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This comprehensive guide covers various aspects of Mississippi life and health insurance, including policy provisions, premium options, insurance types, legal considerations, and financial implications. Topics range from business overhead expense policies to long-term care policies, covering areas like policy loans, premium modes, settlement options, and more. It also explores legal aspects like the Fair Credit Reporting Act and the USA Patriot Act, as well as insurance practices like group life insurance, managed care organizations, and health maintenance organizations (HMOs).
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A business overhead expense policy : - answer covers business expenses such as rent and utilities A provision in a life insurance policy that pays the policy owner an amount that does not surpass the guaranteed cash value is called the : - answer Policy loan provision After and insured gives notice of loss what must he/she do if the insurer does not furnish forms - answer File written proof of loss W is a 39-year old female who just purchased an annuity to provide income for life starting at age 60. All of these would be acceptable annuity choices EXCEPT a(n) - answer Immediate annuity Which of these statements accurately describes the Waiver of premium provision in an accident and Health policy - answer premiums are waived after the insured has been totally disabled for a specified time period K has a health policy that must be renewed by the insurer and the premiums can only be increased if applied to the entire class of insureds. This type of policy is considered - answer guaranteed renewable A statement made by an insured in an insurance application that must be true to the best of one's knowledge and which becomes a part of the contract is known as: - answer representation A major medical policy typically contains a provision that requires the insurer to pay only part of the loss, when the balance is paid by the insured. This provision is called : - answer Coinsurance Which tax would an IRA participant be subjected to on distributions received prior to age 59 1/2? - answer Ordinary income tax and a 10% tax penalty for early withdraw which of the following life insurance policies combine term insurance with an investment element? - answer Universal Life Which Federal law allows an insurer to obtain an inspection report on a potential insured? - answer Fair Credit reposting Act
A policy owner is able to choose the frequency of premium payments through what policy feature? - answer Premium Mode Which of the following combination plans is designated to protect the insured from an unpaid mortgage balance upon premature death? - answer Joint Life T is covered by an Accidental Death and Dismemberment (AD&D) policy that has an irrevocable beneficiary. What action will the insurance company take if T requests a change of beneficiary? - answer Request of the change will be refused Which of these is considered a mandatory provision? - answer Payment of Claims Which of the following is an important underwriting principle of group life insurance? - answer Everyone must be covered in the group which of the following statements BEST defines usual, customary, and reasonable (UCR) changes? - answer The maximum amount considered eligible for reimbursement by an insurance company under a health plan. 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 of unequal values reflects which of the following insurance contract features? - answer Aleatory What kind of life insurance policy pays a specified monthly income to a beneficiary for 30 years and then pays a lump sum benefit at the end of that 30 years? - answer Family Maintenance Policy Which of the following statements is correct regarding an employer/employee group health plan? - answer The employer receives a master policy and the employees receive certificates. A variable Annuity has which of the following characteristics? - answer Underlying equity investments Which of the following are not managed care organizations? - answer Medical Information Bureau (MIB) Which of the following actions require a policy owner to provide proof of insurability in an Adjustable Life Policy? - answer increase face amount Long-Term Care policies sold in Mississippi may exclude coverage for pre-existing conditions for? - answer 6 months
Typically a life insurance death benefit is paid by a lump-sum payment. A(N)________________option is a method of distributing life insurance policy's death benefit OTHER than by a lump-sum payment. - answer settlement What does a Guaranteed Insurability rider provide a Disability Income policyowner? - answer The ability to periodically increase the amount of coverage without evidence of insurability. What is the initial requirement for an insured to become eligible for benefits under the Waiver of Premium provision? - answer Insured must be under a physician's care. Quarterly premium payments increase the annual cost of insurance because: - answer Interest to the insurer is decreased while the administrative costs are increased. Which of the following statements BEST describes the Legal Actions provision of an Accident and Health policy requires? - answer An insured must wait at least 60 days after proof of loss has been submitted before a lawsuit can be filed. When determining the monthly benefit amount for a Disability Income policy , the factor that limits the amount a prospective insured may purchase is: - answer income Which of the following is NOT a limited benefit plan? - answer Life Insurance Policy What is considered to be a characteristic of a Conditionally Renewable Health insurance policy? - answer Premiums may increase at time of renewal. The Consideration Clause in a Life Insurance contains what pertinent information? - answer Amount of premium payments and when they are due. A medical care provider which typically delivers health services at its own local medical facility is known as a: - answer Health Maintenance Organization (HMO) The USA Patriot Act was enacted in: - answer 2001 (on September 11, 2001) What kind of life insurance starts out as temporary coverage but can later be modified to permanent coverage without evidence of insurability? - answer Convertible Term An immediate annuity consists of a: - answer Single Premium All Long-Term Care policies purchased in Mississippi contain a free-look period of: - answer 30 days The percentage of an individual's Primary Insurance Amount (PIA) determines the benefits paid in which of the following programs? - answer Social Security Disability Income
What is the purpose of the Time of Payment Claims provision? - answer Prevents delayed claim payments made by the insurer. Insurance policies are offered on a "Take it or Leave it" basis, which makes them: - answer Contracts of Adhesion The Commissioner of Insurance MUST give___days notice before holding a hearing regarding a producer's unfair practice: - answer 10 X owns a Disability Income Policy. X recently suffered a disability which was due to the same cause as a previous disability. These disabilities both occurred over a 4-month span. Which of the following provisions allows X's second disability to be covered without a new elimination period? - answer Recurrent Disability What action will an insurer take if an interest payment on a policy loan is not made on time? - answer automatically add the amount of interest due to the loan balance. The Insuring Clause: - answer States the scopes and limits of the coverage. A Limited-Pay Life Policy has: - answer premium payments limited to a specified number of years. All of these Settlement options involve the systematic liquidation of the death proceeds in the event of the insured's death EXCEPT: - answer Interest Only. At what time must a policyowner have insurable interest on the insured in order for the life policy to be valid? - answer At the time of application. Which of the following is TRUE about qualified retirement that is "top heavy"? - answer More than 60% of plan assets are in key employee accounts. Which of the following features of a Group Term Life Policy enables an individual to leave the group and to continue his/her insurance without providing evidence of insurability? - answer Conversion Privelage T took out a $50,000 life insurance policy with an Accidental Death and Dismemberment rider. Five years later, T commits suicide. How much will the insurer pay? - answer $50, Medicare Part B does NOT cover - answer inpatient hospital services What does the ownership clause in a life insurance policy state? - answer Who the policy owner is and what rights the policy owner is entitled to. An applicant's medical information received from the Medical Information Bureau (MIB) may be furnished to the: - answer Applicants Physician
both killed in an automobile accident, where would the death proceeds be directed? - answer Daughter Which statement is TRUE in regards to a policy loan? - answer Past-due interest on a policy loan is added to the total debt. Which parts of a life insurance policy are guaranteed to be true? - answer warranty A policy owner may generate taxable income from which of the following dividend options? - answer Accumulation of Interest A(N)_________________beneficiary may be charged by the policy owner WITHOUT the consent of the beneficiary. - answer Revocable A potential client, age 40, would like to purchase a Whole Life policy that will accumulate cash value at a faster rate in the early years of the policy. Which of these statements made by the producer would be correct? - answer 20-pay life accumulates cash value faster than straight life. The policy provision that entitles the insurer to establish conditions the insured must meet while a claim is pending is: - answer Time Limit of Certain Defenses