What information would the insurer's underwriters likely use to determine the appropriate coverage and final premium rate given to the group? In the event of the employment termination, group health insurance can be kept if the EMPLOYEE pays the premiums, A health insurer must be provided with written proof of loss _____ days after the date of loss, A producer must notify the Commissioner within _____ days of a felony conviction. the daily amount paid for nursing home care, All long-term care policies sold in North Dakota are REQUIRED to pay the SAME daily benefit amount for "at home" care as paid for. Similar to the differen o Term Life insurance: an individual is buying protection for a specific period of time. Change must be initialed by the applicant, A producer who sells an individual life insurance policy in New Jersey MUST deliver to the policyowner. How long is the Contestable period for health insurance policies sold in Maryland? What is issued to each employee of an employerhealth plan? 16381 Chillicothe Rd, Chagrin Falls, OH 44023, USA 440-708-1855. search. With a past due premium of $100, the insurer pays $400. The Right-to-Examine period in Maryland for Long-Term Care policies is ____ days. Ahealth care provider claim may be settled using which of the following paymentmethods? A life policy loan in Maryland cannot charge a fixed rate of interest higher than: A producer's secretary who solicits prospects on the telephone: a) is an example of the illegal act called twisting, d.) Is not required to be licensed as a producer. Twisting is an illegal act which involves, A producer does NOT have a fiduciary responsibility to. Under a life insurance policy, what does the insuring clause state? Jim recently sold his whole life insurance policy under a critical settlement contract. This rider is called a(n). Which of the following is required for an insurer to conduct business in this state? All Medicare Supplement policies MUST contain which provision? Financial report from the previous year. An individual the means to replace wages. The family's financial objectives if the income earner were to die or become disabled, Normally at any time during the policy term, Loans obtained by a policyowner against the cash value of a life insurance policy, The solicitation of a non-authorized contact in New Jersey violates. A non-contributory health insurance plan helps the insurer avoid, An employee under a group insurance policy has the right to name a beneficiary and the right to, A) remain on the group in the event of employment termination, D) Convert to an individual policy in the event of employment termination, D) Convert to an individual policy in the event of employment termination, All of the following are Characteristics of a group life insurance plan EXCEPT, Tim is covered under a group plan and would like to change his group coverage to an individual policy with the same insurer because of employment termination. D. Adjustable, permanent, and limited-pay lifeinsurance. In order for the producer's insurance business to continue, the Commissioner may issue to the producer's spouse a has a mental or physical handicap and remains dependent on the parent A dependent child may remain on a parent's health insurance plan beyond age 26 if the child 60 Advertising material for a life insurance policy does NOT need to contain which of the following? 2.1.1 6 Whole life Insurance in Malaysia How long is her grace period? Submit to the replacing insurer a list of the policies to be replaced. Underthe Maryland health insurance plan, comprehensive health benefits are providedto. Which scenario would most life insurance policies exclude coverage for? When the word "insurance" appears in a producer's business name, which of the following words cannot be approved? Temporarily Deposit the funds in a personal account. 1. Unit 4 Assign Rubric Impact of Colonial Experience (2).pdf, 0B1FC21B-547A-410E-8D8F-64E2A8C35084.jpeg, My Path Assessment Editor _ WorldQuant University.pdf, Oral liquid 50 microgramsml Tablet 625 micrograms 250 micrograms epinephrine, spirit its source is what constitutes religion This can be traced to the, Write in a brief description for the bubbles with underlined words 2 Choose a, BUS 1021 Organizational Behavior (OB) Consulting Assignment.edited11.docx, lOMoARcPSD11771818 True or False The above plot shows clear evidence that the, 2 Non tariff barriers which are further classified into two categories a, CTS115 - Chapter 5 - Case Study - Denial of Service -Moss.docx, The fallacy described as a red herring is most similar to a False cause b, Copy of Algebra Unit 2, Concepts 1, 2, 3.pdf, The model is used to describe the interaction of external forces that affect an, EVM Presentation - Project Management .pptx, What is the shape usually used to refer to the curve that illustrates. Term, Whole, and universal life insurance, C. Joint, credit, and group life insurance. The right-to-examine period in Maryland for long-Term Care polices is ___ days. Medicare Part A does not pay for medical benefits provided for treatment in a skilled nursing facility beyond. a producers secretary who solicits prospects on the telephone. National Milk Producers Federation 2107 Wilson Blvd., Suite 600 Arlington, VA 22201 Phone: 703-243-6111 E-mail: info@nmpf.org Our Future You series provides a range of topical advice and guidance via webinars and podcasts. The exceptions, reductions, and limitations affecting the basic provisions of the policy, Any advertisement that mentions a dollar amount, period of time for which any benefit is payable, cost of policy, policy benefit, or the loss for which the benefit is payable MUST disclose. Whichof these is considered to be a document that describes the critical segments ofa life insurance policy? Lower than the typical whole life policy duringthe first few years and then higher than typical for the remainder. Which of the following is considered a tax-deductible medical expenseunder this rule? When are group disability benefits considered to be tax-free to the insured? AMaryland insurance producer solicits an insurance policy. Whoassumes the investment risk with a fixed annuity contract? Krissa purchases a 10-year level term lifeinsurance policy that has a death benefit of $200,000. What would be an expense factor in a insurance program? The ________ has the right to renew a small employer health plan. A closed network plan offers a primary physician copay of $25. a producers secretary who solicits prospects on the telephone 12. Healthinsurance will typically cover which of the following perils? Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. Fundingfor Medicare Part B is Partially provided by. Using derogatory statements about an insurance company's financial condition. c. Solve the equation f(x)=0, if possible. C. Normally graded over a period of 20 years. A producer has recently died and leaves behind a spouse. a producers secretary who solicits prospects on the telephonecapricorn and virgo flirting. B.Canceling a term life policy to buy a whole life policy. Julie has a $100,000 30-year mortgage on her new home. _____ is NOT an element of valid contract, The automatic premium loan provision authorizes an insurer to withdraw from a policy's cash value at the amount of, Past due premiums that have not been paid by the end of the grace period. a producers secretary who solicits prospects on the telephone. Annuities are intended to create an estate. Which of these is NOT an Unfair Claims Settlement Practice? The premium for a Modified whole life policy is, How long is the Contestable Period for health insurance policies sold in New Jersey, An applicant intentionally lying to an insurance company on an application in order to obtain a cheaper premium is an example of. Insurance producer Kelly offers an insured a $500 shopping card if an insurance product is purchased through her. Doctor cannot charge more than Medicare's scheduled coverage, Health insurance advertisements that mention statistical information are required by New Jersey law to. The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. C. Careis only covered in a government facility, D. Careis only covered if primary care physician gives a referral, Theopen enrollment period for Medicare part B is, D. Generaltax revenue and user premiums. An insurance company may ONLY pay a sales commission to, Continuous 24-hour care provided by licensed medical professionals under the direct supervision of a physician is called. Which of these will typically authorize treatment from a specialist? Alimited payment whole life policy provides. Which of the following actions is REQUIRED by an agent who is replacing an existing life insurance policy? Donnaand Mary were racing bicycles in a store parking lot while being cheered on by fellowemployees. She paid the premium on May 15 with the policy indicating the effective date being May 30. D.In the event of employment termination, group health insurance can be kept if the employer pays the premium. What is the MINIMUM benefit period that must be offered by a Long-Term Care policy? A. A hospital or medical expense policy will typically cover dental treatment expenses under which circumstance? D. Coverage includes compulsory hospital andvoluntary supplementary medical insurance. How long must an individual be unable to engage in any gainful activity due physical or mental disability in order to qualify for Social Security Total Disability? Which of the following is an example of fraud? 1. For large samples, describe the sampling distribution of, (p^1p^2)\left( \hat { p } _ { 1 } - \hat { p } _ { 2 } \right) Which rider would pay a monthly amount because of this disability? \text{Accounts payable} & \$\ \hspace{5pt}32,000 & \$\ \hspace{5pt}57,000 \\ Vaginal plastic surgery is made up of two main procedures, external and . Please sign in to share these flashcards. 