Mass Life and Health
Exam with correct
answers 2025
GroupvlifevplansvsoldvinvMassachusettsvtypicallyvcontainvavconversionvoption.vIfvthevinsuredvelectsvt
hisvoption,vthevnewvpolicyv-vvcorrectvanswersvdoesvNOTvrequirevevidencevofvinsurability
Avprospectivevclientvwasvintimidatedvbyvavproducervtovpurchasevanvinsurancevcontract.vThevprodu
cervcouldvbevfoundvguiltyvofv-vvcorrectvanswersvcoercion
Invtheveventvofvpremiumvdefault,vwhichvlifevinsurancevprovisionvwillvusevthevcashvvaluevtovkeepvthe
vpolicyvinvforce?v-vvcorrectvanswersvautomaticvpremiumvloan
Rickvprovidesvavnoticevofvclaimvtovhisvhealthvinsurer.vIfvhevdoesvnotvreceivevavclaimvformvwithinv15v
days,vhevmayvcomplyvwithvproofvofvlossvprovisionvbyv-
vvcorrectvanswersvsubmittingvwrittenvproofvofvloss
,Noticevofvinformationvpracticesvmustvbevgivenvtovavpolicyholdervatvleastv-
vvcorrectvanswersveveryvthreevyears
MostvMedicarevSupplementvinformationvusedvbyvanvinsurervmustvbevapprovedvbyvthevState.vWhic
hvofvthevfollowingvtypesvofvinformationvdoesvNOTvrequirevStatevapproval?v-
vvcorrectvanswersvgovernmentvpublications
Whichvstatementvconcerningvdecreasingvtermvlifevpolicyvisvaccurate?v-
vvcorrectvanswersvfacevamountvdecreasesvovervthevpolicyvperiod
Anvaccidentvandvhealthvinsurancevpolicy'svpremiumvrequirementsvarevsetvforthvinvwhichvofvthevfoll
owingvprovisions?v-vvcorrectvanswersvconsiderationvclause
Whichventityvisvresponsiblevforvregulatingvclaimsvsettlementvpracticesvofvinsurers?v-
vvcorrectvanswersvStatevinsurancevdepartments
Jillvhasvavgroupvhealthvplanvwithvanvemployervthatvcoversvemployeesvinvmorevthanvonevstate.vWhic
hvofvthevfollowingvaspectsvisvNOTvaffectedvbyvthevstatevregulatoryvjurisdictionvestablishedvforvthisvp
lan?v-vvcorrectvanswersvcontinuationvofvcoveragevundervCOBRA
Whichvofvthevfollowingvisvconsideredvanvactivityvofvdailyvlivingvwhenvdeterminingvanvacceleratedvlif
evinsurancevbenefit?v-vvcorrectvanswersvEating
Avtrustee-to-trusteevtransfervofvrollovervfundsvinvavqualifiedvplanvallowsvavparticipantvtovavoidv-
vvcorrectvanswersvmandatoryvincomevtaxvwithholdingvonvthevamountvtransferred
Howvisvthevinsuredvprotectedvifvavpayorvbenefitvridervisvattachedvtovthevlifevinsurancevpolicy?v-
vvcorrectvanswersvpremiumvpaymentsvarevwaivedvinvtheveventvthevpremiumvpayorvdiesvorvbecome
svdisabled
,Noticevofvinformationvpracticesvmustvbevgivenvtovavpolicyholdervatvleastveveryv__vyear(s)v-
vvcorrectvanswersvthree
WhichvofvthevfollowingvcoversvthevpartvAvdeductiblevofvMedicare?v-
vvcorrectvanswersvmedicarevsupplementvcorevbenefits
WhichvofvthevfollowingvdoesvNOTvfallvunderv"hospitalvcare"vinvavtypicalvhealthvmaintenancevorgani
zationv(HMO)vplan?v-vvcorrectvanswersvprivatevnursingvduty
Employersvoftenvpurchasevlifevinsurancevonvavkeyvemployeevinvordervtov-
vvcorrectvanswersvpayvforvavfindingvandvtrainingvavreplacementvifvthevemployeevdiesvprematurely
Insurancevcrimesvwhichvaffectvinterstatevcommercevarevprosecutedvbyvthev-
vvcorrectvanswersvUSvattorneyvgeneral
Thevcontractualvrightsvwhichvallowvthevownervofvavdeferredvannuityvtovsurrendervthevcashvvaluevse
veralvyearsvbeforevthevannuityvdatevarevcalledv-vvcorrectvanswersvnonforfeiture
Thevmajorvmedicalvdeductiblevcarryovervperiodvnormallyvappliesvtovexpensesvincurredvduringvthev
