Insurance licensing test prep – Flashcards

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Superimposed Plan
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Which of the following statements is not true of a Combination Dental Plan?
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Funds exceeding premium are taxed as income
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Which is true about the cash surrender nonforfeiture option?
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Emergency Surgery
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All of the following may be excluded from coverage in a Major Medical Expense policy, EXCEPT...
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At least 100 employees
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SIMPLE Plans require all of the following EXCEPT
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Full benefits
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Alden is involved in a small plane accident that renders him permanently deaf, although he does not sustain any other major injuries. Alden is still able to perform his current job. To what extent will he receive Presumptive Disability benefits?
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It provides income the beneficiary can't outlive
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Which of the following is true regarding a single life settlement option?
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Depreciation Period
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Which of the following is NOT a term for the period of time during which the annuitant or the beneficiary receives income?
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Target premium
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Which of the following would help prevent a universal life policy from lapsing?
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Policy delivery
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Which of the following is the most common time for errors and omissions to occur on the part of an insurer?
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Premiums are lower
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Which is generally true regarding insureds who have earned Preferred status?
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Residential care
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Which of the following LTC Coverages would NOT encourage an insured to receive care at home?
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The plan is funded by permanent insurance only
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All of the following are true of Key Person insurance EXCEPT
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Rated
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Another name for a substandard risk classification is...
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Amanda is 67 and is covered by a basic medical expense policy
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Assuming that all of the following people are covered by a High Deductible Health Plan and are not claimed as dependents on anyone's tax returns, which would NOT be eligible for a Health Savings Account?
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Prior to the time of the application
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A long-term care shopper's guide must be presented at what point?
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They seldom contain a conversion privilege
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Which of the following statements is true concerning employer group dental plans?
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$120 a day
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An insured's long-term care policy is scheduled to pay a fixed amount of coverage of $120 per day. The long-term care facility only charged a $100 per day. How much will the insurance company pay?
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The commissioner
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If a producer is suspected of acting in violation of the Insurance Code, what authority would preside over a legal hearing regarding the matter?
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Set premium rates
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The Ownership provision entitles the policyowner to do all of the following EXCEPT
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Race
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What is NOT considered by an underwriter when determining the premium rates for an individual seeking insurance?
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Has at least 50 members
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An association could buy group insurance for its members if it meets all of the following requirements EXCEPT
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Purchase a single premium policy with a reduced face amount
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When a whole life policy lapses or is surrendered prior to maturity, the cash value can be used to
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24 hours
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How many hours of continuing education credits are required in order for a producer to renew his/her license?
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The surviving beneficiary will continue receiving 2/3 of the benefit paid when both beneficiaries were alive.
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An insured has chosen joint and 2/3 survivor as the settlement option. What does this mean to the beneficiaries?
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Warn the applicant about the 10-day free-look period
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An agent is completing an application for a long-term care policy. The agent is required to do all of the following EXCEPT
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Insured is unable to perform duties of the occupation for which he/she was educated and trained.
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Which of the following refers to "own occupation" disability?
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Increase benefit levels without providing proof of insurability
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Guarantee of insurability option in long-term care policies allows the insured to
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Application
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Where would an underwriter find an agent's report regarding a prospective insured?
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Funding against general company financial loss.
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The following are legitimate uses of insurance in a business setting EXCEPT
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2 years
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The relation of earnings to insurance provision allows the insurance company to limit the insured's benefits to his/her average income over what period of time?
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Producer B writes a group policy covering a large hospital where his wife is the comptroller. This represented 27% of his commissions last year.
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Which of the following cases would constitute a violation of Louisiana's Controlled Business Statute?
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Visits by a registered nurse
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What types of services may not be provided under LTC's Assisted Living?
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The 12 months of creditable coverage must all come from the same employer.
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Which of the following is INCORRECT regarding HIPAA's creditable coverage?
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FINRA
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An agent selling variable annuities must be registered with
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Private insurers may be authorized to transact insurance by state insurance departments.
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Which of the following statements is an accurate comparison between private and government insurers?
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Medical Information Bureau
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An insurer wishes to compare the information given in an insurance application with previous insurance applications by the same applicant but for different companies. What organization can help the insurer accomplish this?
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A statement of good health
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When the policy premium wasn't submitted with the application, what should the agent obtain from the insured upon policy delivery?
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Installments for a fixed PERIOD
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Under which of the following annuity options does the annuitant select the time period for the benefits, and the insurer determines how much each payment will be?
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Fair Credit Reporting Act
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An applicant is denied insurance because of information found on a consumer report. Which of the following requires that the insurance company supply the applicant with the name and address of the consumer reporting company?
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Free Look
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Which provision allows a person to return a Medicare supplement policy within 30 days for a full premium refund?
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In a Stock Redemption Plan, the policies are owned by an entity, and in a Cross Purchase Plan, the policies are owned by individuals.
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What is the major difference between a Stock Redemption Plan and a Cross Purchase Plan?
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20 days
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Once a claim for loss is received, how many days does the insurer have to pay it before the interest on benefits begins to accrue?
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Monthly
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Under an individual disability policy, the MINIMUM schedule of time in which claim payments must be made to an insured is
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The payable premium amount steadily declines throughout the duration of the contract.
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All of the following are true regarding a decreasing term policy EXCEPT
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Are made by the business and are NOT tax-deductible
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Under a Key Person disability income policy, premium payments
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Mental illness
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In health underwriting, it would be inappropriate to decline a risk using any of the following factors EXCEPT
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After more than 1 year
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With a Single Premium Deferred Annuity (SPDA), when are the benefits paid?
