Oregon Health Insurance
How long is the free look period of a Medicare supplemental?
30 days
If a licensee's business relocates, within what span of time must the Director be notified of the new address?
30 days
Harry is an insurance producer in OR. Once he moves, how much time with he be given to report his address change to the Insurance Department?
30 days.
To attain fully insured status under Social Security. an individual must have earned how many credits?
40
What is the maximum number of employees that a small employer can have?
50
If an insured decided to reduce the coisurance amount on her major medical insurance, what can the insured expect?
A higher monthly premium.
Which of the following is true regarding the coordination of benefits provision in group health policies?
A policy must provide an explanation of how benefits will be affected when coordinated with another policy.
All of the following could qualify as a group for the purpose of purchasing group health insurance EXCEPT
An association of 35 people.
What is it called when a doctor accepts the Medicare approved amount?
Assignment
Regarding the consideration clause, which of the following is not correct?
Consideration of the insurer and insured must be equal.
What is the benefit of open enrollment period to the insured?
Coverage will be provided regardless of insured's health status.
If an employee remains on a n employer health plan within a company that has 20 employees and signs up for Medicare, which coverage will be primary?
Employer Group Health Plan
Which of the following health insurance disability benefits are income tax free EXCEPT
Employer-paid group disability.
What is the main difference between franchise and group insurance?
Franchise insurance underwriting is done for each person.
All of the following are features of a catastrophic plan EXCEPT
High premiums
When the Director of the state's insurance department leaves office, which of the following may occur?
Insurance rates are subject to change.
What type of dental plan that is incorporated in to a major medical expense plan
Integrated Dental plan
Medicare Part B covers all of the following except:
Long-term care services.
What is another term for a health insurance policy subscriber?
Participant
Which type of funding is developed through collective bargaining?
Premium-delay arrangements
The purpose of the Fair Credit Reporting Act is to
Protect consumers against the circulation of inaccurate or obsolete personal of financial info.
The benefits in Medical Expense Insurance are
Received income tax free by the individual.
What does the application contract of adhesion mean?
Since the insured does not participate in preparing the contract, any ambiguities would be resolved in favor of the insured.
Insureds have the right to do which of the following if they have NOT received the proper claim forms within 15 days of their notice to the insurer of the covered loss under a major medical policy?
Submit the description in their own words on a plain sheet of paper.
An employee is no longer able to afford the group health insurance plan and the plan terms. However, one of the employees continues to receive coverage under the plan. Which of the following explains the reason for the continued coverage?
The employee is totally disabled.
Which entity has the option of including optional provisions in a health insurance policy?
The insurer
An employee dies having 6 quarters of coverage during the previous 13-quarter period. What status of coverage does the employee have under Social Security?
Currently Insured.
Which of the following is NOT correct concerning taxation of disability income benefits?
If paid by the individual, the premiums are tax deductible?
Credit disability insurance will pay:
Monthly payments until the insured recovers of the loan is paid off.
All of the following are characteristics of group health insurance plans EXCEPT
The parties that hold group health insurance contract are the employees and employer.
