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78 Cards in this Set
- Front
- Back
Which type of rider reimburses health and social service expenses incurred in a convalescent or nursing home facility? |
long term care rider |
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Which one of the following represents an advantage of obtaining a policy loan vesus a withdrawal? |
the loan is not taxed while a withdrawal is taxed for amounts above the contract cost basis |
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When the courts look at a contract to determine the intent of the parties which of the following is considered? |
the entire contract |
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How are term riders used? |
to purchase insurance on a family member of the originally insured |
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What does coinsurance mean? |
The insurer and the insured share expenses over the deductible. |
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All of the following statements define preexisting conditions EXCEPT |
any chronic health condition that presents symptoms and which was unknown at the time of application. |
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When the suicide clause is inserted in a life insurance contract, death by suicide is not covered during the policy's initial: |
2 year period |
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All of the following are ownership rights EXCEPT |
switching the policy from one insured to another |
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Which policy provision permits the policyowner to take a specified number of days to examine the contract, and allows for cancellation and a full refund if the policyowner rejects the terms or costs? |
Free look |
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Which of the following is exempted from the incontestability provision in insurance policies? |
fraudulent misstatements |
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Under normal conditions which of the following is TRUE for proof of loss when a single loss is claimed? |
The insured has 90 days from the date of loss to provide proof of loss. |
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Whose responsibility is it to make sure that the company is notified of a death claim at the earliest possible opportunity (in most cases)? |
the producer |
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When a policy or certificate containing an accelerated benefit provision is applied for or delivered, the producer is responsible for providing the applicant a summary of coverage that includes all of the following EXCEPT |
a detailed and comprehensive summary of the accelerated benefit |
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The right to change the beneficiary or dispose of the policy or its benefits in any manner one chooses is reserved to the policyowner UNLESS which of the following is true? |
The policyowner has named an irrevocable beneficiary. |
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Which of the following is an example of a premium payment mode? |
annual premium payment |
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In order for an insurer to increase the premium on a noncancelable policy, which of the following MUST be true? |
The premium increase must be in the contract at the time it is issued. |
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Under the misstatement of age or gender provision, what happens if it is determined at death that the insured's age or gender was misstated on a life insurance policy application? |
benefits are adjusted to an amount that the premium would have purchased at the correct age or gender |
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When will a policy pay on a UCR basis? |
When particular benefits are not listed on a payment schedule |
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What is the return of premium rider? |
an increasing amount of term insurance that always equals the total of premiums paid up to the current point |
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All of the following are common exclusions from loss found in disability income policies EXCEPT for that incurred while |
commiting a misdemeanor |
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All of the following are TRUE regarding incomplete applications EXCEPT |
the incomplete application can be accepted with the missing information added later. |
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What is the purpose of Stranger-originated life insurance (STOLI)? |
the policy is originated primarily or solely for the purpose of resale |
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All of the following are required signatures on a life insurance application EXCEPT |
the minor in a juvenile policy. |
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When does insurable interest come into play in a life insurance policy? |
when the applicant for the policy is not the insured |
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What specific new procedures does the USA Patriot Act require of insurance companies? |
Establish an anti-money laundering program |
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Obtaining consumer information reports under false pretenses is prosecutable by which of the following? |
Fair Credit Reporting Act |
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If the insurer wishes to share an applicant's HIV status, the applicant must be given full notice of all of the following EXCEPT |
the treatment procedures that are covered by the policy. |
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What is a MIB report? |
medical information on an applicant for assessing life or health insurance risk |
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What procedure is used by an insurer to protect itself in the event a dispute arises and the applicant and the agent do not recall the changes that were made in a completed application? |
The applicant and possibly the agent initial any changes made. |
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Which of the following occurs immediately after the application is submitted and the initial premium paid? |
the underwriting process begins |
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Why are insurance policies considered conditional contracts? |
Certain conditions need to be met to make the contract legally enforceable. |
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How do warranties differ from representations? |
a warranty is guaranteed to be true, a representation is believed to be true to the best of one's knowledge. |
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All of the following are classifications of risk EXCEPT |
non-nicotine. |
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Which type of receipt makes the insurer liable for the risk from the date of application, regardless of the applicant's insurability? |
binding receipt |
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Which of the following was specifically designed to address STOLI and IOLI practices? |
NCOIL Act |
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Why is rehabilitation considered worthy of federal help under workers' compensation? |
it reduces insurance losses and helps regain the worker's dignity |
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What type of insurance should a company purchase if it wants to insure the life of its CEO? |
key person insurance |
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Under which situation must insurable interest exist between the applicant and insured at the time of application? |