lastv___vmonthsvofvthevplanvyear.v-vvcorrectvanswersvthree
ThevMedicalvInformationvBureauvconsistsvofvmembersvfromvwhichvgroup?v-
vvcorrectvanswersvInsurancevcompanies
Howvdovbirthingvcentersvreducevmedicalvcosts?v-vvcorrectvanswersvUsingvcertifiedvnursevmidwives
AccordingvtovthevAffordablevCarevAtv(ACA),vdependentvchildrenvmayvremainvonvtheirvparent'svplanv
untilvwhatvage?v-vvcorrectvanswersv26
, AnvemployeevwelfarevplanvexemptvfromvERISAvregulationsvwouldvbev-
vvcorrectvanswersvchurchvplans
Howvmanyvdaysvnoticevmustvavproducervbevgivenvpriorvtovavscheduledvhearing?v-
vvcorrectvanswersv21vdays
Lauravhasvanvemployer-
basedvpreventativevhealthvcarevplanvthatvfocusesvonvanvenrollee'svproblems,vsuchvasvdrugvabusevo
rvstress.vThesevplansvarevcalledv-vvcorrectvanswersvWellnessvprograms
Whenvavlapsedvpolicy'svpremiumvhasvbeenvpaidvcurrent,vitvhasvthevpotentialvofvbeingv-
vvcorrectvanswersvreinstated
Anvagentvgivesvavconditionalvreceiptvtovavclientvforvanvinsurancevpolicyvaftervcollectingvthevinitialvpr
emium.vWhenvwillvthevpolicyvbecomeveffective?v-
vvcorrectvanswersvWhenvthevconditionsvofvthevreceiptvarevmet
Thevmaximumvprisonvsentencevgivenvundervfederalvlawvforvunfairvandvdeceptivevinsurancevpractic
esvisv-vvcorrectvanswersv15vyears
Thev___vhasvthevabilityvtovexaminevthevrecordsvofvauthorizedvinsurersvbecausevofvthevpowersvgrant
edvthroughvstatevstatutes.v-vvcorrectvanswersvSuperintendent
FederallyvqualifiedvHMO'svmustvofferv-vvcorrectvanswersvfamilyvplanningvservices
Beforevanvindividualvisvpermittedvtovactvasvanvinsurancevagent,vhe/shevmustvholdvavvalidvinsurancev
licensevandvbev____vbyvanvauthorizedvinsurerv-vvcorrectvanswersvappointed
Exam with correct
answers 2025
GroupvlifevplansvsoldvinvMassachusettsvtypicallyvcontainvavconversionvoption.vIfvthevinsuredvelectsvt
hisvoption,vthevnewvpolicyv-vvcorrectvanswersvdoesvNOTvrequirevevidencevofvinsurability
Avprospectivevclientvwasvintimidatedvbyvavproducervtovpurchasevanvinsurancevcontract.vThevprodu
cervcouldvbevfoundvguiltyvofv-vvcorrectvanswersvcoercion
Invtheveventvofvpremiumvdefault,vwhichvlifevinsurancevprovisionvwillvusevthevcashvvaluevtovkeepvthe
vpolicyvinvforce?v-vvcorrectvanswersvautomaticvpremiumvloan
Rickvprovidesvavnoticevofvclaimvtovhisvhealthvinsurer.vIfvhevdoesvnotvreceivevavclaimvformvwithinv15v
days,vhevmayvcomplyvwithvproofvofvlossvprovisionvbyv-
vvcorrectvanswersvsubmittingvwrittenvproofvofvloss
,Noticevofvinformationvpracticesvmustvbevgivenvtovavpolicyholdervatvleastv-
vvcorrectvanswersveveryvthreevyears
MostvMedicarevSupplementvinformationvusedvbyvanvinsurervmustvbevapprovedvbyvthevState.vWhic
hvofvthevfollowingvtypesvofvinformationvdoesvNOTvrequirevStatevapproval?v-
vvcorrectvanswersvgovernmentvpublications
Whichvstatementvconcerningvdecreasingvtermvlifevpolicyvisvaccurate?v-
vvcorrectvanswersvfacevamountvdecreasesvovervthevpolicyvperiod
Anvaccidentvandvhealthvinsurancevpolicy'svpremiumvrequirementsvarevsetvforthvinvwhichvofvthevfoll
owingvprovisions?v-vvcorrectvanswersvconsiderationvclause
Whichventityvisvresponsiblevforvregulatingvclaimsvsettlementvpracticesvofvinsurers?v-
vvcorrectvanswersvStatevinsurancevdepartments
Jillvhasvavgroupvhealthvplanvwithvanvemployervthatvcoversvemployeesvinvmorevthanvonevstate.vWhic