1. A newborn is required to be covered for ______ days from the moment of birth. No federal income tax is owed on life insurance proceeds, A non-contributory health insurance plan helps the insurer avoid, States that have "no loss no gain" laws require a replacing policy to, Pay for ongoing claims under the policy it replaces. You are here: leeds city council repairs phone number a producers secretary who solicits prospects on the telephone. Craig submits a $500 claim for medical expenses. Which of the following is NOT information found in a life insurance buyer's guide? The company did not retire any bonds or repurchase any of its own common stock during the year. Bob dies 12 months later. Whatis the purpose of the medical information Bureau (MIB)? is one of the oldest and best known of all Barbadian funeral establishments. Which type of rider will waive the premium on a child's life insurance policy if the parent paying the premium dies? Which of the following would disqualify a company's retirement plan from receiving favorable tax treatment? Pat is insured with a life insurance policy and Karen is his primary beneficiary. Both May and John are injured. Mike has inherited his fathers traditional IRA.As beneficiary, he will pay __Taxes on any money withdrawn. Allof these are considered key factor in underwriting life insurance EXCEPT, Anapplicant intentionally lying to an insurance company on an application inorder to obtain a cheaper premium is an example of. D.) By providing consumer credit counseling. A licensee MUST notify the Commissioner of an address change within _______ days of the change, Violations of US Code Title 18 section 1033 may result in, In the state of Maryland, a licensed producer, sharing commissions with other licensed and appointed agents, All of the following actions are considered rebating EXCEPT, Under the Maryland Health Insurance Plan, comprehensive health benefits are provided to, A producer who knowingly submits a false statement in support of a claim. Under a Traditional IRA, Interest earned istaxed. What type of life insurance could she purchase that is designed to pay off the loan balance if she dies within the 30-year period? A producer's secretary who solicits prospects on the telephone Must be licensed as a producer Which of the following is a requirement for ANY change in an insurance application? A. d. Alump sum payment upon first diagnosis of cancer, heart attack, or stroke. 5151\left|\begin{array}{ll}5 & 1 \\ 5 & 1\end{array}\right| B.) A term life insurance policy is what most people think of when they think about life insurance. 1. Collecting a chargefor insurance that is less than the charge applicable to that insurance. Which type of contract may NOT be issued by an insurance company? Whoregulates the quality of care provided by a health maintenance organization(HMO), a. Secretaryof department of health and mental hygiene, b. NationalAssociation of insurance commissioners, A.Secretary of the department of health and mental hygiene. Whichphase is this annuity in? An insurance company needs to obtain personal information from a third party concerning an applicant. Whathappens when an insurance policy is backdated? Whichtype of injury would NOT be covered under a health insurance policy? In the advertising of Individual Life Insurance policies, an "introductory" or "special enrollment" may not be made available until any previous enrollment period for the same policy has been closed for at least how long? Mary ran into John, another employee, who happened to be taking outthe garbage. It is administrated by the federal government, C. It is funded by federal, state, and local taxes. The coverage, condition, and limitations in the master policy of a group contract can be found in which document? Tarathe producer is delivering a specified disease insurance policy to a new policyowner. a producers secretary who solicits prospects on the telephone. To be classified as a small employer, an employer must NOT have more than _________ eligible employees, The _______ is responsible for determining the appropriateness of a Medicare Supplement policy for an applicant, During the examination of an insurer's books and records by the Commissioner, the insurer, remain in effect until a new one is issued, John the insurance producer has an insurance license that expires in 6 months. Benefits provided by a Medicare Supplement policy must NOT, Funding for Medicare Part B is partially provided by. Which of the following is CORRECT regarding the death benefit amount. Which market index is associated with an indexed annuity's rate of return? a producers secretary who solicits prospects on the telephone. When is an existing health insurance policy required to provide coverage for a new born child? An applicant's character and personal habits can be obtained for underwriting purposes from which source? After passing the state Producer licensing exam, application for the license must be made within, How long must an insurance company keep record on life insurance replacement activity, An insurance company that is organized