Unit 14 Quiz-Health Insurance Policy Provisions******

The grace period varies according to A) premium payment frequency B) premium payment amount C) method of premium payment D) type of policy

A

A reinstated policy will cover A) Sickness immediately and accidents after 10 days B) both sickness and accidents after 10 days C) accidents after 10 days and sickness after 30 days D) accidents immediately and sickness after 10 days

D

All of the following are mandatory health insurance provisions, EXCEPT: A) time limit on certain defenses B) proof of loss C) payment of claims D) renewability

D

Generally, written proofs of loss must be furnished within how many days after the loss? A) 15 B) 45 C) 60 D) 90

D

The insurer may generally require an autopsy at its own expense unless A) the deceased requests in writing that an autopsy not be performed B) the deceased's relatives request that an autopsy not be performed C) the deceased's relatives have proven religious objections to an autopsy being performed D) the state has an applicable law that forbids autopsy

D

All of the following are optional health insurance provisions EXCEPT A) change of beneficiary B) narcotics C) unpaid premium D) insurance with other insurer

A

The exchange of something of value is known as A) consideration B) an insuring agreement C) a free-look D) a provision

A

A pro rata return is one in which the insurer returns A) less than the proportionate amount of the unearned premium B) the proportionate amount of the unearned premium C) both earned and unearned premium D) neither earned nor unearned premiums

B

According to the entire contract provision, the entire contract includes all of the following EXCEPT A) the insurance policy B) the premium payment C) any endorsements D) any attachments

B

If there is no beneficiary listed on a policy, benefits will be paid to A) the state B) the insured's estate C) the insured's nearest blood relative D) the insured's nearest relative by marriage or blood

B

Marcus pays his insurance premium monthly and has a grace period of A) 7 days B) 10 days C) 30 days D) 31 days

B

The optional provisions that deal with multiple insurance policies of the same type on a single insured deal with the problem of A) underinsurance B) over-insurance C) inappropriate insurance D) incorrect insurance

B

Which provision allows new insureds the right to examine a policy for a specified period of time with the option to return it? A) Insuring clause B) Free look period C) Consideration clause D) Renewability

B

How many days' notice must the insured be given if an insurer cancels a policy? A) 2 B) 3 C) 5 D) 10

C

Mike allows his policy to lapse, then applies for reinstatement using the company's required application. The company does not inform Mike either that the policy has been accepted or that the policy is being rejected. At what point can Mike consider the policy reinstated? A) Not until the insurer notifies him that it has been reinstated B) As soon as the application has been submitted C) After 45 days D) After 90 days

C

When Betty purchased her insurance policy, her age was recorded as 32 when she was actually 34. Assuming her policy includes the misstatement of age provision and the insurance company discovers this four years later, Betty's policy A) will be canceled for misrepresentation B) will be unchanged because the incontestable period has expired C) limits will be lowered D) limits will be raised

C