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CT LIFE & HEALTH INSURANCE EXAM-with 100% verified solutions 2024-2025-tutor verified
Typology: Exams
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Laura added a children's rider to her life insurance policy. What type of coverage was added?
ANSWER Reciprocity agreement
To secure authority for soliciting insurance products in the State of Connecticut, an insurance company must secure a certificate of authority from - ANSWER The Connecticut Insurance Commissioner A group health certificate for coverage issued in Connecticut MUST contain a(n) - ANSWER Summary of policy features and benefits Any employee insured under a group life insurance plan is normally - ANSWER Covered with term life insurance Which statement regarding whole life insurance is accurate? - ANSWER Insurance coverage can continue for life All of these are considered to be a violation of the Federal Fraud and False Statements Act EXCEPT - ANSWER Claims reimbursement (Overvaluing land, abstracting funds, false entries on reports) A comprehensive major medical health insurance policy contains an Eligible Expenses provision which identifies the types of health care services that are covered. All of the following health care services are typically covered EXCEPT for - ANSWER Experimental and investigative services (Hospital charges, physician fees, nursing services) An employee welfare plan exempt from ERISA regulations would be - ANSWER Church plans Medicare Part B excess charges are covered by - ANSWER Medicare Supplemental insurance A major medical expense policy typically does NOT - ANSWER Pay surgeon fees on a first-dollar basis (Contain a deductible, have a high limit of coverage, contain a coinsurance provision) Mary has a Health Savings Account (HSA). Distributions that she has made for anything other than qualified medical expenses are considered taxable and subject to a penalty of - ANSWER 20% Under an adjustable life insurance policy, which of the following may NOT be changed without further underwriting? - ANSWER The person insured (The period of coverage, the payment period, the plan of coverage) When a producer acts within the scope of his/her contractual authority, which of the following is legally responsible for these actions? - ANSWER The insurer
An accident and health insurer has just received written proof of loss from one of its insureds. The insured must now wait 60 days before - ANSWER Bringing legal action against the insurer During the sale of a life insurance policy, a producer may provide an incomplete illustration
misrepresentation on the application Rick owns a variable universal life policy and chooses a variable death death benefit option. What will typically happen to the death benefit as a result of this selection? - ANSWER Fluctuate with changes in the cash account Why does Connecticut require insurers to maintain a minimum level of assets? - ANSWER To demonstrate insurer solvency Wyatt is shopping for life insurance and is mainly concerned with the policy's death benefit. Which index should he be looking at when making comparisons? - ANSWER Net payment cost index How are qualified Roth IRA distributions normally treated for tax purposes? - ANSWER Received income tax free For purposes of disability income insurance, earned income would include all of the following EXCEPT - ANSWER Dividends (Salary, commissions, bonus) Life settlement proceeds may be subject to the claims of - ANSWER Creditors An annuity contract may be returned for a full refund during the - ANSWER Free look period Which of the following describes the act of insuring a risk against possible loss? - ANSWER Risk transfer Which of these is a type of private insurance that covers the cost-sharing amounts under Medicare? - ANSWER Medicare Supplement
Tim is covered by an accident and health insurance policy that may not be changed in any way by the insurer up to a stated age, as long as the premiums are paid. What type of policy is this? - ANSWER Noncancelable In an individual retirement account (IRA), rollover contributions are - ANSWER Unlimited by dollar amount A policyowner pays the first annual premium for a $50,000 life insurance policy and dies one month after the policy effective date. Which of these statements is normally true? - ANSWER Beneficiary receives $50,000 income tax-free What is the tax treatment of benefit payments for a non-qualified annuity? - ANSWER Benefit payments are always taxable An applicant submits a life insurance application where an investigative consumer report is used in the underwriting process. Which of these statements is true? - ANSWER Applicant has a right to receive a copy of the report Which of these is NOT an advantage of term life insurance? - ANSWER A cash benefit will be provided if the insured is alive at the end of the policy period (The greatest amount of coverage can be provided for the initial premium paid, it can be provided as a rider to another policy, temporary insurance needs can be met) When does a family health policy's coverage for a newborn child begin? - ANSWER At the moment of birth A life insurance producer's underwriting duties may include - ANSWER Seeking additional
information requested by the insurance company Tim is in need of surgery, Before being hospitalized, he is referred to an outpatient clinic for diagnostic tests. What is this an example of? - ANSWER Pre-admission testing Which of the following is an example of defamation? - ANSWER A producer who publicly and erroneously announces that an insurance company is insolvent Who typically makes the purchase payments in an individual annuity? - ANSWER Owner Which individual would be best suited for Medicare Supplement insurance? - ANSWER Medicare enrollee The interest credited to the cash values of personally-owned non-qualified annuities is considered - ANSWER Tax-exempt Which of the following does NOT involve a life settlement transaction? - ANSWER Converting term life coverage to whole life insurance (Inducing life settlement contracts, monitoring life settlement contracts, securing life settlement contracts) How is the insured protected if a payor benefit rider is attached to the life insurance policy?
