TEXAS GENERAL LINES LIFE ACCIDENT
HEALTH INSURANCE STUDY GUIDE 2026
FULL QUESTIONS WITH CORRECT
ANSWERS GRADED A+
⩥ Optional Provisions.
Answer: Written parts of a life contract that may be included in the
agreement according to state insurance laws, at the election of the
insurance company. (Misstatement of Sex, Illegal Occupation, Relation
of Earnings to Insurance, Unpaid Premium, Cancellation, Conformity
with State Statutes, Illegal Occupation)
⩥ Entire Contract.
Answer: This provision states that the insurance policy represents the
contract between the insurer and the policy owner in its entirety,
assuring the policy owner that no changes to the contract can be made
once the contract has been issued. This clause is the same as in life
insurance policies. (Mandatory Provision) See also Texas Insurance
Code Sec. 1201.207. POLICY PROVISION: ENTIRETY OF
CONTRACT; POLICY CHANGES.
⩥ Time Limit on Certain Defenses (Incontestable).
Answer: Similar to incontestability provision in life insurance policies.
No statement or misstatement will be used to deny a claim after policy
has been in force for 2 years. Insurance would not pay if fraud found.
, (Mandatory Provision) See also Texas Insurance Code Sec. 1201.208.
POLICY PROVISION: INCONTESTABILITY.
⩥ Grace Period.
Answer: Allows the policy owner a little leeway in paying premiums on
time. Texas law requires a minimum grace period of 7 days on weekly
premium health insurance policies, 10 days for monthly, and 31 days for
all others.
The Affordable Care Act (ACA) provides that individuals who purchase
coverage on the health insurance exchange/marketplace and who qualify
for premium tax credit may have a 90-day grace period to pay out
standing premiums.
(Mandatory Provision) See also Texas Insurance Code Sec. 1201.209.
POLICY PROVISION: GRACE PERIOD.
⩥ Reinstatement Provision.
Answer: An insurance policy clause that states when coverage terms are
reset after the insured files a claim. Reinstatement clauses typically do
not reset a policy's coverage limit, but they do allow the policy to restart
coverage for future claims. (Mandatory Provision) See also Texas
Insurance Code Sec. 1201.210. POLICY PROVISION:
REINSTATEMENT.
⩥ Notice of Claim.
HEALTH INSURANCE STUDY GUIDE 2026
FULL QUESTIONS WITH CORRECT
ANSWERS GRADED A+
⩥ Optional Provisions.
Answer: Written parts of a life contract that may be included in the
agreement according to state insurance laws, at the election of the
insurance company. (Misstatement of Sex, Illegal Occupation, Relation
of Earnings to Insurance, Unpaid Premium, Cancellation, Conformity
with State Statutes, Illegal Occupation)
⩥ Entire Contract.
Answer: This provision states that the insurance policy represents the
contract between the insurer and the policy owner in its entirety,
assuring the policy owner that no changes to the contract can be made
once the contract has been issued. This clause is the same as in life
insurance policies. (Mandatory Provision) See also Texas Insurance
Code Sec. 1201.207. POLICY PROVISION: ENTIRETY OF
CONTRACT; POLICY CHANGES.
⩥ Time Limit on Certain Defenses (Incontestable).
Answer: Similar to incontestability provision in life insurance policies.
No statement or misstatement will be used to deny a claim after policy
has been in force for 2 years. Insurance would not pay if fraud found.
, (Mandatory Provision) See also Texas Insurance Code Sec. 1201.208.
POLICY PROVISION: INCONTESTABILITY.
⩥ Grace Period.
Answer: Allows the policy owner a little leeway in paying premiums on
time. Texas law requires a minimum grace period of 7 days on weekly
premium health insurance policies, 10 days for monthly, and 31 days for
all others.
The Affordable Care Act (ACA) provides that individuals who purchase
coverage on the health insurance exchange/marketplace and who qualify
for premium tax credit may have a 90-day grace period to pay out
standing premiums.
(Mandatory Provision) See also Texas Insurance Code Sec. 1201.209.
POLICY PROVISION: GRACE PERIOD.
⩥ Reinstatement Provision.
Answer: An insurance policy clause that states when coverage terms are
reset after the insured files a claim. Reinstatement clauses typically do
not reset a policy's coverage limit, but they do allow the policy to restart
coverage for future claims. (Mandatory Provision) See also Texas
Insurance Code Sec. 1201.210. POLICY PROVISION:
REINSTATEMENT.
⩥ Notice of Claim.
