Life And Health

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What is the waiting period on a Waiver of Premium rider in life insurance policies?

6 months

What is the maximum allowed rate of interest on policy loans from life insurance?

8%

A hospital indemnity will pay?

A benefit for each day the insured is in a hospital.

According to the Entire Contract provision, a policy must contain

A copy of the original application for insurance

A guaranteed renewable disability insurance policy

Is renewable at the insureds option to a specified age

A married couple owns a permanent policy which covers both of their lives and pays the death benefit only upon the death of the first insured. Which policy is that?

Joint Life policy

Your client wants both protection and savings from the insurance, and is willing to pay premiums until retirement at age 65. What would be the right policy for this client?

Limited pay whole life

what is a rider that allows a terminally ill person to access at least a portion of the death benefit proceeds prior to death?

Living benefit

Which program expands individual public assistance programs for people with insufficient income and resources?

Medicaid

To sign up for a Medicare prescription Drug plan, individuals must first be enrolled in?

Medicare Part A

What term describes the benefits of a life insurance policy that the policyowner does not automatically relinquish even if the policy lapses?

Nonforfeiture values

In long term care insurance, what type of care is provided with intermediate care?

Occasional nursing or rehabilitative care

Health Insurance contracts are unilateral. What does that mean?

Only one party makes a legally enforceable promise

If a health care plan has characteristics of an HMO and PPO, what type of plan is it?

POS (point of service)

An insured has a continuous premium whole life policy. She would like to use the policy dividends to pay off her policy sooner than would have been possible otherwise. What dividend option could she use?

Paid - up option

A participating insurance policy may do?

Pay dividends to the policyowner

What is another term for the accumulation period of an annuity?

Pay-in period

Which of the following allows the insurer to relieve a minor insured from premium payments if the minors parents have died or become disabled?

Payor benefit

Who might receive dividends from a mutual insurer?

Policyholders

Which of the following individuals must have insurable interest in the insured?

Policyowner

When health care insurers negotiate contracts with health care providers or physicians to provide health care services for subscribers at a favorable cost, it is called?

Preferred provider organization

Which of the following will be included in a policy summary?

Premium amounts and surrender values

Under the Accidental Death and Dismemberment (AD&D) coverage, what type of benefit will be paid to the beneficiary in the event of the insured's accidental death?

Principal Sum

In respect to the consideration clause, what is consideration on the part of the insurer?

Promising to pay in accordance with the contract terms

When an insurer combines two periods of disability into one, the insured must have suffered a?

Recurrent disability

An insured will be allowed to reactivate her lapsed life insurance policy if action is taken within a certain period of time, and proof of insurability. which policy provision allow this?

Reinstatement Provision

In the event of a loss, business overhead insurance will pay for

Rent

Whenever agents submit applications to insurers, they must also submit statements signed by the applicant and agent disclosing the involvement or lack of involvement of

Replacement

What is the main responsibility of a company's underwriting unit?

Risk selection

What would be considered a nonqualified retirement plan?

Split dollar plan

A producer is helping a married couple determine the financial needs of their children in the event one or both should die prematurely. This is a personal use of life insurance known as?

Survivor protection

Children's riders attached to whole life policies are usually issued as what type of insurance?

Term

Who chooses a primary care physician in an HMO plan?

The individual member

What is the advantage of reinstating a policy instead of applying for a new one?

The original age is used for premium determination

In a life settlement contract, who does the life settlement broker represent?

The owner

In a life settlement contract, whom does the life settlement broker represent?

The owner

A policy with a 31-day grace period implies

The policy will not lapse for 31 days if the premium is not paid when due

What is generally true regarding insureds who have been classified as preferred risk?

Their premiums are lower

What is the purpose of coinsurance provisions?

To help the insurance company to prevent overutilization of the policy

What is the purpose of COBRA?

To provide continuation of coverage for terminated employees

When an insurer issues an individual health insurance policy that is guaranteed renewable, the insurer agrees

To renew the policy until the insured has reached age 65

Agents who persuade insureds to cancel a policy in favor of another one when it might not be in the insured's best interest are guilty of

Twisting

What kind of policy allows withdrawals or partial surrenders?

Universal Life

What happens when a policy is surrendered for its cash value?

coverage ends and the policy cannot be reinstated

The maximum penalty that may be assessed for a single non-willful violation of the insurance code is

$1,000

How soon from the reinstatement of a health insurance policy would a loss be covered?

10 days

Most vision expense insurance plans restrict benefits to one exam and one pair of glasses in what time period?

12 months

What is the period of coverage for events such as death or divorce under COBRA?

36 months

Insurers must keep files of all advertisements used in Georgia for the minimum of how many years?

