QUESTIONS AND ANSWERS
1. Under the misstatement of age or gender provision, what happens if it is determined
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at death that the insured's age or gender was misstated on a life insurance policy applic
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ation?: Benefits are adjusted to an amount that the premium would have purchased at the
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correct age or gender. e e e
2. Which of the following must be given to the insurer within 20 days after oc-
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ecurrence or commencement of any loss covered by the policy, or as thereafter as is reason
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ably possible?: Notice of claim.
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3. When will a policy pay on a UCR basis?: When particular benefits are not listed on a paymen
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t schedule.
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4. All of the following are non-forfeiture options EXCEPT: Cash dividend option.
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5. What happens when the lifetime maximum benefit limit has been reached?-
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: The insured will pay all of the remaining medial costs for as long as the policy is in force.
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6. Whose responsibility is it to make sure that the company is notified of a death claim at t
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he earliest possible opportunity (in most cases)?: The producer.
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7. What is the waiver of premium provision?: In a long term care contract, the premium is wa
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ived after the insured has been confined for a specific period of time.
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8. All of the following are common exclusions from loss found in disability income polici
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es EXCEPT for that incurred while?: Committing a misdemeanor
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9. Which is a disadvantage to a flexible premium annuity?: The actual amount of the annuit
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y benefit cannot be determined in advance.
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10. What does coninsurance mean?: The insurer and the insured share expenses over the ded
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uctible.
11. Under normal conditions which of the following is TRUE for proof of loss when a single
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loss is claimed?: The insured has 90 days from the date of loss to provide proof of loss.
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12. Which one of the following represents an advantage of obtaining a policy loan versus a
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ewithdrawal?: The loan is not taxed while a withdrawal is taxed for amounts above the contrac
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t cost basis.
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, 13. All of the following statements define preexisting conditions EXCEPT?: -
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eAny chronic health condition that presents symptoms and which was unknown at the time o
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f application.
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14. Which is the difference between participating and non-participating?: Par-
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eticipating policies pay dividends while non-participating policies do not.
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15. How does the per captia rule apply to proceeds from a life insurance policy?: The
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proceeds are divided equally among living primary beneficiaries.
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16. How does a noncancelable policy differ from a guaranteed renewable policy?: With
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the noncancelable policy the insurer may increase premiums only based on the terms of t
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he policy. e
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