EXAM Flashcards

1
Q

when an insured applies for reinstatement of a health policy and recieves a conditional receipt, how long does the insurer have to approve or deny

A

within 45 days of the date of application

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2
Q

typically, a disability income rider will pay

A

a monthly income for as long as the insured remains totally and completely disabled

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3
Q

extended residence in a nursing home is covered by a

A

long term care policy

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4
Q

if premiums are paid more frequently than annually, the policyowner can expect to

A

have a higher total outlay of dollars for the coverage for that year

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5
Q

on Nov 10 ozzies major medical policy is reinstated. he is later injured in an automobile accident on Nov 13 and immediately hospitalized. he is elidgable for

A

full benefits

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6
Q

periodic benefit payments must be made no less frequently than

A

monthly

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7
Q

the notice of claim provision states the insured notify the insurance company within…… days of a claim

A

20

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8
Q

the proceeds of a life insurance policy can be paid in a form other than lump sum called

A

settlement options

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9
Q

medicare advantage (part C) allows utilization of benefits through

A

HMO, PPO, or traditional insurer

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10
Q

the long term care partnership program is designed to allow seniors to

A

shelter assets from the spend down requirements of medicaid

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11
Q

what is not true regarding medicare supplement policies

A

must include a minimum 20-day free-look provision

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12
Q

what is true concerning the fixed period option?

A

the principal amount gradually decreases to zero

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13
Q

what will not result in an increase in life insurance policy dividends

A

higher reserves

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14
Q

janet is retired and looking to invest a lump sum of money through an insurance company. which product would be best suited for this?

A

annuity

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15
Q

medicare eligibility is typically based on

A

age

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16
Q

the witholding of facts in an insurance application is called

A

concealment

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17
Q

under a HMO service providers are paid a fixed monthly fee for each member. this is called

A

capitation

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18
Q

what is vesting?

A

the employees right to the employers contributions in a retirement plan if employment terminates prior to retirement

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19
Q

the period of time during which a surviving spouse doesnt qualify for social security survivor or retirement benefits is called

A

the blackout period

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20
Q

a policyowner can collect the face amount on what type of policy?

A

endowment policy

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21
Q

a collateral assignment allows a policyowner to assign

A

a portion of the policy proceeds to the assignee

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22
Q

john is an annuitant who has surrendered his annuity at age 55. what will he pay?

A

tax on the interest earned

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23
Q

A long term care policy has a minimum renewability level of:

A

guaranteed renewable

24
Q

carol is a life insurance policyowner who has transferred her ownership to a third party in exchange for a percentage of the death benefit. what is this called?

A

viatical settlement agreement

25
eligible participants are required to make premium payments for which part of Medicare
part B
26
anita is an office clerk at the time she purchases a disability income policy. she later changes her career to a king crab fisherman. if she ever becomes injured on the boat, the change of occupation provision states that the insurer can
adjust the benefits
27
bart is injured and provides notice of a health claim to his insurer he later recieves the required claims forms. within how many days of the loss must bart file proof of loss with the insurance company?
90
28
jan is named irrevocable beneficiary of jim's life insurance policy, what does he need her permission for?
to borrow the policy's loan value
29
katherine is a retiree and was recently hospitalized for 10 days. which type of insurance policy would best cover her for excess hospital expenses?
medicare supplement
30
the premium payment mode which results in the highest total premium is
monthly
31
the notice of claim provison states that the insured notify the insurance company within...... days of a claim
20
31
a preferred provider organization (PPO) contract typically uses which payment arrangement
negotiated fee-for-service
32
a retirement plan intended for a sole proprietor and his/her employees would be an
keogh plan
33
what will not result in an increase in life insurance policy dividends
higher reserves
34
health maintenance organizations and preferred provider organizations are both considered to be
managed health care systems
35
what best describes a health maintenance organization
provides full medical services that stress preventative medicine
36
what is not an example of insurable interest
an airline insuring the lives of its passengers
37
why are insurance contracts said to be contracts of adhesion
one party writes the contract and the other party must accept the contract as written
38
at what point does a whole life policy pay the face amount
upon insureds death or reaching age 100
39
a collateral assignment allows a policyowner to assign
a portion of the policy proceeds to the assignee
40
within how many calender days must all clean electronic health insurance claims be paid in alabama
30
41
when can a lapsed life insurance policy usually be reinstated
within 3-5 years of policy lapsing
42
john is an annuitant who has surrendered his annuity at 55. what will he pay
tax on interest earned
43
a life insurance policyowner has just exercised the policy's reduced paid up option. what is true
the amount of coverage will be much less than the original coverage
44
a life insurance producer's agency agreement normally authorizes the licensee to do all of the following except
issue policies
45
tim has a universal life policy. the cash value growth in his policy is
interest sensitive
46
what will the insurance company pay once the stop loss is exceeded on a major medical policy
100% of covered expenses
47
buying land with the anticipation of it going up in value is an example of
speculative risk
48
john purchases insurance because he expects to experience a loss. this is known as
adverse selection
49
risk is best defined as the
uncertainty of loss
50
after the insurance company recieves a written request, an insured may have health insurance benefits paid to
anyone designated by the insured
51
katherine is a retiree and was recently hospitalized for 10 days, what type of insurance policy would best cover her for excess hospital expenses
medicare supplement
52
the long term care partnership program is designed to allow seniors to
shelter assets from the spend down requirements of medicaid
53
which of the following is true concerning the fixed period option
the principal amount gradually decreases to zero
54
under a HMO service prviders are paid a fixed monthly fee for each member. this is called
capitation
55
a policyowner can collect the face amount on what type of policy
endowment policy