hvofvthevfollowingvaspectsvisvNOTvaffectedvbyvthevstatevregulatoryvjurisdictionvestablishedvforvthisvp
lan?v-vvcorrectvanswersvcontinuationvofvcoveragevundervCOBRA
Whichvofvthevfollowingvisvconsideredvanvactivityvofvdailyvlivingvwhenvdeterminingvanvacceleratedvlif
evinsurancevbenefit?v-vvcorrectvanswersvEating
Avtrustee-to-trusteevtransfervofvrollovervfundsvinvavqualifiedvplanvallowsvavparticipantvtovavoidv-
vvcorrectvanswersvmandatoryvincomevtaxvwithholdingvonvthevamountvtransferred
Howvisvthevinsuredvprotectedvifvavpayorvbenefitvridervisvattachedvtovthevlifevinsurancevpolicy?v-
vvcorrectvanswersvpremiumvpaymentsvarevwaivedvinvtheveventvthevpremiumvpayorvdiesvorvbecome
svdisabled
,Noticevofvinformationvpracticesvmustvbevgivenvtovavpolicyholdervatvleastveveryv__vyear(s)v-
vvcorrectvanswersvthree
WhichvofvthevfollowingvcoversvthevpartvAvdeductiblevofvMedicare?v-
vvcorrectvanswersvmedicarevsupplementvcorevbenefits
WhichvofvthevfollowingvdoesvNOTvfallvunderv"hospitalvcare"vinvavtypicalvhealthvmaintenancevorgani
zationv(HMO)vplan?v-vvcorrectvanswersvprivatevnursingvduty
Employersvoftenvpurchasevlifevinsurancevonvavkeyvemployeevinvordervtov-
vvcorrectvanswersvpayvforvavfindingvandvtrainingvavreplacementvifvthevemployeevdiesvprematurely
Insurancevcrimesvwhichvaffectvinterstatevcommercevarevprosecutedvbyvthev-
vvcorrectvanswersvUSvattorneyvgeneral
Thevcontractualvrightsvwhichvallowvthevownervofvavdeferredvannuityvtovsurrendervthevcashvvaluevse
veralvyearsvbeforevthevannuityvdatevarevcalledv-vvcorrectvanswersvnonforfeiture
Thevmajorvmedicalvdeductiblevcarryovervperiodvnormallyvappliesvtovexpensesvincurredvduringvthev
lastv___vmonthsvofvthevplanvyear.v-vvcorrectvanswersvthree
ThevMedicalvInformationvBureauvconsistsvofvmembersvfromvwhichvgroup?v-
vvcorrectvanswersvInsurancevcompanies
Howvdovbirthingvcentersvreducevmedicalvcosts?v-vvcorrectvanswersvUsingvcertifiedvnursevmidwives
AccordingvtovthevAffordablevCarevAtv(ACA),vdependentvchildrenvmayvremainvonvtheirvparent'svplanv
untilvwhatvage?v-vvcorrectvanswersv26
, AnvemployeevwelfarevplanvexemptvfromvERISAvregulationsvwouldvbev-
vvcorrectvanswersvchurchvplans
Howvmanyvdaysvnoticevmustvavproducervbevgivenvpriorvtovavscheduledvhearing?v-
vvcorrectvanswersv21vdays
Lauravhasvanvemployer-
basedvpreventativevhealthvcarevplanvthatvfocusesvonvanvenrollee'svproblems,vsuchvasvdrugvabusevo
rvstress.vThesevplansvarevcalledv-vvcorrectvanswersvWellnessvprograms
Whenvavlapsedvpolicy'svpremiumvhasvbeenvpaidvcurrent,vitvhasvthevpotentialvofvbeingv-
vvcorrectvanswersvreinstated
Anvagentvgivesvavconditionalvreceiptvtovavclientvforvanvinsurancevpolicyvaftervcollectingvthevinitialvpr
emium.vWhenvwillvthevpolicyvbecomeveffective?v-
vvcorrectvanswersvWhenvthevconditionsvofvthevreceiptvarevmet
Thevmaximumvprisonvsentencevgivenvundervfederalvlawvforvunfairvandvdeceptivevinsurancevpractic
esvisv-vvcorrectvanswersv15vyears
Thev___vhasvthevabilityvtovexaminevthevrecordsvofvauthorizedvinsurersvbecausevofvthevpowersvgrant
edvthroughvstatevstatutes.v-vvcorrectvanswersvSuperintendent
FederallyvqualifiedvHMO'svmustvofferv-vvcorrectvanswersvfamilyvplanningvservices
Beforevanvindividualvisvpermittedvtovactvasvanvinsurancevagent,vhe/shevmustvholdvavvalidvinsurancev
licensevandvbev____vbyvanvauthorizedvinsurerv-vvcorrectvanswersvappointed