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Exam (elaborations)

SC Life and Health Pre-Licensing Study Guide Exam and Actual Answers (2025) Updated.

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A licensed producer MUST be _________ by an insurer to be eligible for soliciting insurance contracts. - Answer Appointed Tia the producer is recommending to a prospect that an existing life insurance policy be replaced with a new one from her insurer. If this transaction moves forward, which of the following does NOT need to be provided to the prospect at or before the policy is delivered? - Answer Replacing insurer's financial statements Acme Corporation recently purchased a group health plan for its employees. Who would receive a certificate of coverage? - Answer Employees Which of the following actions is REQUIRED by a producer who is replacing an existing life insurance policy? - Answer Submit to the replacing insurer a list of the policies to be replaced If a health policy is reinstated after it had lapsed for nonpayment, there is a waiting period of ___ days before a claim covering sickness will be covered. - Answer 10 If a Medicare Supplement policy replaces another that had been in effect for at least 6 months, the replacing policy may impose which of the following time exclusions for pre-existing conditions? - Answer 0 Months A Fraternal Benefit Society has each of the following characteristics EXCEPT - Answer Exists For profit Long-Term Care policies must provide coverage for claims arising from - Answer Senile dementia Which of these is NOT a qualifying event for Medicare? - Answer Falling below the federal poverty level An insurer formed according to the legal requirements of another country is considered a(n) - Answer alien insurer

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Uploaded on
August 10, 2025
Number of pages
36
Written in
2025/2026
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SC Life and Health Pre-Licensing
Study Guide Exam and Actual
Answers (2025) Updated.

A licensed producer MUST be _________ by an insurer to be eligible for soliciting insurance
contracts. - Answer Appointed



Tia the producer is recommending to a prospect that an existing life insurance policy be
replaced with a new one from her insurer. If this transaction moves forward, which of the
following does NOT need to be provided to the prospect at or before the policy is delivered? -
Answer Replacing insurer's financial statements



Acme Corporation recently purchased a group health plan for its employees. Who would receive
a certificate of coverage? - Answer Employees



Which of the following actions is REQUIRED by a producer who is replacing an existing life
insurance policy? - Answer Submit to the replacing insurer a list of the policies to be replaced



If a health policy is reinstated after it had lapsed for nonpayment, there is a waiting period of
___ days before a claim covering sickness will be covered. - Answer 10



If a Medicare Supplement policy replaces another that had been in effect for at least 6 months,
the replacing policy may impose which of the following time exclusions for pre-existing
conditions? - Answer 0 Months



A Fraternal Benefit Society has each of the following characteristics EXCEPT - Answer Exists For
profit



Long-Term Care policies must provide coverage for claims arising from - Answer Senile
dementia



Which of these is NOT a qualifying event for Medicare? - Answer Falling below the federal
poverty level

,Long-term care policies sold in South Carolina may exclude coverage related to - Answer
substance addictions



Defamation can be BEST described as - Answer making a statement that is false or maliciously
critical of the financial condition of an insurer



The free-look period in South Carolina for individual health insurance policies is ___ day -
Answer 10



In order to conduct insurance transactions in South Carolina, a(n) ________ MUST be appointed
- Answer producer



What is the maximum number of employees a small employer may employ - Answer 50
employees



A producer's license MUST be renewed every ___ year(s). - Answer 2



A temporary license is valid for a maximum of __ days - Answer 180



When a licensee's address has changed, who must be notified of this change? - Answer
Department of Insurance



A life insurance policy becomes incontestable after it has been in force for - Answer 2 years



An insurer must send a notice of appointment for a producer within __ days from the date of an
executed agency contract or after submitting the first application to the insurer - Answer 15



A medical provider that accepts Medicare Assignment must - Answer accept payment based
upon a defined Medicare schedule as payment in full



Every producer licensed in South Carolina must notify the Director within __ days of any change
of address. - Answer 30



Failing to promptly provide a reasonable explanation for the denial of a claim is considered to

,A carrier for a small group health plan may refuse to renew the plan if the employer - Answer
fails to pay the premium



Replacement forms MUST be kept on file by the insurer for a MINIMUM of how many years? -
Answer 5



Replacement regulation is designed to protect - Answer policyowners from misrepresentations
and loss of benefits



South Carolina requires that a licensee completes ___ hours of continuing education on the
subject of ethics every reporting period. - Answer 3



Medicaid is a government-funded program designed to provide health care to - Answer poor
people



The standard grace period for a life insurance policy sold in South Carolina is - Answer 31 days



An insurer may exclude preexisting conditions on a Medicare Supplement policy for ___
months. - Answer 6



If the cause of death appears to be accidental, an insurer may require a(n) - Answer autopsy



Violations of US Code Title 18 section 1033, may result in - Answer Fine and/or imprisonment



What is the required action to be taken by a South Carolina licensee before operating under an
assumed business name? - Answer Notify Director



Proof of loss on a health insurance claim must be submitted to an insurer within ___ days after
the insured's date of loss. - Answer 90



Which provision states that the policy and the application shall constitute the entire contract
between the parties? - Answer Entire Contract provision

, A dependent child may remain on a parent's health insurance plan beyond the limiting age if
the child - Answer has a mental or physical handicap and remains dependent on the parent



A Medicare Supplement policy can be rescinded by the insurer for - Answer material
misrepresentation



Which type of annuity stops all payments upon the death of the annuitant? - Answer Life
annuity



A disability elimination period is best described as a - Answer time deductible



How do interest earnings accumulate in a deferred annuity? - Answer On a tax-deferred basis



Justin is receiving disability income benefits from a group policy paid for by his employer. How
are these benefits treated for tax purposes? - Answer Taxable income



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



Key Person Disability Insurance pays benefits to the - Answer employer



ABC Insurance Company transfers part of their risk to XYZ Insurance Company. This situation is
called - Answer reinsurance



What is the purpose of a Disability Income Benefit? - Answer Provide money for living
expenses



Under the subrogation clause, legal action can be taken by the insurer against the - Answer
responsible third party



An insurer must furnish to a claimant forms for filing proof of loss within ___ days upon
receiving a notice of claim. - Answer 15

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