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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 |
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A policy owner can transfer or assign ownership of a contract. WhY do they need? |
Insurer must be notified in writing |
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What type of contracts are considered valued? |
Life and disability |
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Who does the producer / agent represent |
The insurer only. If they are working under the terms of their contract the company is fully responsible |
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What is the primary factor in lowering the premium rate |
The interest earned by the insurance company |
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Fixed Period annuities |
Fixed Period installments selected by the annuitant. Payments are based on the value of the account |
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Accellerated death benefit rider |
Early payment of death benefit death within 2 years |
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Roll over of a qualified plan |
Cash to owner 60 days to deposit 20% witholding |
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Transfer of a qualified plan |
100% from one plan to another |
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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 |
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Occupational |
On or off the job |
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Non occupational |
Only off the job. Assumes workmans comp |
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Unpaid premiums on Health insurance |
They are deducted from the claim |
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Part A |
Hospital insurance Skilled nursining Home health care Hospice |
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Part B |
Medical insurance Optional offered by premiums |
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Part C |
Hmos if on a and b |
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Part D |
Prescription drug |
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Medical is guaranteed renewable except for |
Nonpayment of premiums and material misrepresentation |
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In the event that the insured does on a Ltd policy what happens to the premiums? |
They will return a certain percentage |
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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 |
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Consultant |
Can't be a producer |
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A producer |
Can be a consultant with disclosure |
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Hippa |
Applies to 2 or more 6 mo or existing 12 month exclussion |
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What is a tax sheltered annuity |
403b. Nonprofits |
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Which risk classification is representative of the majority of people in a certain age with similar life styles? |
Standard |
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Who determines if a particular group of employees can be excluded from group health coverage? |
The employer |
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If the applicant submits the initial premium with an application what constitutes acceptance? |
The underwriter approves the application |
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Insurance producers must have what to transact business for an insurrer |
Appointment |
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Who benefits most from a straight life immediate annuity? |
The oldest annuitant male |
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When is the company responsible for the actions of its agents? |
Whenever the agent is acting within the conditions of the contract |
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What does a benefits schedule show? |
What's covered and how much by the plan |
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If the policy summary is not delivered at all when? |
Delivery of policy |
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What is not a Medicaid qualifier? |
Residency |
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An insured wants to cancel her health insurance policy. Which portion of the contract would explain the cancelation rights? |
Renewability provisions |
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What is a hazard? |
Any factor that increases the likelihood of a loss? Moral, morale, physical |
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What age are joint policies based on? |
Joint age |
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When is the latest that a settlement benefit can be paid to a beneficiary? |
6 months |
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What does not have to be on the first page of the Medicare sup policy |
Premium rates |
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Intermediate care |
Occasional nursing and rehabilitative care ordered by a physician |
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What percentage of the employees must participate in a noncontributory group policy |
100% |
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Capital sums |
Are a percentage of principal sums |
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When are life insurance proceeds taxable by the federal govt? |
If there is a transfer of value |
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What does the commissioner do |
Enforce the laws |
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Custodial care |
Meeting personal needs not medical |
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Life insurance rule 13 |
Disclosure rule |
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What happens in a joint life annuity when one of the annuitants dies? |
Payments stop at first death |
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An adjustable life policy can be both |
Term and permanent. Best of both worlds |
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The guaranteed purchase option aka |
Future increase option |
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The interest adjusted net method considers |
The time value of money |
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Accelerated death benefits can be used for |
1. Terminal illness 2. Institutionalization 3. Organ transplant |
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Who contributes to a sep |
Employer. Set up and maintained by emploee |
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Notice of claim provision |
20 days |
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Who is not required to have an insurable interest. |
The beneficiary |
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A core suplement policy does not cover |
Part A deductable |
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What is it called when a doctor accepts the Medicare approved amount? |
Assignment |