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25 Cards in this Set

  • Front
  • Back
What is required when an applicant reveals conditions that require more information?
Physical Exam
Which risk classification carries the lowest premium?
Preferred
During the disability elmination period
No beneifits are payable
Which of the following statements defines partical disability?
A disabled employee while he is still working part-time and receiving lost income under their long-term disability benefit
Which statment best dewcribes a life insurance policy dividend?
It is the disribution of excess funds accumulated by the insurer on participation policies
If a person was in violation of Section 770 of the CA Insurance code, what action would the Insurance Commissioner most likely take if the violation dealt with loans on the security of real or personal property?
Issue a cease and desist order for a violation of more than more transaction
If no other method of payment is selected, which f the following is the automatic mode of settlement for life insurance policy proceeds
Lump-sum settlement in cash
The process whereby a mutual insurer becomes a stock company is called
Demutualization
A supplemental insurance policy that pays a set amount for each day that an individual is hospitalized is known as
Hospital confinement indemnity
Any situation that presents the possibility of a loss is known as
Loss exposure
A commonly used cost containment measure for emergency hospital care under a major medical expense plan is
Deductible
Which settlement option allows only the death benefot earning to be paid to the beneficiary?
Interest option
An agent acting as an insurance agent, broker, solicitor, life agent or bail agent acts in which capacity when handling premiums or return premiums for an insured?
Fiduciary
Which statement is true regarding participating in a group health insurance plan?
A non-contributory group health plan must cover all eligble members
According to the state law, what size print must be used for the licensee's license number on all price quotes, business cards, and printed material?
The same size as the licensee's phone number , fax number or address
Social Security disability benefits are paid to persons expected to die or be disabled at least:
12 months
Which non-forteiture option uses cash surrender values to purchase paid-up term insurance for the full face amount of the policy?
Extended term insurance
The group medical plan provision that applies when a claimant has coverage under more than one plan is know as?
Coordination of benefits
All of the following statments about the gatekeeper system are true, except:
The insured must utilize their primary physicians who authorize all care for the insured
Which coverage is aviable at no cost to persons at age 67?
Medicare Part A
Which optional program is only for individuals age 65 or older?
Medicare Part B
Traditional comprehensive major medical plans include all of the following except:
First-dollar coverage
According to the Employee Retirement Income Security Act of 1974 (ERISA) fiduciary standards, benefit plans are operated for:
Plan participants and beneficiaries
After the dedcutible is paid, what percentage of the balance of approval charges does Medicare Part B pay?
80%
With Medicare coverage:
Part B provides benefits for diagonstic tests and x-rays performed on an out-patient basis