What is the name of the period of time during which a new employee is ineligible for group health insurance coverage? - ANSWER Probationary period Statements made by an insured on an accident and health insurance application are considered to be - ANSWER Representations If one producer provides a referral to another producer which results in the sale of an insurance contract, who will likely be paid a commission? - ANSWER The commission will likely be shared between the two producers These are all accurate statements regarding universal life insurance EXECPT - ANSWER Policy loans are not permitted (Mortality charge is deducted from the policy's cash value each month, flexible premiums as long as the cost of insurance protection is covered, policy states what percentage of the premium is contributed to the cash value and which pays for the cost of insurance) When a deferred annuity is surrendered, who must sign the authorization to do so? - ANSWER Owner The has the ability to examine the records of authorized insurers because of the powers granted through state statutes. - ANSWER Commissioners The main role of accident and health and disability insurance is to - ANSWER Protect against medical care costs and the loss of earning power All of these are used to prevent adverse selection in a group dental plan EXCEPT - ANSWER Decreased employee participation
(Provide evidence of insurability, probationary periods, waiting periods) A consumer who has been recently denied insurance, credit, or employment based on an unfavorable consumer report MUST be advised as such. Which of the following does this statute originate from? - ANSWER Fair Credit Reporting Act In long-term care insurance, what is the length of time for which claims will be paid?
Which reinsurance contract between two insurers involves an automatic sharing of the risk assumed? - ANSWER Treaty reinsurance Which of the following would be considered a violation of Connecticut insurance law?
(Reduced paid-up insurance, extended term option, cash surrender option) After the extended term life nonforfeiture option is chosen, the available insurance will be
The benefit arising from a worker's compensation claim could be inadequate to replace the loss of income The reason for backdating a policy is - ANSWER To obtain a premium rate based on an earlier age The standard provisions of an accident and health insurance policy require that the - ANSWER Policy, endorsements, and attached papers constitute the "entire contract" What is the Pap test designed to detect? - ANSWER Cervical cancer What effect can a long-term care benefit rider have on a life insurance policy? - ANSWER Reduced death benefit What kind of arrangement gives the policyowner the right to change the beneficiary?
