EXAMFX QUESTIONS – Flashcards

Which of the following is true about the requirement regarding HIV exams?

An agent makes a mistake on the application and then corrects his mistake by physically entering the necessary information who must then initial that change

Nancy has an illness that requires significant medical attention Kevin and Nancy decide to legally separate eligible for health insurance coverage under Kevin what options does Nancy have at this point

this entity has the authority to make changes to an insurance policy

An applicant for an individual health policy failed to complete the application properly before being able to complete the application and pay the initial premium she is confined to a hospital this will not be covered by the insurance because she has not met conditions specified in the

which provision concerns the insured's duty to provide the insurer with reasonable notice in the event of a loss

under the physical exam in autopsy provision how many times you can and insurer have the insured examined at its own expense while at claim is pending

The provision that states that both the printed contract and a copy of the application form the contract between the policy owner and the answer is called the

under the change of beneficiary provision the policyholder has the right to change beneficiaries in any case is

A guaranteed renewable health insurance policy allows the

The expense of an autopsy covered under the physical exam and autopsy provision is paid by

A small business proprietor Who owns a medical expense plan. what percentage of the cost of the plan may he deduct?

an agent is ready to deliver a policy to an applicant but has not yet received payment. upon delivery, The agent collects the applicant premium check, answers any questions the applicant may have, and then leaves. what did you forget to do?

A small hardware store owner is involved in a car accident that renders and totally disabled for half a year what type of insurance would help him pay for expenses of the company during the time of his disability

A new employee who meets HIPAA eligibility requirements must be issued a health coverage on what basis

Who can legally bind coverage

what is the maximum period of time during which an insurer may contest fraudulent and misstatements made in the health insurance application

how soon are following the occurrence of a covered loss and insured submit written proof to the insurance company

an agent is in the process of replacing the insured's current health insurance policy with a new one. what would be the proper action

with a carryover pro vision policy. The insured make carry over the amount of this year's expenses to next year which will help satisfy next year's deductible

what type of riders would NOT increase the premium for a policy owner

an insurance agent propose an individual health insurance policy that is guaranteed renewable. If the applicant excepts this policy the ensure agrees that

HIPAA applies to groups of

The cobra act of 1985 requires all employers regardless of the number or age of employees to provide extended group health coverage this statement is?

an insured pays a monthly premium of $100 for her health insurance what would be the duration of the grace period under her policy

which renewal option does NOT guarantee renewal and allows the insurance company to refuse renewal of a policy premium due date

when delivering a policy, what is the agents responsibility

provision found in insurance policies which prevents the insured from collecting twice for the same loss is called

for how many days of skilled nursing facility care will Medicare pay benefits

what is NOT a feature of a guaranteed renewable provision

which maneuverability provision are you most likely to see on a travel accident policy

how many consecutive months of coverage (other than the acute care unit of hospital) must LTC insurance provider in North Dakota

individual insurance does not require medical examinations, while group insurance does require medical

regarding Medicare SELECT policies, what are restricted network provisions?

an agreement between a ceding insurer and assuming insurer

what is the duration of a free look period for Medicare supplement policies

what is NOT a requirement for an applicant to qualify for the inclusion of the CHAND

what is compliant regarding continuing education

how many hours of continuing education must of producers complete in ethics each licensing period?

what is NOT a requirement for a qualified long term care insurance contract

if a testimonial refers to benefits received, all pertain to information must be pertinent for at least?

The aggregate amount of premium do NOT have to be disclosed in a long-term care policy

which renewal provisions must be included in a long-term care policy issued to an individual

The Medicare supplement renewal commission paid and the third year must be as high as the commission of which year

what impact do home health care benefits have on institutional care benefits provided by a policy

giving a client a $25 gift certificate as a prize at a promotional event would NOT be considered

A specific agent or insurer may not be mentioned is NOT a requirement of an insurance advertisement

A person buys an individual long-term care policy and is not satisfied with the provisions. Within how many days will be insured to be able to return the policy for a full premium refund

when transacting business in North Dakota an insurer formed under the law of another country is known as a

what limits the total amount of claims paid from all insurers covering the individual