Insurance license
Which of the following is not a prohibited form of advertising?
A side-by-side comparison of two policies issued by different insurers
All of the following are sources that insurers may look at for information regarding the insurability of a prospective insured, except:
College Degree
If the insurer issues a policy after receiving an application for health insurance in which preexisting conditions were inadvertently omitted, what would be the consequence to the insured's coverage if a preexisting condition caused a claim shortly after being issued?
Coverage would be as stipulated in the policy because the company issued the policy even though the question was left blank
If questions are incomplete on an application and the insurer issues the policy, a claim is:
Covered since the insurer issued the contract based on an incomplete application
All of the following statements regarding advertising are correct, except:
Advertisements do not include radio scripts
Eileen's health insurance had a $500 deductible and 80% / 20% coinsurance. Her first claim of the policy year amounted to $1,000, of which she paid $600. How much was her coinsurance?
$100
Which of the following statements best describes what we would define as being the co-pay provision in a health insurance policy?
A stated dollar amount applied per claim, in addition to any other cost-sharing
It is determined that Charles, an agent representing the Timely Payment Insurance Company, has misled the consuming public in an advertisement for one of the company's products. As a result of such action, which of the following is true?
Both Charles and the Timely Payment Insurance Company will be held accountable
All of the following are classifications of substandard risks, EXCEPT:
Declined
When a policy is mailed to an insured by an insurer, it is considered to be:
Delivered
All of the following describe the responsibilities of an agent or producer, except:
Determine the rate the insurer will charge the applicant/insured
All of the following statements regarding an insurance application are correct, except:
It is not included as part of the contract
The chart that shows the chance of a disability at any given age is called a:
Morbidity Table
All of the following are factors used in the calculation of health insurance premiums, except:
Mortality Table
If an application is submitted with a question left unanswered, which of the following should occur?
The insurer would require an answer before issuing a policy
The agent's primary underwriting role is:
To make sure the application provides the proper information
Which of the following is true regarding coinsurance? It is:
Written as a percentage and has a maximum out of pocket expense for the insured
Which of the following accidents would not be covered under the terms of a policy using 'accidental means' to define a covered loss?
Zachary breaks his ankle when he tries to jump aboard a street trolley that has already started moving
Which of the following has primary responsibility for ensuring that the application is filled out completely?
Producer
Which of the following is required to sign the application for insurance?
Producer and the applicant
At the time of policy delivery, the producer has been informed there is a change in the insured's health status. If the premium has not been collected, the producer should:
Return the policy to the insurer for further underwriting
If the insurer issues a health insurance policy without an initial premium, the producer must obtain a signed:
Statement of Good Health
Which of the following products replaces lost income when one is unable to work due to a condition for which therapeutic and rehabilitative care services is often necessary?
Disability Insurance
What type of policy pays weekly or monthly benefits for loss of income due to sickness or injury?
Disability income
Field underwriting is very important:
Due to the risk of a moral hazard
A producer gathers information about the applicant for the insurer in order to avoid adverse selection. This is considered to be:
Field underwriting
In respect to Accident and Sickness Insurance advertising, all of the following are true, except:
Only a comparison of benefits is required when insurers advertise by comparisons of like products
Which of the following is not an underwriting factor for health insurance:
Place of Birth
The prior medical conditions for which the applicant has received, or should have received, medical advice or treatment within a specified period before the effective date of a policy are called:
Pre-existing conditions
Which is true regarding the advertising of Accident and Sickness Insurance?
When insurers advertise that a group endorses a certain health product, the public must be made aware of any control the insurer may have regarding the group
