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Wisconsin Accident & Health Insurance Exam 3 – Questions and Correct Answers

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This document contains a comprehensive set of exam questions and correct answers for the Wisconsin Accident and Health Insurance Exam 3. It covers key topics such as state insurance regulations, ACA provisions, licensing requirements, Medicare supplements, and health policy rules. The material includes detailed explanations of legal standards, policy provisions, and insurance practices, making it a strong study resource for exam preparation and certification success.

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Wisconsin Accident And Health Insurance
Exam 3 Questions And Answers



What is the consequence for an intermediary's failure to pay his/her biennial license
fee?



Intermediary is incarcerated by the Insurance Commissioner.

Intermediary's license is suspended for 180 days.

Intermediary's license is revoked.

Intermediary's commission rate is reduced.

Intermediary's license is revoked.




Which of these situations would NOT potentially involve a prison sentence under
Federal law?



Selling insurance with a nonresident license.

Misappropriating insurance premiums.

Embezzlement of an insurer's funds.

Sending threatening letters to an insurer.

Selling insurance with a nonresident license.




How long can pre-existing conditions be excluded in long-term care policies?

,6 months.

12 months.

18 months.

24 months.

6 months.




What is the proper procedure for an intermediary to change his/her mailing address?



Notify the Governor's office in writing within 15 days.

Notify the Commissioner's office in writing within 30 days.

Notify the appointing insurer in writing within 15 days.

Notify the Commissioner's office via telephone within 30 days.

Notify the Commissioner's office in writing within 30 days.




Health providers are compensated by a preferred provider organization (PPO) for
normal dental procedures by what means?



Usual and customary fee schedules.

Increased fee schedules.

Decreased fee schedules.

Indemnity fee schedules.

,Decreased fee schedules.




According to the Affordable Care Act, new Health Insurance Marketplaces are
established by the



ICIICO.

CCIIOO.

CCOII.

CCIIO.

CCIIO.




Which of the following is REQUIRED coverage for all newly-issued group disability
(accident & health)

policies?



Alcohol treatment.

Wage loss due to unemployment.

Long-term disability.

Vision care.

Alcohol treatment.

, Which term refers to insurance written on the interests of the licensee, the licensee's
employer, or the licensee's immediate family?



Controlled business.

Surplus lines.

Fraternal organization.

Reinsurance.

Controlled business.




What is considered interstate travel under the Federal Fraud and False Statements Act?



Canada.

Jamaica.

Mexico.

Puerto Rico.

Puerto Rico.




Under what circumstances must an intermediary provide his or her business records to
the Commissioner?



Upon request of an insured.

Upon request of the Commissioner.

Under no circumstances due to privacy consideration.

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