Kentucky Health & Life (Commonwealth Schools of Insurance - PT 4) [1-6] Latest Update with Verified Solutions

Kentucky Health & Life (Commonwealth Schools of Insurance - PT 4) [1-6] Latest Update with Verified Solutions What is the difference between the terms accident and sickness as used in insurance policies? - an accident occurs accidentally, - a sickness is an illness or disease is not the result of an accident. Common accident benefits under insurance policies include all of the following: - accidental death benefit - accidental dismemberment - loss of income due to an accidental injury 3) Common accident benefits include all of the following: - hospital expenses such as room and board - surgical procedures and expenses - medical expenses The following are correct statements about the term "dismemberment" - it means actual limb severance at or above the main joint. - it may refer to loss of sight or hearing. - loss must be complete and permanent Under an accident policy, when dismemberment occurs, the amount paid to the insured is the: capital sum The following are correct statements about payment for dismemberment under accident policies: - for loss of sight to be considered dismemberment, loss must be complete and permanent. - under most policies, the full capital sum is paid for a double loss, for example, both feet, whereas only a portion of the capital loss is paid for a single loss, for example, one foot. - policies specify exactly the type of dismemberment required for payment for all or part of the capital sum In most accident policies, what is the difference between the principal sum and the capital sum? - the principal sum is paid for accidental death, - the capital sum pays for dismemberment. Which of the following would be a tertiary beneficiary? the beneficiary in line after the contingent beneficiary How do the terms "accidental bodily injury" and "accidental bodily injury by accidental means" differ? - accidental means is more restrictive than accidental bodily injury. Which of the following is the most literal interpretation of "accident," an event completely unforeseen and unintended? accidental means Which of the following is a correct statement about accidental death and time limits? most policies stipulate that accidental death benefits will be paid only if death occurs with 90 days of the accident. An insured has an A&H Policy with the phrase "Accidental Bodily Injury" used to define what constitutes accidental injury or death: this phrase is less restrictive than the phrase "accidental means." same as last 4.1.13 4.1.13 Each of the following is a function of Accident insurance: - to provide benefits for the accidental loss of life, limb, or sight - to provide benefits for the accidental loss of time away from the job as a result of an accident - to provide benefits for the payment of hospital, surgical, and medical expenses incurred in the treatment of accidental injuries The "Principle Sum" of a policy of Health and Accident insurance is the sum specified in the policy payable for loss of life caused