Page 1 of 89
LOUISIANA LIFE AND HEALTH INSURANCE EXAM
QUESTIONS WITH 100% VERIFIED CORRECT ANSWERS
ACTUAL LICENSING PREP GRADED A+
While a claim is pending, an insurance company may require an independent exam as often as reasonably
required.
Which of the following statements is true concerning the alteration of optional policy provisions?
A. An insurer may change the wording of optional policy provisions that would adversely affect the
policyholder but must first receive state permission before the change goes into effect.
B. Once any kind of provision is written, it cannot be changed.
C. An insurer may change the wording of optional provisions, as long as the change does not adversely
affect the policyholder.
D. An insurer may change the wording of optional provisions, regardless of its effect on the policyholder.
C. An insurer may change the wording of optional provisions, as long as the change does not adversely
affect the policyholder.
Optional policy provisions can be changed by an insurer, as long as the changes do not adversely affect
the policyholder.
If the insured under a disability income insurance policy changes to a more hazardous occupation after
the policy has been issued, and a claim is filed, the insurance company should do which of the following?
A. Adjust the benefit in accordance with the increased risk
B. Cancel the policy
C. Increase the premium
D. Exclude coverage for on-the-job injury
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A. Adjust the benefit in accordance with the increased risk
A part of the premium rating concerns the hazard of occupation.
What is the contract provision that allows the insurer to nonrenew health coverage if certain events
occur?
A. Conditionally renewable
B. Optionally renewable
C. Noncancellable
D. Guaranteed renewable
A. Conditionally renewable
The conditionally renewable provision is very similar to the optionally renewable provision. The primary
difference is that conditionally renewable policies may be canceled for specific conditions contained in
the policy, but optionally renewable policies do not specify a condition or reason for cancellation.
When an insured purchased her disability income policy, she misstated her age to the agent. She told the
agent that she was 30 years old, when in fact, she was 37. If the policy contains the optional misstatement
of age provision
A. Because the misstatement occurred more than 2 years ago, it has no effect.
B. Amounts payable under the policy will reflect the insured's correct age.
C. The contract will be deemed void because of the misstatement of age.
D. The elimination period will be extended 6 months for each year of age misstatement.
B. Amounts payable under the policy will reflect the insured's correct age.
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If an insured misstates his or her age upon policy application, the optional misstatement of age provision
will change the payable benefit to that which would have been purchased at the insured's actual age.
In a group health policy, a probationary period is intended for people who
A. Have additional coverage through a spouse.
B. Want lower premiums.
C. Join the group after the effective date.
D. Have a pre-existing condition at the time they join the group.
C. Join the group after the effective date.
The probationary period is the waiting period new employees must satisfy before becoming eligible for
benefits.
The provision that states that both the printed contract and a copy of the application form the contract
between the policyowner and the insurer is called the
A. Certificate of insurance.
B. Aleatory contract.
C. Master policy.
D. Entire contract.
D. Entire contract.
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The policy, together with the attached application, constitutes the entire contract. This provision limits
the use of evidence other than the contract and the attached application in a test of the contract's validity.
This is a mandatory provision in life insurance.
An insured submitted a notice of claim to the insurer, but never received claims forms. He later submits
proof of loss, and explains the nature and extent of loss in a hand-written letter to the insurer. Which of
the following would be true?
A. The claim most likely will not be paid since the official claims form was not submitted.
B. The insurer will be fined for not providing the claims forms.
C. The insured must submit proof of loss to the Department of Insurance.
D. The insured was in compliance with the policy requirements regarding claims.
D. The insured was in compliance with the policy requirements regarding claims.
If claims forms are not furnished to the insured, the claimant is deemed to have complied with the
requirements of the policy if he or she submits written proof of the occurrence, nature of the loss, and
extent of loss to the insurer.
In the event of loss, after a notice of claim is submitted to the insurer, who is responsible for providing
claims forms and to which party?