4

Authorized insurance companies are examined by the commissioner at least once every

5 years

Ray has an individual major medical policy that requires a coinsurance payment. Ray very rarely visits his physician and would prefer to pay the lowest premium possible. Which coinsurance arrangement would be best for Ray?

50/50

The minimum number of credits required for partially insured status for social security disability benefits is?

6 credits

A straight life policy has what type of premium?

A level annual premium for the life of the insured

What is a feature of a disability buyout plan?

A lump-sum benefit payment option

Which of the following long term care benefits would provide coverage for care for functionally impaired adults on a less than 24 - hour basis?

Adult day care

Who is a field underwriter?

Agent/Producer

In which Medicare supplemental policies are the core benefits found?

All plans

A Universal Life insurance policy is best described as an?

Annually Renewable Term policy with a cash value account

A short term annuity that limits the amounts paid to a certain fixed period or until a certain fixed amount is liquidated?

Annuity Certain

Which statement accurately describes the Change of Beneficiary provision?

Any policy that has a death benefit must have a change of Beneficiary provision

A policyowner fails to pay the premium due on his whole life policy after the grace period passes, but the policy remains in force. This is due to what provision?

Automatic Premium loan

What term is used for replacing insurance policies for the sole purpose of making commissions?

Churning

If more than one family member covered under the same major medical policy is injured in the same accident, the family only has to pay one deductible. This is due to the

Common accident provision

Health contracts are prepared by insurers and must be accepted by the insured on an 'as is' basis. This describes what aspect of a health insurance contract?

Contracts of adhesion

The purpose of managed care health insurance plans is t?

Control health insurance claims expenses

In a basic expense policy, after the limits of the basic policy are exhausted, the insured must pay what kind of deductible?

Corridor

A health insurance policy that pays a lump sum if the insured suffers a heart attack or stroke is known as?

Critical illness

What is another name for interest sensitive whole life insurance?

Current assumption life

An individual has just borrowed $10,000 from his bank on a 5-year installment loan requiring monthly payments. What type of life insurance policy would be best suited to this situation?

Decreasing Term

In disability income insurance, the time between the onset of an injury and sickness and when the benefits begin is known as the?

Elimination period

What best describes the aleatory nature of an insurance contract?

Exchange of unequal values

How many pints of blood will be paid for by Medicare supplement care benefits?

First 3

When the policyowner specifies a dollar amount in which installments are to be paid, he/she has chosen which settlement option?

Fixed amount

What is an eligibility requirement for social security disability income benefits?

Fully insured status

Life insurance death proceeds are

Generally not taxed as income

What required provision protects against unintentional policy lapse?

Grace period

If a life policy allows the policyowner to make periodic additions to the face amount at standard rates, without proving insurability, the policy includes a

Guaranteed insurability rider

What are 2 types of flexible spending accounts?

Health care accounts and dependent care accounts

What are three basic coverages for medical expense insurance?

Hospital, surgical, medical

Which type of riders would NOT increase the premium for a policyowner?

Impairment rider

Which type of a hospital policy pays a fixed amount each day that the insured is in a hospital?

Indemnity

What two elements are necessary for a life insurance contract to have a legal purpose?

Insurable interest and consent

Which of the following entities can legally bind coverage?

Insurer

Who makes up the Medical Information Bureau?

Insurers

The type of dental plan which is incorporated into a major medical expense plan is a/an

Integrated dental plan

Any references to policy dividends must include a statement of what?

That dividends are not guaranteed

If an applicant does nit receive a copy of the new insurance policy, who would be held responsible?

The agent

An insured who has an Accidental Death and Dismemberment policy loses her left arm in an accident. What type of benefit will she most likely receive from this policy?

The capital amount in a lump sum

Which of the following is an example of liquidity in a life insurance contract?

The cash value available to the policyowner

An adjustable life policyowner can change which of the following policy features?

The coverage period

What law protects consumers from the circulation of inaccurate or obsolete information?

The fair credit reporting act

What is true regarding the elimination periods and the cost of coverage?

The longer the elimination period, the lower the cost of coverage

What is insurance underwriting?

The process of risk selection and classification

What type of Insurance arrangement would be appropriate for a parent buying a life insurance policy on a child where the parent is the policyowner?

Third- party ownership

Which term will be permissible in describing a life insurance policy in company advertisements?

Variable plan

When would a 20-pay whole life policy endow?

When the insured reaches age 100

If a policy includes a free-look period of at least 10 days, the Buyer's Guide may be delivered to the applicant no later than

With the policy

What is the time frame for filing suspicious activity reports?

Within 30 days of initial discovery

Which agreement specifies how a business will transfer hands when one of the owners dies or becomes disabled?

disability buy- sell

Who bears the investment risk in a fixed annuity?

insurance company


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