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55 Cards in this Set

  • Front
  • Back

Contract adhesion

Is drawn up by one party and accepted or rejected by the other party no negotiations. Take it or Leave it

A policy owner can transfer or assign ownership of a contract. WhY do they need?

Insurer must be notified in writing

What type of contracts are considered valued?

Life and disability

Who does the producer / agent represent

The insurer only. If they are working under the terms of their contract the company is fully responsible

What is the primary factor in lowering the premium rate

The interest earned by the insurance company

Fixed Period annuities

Fixed Period installments selected by the annuitant. Payments are based on the value of the account

Accellerated death benefit rider

Early payment of death benefit death within 2 years

Roll over of a qualified plan

Cash to owner


60 days to deposit


20% witholding

Transfer of a qualified plan

100% from one plan to another

If a master group policy contract is terminated. How long does an individual need on the plan to convert to an individual permanent plan?

5 years

Occupational

On or off the job

Non occupational

Only off the job. Assumes workmans comp

Unpaid premiums on Health insurance

They are deducted from the claim

Part A

Hospital insurance


Skilled nursining


Home health care


Hospice

Part B

Medical insurance


Optional offered by premiums

Part C

Hmos if on a and b

Part D

Prescription drug

Medical is guaranteed renewable except for

Nonpayment of premiums and material misrepresentation

In the event that the insured does on a Ltd policy what happens to the premiums?

They will return a certain percentage

To get approved a producer needs

1. 18


2. Not committed any act


3. Recieve certificate within last 6 no


4. Paid fee


5. Passed exam

Consultant

Can't be a producer

A producer

Can be a consultant with disclosure

Hippa

Applies to 2 or more


6 mo or existing


12 month exclussion

What is a tax sheltered annuity

403b. Nonprofits

Which risk classification is representative of the majority of people in a certain age with similar life styles?

Standard

Who determines if a particular group of employees can be excluded from group health coverage?

The employer

If the applicant submits the initial premium with an application what constitutes acceptance?

The underwriter approves the application

Insurance producers must have what to transact business for an insurrer

Appointment

Who benefits most from a straight life immediate annuity?

The oldest annuitant male

When is the company responsible for the actions of its agents?

Whenever the agent is acting within the conditions of the contract

What does a benefits schedule show?

What's covered and how much by the plan

If the policy summary is not delivered at all when?

Delivery of policy

What is not a Medicaid qualifier?

Residency

An insured wants to cancel her health insurance policy. Which portion of the contract would explain the cancelation rights?

Renewability provisions

What is a hazard?

Any factor that increases the likelihood of a loss?



Moral, morale, physical

What age are joint policies based on?

Joint age

When is the latest that a settlement benefit can be paid to a beneficiary?

6 months

What does not have to be on the first page of the Medicare sup policy

Premium rates

Intermediate care

Occasional nursing and rehabilitative care ordered by a physician

What percentage of the employees must participate in a noncontributory group policy

100%

Capital sums

Are a percentage of principal sums

When are life insurance proceeds taxable by the federal govt?

If there is a transfer of value

What does the commissioner do

Enforce the laws

Custodial care

Meeting personal needs not medical

Life insurance rule 13

Disclosure rule

What happens in a joint life annuity when one of the annuitants dies?

Payments stop at first death

An adjustable life policy can be both

Term and permanent. Best of both worlds

The guaranteed purchase option aka

Future increase option

The interest adjusted net method considers

The time value of money

Accelerated death benefits can be used for

1. Terminal illness


2. Institutionalization


3. Organ transplant


Who contributes to a sep

Employer. Set up and maintained by emploee

Notice of claim provision

20 days

Who is not required to have an insurable interest.

The beneficiary

A core suplement policy does not cover

Part A deductable

What is it called when a doctor accepts the Medicare approved amount?

Assignment