2026 POLICY AND COVERAGE
QUESTIONS HIGH YIELD A+
◉ An agent whose actions exceed the authority granted by contract
is
Acting under apparent authority
Acting under Implied authority
Not backed by the insurer
Backed by the insurer.
Answer: Not backed by the insurer
◉ Statements made by an insured on an accident and health
insurance application are considered to be
Representations
Warranties
Conditional
Aleatory.
,Answer: Representations
◉ Which of the following would NOT have a restricted ability to
enter into a contract?
Mentally ill person
Minor
Person under the influence of alcohol
Small employer.
Answer: Small employer
◉ A producer working for an insurance company may be personally
liable for
Acts performed which are expressed in the agency contract
Acts performed which are prohibited in the agency contract
All actions taken on behalf of the insurer
Nothing.
Answer: Acts performed which are prohibited in the agency contract
◉ What action can an insurer take to discourage malingering and
false disability claims?
,The insurer can selectively refuse a disability claim for specific
diseases
The probation period can be increased for specific injuries
Limit the amount of benefits an insured can receive from two
disability policies with the same insurer
A premium rating can be given to an insured with more than one
policy with the same insurer.
Answer: Limit the amount of benefits an insured can receive from
two disability policies with the same insurer
◉ The health insurance premiums paid for by each partner in a
partnership is considered to be
Non-deductible
50% tax deductible
75% tax deductible
100% tax deductible.
Answer: 100% tax deductible
◉ Notice of information practices must be given to a policyholder at
least
, Every year
Every two years
Every three years
Every four years.
Answer: Every three years
◉ Pete is covered by a group health insurance plan which covers
employees in multiple states. This plan is governed by the laws of
which state?
Where the certificate of coverage was mailed to
Where most of the employees reside
Where the master contract was issued
Where the insurer's home office is located.
Answer: Where the master contract was issued
◉ Accident and health insurance claim handling is made more
convenient to the insured by utilizing
Inspection reports
Attending physician statements
Medical Information Bureau (MIB) statements