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Closed panel
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In which of the following cases is the doctor considered to be an employee of the PPO?
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Early detection through regular checkups
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What is the goal of the HMO?
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Evidence of insurability may be required when insurance is increased.
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Which of the following statements is correct regarding Adjustable Life?
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2 or more
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HIPAA applies to groups of
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Accident only
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Jacob's insurance policy only pays for medical costs related to accidents. Which of the following types of policies does he have?
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Prohibits payments for regularly covered services if provided by non-network providers.
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A Medicare SELECT policy
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Cash values can be borrowed at any time.
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What does "liquidity" refer to in a life insurance policy?
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Nothing, due the insured's reaching the maximum age.
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An employer provides a group life plan for its employees; it is $50,000 of term to age 65. When one of the employees was hired 10 years ago, he misstated his age and told the employer he was 50, when in fact he was 56 years old. The insured employee died last week. His beneficiary will receive
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Workers Compensation
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Which of the following is NOT an example of a business use of Life Insurance?
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It transfers the owner's rights under the policy to the extent expressed in the assignment form.
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Which of the following statements is true about a policy assignment?
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Automatic Premium Loan
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A policyowner fails to pay the premium due on his whole life policy after the grace period passes, but the policy remains in force. This is due to what provision?
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The creditors have rights to the proceeds if they can show evidence of valid assignment.
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Which of the following statements is true concerning the creditors of the deceased insured?
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Extended term
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Which nonforfeiture option has the highest amount of insurance protection?
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Submit the form to the Commissioner of Insurance for approval
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An insurer writes a Disclosure Authorization Notice. Before it is distributed to insureds, what must the insurer do?
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Errors and Omissions
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What type of insurance protects producers in the event that they are negligent in their duties and are sued by insureds as a result?
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Not subject to income taxation by the Federal Government.
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Death benefits payable to a beneficiary under a life insurance policy are generally
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The insured should contact the insurer to confirm her actual Social Security benefit amount. The SIS rider should pay the difference between the rider amount and the actual benefit.
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An insured has a Social Insurance Supplement rider in her disability income plan. Following a disability, she begins receiving benefit payments from the insurer. She then begins receiving Social Security benefits that are smaller than the SIS benefit payments. At that point, her insurer ends the SIS benefit payments. Which of the following best describes the situation?
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Denial of coverage
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Which of the following is NOT a cost-saving service?
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150 days
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The widower of an agent was issued a temporary license 30 days ago. How much longer can he legally serve under this license?
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Medicaid is a state funded program that provides health care to persons over age 65, only.
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Which of the following statements concerning medicaid are false?
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An executive officer of an insurer
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Who can make changes to the policy once it is in effect?
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Adjust the claim benefit to reflect the woman's true age
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A woman misstated her age on an application for an individual health insurance policy. The insurance company found the mistake after the contestable period had expired. The insurance company will take which of the following actions regarding any claim that has been issued?
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Death due to plane crash for a fare-paying passenger
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Which of the following is NOT typically excluded from life policies?
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Children born after the inception of the contract
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A man purchased a health policy to provide coverage on himself, his wife, and their two children. All of them would need to prove insurability EXCEPT
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The insurance through his company is primary
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A man works for Company A and his wife works for Company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim,
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They allow several small employers purchase less expensive insurance together.
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Which of the following is true regarding METs?
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It provides care to people with life expectancies of 1-2 years
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Which of the following does NOT describe hospice care?
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Time Limit on Certain Defenses Clause
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A health insurance policy clause that prevents an insurance company from denying payment of a claim after a specified period of time is known as the
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The spouse of a retired producer
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A temporary license may NOT be issued to
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Consider decreasing the premium
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When Ken purchased his health policy he was a window washer. He has since changed occupations and now manages a library. Upon notifying the insurer of his change of occupation, the insurer should
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When the insured reached age 100
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When would a 20-pay whole life policy endow?
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A defined contribution plan for a small business
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If a company has a Simplified Employee Pension plan, what type of plan is it?
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Integrated Dental Plan
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The type of dental plan which is incorporated into a major medical expense plan is a
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Mutual
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An insured purchased an insurance policy 5 years ago. Last year she received a dividend check from the insurance company which was not taxable. This year she did not receive a check from the insurer. From what type of insurer did the insured purchase the policy?
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The guardian may or may not be accountable for assets
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Life insurance benefits for minors must be placed in the hands of either a guardian or a trustee. Which of the following is true?
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Need is predicted using the number of years until the insured's retirement.
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Which of the following is NOT true regarding the Needs Approach method of determining the value of an individual's life?
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To protect policyowners against insurer insolvency
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What is the purpose of the Insurance Guaranty Association?
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Exemption periods
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What is the purpose of the Insurance Guaranty Association?
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Coverage for the treatment of Alzheimer's Disease
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Long term care insurance policies can exclude all of the following EXCEPT
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Cash Value
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What limits the amount that a policyowner may borrow from a whole life insurance policy?
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The insured's secondary beneficiary
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If both the insured and the primary beneficiary died in the same car accident and it is impossible to determine who died first, which of the following will most likely receive the death benefit?
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Aleatory
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Which of the following best describes the concept that the insured pays a small amount of premium for a large amount of risk on the part of the insurance company?
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Producer C uses her license to write uncontrolled business only
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Which of the following would not be a violation of Louisiana insurance regulations?
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