INDIANA LIFE AND HEALTH RULES AND
REGULATIONS EXAM
, the Commissioner is required to notify the Insurance Company involved within 10 days. -
ANS-Unfair Claim Settlement complaints submitted to the Insurance Commissioner will result in
a notification of the violation to the Insurance Company within
(1) A limited lines travel insurance producer.
(2) A limited line credit insurance producer.
(3) A person who will only negotiate or solicit insurance under Class 2(j) of IC 27-1-5-1.
(4) Any person who will negotiate or solicit a kind of insurance that the commissioner finds does
not require an examination to demonstrate professional competency.
(5) A person that will sell, solicit, or negotiate only portable electronics insurance as provided in
IC 27-1-15.9.
(6) A person that will sell, solicit, or negotiate only self-storage insurance as provided in IC
27-1-16.1. - ANS-may act as a producer without a license
(1) If the enrollee is at least thirty-five (35) years of age but less than forty (40) years of age and
a female, coverage for at least one (1) baseline breast cancer screening mammography
performed upon the enrollee before the enrollee becomes forty (40) years of age.
(2) If the enrollee is less than forty (40) years of age and a woman at risk, one (1) breast cancer
screening mammography performed upon the enrollee every year.
(3) If the enrollee is at least forty (40) years of age and a female, one (1) breast cancer
screening mammography performed upon the enrollee every year.
- See more at:
http://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-13-7-15-3.html#sthash.Ns97drR2.
dpuf - ANS-mammogram coverage
12 months - ANS-the plan can exclude coverage for pre-existing condition for up to how long?
15 hours of additional education after they receive their license - ANS-Indiana's Long Term Care
Partnership Program requires a Producer to have
2 months of receiving it - ANS-Insurance companies must pay claims within?
20 - ANS-Employers that employ fewer than _______ are exempt from COBRA requirements
30 days - ANS-Free look on a LTC policy
30 days - ANS-grace period on life insurance
36 months - ANS-The length of time for continued coverage under COBRA is governed by the
qualifying event. In this case, the qualifying event is divorce, which calls for a continuation of
benefits for up to
8% - ANS-Maximum interest on life insurance loan
90 days - ANS-grace period of medicare
a maximum of 180 days - ANS-how long may a temporary license be issued
, Acting as a consultant - ANS-may not continue to hold an insurance producer or limited lines
producer license,. No licensed consultant may employ, be employed by, be in a partnership with
or receive any remuneration whatsoever from any licensed insurance producer, surplus lines
insurance producer, limited lines producer or insurer, except that a consultant may be
compensated by an insurer for providing consulting services to the insurer.
Admitted company - ANS-insurance company is one that is "admitted" by a particular state to do
business as an insurance company. insurance company must conform to the regulations of a
particular state's Department of Insurance. In addition to meeting minimum regulations for
admission, admitted carriers must also file their rates with the state, which the state must
approve. One of the benefits of working with an admitted carrier is that the state has the
responsibility to pay an insurer's claims, up to state-specified limits, in the event of the
company's insolvency.
Alien Insurance company - ANS-is one formed under the laws of any country other than a state
of the United States.
at least once every 5 years - ANS-an examination of every insurer must be conducted?
Certificate of Authority - ANS-Licensed companies receive a
_______________________________ to conduct the business of insurance or operate as a
health maintenance organization in the State of Indiana.
Children's Health Insurance Program - ANS-for individuals up to age 19, falls under the Hoosier
Healthwise Package C program. In CHIP, your child may be covered by paying a low-cost
monthly premium. This option is available to members who may earn too much money to qualify
for the standard Hoosier Healthwise coverage.
complaint process - ANS-Your complaint is processed within 72 hours of receipt.
You will receive a confirmation letter from the Consumer Services Division acknowledging the
receipt of your complaint. On this confirmation letter your problem report number is listed along
with your Consumer Consultants name that is handling your file. Please refer to this Problem
Report number for any further correspondence to the Division regarding your complaint.
Your complaint along with a letter from the IDOI is mailed to the insurance company the
complaint is against. By Indiana law, the insurance company has 20 business days to respond
in writing back to the IDOI.
After receipt of the response, the IDOI will send you a copy of the company's response along
with our response or recommendation.
Consultant - ANS-are sales agents whose main job is to provide information to people about
various insurance plan options. They provide consultations, discuss fees and set up insurance
contracts with customers
contestable period - ANS-first two years of a policy
Controlled Business - ANS-Business over which an agent is able to exercise his or her personal
influence. Generally, such business includes the agent's company, employees and immediate
family. Most states limit the amount of this which may be written by an agent.
Dependent children - ANS-require commercial health insurers and health maintenance
organizations to cover children until age of 24 or without regard to age if they are incapable of
self-sustaining employment due to disability.
