SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
1. Which of the following is NOT an ongoing inspection of accident prone individuals
example of utilization review?
monitoring length of hospital stay
monitoring the appropriateness of
care
setting a hospital release date for a
patient
ongoing inspection of accident
prone individuals
2. What percentage of a participant's 60%
income are group long-term dis-
ability benefit amounts typically Group long-term disability benefit amounts are usu-
limited to? ally limited to 60% of the participant's income.
40%
60%
50%
30%
3. A licensed producer MUST be appointed
_________ by an insurer to be eligible
for soliciting insurance contracts. Correct. An insurance producer CANNOT act as an
agent of an insurer until the insurance producer be-
authorized comes appointed by the insurer.
approved
admitted
appointed
4. A policyowner has ___ days after 10
policy delivery to return a major
medical policy for a full refund. A policyowner has 10 days to return an accident and
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
health insurance policy and receive a full refund on
20 premiums.
10
30
15
5. A licensee MUST notify the Depart- upon changing his or her legal name
ment of a legal name change
The producer must notify the Department upon
notification is not required changing his or her legal name.
upon the licensee's next license re-
newal
upon changing his or her legal
name
upon the licensee's next insurance
transaction
6. A producer MUST maintain insur- 5 years
ance transaction records for
All producers shall maintain full and correct transac-
6 years tion records of the business done by them for a period
4 years of 5 years.
5 years
7 years
7. A temporary producer license is- 180 days
sued in South Carolina is valid for
up to The Director may issue a temporary producer license
for a maximum period of 180 days.
270 days
180 days
365 days
90 days
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
8. All of the following are considered Giving a gift of less than $25 in value to a client
an example of illegal inducement
EXCEPT Merchandise with the insurer's logo is allowed to be
given for advertising purposes as long as the value
Offering special terms of a stock does not exceed $25.
purchase to a client
Giving a gift of less than $25 in value
to a client
Giving a gift to a client with a value
of $75
Offering employment to a client
9. If a Medicare Supplement policy re- 0 months
places another that had been in ef-
fect for at least 6 months, the re- The replacing policy may not impose any time period
placing policy may impose which exclusions for pre-existing conditions as long as there
of the following time exclusions for was no gap in coverage for more than 63 days.
pre-existing conditions?
12 months
6 months
63 days
0 months
10. An example of an Unfair Claim Set- failing to provide a reasonable basis for the denial of
tlement Practice is a claim upon request
requiring a time limit for submitting
a claim
paying a claim in a timely matter
making it mandatory that proof of
loss be provided for each claim
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
failing to provide a reasonable basis
for the denial of a claim upon re-
quest
11. Medicare Advantage plans are Part C
sometimes called
Part D
Part A
Part C
Part B
12. A producer is required to maintain 5
insurance transaction records for
___ years.
7
3
5
9
13. Barry the producer offers Chris his rebating
mountain cabin for the weekend to
secure his order for his insurance Offering anything of value not stated in the insurance
business. This is an example of contract to secure an order of business is called rebat-
ing.
rebating
twisting
bartering
subrogation
14. A producer must renew their li- two years
cense every
Study online at https://quizlet.com/_fz0d3m
1. Which of the following is NOT an ongoing inspection of accident prone individuals
example of utilization review?
monitoring length of hospital stay
monitoring the appropriateness of
care
setting a hospital release date for a
patient
ongoing inspection of accident
prone individuals
2. What percentage of a participant's 60%
income are group long-term dis-
ability benefit amounts typically Group long-term disability benefit amounts are usu-
limited to? ally limited to 60% of the participant's income.
40%
60%
50%
30%
3. A licensed producer MUST be appointed
_________ by an insurer to be eligible
for soliciting insurance contracts. Correct. An insurance producer CANNOT act as an
agent of an insurer until the insurance producer be-
authorized comes appointed by the insurer.
approved
admitted
appointed
4. A policyowner has ___ days after 10
policy delivery to return a major
medical policy for a full refund. A policyowner has 10 days to return an accident and
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
health insurance policy and receive a full refund on
20 premiums.
10
30
15
5. A licensee MUST notify the Depart- upon changing his or her legal name
ment of a legal name change
The producer must notify the Department upon
notification is not required changing his or her legal name.
upon the licensee's next license re-
newal
upon changing his or her legal
name
upon the licensee's next insurance
transaction
6. A producer MUST maintain insur- 5 years
ance transaction records for
All producers shall maintain full and correct transac-
6 years tion records of the business done by them for a period
4 years of 5 years.
5 years
7 years
7. A temporary producer license is- 180 days
sued in South Carolina is valid for
up to The Director may issue a temporary producer license
for a maximum period of 180 days.
270 days
180 days
365 days
90 days
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
8. All of the following are considered Giving a gift of less than $25 in value to a client
an example of illegal inducement
EXCEPT Merchandise with the insurer's logo is allowed to be
given for advertising purposes as long as the value
Offering special terms of a stock does not exceed $25.
purchase to a client
Giving a gift of less than $25 in value
to a client
Giving a gift to a client with a value
of $75
Offering employment to a client
9. If a Medicare Supplement policy re- 0 months
places another that had been in ef-
fect for at least 6 months, the re- The replacing policy may not impose any time period
placing policy may impose which exclusions for pre-existing conditions as long as there
of the following time exclusions for was no gap in coverage for more than 63 days.
pre-existing conditions?
12 months
6 months
63 days
0 months
10. An example of an Unfair Claim Set- failing to provide a reasonable basis for the denial of
tlement Practice is a claim upon request
requiring a time limit for submitting
a claim
paying a claim in a timely matter
making it mandatory that proof of
loss be provided for each claim
, SC Health Insurance Licensing Exam
Study online at https://quizlet.com/_fz0d3m
failing to provide a reasonable basis
for the denial of a claim upon re-
quest
11. Medicare Advantage plans are Part C
sometimes called
Part D
Part A
Part C
Part B
12. A producer is required to maintain 5
insurance transaction records for
___ years.
7
3
5
9
13. Barry the producer offers Chris his rebating
mountain cabin for the weekend to
secure his order for his insurance Offering anything of value not stated in the insurance
business. This is an example of contract to secure an order of business is called rebat-
ing.
rebating
twisting
bartering
subrogation
14. A producer must renew their li- two years
cense every