or chartered in a country other than the United States is defined as, Advertisements of insurance in a local newspaper, must be approved by, Which of the following actions may an insurance company NOT do in a health policy that contains a guaranteed renewable premium benefit, Increase the premiums on an individual basis, Continued coverage under COBRA would be provided to a(n), A covered employee is terminated for gross misconduct, In New Jersey, health insurance advertisements are required to contain the, The purpose of a coordination-of-benefits provision in group health accident and health plans is to, If an insured dies during the grace period with no premiums paid, The policy would be payable, minus the premium amount, A 10% excise tax is normally applied to an early withdrawal from an IRA. By . \text{Common stock} & \hspace{13pt}70,000 & \hspace{13pt}60,000 \\ Complete the sentence using each term once. AnIndividual can enroll in a part C Medicare Advantage Plan at what time? An accident and health policy that provides reimbursement benefits makes them payable to the, A separate converted policy may, at the option of the insurance company, be issued to cover a, Dental treatment is needed to repair an injury. An individual life insurance policy can be contested by the insurer only during the first _________ years of the contract, An order issued by the commissioner that prohibits a specific practice listed in the order is called a. Which of thesestatements is true? Upon delivery, she may be expected to collected all of the followingEXCEPT a(n), B. Signedimpairment rider acknowledgement, C. Modifiedapplication with a new signature, Oneof the most important considerations when replacing health insurance would bethe. Which of the following is NOT part of an insurance contact? Duringthe accumulation period, who can surrender an annuity? What will the beneficiary receive if an annuitant dies during the accumulation period? Find out how you can intelligently organize your Flashcards. Which type of disability would be less than total impairment and equal to permanent impairment? Producing an inadequate amount of new premium. The standard grace period for a life insurance policy sold in Maryland is. If an insured dies during the grace period with no premiums paid. An agent is required to keep replacement forms on file for at LEAST _____ years, When a Medicare supplement policy is purchased during the open enrollment period, The policy must be issued regardless of health status, Have it's content approved by the Insurance Commissioner. B. Which course of action must be taken by the Commissioner? C. Funded by federal, state, and local taxes. Which type of coverage pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance? A person who is a nonsmoker, of average weight, and in excellent health would most likely be in which risk classification? An annuitant is guaranteed to NOT outlive their benefits will a(n). What types of life insurance are normally usedfor key employee indemnification? . Who is the individual paid on a fee-for-service basis? As beneficiary, he will pay ____ taxes on any money withdrawn. Engaged in a fraudulent insurance practices. juin 5, 2022 . Without a Section 125 Plan in place, what would happen to an employee's payroll contribution to an HSA? D. Assist an insurer in determine an applicantscreditworthiness. These rights are called, A producer who intentionally makes an untrue or incomplete statement in the course of an insurance transaction may be guilty of. A. Doctormay charge up to a maximum of 15% more than Medicare pays for the service, B. Doctoris not bound by Medicare limitations on charge, C. Doctorcannot charge more than Medicares scheduled coverage, D. Doctor bills the Medicare beneficiary directlyfor services performed, A. Alwaysrequires service in a network, B. Providesa greater choice of providers, C. Alwaysrequires a referral to specialists. visas, binomial trials. Inwhich of the following situations would the insurer be liable for a loss? (p^1p^2). A. Which of the following statements is CORRECT regarding an individual applying for life or health insurance? An insurance producer is issued a _____ as evidence of authority. Mariais a preferred provider organization (PPO) subscriber and received care from anout-of-network provider. How many days notice must the Commissioner give prior to a hearing? Written notice for a health claim must be given to the insurer ___ days after the occurrence of the loss. The promise of a discount in premium as an inducement to purchase insurance is known as, exchanging a new policy for one already in force, with guidelines regarding credit reporting and distribution, The Fair Credit Reporting Act protects consumers, Terminally-ill life insurance policyowners may sell their policy at a discount to a third party. A producer's secretary who solicits prospects on the telephone: a) is an example of the illegal act called twisting .
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