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21 Cards in this Set
- Front
- Back
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if an insured is disabled and receiving benefits under a disability policy that provides payment to the insured for at least 2 years, at what intervals must the insured provide notice of continuing loss?
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6 months
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a comprehensive medical expense insurance policy combines what coverages under one contract?
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basic hospital and surgical coverage with major medical coverage
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distributions taken from a Medical Savings Account (MSA) that are used to purchase a new sport utility vehicle are taxable as...
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ordinary income plus a 15% penalty
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Multiple Employer Trusts (METs) were created to provide group coverage for...
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small employers in the same industry
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the entire contract provision in a health policy states...
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the policy, with attached endorsements and constitutes the entire contract between the policyholder and the insurance company
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if an insurance company fails to notify an applicant that a reinstatement application was not approved, insurance will be placed back in force within how many days?
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45
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in a disability policy, an Elimination Period (waiting) Provision refers to the period between...
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the first day of disability and the day to which the disability must continue before it can result in the insured receiving benefits
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what is an eligibility requirement for Social Security Disability income benefits?
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fully insured status
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in dental insurance, bridgework is known as...
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prosthodontics
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the purpose of the coinsurance clause in major medical policies is to...
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motivate the insured to minimize unnecessary care
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if an individual wants to purchase a policy that would provide the broadest coverage for medical expenses they should purchase...
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comprehensive major medical
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how many days must an insured wait after submission of proof of loss before taking legal action against an insurance company?
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60 days
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on an "integrated" medical expense and dental expense plan what is true about the deductible?
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it can be satisfied with either dental or medical expenses
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the purpose of the time limit on certain defenses provision is to limit the time during which the insurance company can...
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challenge the contract because of material misstatements in the application
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the insured is required to submit a notice of claim to the insurance company within how many days after a loss?
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20 days
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the misstatement of age provision gives the insurance company the right to adjust...
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benefits payable
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health coverage becomes effective when the..
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first premium has been paid and the application has been approved
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the right of an employee to exchange group insurance for an individual policy within 31 days from termination of employment is provided by the...
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conversion provision
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under the Uniform Provisions Law, what provision is optional for an A&H policy?
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change of occupation
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when benefits are paid to a policyholder covered under a hospital expense policy, the policy is considered to be...
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reimbursement
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medicare part A hospital insurance provides coverage for institutional psychiatric care for 190 days per...
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lifetime
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