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Exam (elaborations)

MISSOURI LIFE AND HEALTH INSURANCE EVALUATON TEST 2025/2026 QUESTIONS WITH SOLUTION GRADED A+

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What must the policyowner provide to the insurer for validation that a loss has occured? - Proof of Loss Insureds in the same risk classification are being charged different premiums by an insurance company. This insurer is committing the illegal act of - Unfair Discrimination A whole life insurance policyowner does not wish to continue making premium payments. Which of the following enables the policyowner to sell the policy for more than its cash value - Life Settlement contract A major medical policy typically: - Provides benefits for reasonable and necessary medical expenses, subject to policy liits. The clause in an Accident and Health policy which defines the benefit amounts the insurer will pay is called the: - Insuring Clause

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Missouri life
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Uploaded on
March 27, 2025
Number of pages
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Written in
2024/2025
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MISSOURI LIFE AND HEALTH INSURANCE EVALUATON TEST
2025/2026 QUESTIONS WITH SOLUTION GRADED A+
✔✔What must the policyowner provide to the insurer for validation that a loss has
occured? - ✔✔Proof of Loss

✔✔Insureds in the same risk classification are being charged different premiums by an
insurance company. This insurer is committing the illegal act of - ✔✔Unfair
Discrimination

✔✔A whole life insurance policyowner does not wish to continue making premium
payments. Which of the following enables the policyowner to sell the policy for more
than its cash value - ✔✔Life Settlement contract

✔✔A major medical policy typically: - ✔✔Provides benefits for reasonable and
necessary medical expenses, subject to policy liits.

✔✔The clause in an Accident and Health policy which defines the benefit amounts the
insurer will pay is called the: - ✔✔Insuring Clause

✔✔What action can a policyowner take if an application for a bank loan requires
collateral? - ✔✔Assign policy ownership to the bank

✔✔A policyowner's rights are limited under which beneficiary designation? -
✔✔Irrevocable

✔✔Which of the following BEST describes how pre-admission certification is used? -
✔✔Used to prevent nonessential medical costs

✔✔An insurance company normally has 2 years to contest information provided on an
accident and health application. This 2 year period begins on the date that the: -
✔✔Insurer dates the policy

✔✔Which of these is considered an unfair trade practice? - ✔✔A producer stating that a
policy's dividends are guaranteed

✔✔Which of these statements regarding health coverage for physically handicapped
dependents is FALSE? - ✔✔The dependent must have been over ten years of age
when the handicap was incurred

✔✔Under which circumstance MUST a health insurer have an expedited grievance
review procedure? - ✔✔When the enrollee's life or health is jeapordized

, ✔✔Which of the following types of organizations are prepaid group health plans, where
members pay in advance for the services of participating physicians and hospitals that
have agreements? - ✔✔HMO

✔✔A producer is circulating incorrect information about the benefits of a policy. This
producer may be found guilty of - ✔✔Misrepresentation

✔✔Why is an applicant's signature required on a life insurance application? - ✔✔To
attest that the statements on the application are accurate to the best of the applicant's
knowledge

✔✔The option that provides an additional death benefit for a limited amount of time at
the lowest possible cost is called a(n): - ✔✔Accidental Death and Dismemberment rider
(AD&D)

✔✔The ___ is authorized to assign a Life Insurance policy as collateral for a loan. -
✔✔Policyowner

✔✔In regards to representations or warranties, which of these statements is TRUE? -
✔✔If material to the risk, false representations will void a policy.

✔✔Which of the following is considered to be the time period after a Health Policy is
issued, during which no benefits are provided for illness? - ✔✔Probationary Period

✔✔A life policy loan in Missouri cannot charge a fixed rate of interest higher than -
✔✔8%

✔✔P purchases a $50,000 whole life insurance policy in 2005. One of the questions on
the application asks if P engages in scuba diving, to which P answers "No". The policy
is then issued with no scuba exclusions..... - ✔✔$50,000 minus any outstanding policy
loans

✔✔S is employed by a large corporation that provides group health coverage for its
employees and their dependents. If S dies, the company must allow his surviving
spouse and dependents to continue their group health coverage for a maximum of how
many months under COBRA regulations? - ✔✔36 months

✔✔The percentage of an individual's Primary Insurance Amount (PIA) determines the
benefits paid in which of the following programs - ✔✔Social Security Disability Income

✔✔When a misrepresentation on a life insurance policy application is discovered, what
action may an insurance company take? - ✔✔Void the policy only if it is discovered
during the Contestable period and proven to be material

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