missed questions on comp exam
A licensee must report being convicted of a felony to the Director within:
30 days after the judgment's entry date
Which of the following is a typical benefit period for a group short-term disability benefit?
52 weeks
A Long-Term Care plan may deny coverage for pre-existing conditions for no more than how many months after the effective date of coverage?
6
Under the Legal Actions Mandatory Uniform Provision, an insured must wait at least _____ days after providing proof of loss before they can take legal action against the insurer.
60 days
Proof of loss is required within _____ days of loss.
90
Which of the following statements is true with respect to the Illinois Health Insurance Portability and Accountability Act (HIPAA)?
A pre-existing condition exclusion period is reduced by any creditable coverage that ended less than 63 days before the enrollment date of the new policy
Which of the following types of riders would require signed acceptance by the insured if it was added after the base policy is issued?
A rider to reduce coverage under the policy
PPO plans pay providers based on a
Discounted fee for service negotiated in advance
In Illinois, what must an insurer offer in writing to all LTC policyholders on a one-time basis?
Exchange their existing policy with one that qualifies for the LTC Partnership Program
Own occupation is the:
Inability to perform all duties of one's own occupation
Under a Key Employee Disability Income Policy, the employer is all of the following, except:
Insured
Optional uniform provisions found in health insurance policies are designed to protect the:
Insurer
The Director may revoke, suspend, or refuse to renew a license for all the following, except:
Issued insufficient coverage to a customer through apparent authority
All of the following are true regarding the Life and Health Insurance Guaranty Association, except:
It covers HMOs
All of the following are Optional Uniform Provisions, except:
Legal Actions
The Illinois Insurance Code established minimum standards for individual accident and health poicies, which include all the following purposes, except:
Limit the premium an insurer may charge
During the underwriting process, an underwriter was alerted that the applicant previously failed a medical exam by testing positive for marijuana while applying for a disability income policy 2 years ago. Which of the following sources provides this type of information to assist member companies when determining the eligibility of an individual risk?
Medical Information Bureau
Which of the following requires an annual deductible and coinsurance?
Medicare Part B medical
Accident and health insurance policy exclusions typically include all of the following, except:
Nonoccupational injuries
Monte has a health care plan that provides benefits as an HMO if he stays within the network and provides benefits like an indemnity plan if he goes outside the network. Monte is covered under a:
Point-of-Service Plan
Illinois LTC Partnership policies require a disclosure notice, which includes:
Purchasing a Partnership policy does not automatically qualify the insured for Medicaid
Which provision is an Optional Uniform Provision?
Relation of Earnings to Insurance
Medicaid is a federal program that is administered by the _______ government.
State
Which statement is false concerning Social Security disability benefits?
The employee must only be unable to engage in his/her own occupation to be considered disabled
What is the result of an insured not receiving a claim form within the time period allotted after submitting a notice of claim?
The insured can submit written proof of the loss
O is a 45-year-old who is eligible for Medicare by reason of disability. They had group coverage until the company stopped providing supplemental benefits. Which of the following statements regarding O applying for a Medicare Supplement policy is false?
The insurer may charge O slightly higher premium for being under age 65
G applies for a policy as a standard risk after paying the initial premium. After thorough underwriting, the insurer issues the policy as a substandard risk. The issued policy represents:
The insurer's counteroffer
All of the following are false statements regarding group disability plans, except:
The plans are typically written on a nonoccupational basis
Which of the following best describes the consideration on the part of an insurer?
The promise to pay in the event of a covered claim
When an independent contractor purchased their own personal medical and dental insurance, they discovered that self-employed persons may deduct: A Up t
Up to 100% of the cost of health insurance for themselves and their dependents
