Life, Accident and Health or Sickness Examination
A Long Term care insurance rider can include coverage for all of the following EXCEPT :
Hospital acute care
Which statement best describes a life insurance policy dividend ?
Legally defined as a return of excess premium and not taxable.
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Which of the following information is not required to be communicated in a life insurance contract?
Personal judgment
When are parties to a contract required to communicate information solely based on personal judgment for a matter in
question?
Never
After the deductible is paid , what percentage of the balance of approved charge does Medicare part A pay ?
80%
Medicare Part A provides coverage for all of the following , EXCEPT :
Physician services
Benefits under social security are available only for workers who are
Fully insured ( 40 quarters of coverage )
For social security purpose , a person with 40 quarters of coverage is considered.
Fully insured ( 40 quarters of coverage )
Who are members of the Medical information bureau ?
Life and health insurers ( life and health insurance companies )
Which of the following is the best definition of premium ?
Money the insured pays the insurer to obtain the benefits in the policy .
What rule is used to determine the importance of a representation ?
The materiality of concealment
The theory of probability is applied to life insurance through the use of
Mortality tables
In health insurance , the result of a rise in the morbidity rate is :
Increased premium
In the absence of a coordination of benefits clause , all of the following circumstance might result in recovery of more than
100 % of actual health care expense EXCEPT
A worker's medical plan included a carryover deductible provision
An individual is allowed to enroll in individual health insurance under the following circumstances EXCEPT
Within 30 days of being diagnosed with an illness
,Which policy covering two or more individuals pays the face amount only when the first person dies ?
Joint life policy
The acts that are reasonably necessary to the duties expressly authorized would be covered by an agent's
Implied authority
Which type of insurance guarantees the right to renew the policy each year , regardless of health , but increased premiums
individuals the duties right Renewable term
Life insurance policies written without a physical examination are called :
Non - medical
Part - time nursing care that follows a hospitalization and can be provided in a patient's home is covered under
Home health care benefits
Regarding the Health Benefit Exchanges , as created by PPACA , all of the following statements are true EXCEPT
An individual enrolling in a bronze level plan is not eligible for reduced cost sharing
An attempt by an agent to deter an insured from replacing an existing life insurance policy is called :
Conservation
All of the following statements are true regarding Health Insurance Counseling Advocacy program HICAP counselors
EXCEPT
Are qualified to give legal advice
A 10 years period certain annuity with an installment refund is purchased . The annuitant dies after being receiving
monthly payments for 5 years . How many remaining payments will the insurer make ?
60 payments
NAIC reporting frequency for insurer financial statements is
Annually
Which of the following statements regarding risk is TRUE
Only pure risks are insurable
The California Code of Regulations governing claim settlement practice prohibits all of the following acts of unfair
discrimination EXCEPT denial of claim based on
Reckless behavior
What is it called when an insurer uses higher rates based solely on religion , race or ethnic group ?
Unfair discrimination
All of the following statements about aleatory contracts are true EXCEPT :
The insured and insurer contribute equally to the contract
A contract in which one party promises to indemnify another against loss that arises from an unknown event is :
An insurance policy
A commonly used cost containment measure for emergency hospital care under a major medical expense plan is?
Deductible
An insurer entitled to transact business by complying with the California Insurance Code?
,Admitted carrier
An insurance solicitor is a person authorized to :
Assist a broker or agent in selling insurance
Upon notification of a claim , a claimant may have access to the California Fair Claims Settlement Practices Regulations
through all of the following means EXCEPT
An interview appointment with the agent of record
The inability of an insured to perform one or more of the regular duties of his or her own occupation " this is a description
of a
Partial disability
As established by PPACA , an adult child may be covered by the parent's health insurance plan until what age ?
26 years old
It is a Federal offense to commit all of the following except :
Misrepresent facts on an insurance application
A person who acts in a capacity that requires an active license without having a valid license , is guilty of
Misdemeanor
Any situation that presents the possibility of a loss is known as :
A loss exposure
Unless it is merely a statement of an expectation or a belief , a representation as to the future is considered which of the
following ?
Promise
All of the following statement about contingent beneficiaries are true except
The contingent beneficiary shares death proceeds death proceed equally with the primary beneficiary
What do we call the process whereby insurers decide which customer to insure , and what coverage to offer
Underwriting
The insurer's department with PRIMARY responsibility for the risk selection process is called
Underwriting
A contract that restores an injured party to the condition that was present before the loss is :
An indemnity agreement
Which is an agreement in which an insurer contracts with a third party to insure itself against losses from insurance policies
it issues ?
