XCEL _CALIFORNIA PRE-LICENSING EDUCATION - LIFE, ACCIDENT AND HEALTH INSURANCE FINAL EXAM QUESTIONS AND ANSWERS VERIFIED 100% CORRECT

XCEL _CALIFORNIA PRE-LICENSING EDUCATION - LIFE, ACCIDENT AND HEALTH INSURANCE FINAL EXAM QUESTIONS AND ANSWERS VERIFIED 100% CORRECT An insurer must furnish to a claimant forms for filing proof of loss within ___ days upon receiving a notice of claim. - ANSWER 15 The conditions, times, and circumstances under which an insured is NOT covered by a health policy are called? - ANSWER exclusions Which type of health insurance policy cannot be canceled by the insurer nor increase the premiums? - ANSWER Noncancellable When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates? - ANSWER Change of occupation provision What amount will be paid under a policy where the insured misstated his/her age? - ANSWER An amount the premium would have purchased at the correct age All of the following are included as part of a contract in the entire contract provision EXCEPT the - ANSWER changes made by the producer After an insured gives notice of loss, what must he/she do if the insurer does not furnish forms? - ANSWER File written proof of loss In which of the following situations would the insurer be liable for a loss? - ANSWER The insured suffered an injury as an innocent bystander during a bank robbery The reinstatement provision in a health insurance policy is - ANSWER mandatory A health insurance policy that allows an insurer to change the policyowner's premiums, but NOT cancel the policy is called a(n) - ANSWER guaranteed renewable policy Written notice for a health claim must be given to the insurer ___ days after the occurrence of the loss. - ANSWER 20 Kathy pays a monthly premium on her health insurance policy. How long is her grace period? - ANSWER 10 days The insurer has the option of terminating a health insurance policy on a date stated in the contract. What type of policy is this? - ANSWER Optionally renewable Under a noncancellable health insurance policy, an insurer can - ANSWER cancel the policy for nonpayment of premium Which of the following is NOT a required provision in an accident and health insurance policy? - ANSWER change of occupation What type of changes can be made to a guaranteed renewable health insurance policy? - ANSWER The premium rates of the policyowner Under a health insurance policy, the provision that states the kind of benefits provided and the circumstances under which they will be paid is called the? - ANSWER insuring clause The legal action provision in a health contract is limited to no more than ___ years. - ANSWER 5 In what situation does a waiver of premium provision keep a health insurance policy in force without premium payments? - ANSWER When an insured becomes totally disabled A health insurance policy paid on a quarterly basis has a grace period of - ANSWER 31 days Bruce is involved in an accident and becomes totally and permanently disabled. His insurance policy continues in force without payment of further premiums. Which policy provision is responsible for this? - ANSWER Waiver of premium provision The entire contract includes the actual policy and the - ANSWER application In contrast to a guaranteed renewable policy, a noncancellable policy - ANSWER may never raise premiums The type of policy where the insurer can send a notice to the insured that the policy has been cancelled in the middle of the term is called - ANSWER cancelable Disability Income plans which require that the insurer can NEVER change or alter premium rates are usually considered - ANSWER Noncancellable Which of the following actions may an insurance company NOT do in a health policy that contains a guaranteed renewable premium benefit? - ANSWER Increase the premiums on an individual basis This MANDATORY health policy provision states that the policy, including endorsements and attached papers, constitutes - ANSWER the entire insurance contract between the parties In group health care, what is the purpose of the coordination of benefits provision? - ANSWER Determines what is paid by the primary and secondary insurers in the event of a claim The time limit for filing claim disputes is addressed in which provision of an accident and health policy? - ANSWER Legal actions Richard owns an insurance policy that is renewable only at the option of the insurance company. His policy is considered to be - ANSWER optionally renewable