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Exam (elaborations)

Michigan Life and Health Exam with 100% Correct Answers

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Michigan Life and Health Exam with 100% Correct Answers

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Michigan Life and Health Exam with
100% Correct Answers

A plan in which an employer pays insurance benefits from a fund derived from the
employers current revenue is called - Answer-A self-funded plan

What is a requirement for any change in the insurance application - Answer-change
must be initialed by the applicant

Claims payable to a Disability Income insured, even when the insured can continue to
work, are the result of a - Answer-Presumptive disability

An example of an unfair claims settlement practices is - Answer-failing to promptly
provide a reasonable explanation for the denial of claims

A(n) ______ company is owned by its shareholders - Answer-stock

Under a contract of adhesion, - Answer-the terms must be accepted or rejected in full

An example of naming a beneficiary by class would be - Answer-"To the children born of
my union with Ned Jackson"

What settlement option involves having the proceeds remain with the insurer and
earnings paid on a monthly basis to the beneficiary? - Answer-interest only

The difference between pre-certification and concurrent review is that pre-certification -
Answer-occurs before the treatment is provided

People with higher loss exposure have a tendency to purchase insurance more often in
those at average risk. This is called - Answer-adverse selection

Level premium permanent insurance accumulates a reserve that will eventually -
Answer-equal the face amount of the policy

What is an example of misrepresentation - Answer-providing incorrect, misleading,
incomplete, or materially untrue information in a license application

,In order for a contract to be valid, it must - Answer-contain an offer and acceptance

Kurt is an active duty service man who was recently killed in an accident while home on
leave. What military service exclusion clause would pay upon his death? - Answer-
results

Insurance companies determine risk exposure by - Answer-Law of large numbers and
risk pooling

what would disqualify a companies retirement plan from receiving favorable tax
treatment - Answer-it is temporary

in what form do disability income policy is typically pay benefits - Answer-periodic
income

Mike has inherited his father's traditional IRA. As beneficiary, he will pay ____ taxes on
any money withdrawn. - Answer-income

what is known as an immediate specific event causing loss and giving rise to risk -
Answer-peril

The waiting period for a disability insurance policy - Answer-excludes payments for a
short-term illness or injury

The reinstatement provision in a health insurance policy is - Answer-mandatory

The open enrollment period for Medicare part B is - Answer-January 1 through March
31

Dorian exercised a nonforfeiture option by using his life policies cash value to purchase
an extended term insurance option. When the term insurance expires - Answer-The
protection ends


To be classified as a small employer in Michigan, an employer must employ how many
employees? - Answer-2-50

What is NOT taken into consideration when determining eligibility for Medicare benefits
- Answer-income

A spouse and a child can be added to the primary insured's coverage as what kind of
rider? - Answer-Family term

The power given to an individual producer that is not specifically addressed in his/her
contract is considered what type of authority? - Answer-implied

, An insurer has the right to screen applicants for HIV in what way - Answer-blood test for
HIV

if two business partners. take life insurance policies out on each other and name each
other as beneficiaries. and one of them dies while both are still married who receives
the policy proceeds? - Answer-the partner

Group health plans may deny participation based upon what? - Answer-member' part
time employment status

The waiver of premium does NOT include what provision - Answer-all future premiums
are waived if the insured recovers from the disability

an example of intimidation is - Answer-using threat or force to restrict fair trade in the
transaction of insurance

Matt is applying for life insurance and request a double indemnity writer. A double
indemnity rider will be payable to mats beneficiary if... - Answer-Matt dies instantly from
a car accident

according to the Taft Hartley act, group insurance premium payments made by an
employer MUST be paid to... - Answer-trust

an HMO that involves a partnership of physicians and other providers who practice out
of a central facility is called... - Answer-Group HMO

Tim purchases an insurance policy from a producer. The producer must present to Tim
a notice detailing privacy policies and practices. After this initial notice how often must
Tim be provided with another notice? - Answer-annually

what is Medicare part B known as - Answer-medical insurance

premium mode is a term used to describe... - Answer-frequency of the premium
payment

An example of a presumptive disability would be - Answer-deafness

an immediate annuity has been purchased with a single premium. When does the
annuitant typically begin receiving benefit payments - Answer-1 month

The time limit for filing claim distributes is addressed in which provision of an accident
and health policy - Answer-legal actions

an insurer has the right to recover payment made to the insured from the negligent
party. what are these rights called? - Answer-subrogation

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