Frequently Tested Questions With Elaborated 100% Correct Complete Solutions
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What are the consequences of withdrawing funds from a
10% Penalty
traditional IRA prior to the age of 59 1/2?
What type of insurers issue participating policies? Mutual companies
Why are dividends in life insurance policies not taxable? Dividends are not ddconsidered income for tax purposes
Most accidental death and dismemberment (AD&D) poli-
cies will pay the accidental death benefit if the death is 90 Days
caused by an accident and occurs within how many days?
What type of policy pays a fixed amount each day that the
Hospital Indemnity
insured is in the hospital?
When must the Outline of Coverage be provided to the
No later than policy delivery
insured?
What is a field underwriter? Agent / Producer
Policy with riders and endorsements, plus copy of appli-
cation
What is the entire contract in health insurance underwrit-
Rationale: the policy, a copy of the application, and any
ing?
endorsements or amendments constitute the entire con-
tract.
Who must sign a health insurance application? The policyowner, the insured (if ditterent), and the agent
If an agent makes a correction on the application for
The applicant
health insurance, who must initial the correct answer?
How can health insurance policies be delivered to the
Personally delivered by the agent or mailed
insured?
When should an agent obtain a Statement of Good Health When the premium was paid upon policy delivery rather
from the insured? than at the time of application
If an underwriter requires additional information about
the applicant's medical history, what source will provide Attending physician's statement
that?
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What report is used to assess risk associated with a health
Investigative Consumer Report
insurance applicant's lifestyle and character?
In health insurance contracts, the insured is not legally
bound to any particular action, however, the insurer is
Unilateral
obligated to pay for losses covered by the policy. What
contract characteristic does this describe?
What information are the members of the Medical Infor- Adverse medical information about the applicants or in-
mation Bureau required to report? sureds
Whose responsibility is it to determine that all of the
The agent's
questions on an insurance application are answered?
Who is respsponsible for paying the cost of a medical
Insurer
examination required in the process of underwriting?
In health insurance, what is considered a sickness? An illness that first arises while the policy is in force
What are the two types of expenses that are covered by Medical expenses and expenses that compensate for loss
health insurance? of income
What type of health insurance plans cover all accidents
and sicknesses that are not specifically excluded in the Comprehensive Plans
policy?
War, self-inflicted injuries, elective cosmetic surgeries, in-
What are the common exclusions in most health insurance
juries caused by participating in illegal activities, and
policies?
workers compensation benefits.
What are the three types ofbasic medical expense insur-
Hospital, surgical, and medical
ance?
What is the main principle of an HMO plan? Preventive Care
Who determines the eligibility and contribution limitts of
The employer
a Health Reimbursement Account (HRA)?
Who are the parties in a group health contract? The employer and the insurer
, What fo individual insureds receive as proof of their group
Certificate of insurance
health coverage?
If the insureds share in the cost of health insurance premi-
um with the employer, this would be known as what type Contributory
of group health plan?
What is the purpose of managed care health insurance
To control health insurance claims expenses
plans?
What is the term for a period of time immediately follow-
Elimination Period
ing a disability during which benefits are not payable?
What does the amount of disability benefit that an insured
The insured's income prior to a disability
can receive depend upon?
A waiver of premium rider may be include with wht type
Disability Income
of health insurance policies?
What type of health insurance would pay for hiring a
replacement for a valuable employee who becomes dis- Key Person Disbility Insurance
abled?
How can accidental death and dismemberment (AD&D) As a rider to a health insurance policy, or as a separate
coverage be written? poicy
What is the purpose of respite care in long-term care
To provide relief for a major caregiver
insurance?
What factors help insurers determine the cost for a group The ratio of men and women in the group and the average
health policy? age of the group
What is the time requirement for terminated employees
to convert the group health coverage to an individual plan 31 days after termination of the employment
without evidence of insurability?
Insured's inability to perform duties of their current job
What is the own occupation disability? or an occupation for which the insured is educated and
trained
What is a presumtive disability provision?