Final Exam - Florida Life and Health
Which Unfair Trade Practice involves making a false statement on an insurance application in
order to receive money from an insurer? - ANSMisrepresentation
Who owns a stock company? - ANSA stock insurance company is owned by its stockholders.
In Florida, which of the following is considered an Unfair Trade Practice? - ANSCoercion
Which of these options can an individual use their medical flexible spending account to pay for?
- ANSPrescription drugs are an allowable expense when paid for by a medical flexible spending
account.
Which of the following features of a group Term Life policy enables an individual to leave the
group and continue his or her insurance without providing evidence of insurability? - ANSThe
conversion privilege allows an individual to leave the group term plan and continue his or her
insurance without providing evidence of insurability.
An example of false advertising would be - ANSAn insurer exaggerating its dividends in a
magazine advertisement
Q purchases a $500,000 life insurance policy and pays $900 in premiums over the first six
months. Q dies suddenly and the beneficiary is paid $500,000. This exchange of unequal values
reflects which of the following insurance contract features? - ANSAleatory.
Insurance contracts are aleatory in that the amount the insured will pay in premiums is unequal
to the amount that the insurer will pay in the event of a loss.
An example of an unfair trade practice is - ANSMaking a material misrepresentation to an
insured is considered to be an unfair trade practice.
How would a contingent beneficiary receive the policy proceeds in an Accidental Death and
Dismemberment (AD&D) policy? - ANSA contingent beneficiary will receive the policy proceeds
if the primary beneficiary dies before the insured's death.
Which of these terms accurately defines an underwriter's assessment of information on a life
insurance application? - ANSRisk classification.
Underwriting, another term for risk selection, is the process of reviewing the many
characteristics that make up the risk profile of an applicant to determine if the applicant is
insurable and, if so, at standard or substandard rates.
,T applies for a life insurance policy and is told by the producer that the insurer is bound to the
coverage as of the date of the application or medical examination, whichever is later. Assuming
that T is an acceptable risk, what item is given to T? - ANSConditional receipt.
A conditional receipt binds the insurer to coverage as of the date of the application or medical
exam, provided the proposed insured is determined to be an acceptable risk.
What is required in the Florida Employee Health Care Access Act? - ANSSmall group benefit
plans are to be issued on a "guarantee-issue" basis
P and Q are married and have three children. P is the primary beneficiary on Q's Accidental
Death and Dismemberment (AD&D) policy and Q's sister R is the contingent beneficiary. P, Q,
and R are involved in a car accident and Q and R are killed instantly. The Accidental Death
benefits will be paid to - ANSP.
In this situation, benefits will be paid to P because P survived the accident and is the primary
beneficiary.
The health insurance program which is administered by each state and funded by both the
federal and state governments is called - ANSMedicaid- is funded by both the federal and state
governments and administered by individual states.
Which of the following BEST describes a short-term medical expense policy? -
ANSNonrenewable.
A typical short-term medical expense policy is best described as nonrenewable.
Which of the following statements about noncontributory employee group life insurance is
FALSE? - ANSA minimum number of employees is required to participate". Noncontributory
employee group life insurance plans must cover ALL eligible employees at all times
A Disability Income policyowner recently submitted a claim for a chronic neck problem that has
now resulted in total disability. The original neck injury occurred before the application was taken
5 years prior. The neck injury was never disclosed to the insurer at the time of application. How
will the insurer handle this claim? - ANSClaim will be paid and coverage will remain in force.
After a policy has been in force for 2 (sometimes 3) years, it enters the incontestable period, in
which the insurer may not deny a claim based on information not disclosed at the time of
application.
S takes out a health insurance policy which contains a provision that states that the agent does
not have the authority to change the policy or waive any of its provisions. Which health policy
provision is this? - ANSEntire Contract.
The Entire Contract provision states that the agent does NOT have the authority to change the
policy or waive any of its provisions.
, What type of life insurance gives the greatest amount of coverage for a limited period of time? -
ANSTerm life.
Level Term or Level-Premium: Level term life insurance provides the insured with coverage for a
specified period of time; the term may be one, five, 10, 20 years or longer. The premium is
calculated based on the age and health of the insured.
Periodic health claim payments MUST be made at least - ANSmonthly.
Under an individual health policy, periodic claim payments must be made at least monthly.
Many small business owners worry how their business would survive financially if the owner
becomes disabled. The policy which BEST addresses this concern is - ANSBusiness Overhead
Expense.
A Business Overhead Expense policy's purpose is to cover certain overhead expenses that
continue when the businessowner is disabled.
J purchased a Disability Income Policy that ONLY J can terminate and on which the rates will
never increase above those illustrated in the policy. Which of the following types of policies did J
purchase? - ANSNoncancelable.
A Disability Income Policy that only the policyowner can terminate and on which the rates will
never increase is a Noncancelable policy.
Under an Individual Disability policy in Florida, what is the minimum schedule of time in which
claims must be made to an insured? - ANSMonthly.
Claims on an individual disability policies must be paid out at monthly intervals, at minimum.
Which of the following statements BEST describes what the Legal Actions provision of an
Accident and Health policy requires? - ANSAn insured must wait at least 60 days after Proof of
Loss has been submitted before a lawsuit can be filed.
The Legal Actions provision of an Accident & Health policy requires that the insurer settle a
claim within 60 days after receipt of Proof of Loss.
According to Florida law, which of the following information does NOT need to be obtained by
an agent recommending an annuity purchase? - ANSMarital status.
Florida law requires an agent who is recommending the purchase of an annuity to a person to
obtain information regarding all of these EXCEPT the person's marital status.
