Health: General Lines 2-20 Florida Exam
Questions With Accurate Answers
How many precisely worded clauses are there? - ANSWER-12
How many optional clauses are available through the heath insurance company? -
ANSWER-10
Cancellation Clause - ANSWER-Allows an insurance company to cancel mid-term. 20
Days notice
Conditionally Renewable - ANSWER-Allows the insurer to not-renew a health insurance
policy based on certain conditions. Policy must state those conditions.
Optionally Renewable - ANSWER-Company may not cancel the policy mid term, but
may elect to non-renew.
Guaranteed Renewable - ANSWER-Requires an insurer to renew a policy automatically
until a given age. Company cannot cancel the policy, but reserves the right to increase
premiums as needed.
Noncancelable - ANSWER-Greatest degree of continuation. Company cannot cancel
the policy. Premium rates will not be increased.
Free-Look - ANSWER-FL Law requires a free-look provision.
- Usually 10 Days. Must be noted on the first page and will return premium.
- Medicare Supplements and Long Term Care Insurance offer a 30 Day Free-Look.
General Exclusions - ANSWER-- Pregnancy
, - Treatment in a VA
- Intentionally self-inflicted injuries
- Dental Expense (except from an accident)
- Mental Illness
- Injury as a member of the crew of an aircraft
- Cosmetic surgery (unless required by accident)
- War
- Illness that originated before the inception of the insurance.
Grace Period - ANSWER-Weekly Premiums: 7 Days
Monthly Premiums: 10 Days
All others: 31 Days
Reinstatement - ANSWER-If the insured has not paid premium by the end of grace
period, policy will lapse.
When insured again pays the premium coverage is reinstated unless rejected. If the
company fails to notify the insured of rejection within 45 Days, coverage is automatically
reinstated, and not rejected.
Upon reinstatement all coverage is applicable except, sickness (subject to a 10 day wait
period).
Misstatement of Sex or Age - ANSWER-Allows the Insurer to adjust the premium
amount upon correction.
Female premiums are typically lower than Male premiums.
Time Limit on Certain Defenses/Limitations on Insurer Defenses - ANSWER-Clause
required by law in all policies provides that after two years, only fraudulent misstatement
in the application may be used to void the policy or deny a claim.
Questions With Accurate Answers
How many precisely worded clauses are there? - ANSWER-12
How many optional clauses are available through the heath insurance company? -
ANSWER-10
Cancellation Clause - ANSWER-Allows an insurance company to cancel mid-term. 20
Days notice
Conditionally Renewable - ANSWER-Allows the insurer to not-renew a health insurance
policy based on certain conditions. Policy must state those conditions.
Optionally Renewable - ANSWER-Company may not cancel the policy mid term, but
may elect to non-renew.
Guaranteed Renewable - ANSWER-Requires an insurer to renew a policy automatically
until a given age. Company cannot cancel the policy, but reserves the right to increase
premiums as needed.
Noncancelable - ANSWER-Greatest degree of continuation. Company cannot cancel
the policy. Premium rates will not be increased.
Free-Look - ANSWER-FL Law requires a free-look provision.
- Usually 10 Days. Must be noted on the first page and will return premium.
- Medicare Supplements and Long Term Care Insurance offer a 30 Day Free-Look.
General Exclusions - ANSWER-- Pregnancy
, - Treatment in a VA
- Intentionally self-inflicted injuries
- Dental Expense (except from an accident)
- Mental Illness
- Injury as a member of the crew of an aircraft
- Cosmetic surgery (unless required by accident)
- War
- Illness that originated before the inception of the insurance.
Grace Period - ANSWER-Weekly Premiums: 7 Days
Monthly Premiums: 10 Days
All others: 31 Days
Reinstatement - ANSWER-If the insured has not paid premium by the end of grace
period, policy will lapse.
When insured again pays the premium coverage is reinstated unless rejected. If the
company fails to notify the insured of rejection within 45 Days, coverage is automatically
reinstated, and not rejected.
Upon reinstatement all coverage is applicable except, sickness (subject to a 10 day wait
period).
Misstatement of Sex or Age - ANSWER-Allows the Insurer to adjust the premium
amount upon correction.
Female premiums are typically lower than Male premiums.
Time Limit on Certain Defenses/Limitations on Insurer Defenses - ANSWER-Clause
required by law in all policies provides that after two years, only fraudulent misstatement
in the application may be used to void the policy or deny a claim.