Reinsurance
Which of the following is a requirement of a contract ?
There must be an offer and acceptance of the contract terms
Section 1729.2 of the California Insurance Code requires insurance producer applications and licensees to notify the
Insurance Commissioner in writing within____ days of changes in background information after an application has been
submitted or a license has been issued
30 days
The required contents of a policy include all of the following EXCEPT :
, The probability of loss
All of the following are requirements of a contract EXCEPT :
There must be equal consideration between the parties
The PRIMARY objectives of insurance regulation include all of the following EXCEPT
Interpret policy provisions
The increase in the probability of a loss resulting from an insured's dishonest tendencies is known as :
Moral hazard
Moral hazard can be defined as the increase :
Chance of a loss occurring due to an insured's dishonest tendencies
Risk can be defined as all of the following EXCEPT :
The cause of loss
All of the following qualify as Background Information as defined in Section 1729.2 of the California Insurance Code ,
EXCEPT
Misdemeanor charges
All of the following qualify as " background information " as defined in Section 1729.2 of the California Insurance Code ,
EXCEPT :
Misdemeanor charges filed , not resulting in a conviction
An agent who violates the laws governing life insurance policy illustrations is subject to all of following EXCEPT :
Mandatory termination of all insurer appointments
Making an insured whole by restoring them to the same condition as before a loss is an examp of
The principle of indemnity
Loss retention is an effective risk management technique when all of the following conditions exist , EXCEPT
The probability of a loss unknown
According to the California Insurance Code , an insurance policy must specify all of the following EXCEPT the :
Financial rating of the insurer
A policy owner has the right to change all of the following , EXCEPT :
The dividend schedule
In group life insurance , who is issued a certificate of insurance ?
The participant
Traditional comprehensive major medical plans include all of the following , EXCEPT :
First - dollar coverage
When medical expense policies do not state specific dollar benefit amounts , but instead base payments . upon the charges
for like services in the same geographical area , benefits are designated as :
Usual , customary , and reasonable charges
Which health insurance contract provision addresses the problem of over insurance ?
Coordination of benefits
A Long Term care insurance rider can include coverage for all of the following EXCEPT :
Hospital acute care
Which statement best describes a life insurance policy dividend ?
Legally defined as a return of excess premium and not taxable.
10 Must-Have Accessories for Sprucing Up Your Caravan
Which of the following information is not required to be communicated in a life insurance contract?
Personal judgment
When are parties to a contract required to communicate information solely based on personal judgment for a matter in
question?
Never
After the deductible is paid , what percentage of the balance of approved charge does Medicare part A pay ?
80%
Medicare Part A provides coverage for all of the following , EXCEPT :
Physician services
Benefits under social security are available only for workers who are
Fully insured ( 40 quarters of coverage )
For social security purpose , a person with 40 quarters of coverage is considered.
Fully insured ( 40 quarters of coverage )
Who are members of the Medical information bureau ?
Life and health insurers ( life and health insurance companies )
Which of the following is the best definition of premium ?
Money the insured pays the insurer to obtain the benefits in the policy .
What rule is used to determine the importance of a representation ?
The materiality of concealment
The theory of probability is applied to life insurance through the use of
Mortality tables
In health insurance , the result of a rise in the morbidity rate is :
Increased premium
In the absence of a coordination of benefits clause , all of the following circumstance might result in recovery of more than
100 % of actual health care expense EXCEPT
A worker's medical plan included a carryover deductible provision
An individual is allowed to enroll in individual health insurance under the following circumstances EXCEPT
Within 30 days of being diagnosed with an illness
,Which policy covering two or more individuals pays the face amount only when the first person dies ?
Joint life policy
The acts that are reasonably necessary to the duties expressly authorized would be covered by an agent's
Implied authority
Which type of insurance guarantees the right to renew the policy each year , regardless of health , but increased premiums
individuals the duties right Renewable term
Life insurance policies written without a physical examination are called :
Non - medical
Part - time nursing care that follows a hospitalization and can be provided in a patient's home is covered under
Home health care benefits
Regarding the Health Benefit Exchanges , as created by PPACA , all of the following statements are true EXCEPT
An individual enrolling in a bronze level plan is not eligible for reduced cost sharing
An attempt by an agent to deter an insured from replacing an existing life insurance policy is called :
Conservation
All of the following statements are true regarding Health Insurance Counseling Advocacy program HICAP counselors
EXCEPT
Are qualified to give legal advice
A 10 years period certain annuity with an installment refund is purchased . The annuitant dies after being receiving
monthly payments for 5 years . How many remaining payments will the insurer make ?