Which Unfair Trade Practice involves making a false statement on an insurance application in
order to receive money from an insurer? - ANSMisrepresentation
Who owns a stock company? - ANSA stock insurance company is owned by its stockholders.
In Florida, which of the following is considered an Unfair Trade Practice? - ANSCoercion
Which of these options can an individual use their medical flexible spending account to pay for?
- ANSPrescription drugs are an allowable expense when paid for by a medical flexible spending
account.
Which of the following features of a group Term Life policy enables an individual to leave the
group and continue his or her insurance without providing evidence of insurability? - ANSThe
conversion privilege allows an individual to leave the group term plan and continue his or her
insurance without providing evidence of insurability.
An example of false advertising would be - ANSAn insurer exaggerating its dividends in a
magazine advertisement
Q purchases a $500,000 life insurance policy and pays $900 in premiums over the first six
months. Q dies suddenly and the beneficiary is paid $500,000. This exchange of unequal values
reflects which of the following insurance contract features? - ANSAleatory.
Insurance contracts are aleatory in that the amount the insured will pay in premiums is unequal
to the amount that the insurer will pay in the event of a loss.
An example of an unfair trade practice is - ANSMaking a material misrepresentation to an
insured is considered to be an unfair trade practice.
How would a contingent beneficiary receive the policy proceeds in an Accidental Death and
Dismemberment (AD&D) policy? - ANSA contingent beneficiary will receive the policy proceeds
if the primary beneficiary dies before the insured's death.
Which of these terms accurately defines an underwriter's assessment of information on a life
insurance application? - ANSRisk classification.
Underwriting, another term for risk selection, is the process of reviewing the many
characteristics that make up the risk profile of an applicant to determine if the applicant is
insurable and, if so, at standard or substandard rates.
,T applies for a life insurance policy and is told by the producer that the insurer is bound to the
coverage as of the date of the application or medical examination, whichever is later. Assuming
that T is an acceptable risk, what item is given to T? - ANSConditional receipt.
A conditional receipt binds the insurer to coverage as of the date of the application or medical
exam, provided the proposed insured is determined to be an acceptable risk.
What is required in the Florida Employee Health Care Access Act? - ANSSmall group benefit
plans are to be issued on a "guarantee-issue" basis
P and Q are married and have three children. P is the primary beneficiary on Q's Accidental
Death and Dismemberment (AD&D) policy and Q's sister R is the contingent beneficiary. P, Q,
and R are involved in a car accident and Q and R are killed instantly. The Accidental Death
benefits will be paid to - ANSP.
In this situation, benefits will be paid to P because P survived the accident and is the primary
beneficiary.
The health insurance program which is administered by each state and funded by both the
federal and state governments is called - ANSMedicaid- is funded by both the federal and state
governments and administered by individual states.
Which of the following BEST describes a short-term medical expense policy? -
ANSNonrenewable.
A typical short-term medical expense policy is best described as nonrenewable.
Which of the following statements about noncontributory employee group life insurance is
FALSE? - ANSA minimum number of employees is required to participate". Noncontributory
employee group life insurance plans must cover ALL eligible employees at all times
A Disability Income policyowner recently submitted a claim for a chronic neck problem that has
now resulted in total disability. The original neck injury occurred before the application was taken
5 years prior. The neck injury was never disclosed to the insurer at the time of application. How
will the insurer handle this claim? - ANSClaim will be paid and coverage will remain in force.
After a policy has been in force for 2 (sometimes 3) years, it enters the incontestable period, in
which the insurer may not deny a claim based on information not disclosed at the time of
application.
S takes out a health insurance policy which contains a provision that states that the agent does
not have the authority to change the policy or waive any of its provisions. Which health policy
provision is this? - ANSEntire Contract.
The Entire Contract provision states that the agent does NOT have the authority to change the
policy or waive any of its provisions.
, What type of life insurance gives the greatest amount of coverage for a limited period of time? -
ANSTerm life.
Level Term or Level-Premium: Level term life insurance provides the insured with coverage for a
specified period of time; the term may be one, five, 10, 20 years or longer. The premium is
calculated based on the age and health of the insured.
Periodic health claim payments MUST be made at least - ANSmonthly.
Under an individual health policy, periodic claim payments must be made at least monthly.
Many small business owners worry how their business would survive financially if the owner
becomes disabled. The policy which BEST addresses this concern is - ANSBusiness Overhead
Expense.
A Business Overhead Expense policy's purpose is to cover certain overhead expenses that
continue when the businessowner is disabled.
J purchased a Disability Income Policy that ONLY J can terminate and on which the rates will
never increase above those illustrated in the policy. Which of the following types of policies did J
purchase? - ANSNoncancelable.
A Disability Income Policy that only the policyowner can terminate and on which the rates will
never increase is a Noncancelable policy.
Under an Individual Disability policy in Florida, what is the minimum schedule of time in which
claims must be made to an insured? - ANSMonthly.
Claims on an individual disability policies must be paid out at monthly intervals, at minimum.
Which of the following statements BEST describes what the Legal Actions provision of an
Accident and Health policy requires? - ANSAn insured must wait at least 60 days after Proof of
Loss has been submitted before a lawsuit can be filed.
The Legal Actions provision of an Accident & Health policy requires that the insurer settle a
claim within 60 days after receipt of Proof of Loss.
According to Florida law, which of the following information does NOT need to be obtained by
an agent recommending an annuity purchase? - ANSMarital status.
Florida law requires an agent who is recommending the purchase of an annuity to a person to
obtain information regarding all of these EXCEPT the person's marital status.
