TN Health and Life Insurance Exam Questions &
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Terms in this set (224)
Which of the following reimburses its COMMERCIAL INSURERS
insureds for covered medical - Commercial insurance companies function on the
expenses? reimbursement approach. Policyowners obtain
- health maintenance organizations medical treatment from whatever source they feel
- preferred provider organizations is most appropriate and submit their charges to
- commercial insurers their insurer for reimbursement
- service providers
A business entity can be defined as ASSOCIATION OR A LIMITED LIABILITY
a(n) COMPANY
- agency that must only operate - The definition of a business entity includes an
outside of TN association or limited liability company
- agency that must only operate
inside of TN
- association or a limited liability
company
- business that requires approval by
the Attorney General to transact
business
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Which of the following health INSURING CLAUSE
insurance policy provisions specifies - The insuring clause identifies the specific type of
the health care services a policy will health care services that are covered by that policy
provide?
- insuring clause
- usual, customary, and reasonable
clause
- consideration clause
- benefit clause
A Disability Income policy that only NONCANCELLABLE
the policyowner can terminate and - A disability income policy that only the
which the rates will never go up is policyowner can terminate and on which the rates
considered to be will never increase is a noncancellable policy
- optionally renewable
- noncancellable
- cancellable
- guaranteed renewable
A producer may apply for one or ALL OF THE ABOVE
more of the following licenses:
- life insurance
- personal lines property
- accident and health or sickness
insurance
- all of the above
A provision in a life insurance policy POLICY LOAN PROVISION
that pays the policyowner an amount - a policy loan will pay the policyowner an amount
that does not surpass the that, with interest, does NOT exceed the
guaranteed cash value is called the: guaranteed cash value
- policy loan provision
- automatic premium loan provision
- accelerated benefits provision
- consideration clause
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Long Term Care policies will usually EXPENSE INCURRED
pay for eligible benefits using which - Most long term care policies pay on a
of the following methods? reimbursement (or expense-incurred) basis, up to
- Delayed policy limits
- fee for service
- expense incurred
- respite
Which of the following is NOT a LIFE INSURANCE POLICY
limited benefit plan? - is not a limited benefit plan
- Dental policy
- life insurance policy
- critical illness policy
- cancer policy
In TN, the definition of "individual" THE INDIVIDUALS LEGAL REPRESENTATIVE
may include which of the following? - The term "individual" can be associated with an
- The individual's children individuals legal representative
- the individual's business associates
- the individuals legal representative
- the individuals financial accounts
What is the purpose of the Time of PREVENTS DELAYED CLAIM PAYMENTS MADE BY
Payment Claims Provision? THE INSURER
- Requires the insured to wait 60 - The purpose of the Time of Payment of Claims
days after submitting Proof of Loss provision is to prevent the insurance company from
before filing a lawsuit delaying claim payments
- prevents delayed claim payments
made by the insurer
- requires a probation period for
each claim filed by the insured
- protects the insurer from frivolous
lawsuits
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What is considered to be a BENEFIT PAYMENTS START WITHIN ONE
characteristic of an immediate PAYMENT PERIOD OF PURCHASE
annuity? - an immediate annuity is designed to make its first
- Benefit payments start within one benefit payment to the annuitant at one payment
payment period of purchase interval from the date of purchase
- benefit payments start within 5
years of initial purchase
- normally tied to a specific equity or
stock index
- periodical contributions begin
immediately
A licensed producer can be BEST INDIVIDUAL WHO PLACES INSURANCE ON
described as a(n) BEHALF OF ANYONE SEEKING INSURANCE
- someone who places insurance - A person who places insurance on behalf of
advertisements in a newspaper anyone seeking insurance must be licensed as a
- underwriting officer of an insurance producer
company
- individual who places insurance on
behalf of anyone seeking insurance
- administrator answering calls for an
insurance agency
What is the max fine that can be $1,000 PER VIOLATION
imposed by the Commissioner to a - If the Commissioner finds a producer to be in
producer who violates an insurance violation of insurance laws, the Commissioner may
law? impose a fine of no more than $1000 per violation
- $250 per violation
- $500 per violation
- $1,000 per violation
- no limit to the fine
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