Certificate exam

The aggregate limit of liability for anyone individual of the Life and Health Insurance Guaranty Association is

$300,000

The Commissioner must give how many days' written notice of all hearings?

10 days

Under the affordable care act, what is the maximum age for a child of an insured to be covered under the insureds plan?

26

A health insurance policy that has lapsed due ti nonpayment of premium may be reinstated if the outstanding premium is paid. How long after that will coverage be reinstated?

45 days

An individual who fails to keep adequate books and records may have his or her license suspended for up to

6 months

Which of the following disability policies will cover business' rent or employee salaries following the owners disability?

Business overhead expense policy

If an employees is injured on the job, which of the following will NOT be a standard benefit through Workers Compensation?

Caregiver benefit

Which of the following provisions describes how the insurance company and the insured shared expenses after a loss?

Coinsurance

An insured has a disability policy. After becoming disabled, the insured must wait 90 days before qualifying for benefits. This timeframe is called

Elimination Period

In an HMO policy, one of the main responsibilities of the primary care physician (PCP) as a gatekeeper is to do what?

Help control costs

HMOs provide emergency care for members...

Inside or outside of the HMO.s service area

Which of the following provisions specifies to whom claims are to be paid?

Payment of Claims

The Guaranty Association is formed to protect which of the following?

Policy owners

What are the terms used to define the amount of benefit paid in a disability policy that contains an Accidental Death and Dismemberment rider?

Principle sum and Capital Sum

What is the primary difference between an HMO and a Traditonal insurance company?

The HMO provides both the financing and patient care for its members, while traditional companies provide financing only.

If an insured changes occupations, the premium will be changed by?

The insurer

What type of consideration does the proposed insured offer to an insurance company?

The premium plus the statements in the application

What is a purpose of a disability income policy?

To replace lost income if the insured is unable to perform the duties of his occupation

A single mother wants to make sure that if she is unable to work for health reasons, she and her child would be protected financially. Which of the following insurance plans would best suit her needs?

Total disability plans

Under the waiver of premium provision, how long are premiums waived for a permanent and total disability?

duration of the disability

Which of the mandatory health provisions states the specified number of days given to an insured to return the completed claim forms to the insurance company?

Proof of loss

An insurance agent who embezzles a clients monies is guilty of?

a felony