Aflac Final Exam Questions & Answers Already Graded A+

Certain conditions, such as dismemberment or total and permanent blinds, will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe? - presumptive disability Which provision concerns the insured's duty to provide the insurer with reasonable notice in the event of a loss? - notice of claim Because an insurance policy is a legal contract, it must conform to the state laws governing contracts which require all of the following elements EXCEPT - conditions An insured is involved in an accident that renders him permanently deaf, although he does not sustain any other major injures. The insured is still able to perform his current job. To what extent will he receive Presumptive Disability benefits? - full benefits Regarding long-term care coverage, as the elimination period gets shorter, the premium - gets higher Which of the following determines whether disability insurance benefits are taxed? - whether the premiums were tax deductible An agent is ready to deliver a policy to an applicant but has not yet received payment. Upon delivery, the agent collects the applicant's premium check, answers any questions the applicant may have, and then leaves. What did he forget to do? - ask her to sign a statement of good health Which of the following statements is NOT true concerning Medicaid? - it consist of 3 parts, Part A: hospitalization, Part B: doctor's services, Part C: disability income Which statement accurately describes group disability income insurance? - the extent of benefits is determined by the insured's incomeIf a consumer requests additional information concerning an investigative consumer report, how long does the insurer or reporting agency have to comply? - 5 days Which of the following is NOT an exclusion in medical expense insurance policies? - coverage for dependents If an insured is not required to pay a deductible, what kind of coverage do they have? - first dollar An applicant for a health insurance policy returns a completed application to her agent, along with a check for the first premium. She receives a conditional receipt two weeks later. Which of the following has the insurer done by this point? - neither approved the application nor issued the policy A policy owner has a health insurance policy with his wife listed as the primary beneficiary. He would like to change the primary beneficiary to his sister. Which of the following is true? - unless the policy designated the current beneficiary is irrevocable, the policy owner can make the change at any time The provision in a health insurance policy that ensures that the insurer cannot refer to any document that is not contained in the contract is the - entire contract clause When an insurer issues an individual health insurance policy that is guaranteed renewable, the insurer agrees - to renew the policy until the insured has reached age 65 What is an important feature of a dental expense insurance plan that is NOT typically found in a medical expense insurance plan? - diagnostic and preventative care Which of the following applies to partial disability benefits? - payment is limited to a certain period of time Which of the following is considered a presumptive disability under a disability income policy? - loss of two limbsA brain surgeon has an accident and develops tremors in her right arm. Which disability income policy definition of total disability will cover her for all losses? - own occupation - less restrictive An insured is hospitalized with a back injury. Upon checking his disability income policy, he learns that he will not be eligible for benefits for at least 30 days. This indicates that his policy is written with a 30-day - elimination period Which of the following is NOT covered under a long-term care policy? - adult care in a hospital Which of the following riders would NOT increase the premium for a policy owner? - impairment rider An employee becomes insured under a PPO plan provided by his employer. If the insured decides to go to a physician who is not a PPO provider, which of the following will happen? - the PPO will pay reduced benefits A guaranteed renewable disability insurance policy - is renewable at the insureds option to a specified age On a participating insurance policy issued buy a mutual insurance company, dividends paid to policyholders are - not taxable since the IRS creates them as a return of a portion of the premium paid On its advertisement, a company claims that I has funds in its possession that are, in fact, not available for the payment of losses or claims. The company iOS guilty of - misrepresentation