Exam Practice Part 1
Which Accident and Health policy provision addresses preexisting conditions? - ANSTime Limit
on Certain Defenses
Which of the following individual health insurance policies will provide the broadest protection? -
ANSMajor Medical
Which of the following situations does NOT apply to the Florida Replacement Rule? - ANSAn
existing policyholder purchases an additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and sends the application
and premium check to the insurance company. The insurance company returns the check back
to J because the check is made out to J instead of the insurance company. What action should J
take? - ANSReturn to the customer, collect a new check made out to the insurance company,
and send the new check out to the insurance company
Under which of the following circumstances will the benefits under COBRA continuation
coverage end? - ANSAll group health plans are terminated by the employer
Which type of renewability best describes a Disability Income policy that covers an individual
until the age of 65, but the insurer has the right to change the premium rate for the overall risk
class? - ANSGarunteed Renewable
An incomplete life insurance application submitted to an insurer will result in which of these
actions? - ANSApplication will be returned to the writting agent
The waiting period for a pre-existing condition under a Medicare Supplement policy may NOT
go beyond - ANS6 Months
Which of these statements is INCORRECT regarding the federal income tax treatment of life
insurance? - ANSEntire cash surrender value is taxable
Which of these is considered a mandatory provision? - ANSPayment of Claims
Which of the following actions will an insurance company most likely NOT take if an applicant,
who has diabetes, applies for a Disability Income policy? - ANSIssue the policy with an altered
Time of Payment of Claims provision
, Which of the following phrases refers to the fees charged by a healthcare professional? -
ANSUsual, customary, and reasonable expenses
D was actively serving in the Marines when he was killed in an automobile accident while on
leave. His $100,000 Whole life policy contains a War Exclusion clause. How much will D's
beneficiary's receive? - ANSThe full face amount
N is covered under an individual Disability policy with a 30-day Elimination period and a monthly
benefit of $500. N is totally disabled for 3 1/2 months. N's total benefit received on this claim is: -
ANS$1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance? - ANSThe insurance
company
Which of the following costs would a Basic Hospital/Surgical policy likely cover? - ANSSugically
removing a facial birthmark
The federal income tax treatment of employer-provided group Medical Expense insurance can
be accurately described as: - ANSEmployee's premiums paid by the employer is tax-deductible
to the employer as a business expenditure
Premiums paid by an employer for an employee's coverage are deductible by the employer as a
buisness expense
What must the policyowner provide to the insurer for validation that a loss has occurred? -
ANSproof of loss
Association Plans that are designed to provide health benefits to their members are regulated
by the state because - ANSThey are insured by and authorized insurer
Which of the following statements is CORRECT about the period in which a Term Policy can be
converted? - ANSIt varies according to contracts
When does a life insurance contract become effective if the initial premium is not collected
during the application process? - ANSWhen producer delives policy and collects initial premium
A provision in a life insurance policy that pays the policyowner an amount that does not surpass
the guaranteed cash value is called the: - ANSPolicy Loan Provision
Medicare Part A and Part B do no pay for: - ANSDental Work