Health insurance Test Day Review 2
Prohibit payment for regularly covered services by non-network providers
A Medicare SELECT policy does all of the following EXCEPT
Is renewable at the insured's option to a specified age
A guaranteed renewable disability insurance policy
30 days after its DELIVERY
A purchaser of individual long-term care insurance policy has the right to return the policy for a full refund of premium if done within
Change of beneficiary
Alexander has a policy with his ex-wife as the beneficiary. What provision allows him to change the beneficiary to his new wife?
Consideration Clause
An applicant for an individual health policy failed to complete the application properly. Before being able to complete the application and pay the initial premium, she is confined to a hospital. This will not be covered by insurance because she had not met the conditions specified in the
Misrepresentation
During a sales presentation a producer intentionally makes a statement which may mislead the insurance applicant. This describes
30 days
How long does an HMO have to provide evidence of coverage to each subscriber?
5 days
If a consumer requests additional information concerning an Investigative Consumer Report, how long does the insurer or reporting agency have to comply?
Not tax deductible
Premium payments for personally-owned disability income policies are
$1,000
What is the maximum fine for the insurance code violation?
False advertising
An insurance company has published a brochure that inaccurately portrays the advantages of a particular insurance policy. What is this an example of?
pay the claim
An insured pays her Major Medical Insurance premium annually on March 1st. Last March she forgot to mail her premium to the company. On March 19th, she had an accident and broke her leg. The insurance company would
The capital amount in a lumpsum
An insured who has an accidenntal death and dsimemeberment policy loses their left arm in an accident. What type of benefit will she most likely receive from this policy?
31 days
When a disabled dependent child reaches the age limit for coverage, how long does the policyowner have to provide proof of dependency in order for the dependent to remain covered under the policy?
Payment is limited to a certain period of time
Which of the following applies to partial disability benefits?
The insurer can increase the policy premium on an individual basis
Which of the following is NOT a feature of a guaranteed renewable provision?
Certificate of Authority
Which of the following must an insurer obtain in order to transact insurance within a given state?
Special risk policy
Which of the following special policies covers unusual risks that are NOT normally included under Accidental Death and Dismemberment coverage?
Disability insurance can be written as occupational or nonoccuaptional
Which of the following statements about occupational vs nonoccupational coverage is TRUE?
The employer is the policyholder.
Which of the following statements concerning group health insurance is CORRECT?
30 days
how long is the required free look period in long-term care policies issued in this state?
