Wisconsin Health and Accident Insurance Exam 2024/2025 Questions & Answers with Complete Solution

Wisconsin Health and Accident Insurance Exam 2024/2025 Questions & Answers with Complete Solution 11 optional health provisions - -Change of occupation -Misstatement of Age -Conformity with State Statutes -Other Insurance in this insurer -Insurance with other insurer -insurance with other insurers -Relation of Earnings to insurance -Unpaid Premiums -Cancellation -illegal occupation -intoxicants and narcotics 12 mandatory health provisions - -entire contract -Time Limit on Certain Defenses -Grace Period -Reinstatement -Notice of Claim -Claim Forms -Proof of loss -Time Payment of Claims -Payment of CLaims -Physical Examination and Autopsy -Legal Actions -Change in Beneficiary Accidental Death and Dismemberment Insurance - provides a beneficiary with a lump sum death benefit in the event of accidental death and will pay a living benefit to for a dismemberment Agent Ethics - Applications may not be submitted without the following: -The insurance Company's name on the first page - The agent's license number -information must be legible and a copy of application must be provided Ambulatory Surgery - -permits surgical procedures to be performed on an outpatient basis where once an overnight hospital stay was required Any occupation - type of disability that requires the insured to be unable to perform any occupation for which he is reasonably suited by reason of education, training, or experience in order to qualify for disability income benefits Basic Surgical Expense - -pay for the cost of surgeons' services, whether the surgery is performed in or out of the hospital -includes surgeons' fees, anesthesiologist, and operating room Benefit Period - is the length of time over which the monthly disability benefit payments will last for each disability, after the elimination period has been satisfied -benefit periods can last 1, 2, 5 years or to age 65 others lifetime -the longer the benefit the higher the premium Business Overhead Expense Insurance - is sold to small business owners who must continue to meet overhead expenses such as rent, utilities and payroll -reimburses business owners for the actual overhead expenses incurred while the business owner is totally disabled -does not reimburse business owner for salary