60 payments
NAIC reporting frequency for insurer financial statements is
Annually
Which of the following statements regarding risk is TRUE
Only pure risks are insurable
The California Code of Regulations governing claim settlement practice prohibits all of the following acts of unfair
discrimination EXCEPT denial of claim based on
Reckless behavior
What is it called when an insurer uses higher rates based solely on religion , race or ethnic group ?
Unfair discrimination
All of the following statements about aleatory contracts are true EXCEPT :
The insured and insurer contribute equally to the contract
A contract in which one party promises to indemnify another against loss that arises from an unknown event is :
An insurance policy
A commonly used cost containment measure for emergency hospital care under a major medical expense plan is?
Deductible
An insurer entitled to transact business by complying with the California Insurance Code?
,Admitted carrier
An insurance solicitor is a person authorized to :
Assist a broker or agent in selling insurance
Upon notification of a claim , a claimant may have access to the California Fair Claims Settlement Practices Regulations
through all of the following means EXCEPT
An interview appointment with the agent of record
The inability of an insured to perform one or more of the regular duties of his or her own occupation " this is a description
of a
Partial disability
As established by PPACA , an adult child may be covered by the parent's health insurance plan until what age ?
26 years old
It is a Federal offense to commit all of the following except :
Misrepresent facts on an insurance application
A person who acts in a capacity that requires an active license without having a valid license , is guilty of
Misdemeanor
Any situation that presents the possibility of a loss is known as :
A loss exposure
Unless it is merely a statement of an expectation or a belief , a representation as to the future is considered which of the
following ?
Promise
All of the following statement about contingent beneficiaries are true except
The contingent beneficiary shares death proceeds death proceed equally with the primary beneficiary
What do we call the process whereby insurers decide which customer to insure , and what coverage to offer
Underwriting
The insurer's department with PRIMARY responsibility for the risk selection process is called
Underwriting
A contract that restores an injured party to the condition that was present before the loss is :
An indemnity agreement
Which is an agreement in which an insurer contracts with a third party to insure itself against losses from insurance policies
it issues ?
Reinsurance
Which of the following is a requirement of a contract ?
There must be an offer and acceptance of the contract terms
Section 1729.2 of the California Insurance Code requires insurance producer applications and licensees to notify the
Insurance Commissioner in writing within____ days of changes in background information after an application has been
submitted or a license has been issued
30 days
The required contents of a policy include all of the following EXCEPT :
, The probability of loss
All of the following are requirements of a contract EXCEPT :
There must be equal consideration between the parties
The PRIMARY objectives of insurance regulation include all of the following EXCEPT
Interpret policy provisions
The increase in the probability of a loss resulting from an insured's dishonest tendencies is known as :
Moral hazard
Moral hazard can be defined as the increase :
Chance of a loss occurring due to an insured's dishonest tendencies
Risk can be defined as all of the following EXCEPT :
The cause of loss
All of the following qualify as Background Information as defined in Section 1729.2 of the California Insurance Code ,
EXCEPT
Misdemeanor charges
All of the following qualify as " background information " as defined in Section 1729.2 of the California Insurance Code ,
EXCEPT :
Misdemeanor charges filed , not resulting in a conviction
An agent who violates the laws governing life insurance policy illustrations is subject to all of following EXCEPT :
Mandatory termination of all insurer appointments
Making an insured whole by restoring them to the same condition as before a loss is an examp of
The principle of indemnity
Loss retention is an effective risk management technique when all of the following conditions exist , EXCEPT
The probability of a loss unknown
According to the California Insurance Code , an insurance policy must specify all of the following EXCEPT the :
Financial rating of the insurer
A policy owner has the right to change all of the following , EXCEPT :
The dividend schedule
In group life insurance , who is issued a certificate of insurance ?
The participant
Traditional comprehensive major medical plans include all of the following , EXCEPT :
First - dollar coverage
When medical expense policies do not state specific dollar benefit amounts , but instead base payments . upon the charges
for like services in the same geographical area , benefits are designated as :
Usual , customary , and reasonable charges
Which health insurance contract provision addresses the problem of over insurance ?
Coordination of benefits