Which of the following situations would qualify an insured to receive funds from an accelerated (living) benefit rider? - ANSWER Insured is expected to remain in a nursing home for life Which of the following causes of disability is NOT covered under CT workers compensation laws? - ANSWER Intentional, self-inflicted injuries that occur at the worksite (Falling down on the job, illness caused by job conditions, strokes that occur on the job) Mike applied for life insurance and was issued a conditional receipt. He is later found to be insurable and is issued a policy. When does his coverage become effective? - ANSWER Date of issuance of the conditional receipt What type of premiums are associated with individual mortgage protection life insurance policies? - ANSWER Level premiums Long-term care policies sold in CT may NOT exclude coverage for - ANSWER Senile dementia A policyowner fell behind on the premium payments of a whole life policy and is now in the grace period. How much will the beneficiary receive if the insured dies during this grace period and the policy also contains an outstanding policy loan? - ANSWER Face amount minus the loan balance and past-due premium A medical fee schedule shows the amount an insurer will pay for a given procedure. This amount is considered to be the - ANSWER Highest amount payable Which of these statements reflects an accurate portrayal of Medicare SELECT? - ANSWER Insured uses preferred providers in exchange for paying lower premiums
A(n) insurer operates in the United States but is headquartered outside the United States. - ANSWER Alien Which of these is NOT relevant when determining the amount of personal life insurance needed? - ANSWER Local unemployment rates (Existing life insurance coverage, household income, household debt) Prepaid dental plans differ from most other types of dental plans in what way? - ANSWER Closed panel of dentists can only be used A characteristic of preferred provider organizations (PPO) is - ANSWER If service is obtained outside the PPO, benefits are reduced and costs increase Skilled nursing facility expenses are sometimes covered by , but ONLY if the insured was hospitalized prior to entering the facility. - ANSWER Medicare Medicare will cover a maximum of how many days per benefit period in a skilled nursing facility? - ANSWER 100 days Custodial care is normally covered under - ANSWER Long-term care insurance Which of the following must be clearly illustrated in ALL sales material for market value adjusted annuities? - ANSWER The market value adjustment can be either upward or downward Dividends from a stock insurance company are normally sent to - ANSWER Shareholders
Beginning January 1, 2014, the restricted annual limit for plans under the Affordable Care Act will be - ANSWER No limit A television advertisement features a health insurance product that is endorsed by a specific group. In this advertisement, - ANSWER Any control by the insurer over this group must be disclosed At what point are death proceeds paid in a joint life insurance policy? - ANSWER When the first insured dies To be classified as a small employer in CT, an employer must employ how many eligible employees? - ANSWER 1 to 50 Which of the following is NOT the responsibility of an insurer? - ANSWER Assuming liability for a producer's unauthorized acts (Notifying the Commissioner of the termination of a producer's appointment, providing sales materials to its appointed producers, obtaining a Certificate of Authority prior to conducting insurance business in this state) Who is normally considered to be the owner of a 403(b) tax-sheltered annuity? - ANSWER The participating employee When evaluating an insurer's financial status, the Commissioner may consider each of the following EXECPT - ANSWER Comparing an insurer's agency agreements to determine maximum-paid commissions (Comparing the premiums received with the surplus for each year, underwriting profits, monitoring general account investments)
The maximum prison sentence given under federal law for unfair and deceptive insurance practices is - ANSWER 15 years Mike recently lost sight in both eyes. He has a policy that pays a lump sum benefit for this injury. What type of insurance does Mike have? - ANSWER Accidental death and dismemberment An individual participant personally received eligible rollover funds from a profit-sharing plan. What is the income tax withholding requirements for this transaction? - ANSWER 20% is withheld for income taxes What must be given to a life insurance applicant when the agent receives an application and the initial premium? - ANSWER Conditional receipt In a disability buy-sell agreement, the policies funding the agreement are owned by the
A handicapped child is covered under an individual health policy. If continuation of coverage is needed beyond the policy's age limit, which of the following is required? - ANSWER Proof of incapacity and dependency upon reaching the age limit A certificate of coverage for a group health policy is best described as - ANSWER Proof of coverage for the employee A life settlement negotiates a life settlement between a policyowner and a life settlement provider. - ANSWER Broker ABC Company is attempting to minimize the severity of potential losses within its company. The company is engaged in risk - ANSWER Reduction When a ceding insurer transfers a portion of its risk to an assuming insurer on a case by case basis, this process is referred to as - ANSWER Facultative reinsurance John has a criminal record in which he was convicted of a felony that involved dishonesty. Under Federal law, how would John be able to engage in insurance transactions? - ANSWER Given written consent by the state insurance regulatory agency Which of the following is generally a form of group credit life insurance? - ANSWER Decreasing term insurance Which of the following is NOT a valid reason for an insurer to contest a life insurance policy during the policy's first two years of existance? - ANSWER Misstatement of age (Fraud, material representation, material concealment)
Which of the following actions may result in a producer's license being suspended by the Commissioner? - ANSWER Rebating part of a commission to the applicant In CT, false advertising is an example of - ANSWER Misrepresentation Which type of life insurance policy allows a policyowner the choice of investments along with flexible premium payments? - ANSWER Variable universal life How do benefit payments fluctuate over time in a variable life annuity? - ANSWER Reflects changes in the market value of assets in a separate account Someone who is licensed to negotiate a life settlement contract is called a(n) - ANSWER Life settlement broker Which of the following is true regarding a person receiving a waiver of premium benefit? - ANSWER The insured must be disabled for a period of time (The insured must expect a total recovery within 2 years, the insured will not qualify for short-term disability, the insured will not qualify for workers compensation) Which of these is NOT a factor that influences group health insurance underwriting? - ANSWER Physical exams of group members (Number of individuals in the group, group's claims experience, type of occupation group is involved in) Non-occupational disability coverage is designed for - ANSWER Employees who suffer
non-work related disabilities are covered by Workers' Compensation What happens when a policyowner borrows against the cash value of his life insurance policy?
