Louisiana Life and Health Insurance Exam
Questions and Answers
1. All of the following are correct about the required provisions
of a health insurance policy EXCEPT
A. The entire contract clause means the signed application, policy,
endorse- ments, and attachments constitute the entire contract.
B. A reinstated policy provides immediate coverage for an illness.
C. Policies become incontestable after being in force for 3 years.
D. A grace period of 31 days is found in an annual pay policy.: B. A
reinstated policy provides immediate coverage for an illness.
Accidental injury is covered immediately, but to protect the insurer against adverse selection, losses
resulting from sickness are covered only if the sickness occurs at least 10 days after the reinstatement
date.
2. An insured pays a monthly premium of $100 for health insurance.
What would be the duration of the grace period under the policy?
A. 15 days
,B. 30 days
C. 60 days
D. 7 days: B. 30 days
The grace period is 30 days for all health insurance policies in Louisiana.
3. Question 11 of 15
An applicant for an individual health policy failed to complete the
application properly. Before being able to complete the application
and pay the initial premium, she is confined to a hospital. This will not
be covered by insurance because she has not met the conditions
specified in the
A. Insuring Clause.
B. Pre-existing Conditions Clause.
C. Eligibility Clause.
D. Consideration Clause.: D. Consideration Clause.
The consideration clause specifies that both parties to the contract must give some valuable
consideration. The payment of the premium is the consideration given by the applicant. Because the
,applicant had not paid an initial premium, she is not covered by insurance.
4. Question 12 of 15
Under the mandatory uniform provision Notice of Claim, the first
notice of injury or sickness covered under an accident and health
policy must contain
A. An estimate of the total amount of medical and hospital expense for
the loss.
B. A complete physician's statement.
C. A statement that is sufficiently clear to identify the insured
and the nature of the claim.
D. A statement from the insured's employer showing that the
insured was unable to work.: C. A statement that is suflciently clear to identify the
insured and the nature of the claim.
The Insurance Code requires that each policy must include, "Written notice of claim must be given to the
insurer within 20 days after the occurrence or commencement of any loss covered by the policy, or as
soon thereafter as is reasonably possible".
5. Question 13 of 15
The expense for an autopsy covered under the physical exam and
, autopsy provision is paid by
A. The estate of the insured.
B. The insurer.
C. The state's autopsy fund.
D. The limits of coverage under the health insurance policy.: B. The
insurer
Where not forbidden by state law, the insurer, at its own expense, may cause an autopsy to be
performed on a deceased insured.
6. An insured notifies the insurance company that he has become
disabled. What provision states that claims must be paid immediately
upon written proof of loss?
A. Time of Payment of Claims
B. Incontestability
C. Physical Exam and Autopsy
D. Legal Actions: A. Time of Payment of Claims
Questions and Answers
1. All of the following are correct about the required provisions
of a health insurance policy EXCEPT
A. The entire contract clause means the signed application, policy,
endorse- ments, and attachments constitute the entire contract.
B. A reinstated policy provides immediate coverage for an illness.
C. Policies become incontestable after being in force for 3 years.
D. A grace period of 31 days is found in an annual pay policy.: B. A
reinstated policy provides immediate coverage for an illness.
Accidental injury is covered immediately, but to protect the insurer against adverse selection, losses
resulting from sickness are covered only if the sickness occurs at least 10 days after the reinstatement
date.
2. An insured pays a monthly premium of $100 for health insurance.
What would be the duration of the grace period under the policy?
A. 15 days
,B. 30 days
C. 60 days
D. 7 days: B. 30 days
The grace period is 30 days for all health insurance policies in Louisiana.
3. Question 11 of 15
An applicant for an individual health policy failed to complete the
application properly. Before being able to complete the application
and pay the initial premium, she is confined to a hospital. This will not
be covered by insurance because she has not met the conditions
specified in the
A. Insuring Clause.
B. Pre-existing Conditions Clause.
C. Eligibility Clause.
D. Consideration Clause.: D. Consideration Clause.
The consideration clause specifies that both parties to the contract must give some valuable
consideration. The payment of the premium is the consideration given by the applicant. Because the
,applicant had not paid an initial premium, she is not covered by insurance.
4. Question 12 of 15
Under the mandatory uniform provision Notice of Claim, the first
notice of injury or sickness covered under an accident and health
policy must contain
A. An estimate of the total amount of medical and hospital expense for
the loss.
B. A complete physician's statement.
C. A statement that is sufficiently clear to identify the insured
and the nature of the claim.
D. A statement from the insured's employer showing that the
insured was unable to work.: C. A statement that is suflciently clear to identify the
insured and the nature of the claim.
The Insurance Code requires that each policy must include, "Written notice of claim must be given to the
insurer within 20 days after the occurrence or commencement of any loss covered by the policy, or as
soon thereafter as is reasonably possible".
5. Question 13 of 15
The expense for an autopsy covered under the physical exam and
, autopsy provision is paid by
A. The estate of the insured.
B. The insurer.
C. The state's autopsy fund.
D. The limits of coverage under the health insurance policy.: B. The
insurer
Where not forbidden by state law, the insurer, at its own expense, may cause an autopsy to be
performed on a deceased insured.
6. An insured notifies the insurance company that he has become
disabled. What provision states that claims must be paid immediately
upon written proof of loss?
A. Time of Payment of Claims
B. Incontestability
C. Physical Exam and Autopsy
D. Legal Actions: A. Time of Payment of Claims
