an individual or business is called
Boycott
According to the Affordable Care Act, new health Insurance Marketplaces are established by the
CCIIO
A _______ Insurer restricts the exposure it writes to those of its owners
Captive
Life settlement brokers are NOT allowed to
Complete transactions prior to not being approved for a license
If dividend option choices are offered on a whole life insurance policy, the policy MUST
Contain a statement that dividends are NOT guaranteed
Life settlement proceeds may be subject to the claims of
Creditors
To protect information systems, producer, brokers, and insurance, companies must implement,and maintain a....
Cybersecurity policy
If a life insurance applicant is shown future premiums are to be paid out of non guaranteed values, the illustration used in the sales presentation MUST
Disclose that the premium payments may need to be resumed depending on actual results
The application is part of the annuity contract according to the
Entire contract clause
Which statement best defines what a Policy title means on an insurance policy?
Ever policy Must have a title on the Face and on the back of the policy, briefly describing the policy.
A consumer who has been recently denied insurance, credit, or employment based on an unfavorable consumer report MUST be advised as such. Which of the following does this statue originate from?
Fair Credit Reporting Act
Which of these is NOT considered a preventative service in a dental plan?
Fillings
An annuity contract may be returned for a full refund during the
Free look period
Most Medicare supplement information used by an insurer must be approved by the state. Which of the following types of information does NOT require state approval?
Government publications
According to ACA insurers can no longer deny health coverage due to pre existing conditions unless that plan is a
Grandfathered plan
Enrollees in a staff model HMO normally have which of the following pharmacy options available?
In House pharmacy
Under which circumstance may an insurer discontinue a small employer group medical plan?
Insurer discontinues offering the plan to all employers
Which of the following causes of disability is NOT covered under the Arizona workers comp law?
Intentional, self-inflicted injuries that occur at the work site
What will Medicare charge if someone doesn't enroll in certain Medicare programs or plans when they're first eligible?
Late enrollment penalty
A producer is proposing that a policy owner replace an existing individual health insurance policy with a new one. Under the new contract, a pre existing conditions exclusion
May reduce the insured benefits
Which of the following actions may result in a producers license being suspended?
Misappropriation of premiums
Which of the following is NOT a valid reason for an insurer to contest a life insurance policy during the policy's first two years of existence?
Misstatement of age
In Arizona, the HIV consent form
Must disclose who will be receiving a copy of the test results
What must be disclosed when a producer advertises a life insurance policy?
Name of the actual insurer.
A ______ producer lives in another state and transacts insurance in Arizona
Nonresident
If a producer surrenders their license, how long must they wait to re apply for the same license?
One year
An insurance producer must keep usual and customary records that pertain to transactions under the producers license, at their _________
Principle place of business
A statement must be signed by the ____ for any illustrations used in the sale of a life insurance policy
Producer
The genetic information non discrimination act of 2008 bars all of the following EXCEPT
Prohibits the use of genetic information in health insurance, unless the applicant signs a waiver
Replacement regulations exist in order to
Protect policy owners from misrepresentations and loss of benefits
A group Medicare supplement policy was terminated and not replaced by the insurer. In this situation, the insurer MUST
Provide an offer of conversion to individual coverage
The ACA ( Affordable Care Act) must ensure a sufficient choice of ______ in the marketplace
Providers
Insurance producer Kelly offers insured a $500 shopping card if they purchase an insurance product through her. What is this an example of?
Rebating
Which of the following entities does NOT establish regulations for variable insurance products?
State Attorney General
The Arizona life and Disability insurance guaranty fund protects an insured person in the event of
The Insurers insolvency
In order for a health plan to be an "accountable health plan", who has to approve it
The director
Which of the following is NOT a valid reason for an insurer to refuse renewal of an individual accident and health insurance policy?
The insured is currently in poor health
How long must a producer maintain customer records for an insurance transaction?
Three years
Insurance crimes which affect the interstate commerce are prosecuted by the
US Attorney General
Mentally or physically handicapped dependent children must be covered under an individual health insurance policy
Until they become self-supportive
According to the federal fraud and false statements regulation, what is required for a prohibited person to transact insurance business in this state?
Written consent from the state insurance regulatory agency
A licensee or applicant who is ordered in the Active Military service make a request by
Written statement
If a Medicare supplement policy is cancelled by the insurer, which of these circumstances does NOT require prior approval by the Arizona department of insurance?
non payment of premium.
Autopsies may be requested by an accident and health insurer
only if prohibited by the state law