A life insurance policyowner would like a dividend option that results in a limited current outlay of funds. Which dividend option would be chosen? - ANSWER Reduction of premium payment Who is protected with the "other insurance with this insurer" provision? - ANSWER Insurance company Which statement regarding universal life insurance is correct? - ANSWER Cash value accumulations have a guaranteed minimum interest rate The is responsible for reporting the Commissioner any name or address change of the licensee. - ANSWER Licensee James the producer has sold a life insurance contract to a client without using an illustration, even though his insurer offers one. For this particular transaction, the applicant - ANSWER Must sign a statement that no illustration was provided Jerome is covered by a disability income policy that does NOT provide benefits for losses occurring as the result of his employment. What kind of coverage is this? - ANSWER Nonoccupational coverage Contributions made by an employee to a qualified retirement plan are required to be
days. - ANSWER 30 After a life insurance policy has been in force for year(s), it becomes incontestable.
Interest is credited to a fixed annuity no lower than the - ANSWER Contract guaranteed rate First-time homebuyers are able to withdraw up to how much from their qualified IRAs without incurring the 10% early withdrawal penalty? - ANSWER $10,000 Jerry has an indemnity plan which covers dental expenses. Typically, these type of plans
insurance plan but now is covered under COBRA. How much of the active-employee cost may be passed on to Bert for continued coverage? - ANSWER Maximum of 102% Which event triggers a deferred annuity to start making benefit payments to the annuitant?
Exclusive benefit rule Kate received a group accident and health termination notice. How many days does she have to apply for a converted policy? - ANSWER 31 A(n) insurer is incorporated and formed in CT. - ANSWER Domestic All parts of the Medicare program (except for public information and enrollment) are administered by which federal agency? - ANSWER The Centers for Medicare and Medicaid Services A life insurance company just paid a $100,000 death benefit to a beneficiary. When the insured died, the cash value was $15,000 and the total premiums-paid equaled $10,000. How much of the proceeds will be added to the beneficiary's gross income for federal income tax purposes? - ANSWER Nothing An agent whose actions exceed the authority granted by contract is - ANSWER Not backed by the insurer Disability income insurance normally excludes coverage for disabilities that arise from
Insurance producer Kelly offers insured a $500 shopping card if they purchase an insurance product through her. What is this an example of? - ANSWER Rebating, which is an unfair trade practice Nonqualified medical expense distributions from a Health Savings Account (HSA) have a tax penalty of - ANSWER 20% Which of these must be disclosed in a universal life policy? - ANSWER The policy's surrender charges An insured covered under a Disability Income policy is disabled and collecting benefits for a period of two months. He returns to work and is again disabled from the same cause, whereupon benefits continue to be paid. This is an example of which of the following? - ANSWER Recurrent disability Which of these factors does NOT affect life insurance premium rates? - ANSWER Producer Certification (Expense factor, interest factor, mortality factor) Producers licensed in CT must notify the Insurance Department within days of any change of name or address. - ANSWER 30 Which of these policies is considered a whole life policy? - ANSWER Single premium life (Credit life, renewable life, convertible life) Medical costs in birthing centers are lowered by using - ANSWER Certified nurse midwives