A. Insurer to the insured
B. Insured to the insurer
C. Insurer to the Department of Insurance
D. Insured to the Department of Insurance
A. Insurer to the insured
LOUISIANA LIFE AND HEALTH INSURANCE EXAM
QUESTIONS WITH 100% VERIFIED CORRECT ANSWERS
ACTUAL LICENSING PREP GRADED A+
While a claim is pending, an insurance company may require an independent exam as often as reasonably
required.
Which of the following statements is true concerning the alteration of optional policy provisions?
A. An insurer may change the wording of optional policy provisions that would adversely affect the
policyholder but must first receive state permission before the change goes into effect.
B. Once any kind of provision is written, it cannot be changed.
C. An insurer may change the wording of optional provisions, as long as the change does not adversely
affect the policyholder.
D. An insurer may change the wording of optional provisions, regardless of its effect on the policyholder.
C. An insurer may change the wording of optional provisions, as long as the change does not adversely
affect the policyholder.
Optional policy provisions can be changed by an insurer, as long as the changes do not adversely affect
the policyholder.
If the insured under a disability income insurance policy changes to a more hazardous occupation after
the policy has been issued, and a claim is filed, the insurance company should do which of the following?
A. Adjust the benefit in accordance with the increased risk
B. Cancel the policy
C. Increase the premium
D. Exclude coverage for on-the-job injury
, Page 2 of 89
A. Adjust the benefit in accordance with the increased risk
A part of the premium rating concerns the hazard of occupation.
What is the contract provision that allows the insurer to nonrenew health coverage if certain events
occur?
A. Conditionally renewable
B. Optionally renewable
C. Noncancellable
D. Guaranteed renewable
A. Conditionally renewable
The conditionally renewable provision is very similar to the optionally renewable provision. The primary
difference is that conditionally renewable policies may be canceled for specific conditions contained in
the policy, but optionally renewable policies do not specify a condition or reason for cancellation.
When an insured purchased her disability income policy, she misstated her age to the agent. She told the
agent that she was 30 years old, when in fact, she was 37. If the policy contains the optional misstatement
of age provision
A. Because the misstatement occurred more than 2 years ago, it has no effect.
B. Amounts payable under the policy will reflect the insured's correct age.
C. The contract will be deemed void because of the misstatement of age.
D. The elimination period will be extended 6 months for each year of age misstatement.
B. Amounts payable under the policy will reflect the insured's correct age.
, Page 3 of 89
If an insured misstates his or her age upon policy application, the optional misstatement of age provision
will change the payable benefit to that which would have been purchased at the insured's actual age.
In a group health policy, a probationary period is intended for people who
A. Have additional coverage through a spouse.
B. Want lower premiums.
C. Join the group after the effective date.
D. Have a pre-existing condition at the time they join the group.
C. Join the group after the effective date.
The probationary period is the waiting period new employees must satisfy before becoming eligible for
benefits.
The provision that states that both the printed contract and a copy of the application form the contract
between the policyowner and the insurer is called the
A. Certificate of insurance.
B. Aleatory contract.
C. Master policy.
D. Entire contract.
D. Entire contract.
, Page 4 of 89
The policy, together with the attached application, constitutes the entire contract. This provision limits
the use of evidence other than the contract and the attached application in a test of the contract's validity.
This is a mandatory provision in life insurance.
An insured submitted a notice of claim to the insurer, but never received claims forms. He later submits
proof of loss, and explains the nature and extent of loss in a hand-written letter to the insurer. Which of
the following would be true?
A. The claim most likely will not be paid since the official claims form was not submitted.
B. The insurer will be fined for not providing the claims forms.
C. The insured must submit proof of loss to the Department of Insurance.
D. The insured was in compliance with the policy requirements regarding claims.
D. The insured was in compliance with the policy requirements regarding claims.
If claims forms are not furnished to the insured, the claimant is deemed to have complied with the
requirements of the policy if he or she submits written proof of the occurrence, nature of the loss, and
extent of loss to the insurer.
In the event of loss, after a notice of claim is submitted to the insurer, who is responsible for providing
claims forms and to which party?
A. Insurer to the insured
B. Insured to the insurer
C. Insurer to the Department of Insurance
D. Insured to the Department of Insurance
A. Insurer to the insured