Domestic Insurance Company - ANS-insurer is one formed under the laws of this state;
REGULATIONS EXAM
, the Commissioner is required to notify the Insurance Company involved within 10 days. -
ANS-Unfair Claim Settlement complaints submitted to the Insurance Commissioner will result in
a notification of the violation to the Insurance Company within
(1) A limited lines travel insurance producer.
(2) A limited line credit insurance producer.
(3) A person who will only negotiate or solicit insurance under Class 2(j) of IC 27-1-5-1.
(4) Any person who will negotiate or solicit a kind of insurance that the commissioner finds does
not require an examination to demonstrate professional competency.
(5) A person that will sell, solicit, or negotiate only portable electronics insurance as provided in
IC 27-1-15.9.
(6) A person that will sell, solicit, or negotiate only self-storage insurance as provided in IC
27-1-16.1. - ANS-may act as a producer without a license
(1) If the enrollee is at least thirty-five (35) years of age but less than forty (40) years of age and
a female, coverage for at least one (1) baseline breast cancer screening mammography
performed upon the enrollee before the enrollee becomes forty (40) years of age.
(2) If the enrollee is less than forty (40) years of age and a woman at risk, one (1) breast cancer
screening mammography performed upon the enrollee every year.
(3) If the enrollee is at least forty (40) years of age and a female, one (1) breast cancer
screening mammography performed upon the enrollee every year.
- See more at:
http://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-13-7-15-3.html#sthash.Ns97drR2.
dpuf - ANS-mammogram coverage
12 months - ANS-the plan can exclude coverage for pre-existing condition for up to how long?
15 hours of additional education after they receive their license - ANS-Indiana's Long Term Care
Partnership Program requires a Producer to have
2 months of receiving it - ANS-Insurance companies must pay claims within?
20 - ANS-Employers that employ fewer than _______ are exempt from COBRA requirements
30 days - ANS-Free look on a LTC policy
30 days - ANS-grace period on life insurance
36 months - ANS-The length of time for continued coverage under COBRA is governed by the
qualifying event. In this case, the qualifying event is divorce, which calls for a continuation of
benefits for up to
8% - ANS-Maximum interest on life insurance loan
90 days - ANS-grace period of medicare
a maximum of 180 days - ANS-how long may a temporary license be issued
, Acting as a consultant - ANS-may not continue to hold an insurance producer or limited lines
producer license,. No licensed consultant may employ, be employed by, be in a partnership with
or receive any remuneration whatsoever from any licensed insurance producer, surplus lines
insurance producer, limited lines producer or insurer, except that a consultant may be
compensated by an insurer for providing consulting services to the insurer.
Admitted company - ANS-insurance company is one that is "admitted" by a particular state to do
business as an insurance company. insurance company must conform to the regulations of a
particular state's Department of Insurance. In addition to meeting minimum regulations for
admission, admitted carriers must also file their rates with the state, which the state must
approve. One of the benefits of working with an admitted carrier is that the state has the
responsibility to pay an insurer's claims, up to state-specified limits, in the event of the
company's insolvency.
Alien Insurance company - ANS-is one formed under the laws of any country other than a state
of the United States.
at least once every 5 years - ANS-an examination of every insurer must be conducted?
Certificate of Authority - ANS-Licensed companies receive a
_______________________________ to conduct the business of insurance or operate as a
health maintenance organization in the State of Indiana.
Children's Health Insurance Program - ANS-for individuals up to age 19, falls under the Hoosier
Healthwise Package C program. In CHIP, your child may be covered by paying a low-cost
monthly premium. This option is available to members who may earn too much money to qualify
for the standard Hoosier Healthwise coverage.
complaint process - ANS-Your complaint is processed within 72 hours of receipt.
You will receive a confirmation letter from the Consumer Services Division acknowledging the
receipt of your complaint. On this confirmation letter your problem report number is listed along
with your Consumer Consultants name that is handling your file. Please refer to this Problem
Report number for any further correspondence to the Division regarding your complaint.
Your complaint along with a letter from the IDOI is mailed to the insurance company the
complaint is against. By Indiana law, the insurance company has 20 business days to respond
in writing back to the IDOI.
After receipt of the response, the IDOI will send you a copy of the company's response along
with our response or recommendation.
Consultant - ANS-are sales agents whose main job is to provide information to people about
various insurance plan options. They provide consultations, discuss fees and set up insurance
contracts with customers
contestable period - ANS-first two years of a policy
Controlled Business - ANS-Business over which an agent is able to exercise his or her personal
influence. Generally, such business includes the agent's company, employees and immediate
family. Most states limit the amount of this which may be written by an agent.
Dependent children - ANS-require commercial health insurers and health maintenance
organizations to cover children until age of 24 or without regard to age if they are incapable of
self-sustaining employment due to disability.
Domestic Insurance Company - ANS-insurer is one formed under the laws of this state;
