CHAP 8 - Health - PART 2 - Laws and Rules
The free look period provided in a life insurance policy is usually ___ days.
10
An AZ resident producer must be at least ___ years of age.
18
in AZ, a temporary license may be issued for a period not to exceed ______ days
180 days
Upon meeting company requirements, a lapsed life insurance policy may be reinstated for up to ___ year(s).
3
A licensee whose name or address changes must notify the Commissioner within
30 days by written notice
An insured MUST wait ___ days to bring legal action against an insurer after written proof of loss has been received by the insurer.
60
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
A(n) ______ insurer operated in the US but is headquartered outside the U.S
Alien
A television advertisement features a health insurance product that is endorsed by a specific group. In this advertisement,
Any control by the insurer over this group must be disclosed
Which of the following actions would be considered a felony in the State of Arizona?
Attempting to defraud an insurer.
A(n) _____ insurer restricts the exposure it writes to those of its owners.
Captive
An order issued by the superintendent that prohibits a specific practice listed in the order is called a (n):
Cease and Desist order
which of the following is considered to be an example of unfair restraint of competition
Coercion
All of these are used to prevent adverse selection in a group dental plan EXCEPT
Decreased Employee Participation
An insurer markets its products by soliciting customers by mass media advertising and mail WITHOUT using the services of a producer. Which of these marketing systems does the insurer utilize?
Direct response
The application is part of the annuity contract according to the
Entire Contract Clause
What must be disclosed when a producer advertises a life insurance policy?
Name of the actual insurer
John has a criminal record in which he was convicted of a felony that involved dishonesty. Under Federal law, how would John be able to engage in insurance transactions?
Given written consent by the state insurance regulatory agency
According to the Affordable Care Act (ACA), insurers can no longer deny health coverage due to pre-existing conditions unless that plan is a(n)
Grandfathered plan
Which of these may encourage adverse selection in an indemnity dental plan?
Having multiple or periodic open enrollment periods
Which of the following causes of disability is NOT covered under AZ workers compensation laws?
Intentional, Self-inflicted injuries that occur at the worksite
A producer's failure to provide title and true nature of a policy upon solicitation is an example of
Misrepresentation
Which of these is NOT an unfair claims settlement practice?
Offering to settle a claim by arbitration
IF a producer surrenders their license, how long must they wait to re-apply for the same license?
One year
Which of the following is a requirement for an individual to receive an insurance license in AZ?
Passing the appropriate examination
an insurance producer must keep usual and customary records that pertain to transactions under the producer's license, at their______
Principal place of business
Under Federal Law, which of the following actions may result in a producer becoming imprisoned?
Producer embezzling funds from an insurer
A producer has indicated to a potential client that the proposed life insurance policy is covered by the AZ life and health guaranty association. this action taken by the producer is
Prohibited by law
A handicapped child is covered under an individual health policy. If continuation of coverage is needed beyond the policy's age limit, which of the following is required?
Proof of incapacity and dependency upon reaching the age limit
The dental specialty which deals with the replacement of missing teeth is called
Prosthodontics
Which of these is NOT an Unfair Claims Settlement Practice?
Refusing to pay persons brining false or fraudulent claims.
A long-term care policyowner is replacing existing coverage with a new policy. Replacement regulations require a(n) ______ notice be signed by the applicant and retained by the replacing insurer.
Replacement
Security laws passed by Congress are enforced by which Federal agency?
Security and Exchange commission (SEC)
A group health certificate for coverage issued in AZ must contain a(n)
Summary of policy feature and benefits
A(n) _________ company is licensed by the Department of Insurance to conduct insurance business in Arizona
authorized
Which of these is NOT considered a Federal punishment for unfair and deceptive insurance practices
community service
Which statement best defines what a Policy title Means on an insurance policy?
every policy must have a title on the face and on the back of the policy, briefly describing the policy
An annuity contract may be returned for a full refund during the
free look period
According to the Affordable Care Act, coverage may be rescinded
if intentionally false statements were offered
How can a group dental insurer discourage adverse selection?
limit the duration of coverage
How would preventative care be encouraged in a dental plan?
no deductible on routine examinations
An example of Endodontic treatment is a
root canal
Which of the following entities does NOT establish regulations for variable insurance products?
state attorney general
Rick provides a notice of claim to his health insurer. If he does not receive a claim form within 15 days, he may comply with proof of loss provision by
submitting written proof of loss
An insured's statement of a policy's benefits which is to be used in marketing materials is called a(n)
testimony
All of the following are typically covered under dental insurance EXCEPT
treatment which began before the eligibility date