Life, Accident, and Health Insurance Practice Exam, Exams of Insurance law

Download Life, Accident, and Health Insurance Practice Exam and more Exams Insurance law in PDF only on Docsity! Under the misstatement of age or gender provision, what happens if it is determined at death that the insured's age or gender was misstated on a life insurance policy application? ✔✔Benefits are adjusted to an amount that the premium would have purchased at the correct age or gender. Which of the following must be given to the insurer within 20 days after occurrence or commencement of any loss covered by the policy, or as thereafter as is reasonably possible? ✔✔Notice of claim. When will a policy pay on a UCR basis? ✔✔When particular benefits are not listed on a payment schedule. All of the following are non-forfeiture options EXCEPT ✔✔Cash dividend option. What happens when the lifetime maximum benefit limit has been reached? ✔✔The insured will pay all of the remaining medial costs for as long as the policy is in force. PSI: LIFE, ACCIDENT, AND HEALTH PRACTICE EXAM / with Actual questions & Answers (latest 2025) ALREADY PASSED Whose responsibility is it to make sure that the company is notified of a death claim at the earliest possible opportunity (in most cases)? ✔✔The producer. What is the waiver of premium provision? ✔✔In a long term care contract, the premium is waived after the insured has been confined for a specific period of time. All of the following are common exclusions from loss found in disability income policies EXCEPT for that incurred while? ✔✔Committing a misdemeanor Which is a disadvantage to a flexible premium annuity? ✔✔The actual amount of the annuity benefit cannot be determined in advance. What does coninsurance mean? ✔✔The insurer and the insured share expenses over the deductible. Under normal conditions which of the following is TRUE for proof of loss when a single loss is claimed? ✔✔The insured has 90 days from the date of loss to provide proof of loss. What specific new procedures does the USA Patriot Act require of insurance program? ✔✔Establish an anti-money laundering program. Which of the following occurs immediately after the application is submitted and the initial premium paid? ✔✔The underwriting process begins. A consumer report used to determine eligibility for insurance may include all of the following EXCEPT? ✔✔Medical Underwriting exam. Why are insurance policies considered conditional contracts? ✔✔Certain conditions need to be met to make the contract legally enforceable. When does insurable interest come into play in a life insurance policy? ✔✔When the applicant for the policy is not the insured. All of the following are TRUE regarding incomplete applications EXCEPT? ✔✔The incomplete application can be accepted with the missing information added later. What is a MIB report? ✔✔Medical information on an applicant for assessing life or health insurance risk. Obtaining consumer information reports under false pretenses is prosecutable by which of the following? ✔✔Fair Credit Reporting Act All of the following are classifications of risk EXCEPT? ✔✔Non-nicotine Which type of receipt makes the insurer liable for the risk from the date of application, regardless of the applicant's insurability? ✔✔Binding receipt If the insurer wishes to share an applicant's HIV status, the applicant must be given full notice of all of the following EXCEPT? ✔✔The treatment procedures that are covered by the policy. How do warranties differ from representations? ✔✔A warranty is guaranteed to be true, a representation is believed to be true to the best of one's knowledge. In noncontributory plans, which percentage of eligible members must participate? ✔✔100% Managed care plans increase efficiency by all of the following means EXCEPT? ✔✔Transferring the management of costs to the insureds. All of the following are tax qualified retirement plans EXCEPT? ✔✔Section 529 plan. Which of the following is characteristic of a non-qualified plan? ✔✔Plan does not meet federal guidelines for tax benefits. Under which situation must insurable interest exist between the applicant and insured at the time of application? ✔✔When a third-party application names themselves beneficiary. The group conversion option is allowed for all of the following EXCEPT? ✔✔During the annual benefits enrollment period. In a case where an individual's health is insured by both their own policy and their spouse's policy, which policy pays in the event of an illness? ✔✔The individual's policy pays first, the spouse's policy pay the remaining up to coverage amount. Which of the following coverage types pays a monthly cash benefit following the elimination period for total disability due to accident or sickness? ✔✔Disability income insurance Which of the following is TRUE of an equity-indexed annuity? ✔✔It has a guaranteed minimum interest rate. Compared to basic hospital, medical and surgical policies, which type of insurance provides broader coverage, fewer gaps, higher individual benefits, and higher policy maximums? ✔✔Major medical insurance. Which of the following is the most common method to supplement Medicare coverage? ✔✔Coverage offered by private insurers. Which of the following is defined as the dollar amount beyond which the insured no longer participates in payment of medical expenses? ✔✔Stop Loss Limit A basic vision care package includes all of the following EXCEPT? ✔✔Safety glasses In which of the following does a covered employee agree to a reduction in compensation so the amount can be used to cover medical expenses? ✔✔Flexible Spending Account (FSA) Current assumption whole life policies are sensitive to which of the following? ✔✔Interest rates A group conversion option may be used in all the following instances EXCEPT? ✔✔A life- changing event, such as marriage, divorce, or childbirth. Why is relying solely on employer group life insurance generally considered inadequate for most individual's needs? ✔✔It is financially insufficient to cover end of life expenses. In a home healthcare benefit, all of the following are eligible expenses EXCEPT? ✔✔Blood Transfusions Which of the following amends the Social Security Act to make Medicare secondary to group health plans? ✔✔TEFRA All of the following are requirements to qualify for Social Security disability benefits EXCEPT when ✔✔Unable to work in occupation on which the worker was trained or educated. How long after being entitled to disability benefits will an individual be eligible to receive Medicare benefits? ✔✔2 years Which of the following is TRUE for a flexible premium annuity? ✔✔The purchaser has the option to vary the amount of each premium payment falling between a minimum and maximum amount. All of the following are characteristics of COBRA EXCEPT? ✔✔Change in medical privacy procedures. Which is the primary purpose of Health Reimbursement Accounts (HFAs)? ✔✔To assist covered employees with the payment of medical expenses on a high deductible plan funded through pre-tax. Which type of annuity covers two or more annuitants and provides monthly income only until the first annuitant dies? ✔✔Joint Life Annuity