TEXAS LIFE AND HEALTH3 FINAL EXAM
QUESTIONS AND ANSWERS
According to the Mandatory Uniform Policy Provisions, what is the maximum amount of
time after the premium due date during which the policy remains in force even though
the premium has not been paid? - Answer-31 Days
Which of the following actions will an insurance company most likely NOT take if an
applicant, who has diabetes, applies for disability income policy? - Answer-Issue the
policy with an altered Time of Payment of Claims provision
What kind of insurance policy supplies an income stream over a set period of time that
starts when the insured dies? - Answer-Family maintenance policy
An insurer is NOT required to provide information on fraudulent claims if requested by -
Answer-an insured
Insurance policies are offered on a "take it or leave it" basis, which make them: -
Answer-Contracts of Adhesion.
Which of the following is valid reason for an enrollee to be cancelled by a health
maintenance organization (HMO) plan? - Answer-nonpayment of coverage
which health policy clause specifies the amount of benefits to be paid? - Answer-
insuring
T owns an Accident & Health policy and notifies her insurance company that she has
chosen a less hazardous occupation. Under the Change of Occupation provision, which
of the following actions may her insurance company take? - Answer-Increase her
policy's coverage amount
Which of these is NOT a characteristic of a health reimbursement arrangement (HRA)?
- Answer-Employee funds the HRA entirely
What is considered to be a characteristic of a conditionally renewable health insurance
policy? - Answer-premiums may increase at time of renewal
an insurance company organized under NewYork laws and licensed to do business in
Texas is considered a(n) - Answer-foreign compnay
Which of the following organizations would make reimbursement payments directly to
the insured individual for covered medical expenditures? - Answer-insured must be
under a physician's care
QUESTIONS AND ANSWERS
According to the Mandatory Uniform Policy Provisions, what is the maximum amount of
time after the premium due date during which the policy remains in force even though
the premium has not been paid? - Answer-31 Days
Which of the following actions will an insurance company most likely NOT take if an
applicant, who has diabetes, applies for disability income policy? - Answer-Issue the
policy with an altered Time of Payment of Claims provision
What kind of insurance policy supplies an income stream over a set period of time that
starts when the insured dies? - Answer-Family maintenance policy
An insurer is NOT required to provide information on fraudulent claims if requested by -
Answer-an insured
Insurance policies are offered on a "take it or leave it" basis, which make them: -
Answer-Contracts of Adhesion.
Which of the following is valid reason for an enrollee to be cancelled by a health
maintenance organization (HMO) plan? - Answer-nonpayment of coverage
which health policy clause specifies the amount of benefits to be paid? - Answer-
insuring
T owns an Accident & Health policy and notifies her insurance company that she has
chosen a less hazardous occupation. Under the Change of Occupation provision, which
of the following actions may her insurance company take? - Answer-Increase her
policy's coverage amount
Which of these is NOT a characteristic of a health reimbursement arrangement (HRA)?
- Answer-Employee funds the HRA entirely
What is considered to be a characteristic of a conditionally renewable health insurance
policy? - Answer-premiums may increase at time of renewal
an insurance company organized under NewYork laws and licensed to do business in
Texas is considered a(n) - Answer-foreign compnay
Which of the following organizations would make reimbursement payments directly to
the insured individual for covered medical expenditures? - Answer-insured must be
under a physician's care