When a third-party applicant names themselves beneficiary. |
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In noncontributory plans, which percentage of eligible members must participate? |
100% |
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All of the following are tax qualified retirement plans EXCEPT |
Section 529 plan |
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Why is relying solely on employer group life insurance generally considered inadequate for most individual's needs? |
It is financially insufficient to cover end of life expenses. |
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For an individual long-term care policy there is an annual dollar limit for tax deductions that is based on which of the following? |
age |
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In a case where an individual's health is insured by both their own policy and their spouse's policy, which policy pays in the event of an illness? |
The individual's policy pays first, the spouse's policy pays the remaining up to coverage amount. |
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The group conversion option is allowed for all of the following EXCEPT |
during the annual benefits enrollment period. |
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Managed care plans increase efficiency by all of the following means EXCEPT |
transferring the management of costs to the insureds. |
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Which of the following is characteristic of a nonqualified plan? |
plan does not meet federal guidelines for tax benefits |
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When can the premiums of an individually owned health insurance policy be deducted from the individual's income tax? |
when the taxpayer's medical expenses exceed 7.5% of adjusted gross income during a taxable year |
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Short term disability insurance generally only covers injuries due to which of the following? |
Non-occupational injuries |
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In a home healthcare benefit, all of the following are eligible expenses EXCEPT |
blood transfusions |
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Which of the following amends the Social Security Act to make Medicare secondary to group health plans? |
TEFRA |
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All of the following are requirements to qualify for Social Security disability benefits EXCEPT when |
unable to work in occupation in which the worker was trained or educated. |
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How long after being entitled to disability benefits will an individual be eligible to receive Medicare benefits? |
2 years |
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Which of the following is true about a decreasing term life policy? |
The face amount reaches zero at policy expiration. |
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All of the following are characteristics of variable whole life EXCEPT |
there is no guaranteed minimum death benefit. |
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Which insurance plans are commonly offered through the worksite (employer sponsored) EXCEPT? |
Medicare |
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All of the following are characteristics of COBRA EXCEPT |
change in medical privacy procedures. |
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Which of the following is the most common method to supplement Medicare coverage? |
Coverage offered by private insurers |
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A basic vision care package includes all of the following EXCEPT |
safety glasses. |
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Which of the following policy types is considered double indemnity? |
accidental death |
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Which problem was universal life insurance designed to address? |
low interest rates during periods of high inflation |
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Which is the major reason why long term care insurance is becoming increasingly important? |
As life expectancy increases, the chances of needing long term care also increase |
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Compared to basic hospital, medical and surgical policies, which type of insurance provides broader coverage, fewer gaps, higher individual benefits, and higher policy maximums? |
major medical insurance |
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Current assumption whole life policies are sensitive to which of the following? |
interest rates |
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Which is the primary purpose of Health Reimbursement Accounts (HRAs)? |
To assist covered employees with the payment of medical expenses on a high deductible plan funded through pre-tax contributions. |
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Which of the following is a characteristic of Preferred Provider Organizations (PPOs)? |
prearranged costs for services rendered |
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A group conversion option may be used in all the following instances EXCEPT |
a life-changing event, such as marriage, divorce, or childbirth. |
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When should a buy-sell agreement include a provision for the buy-out of an owner's business interest in the event of a disability? |
When there is a buy-sell agreement funded with life insurance to buyout the interest of a deceased owner or partner. |
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Which type of life policy can be continued year after year without a required medical examination but rates are dependent on the insured's current age? |
renewable term |
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Which of the following is TRUE of the limited pay whole life policy? |
Coverage continues after the policy is paid-up. |
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Which type of annuity covers two or more annuitants and provides monthly income only until the first annuitant dies? |
Joint life annuity |
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Which of the following coverage types pays a monthly cash benefit following the elimination period for total disability due to accident or sickness? |
Disability income insurance |
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Which of the following is defined as the dollar amount beyond which the insured no longer participates in payment of medical expenses? |
Stop Loss Limit |
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In which of the following does a covered employee agree to a reduction in compensation so the amount can be used to cover medical expenses? |
Flexible Spending Account (FSA) |
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States generally define a true "group" for insurance as requiring a minimum of how many participants? |
10 |
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Which of the following is TRUE of an equity-indexed annuity? |
It has a guaranteed minimum interest rate. |
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All of the following statements are true regarding installments for a fixed amount EXCEPT
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Value of the account and future earnings will determine the time period for the benefits
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If a consumer requests additional information concerning an Investigative Consumer Report, how long does the insurer or reporting agency have to comply?
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7 day 5 day 3day |
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