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LOGICAL REASONING: IDENTIFY THE CENTRAL ASSUMPTION: Linsey has been judged to be a bad songwriter simply because her lyrics typically are disjointed and subjective. This judgment is ill founded, however, since the writings of many modern novelists typically are disjointed and subjective and yet these novelists are widely held to be good writers. Which one of the following is an ASSUMPTION on which the argument depends? (A) Disjointed and subjective writing has a comparable effect in...

Risk Adjustment (a prospective payment system) - correct answer The process of increasing or reducing payments to health plans to reflect higher or lower than expected spending. Risk adjusting is designed to compensate health plans that enroll an older and sicker population as a way to discourage plans from selecting only healthier enrollees. What is the goal when coding for risk adjustment? - correct answer code ALL current dx What is the purpose of collecting dx in risk adjustment coding...

State rehabilitation agencies were mandated to increase the utilization of rehabilitation engineering by persons with disabilities by the... - correct answer rehabilitation Act Amendments of 1992 The rehabilitation act amendments of 1984... - correct answer Required each state rehabilitation agency to have a client assistance program The rehabilitation act of 1973 mandated... - correct answer Program evaluation for state-federal rehabilitation agencies The primary function of the Smith-...

Assistive Technology - correct answer any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities Augmentative and Alternate Communication - correct answer A process in which the counselor identifies devices and techniques that the client can use to improve their communication Durable Medical Equipment - correct answer Medicare te...

Risk Adjustment Data Element - correct answer Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - correct answer Risk Adjustment Factor Scores Three main types of reviews - correct answer Retrospective, Concurrent and prospective Retrospective - correct answer reviews are performed after the information has been reporte...

Defamation - correct answer A brochure including an untrue statement regarding a competitors ability to pay claims off-the-job accident - correct answer An accident policy will most likely pay a benefit for Delivery Receipt - correct answer The signed document that starts the free look period Conditional Receipt - correct answer T applies for a life insurance policy and is told by the producer that the insurer is bound to the coverage as of the date of the application or medical examina...

Who owns an employer group health policy? A) The employer only B) The agent C) The employees D) Both the employer and the employees - correct answer A) The employer only It is common for an employer to obtain group health insurance for the benefit of their employees. The employer is the owner of the policy and determines what classes of employees will covered. Which of the following type of insurance protects a lending institution from losing money as the result of a borrower's death ...

A group-owned insurance company that is formed to assume and spread the liability risks of its members is known as a: - correct answer Risk retention group Which of the following requires insurers to disclose when an applicant's consumer or credit history is being investigated? - correct answer 1970-Fair Credit Reporting Act Q purchases a $500,000 life insurance policy and pays $900 in premiums over the first six months. Q dies suddenly and the beneficiary is paid $500,000. This exchange ...

Hierarchy - correct answer State Corporation Commission. Bureau of Insurance. Commissioner. Examination by the Commission - correct answer The commission must examine every insurer licensed in Virginia at least once every 5 years. Investigation Powers of the Commission - correct answer The commission has power to examine and investigate the business affairs of any person engaged or alleged to be engaged in the business of insurance in the Commonwealth. Essentially they have the right to ...

Absolute - correct answer An assignment that occurs when the policy owner assigns all rights including cash values to another person or entity. Synonymous with voluntary assignment. Absolute Value - correct answer A medical expense plan that pays a fixed maximum dollar amount for a procedure. Accelerated Benefit Rider - correct answer Life insurance rider which allows the insured to receive a portion of the death benefit prior to death if the insured has a terminal illness. Accidental B...

A policyowner would like more coverage than the $100,000 Whole Life policy being proposed, but does not have enough discretionary income to pay a lot more money to do so. What can a producer recommend that will allow the policyowner to have the Whole Life policy, but with more total death benefit at an affordable price? A Buy an Indeterminate Premium Life Policy instead B Use the equity in the prospects home and buy a Single Premium Life Policy C Use the automatic premium loan feature of...

Authorized Insurer - correct answer Insurer who has received a Certificate of Authority from the department of insurance to transact insurance in this state Cease and Desist - correct answer To stop or discontinue Coercion - correct answer Forceful act or threat aimed to influence a person to act against his or her will Commission - correct answer Payment to the agent by the insurance company for placing insurance, usually a percentage of the policy premium Disclosure - correct answe...

Methods of Handling Risk (STARR) - correct answer 1. Sharing (each member of group pays portion of loss) 2. Transfer (spreading risk among customers) 3. Avoidance (not engaging in certain activity) 4. Reduction (lessening chance) 5. Retention (indiv pays for loss) Elements of Insurable Risk (CANHAM) - correct answer 1. Calculable (based on prior loss stats) 2. Affordable (for avg consumer) 3. Non-catastrophic (no widespread loss events) 4. Homogeneous (similar indiv risks) 5. Accident...

All of the following entities regulate variable life policies EXCEPT a)The Insurance Department. b)The Guaranty Association. c)Federal government. d)The SEC. - correct answer b)The Guaranty Association. Which of the following is TRUE for both equity indexed annuities and fixed annuities? a)They have a guaranteed minimum interest rate .b)They are both tied to an equity index. c)Both are considered to be more risky than variable annuities. d)They invest on a conservative...

An agent does NOT need to notify the Bureau of Insurance of a? a) change of address; b) name change; c) change in financial status; or d) felony conviction - correct answer change in financial status Which of these is NOT considered advertising? A policy illustration, An AM Best company rating, A direct mailing by an insurer, or An agent's oral sales presentation? - correct answer An AM Best company rating A domestic insurance company in Virginia MUST - correct answer be formed under Virg...

What contract term means only one party to a contract's promises are legally enforceable? - correct answer Unilateral Mr. Jones, the insured, committed suicide after the expiration of the suicide clause in his life insurance policy. The insurer is obligated to: - correct answer Pay the death benefit. The benefit that encourages the disabled policy owner to try to return to work is: - correct answer Recurrent disability Jeff has limited financial resources, but finds himself in a positi...

Reports are updated: - correct answer Chronologically What makes a person suspicious? - correct answer Their behavior seems out of place. T/F - Workplace violence is any act of threatened or actual harm to people or property occurring on the job. - correct answer True The first line of defense against intruders is the facility's outermost boundary, known as the: - correct answer Perimeter What are three actions you should take when you witness an accident? - correct answer Evaluate ...

National Incident Management System - correct answer NIMS Provides a consistent nationwide template for management of disasters - correct answer NIMS definition Homeland Security Presidential Directive 5 - correct answer What is the NIMS mandate? Executive Order 102 - correct answer What requires NIMS in Virginia? Based on reasonable suspicion - correct answer Frisk/Pat down based on probable cause - correct answer Full personal search A crime is being committed, a crime was co...

Father of Modern Policing - correct answer Sir Robert Peele Peelian Principles - correct answer Ethical requirements police officers must follow to be effective 9 principles Public approval Willing cooperation of public Constantly demonstrate impartial service to law Use physical force only when persuasion, advice, and warning have proven insufficient What is the test of police efficiency? - correct answer The absence of crime and disorder How many classes of felonies and misdemean...

"The chance that a person or business entity will suffer a financial loss" defines: A.gambling B.loss exposure C.risk D.speculative risk - correct answer C "Actual physical destruction of insured property" defines A.direct loss B.indirect loss C.peril D.vandalism - correct answer A Loose tiles hanging from the ceiling are an example of a ______ hazard. A.mental B.moral C.morale D.physical - correct answer D Insurable interest in a Property Insurance policy must be demon...