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TN Health and Life Insurance Exam 100% ACCURATE

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Which of the following reimburses its insureds for covered medical expenses? - health maintenance organizations - preferred provider organizations - commercial insurers - service providers - ANSWER COMMERCIAL INSURERS - Commercial insurance companies function on the reimbursement approach. Policyowners obtain medical treatment from whatever source they feel is most appropriate and submit their charges to their insurer for reimbursement A business entity can be defined as a(n) - agency that must only operate outside of TN - 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 - ANSWER ASSOCIATION OR A LIMITED LIABILITY COMPANY - The definition of a business entity includes an association or

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TN Health And Life Insurance
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TN Health and Life Insurance

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NEVADA PROPERTY & CASUALTY
ACCURATE 100%
risk - ANSWER Uncertainty of loss

insurance - ANSWER the transfer of RISK

pure risk - ANSWER lose or have no change - insurable

speculative risk - ANSWER NOT insurable. possibility to lose or gain

hazard - ANSWER something that increases risk

indemnity - ANSWER a payment for damage or loss; purpose is to restore the insured
to where they were prior to their loss.

tort - ANSWER A civil wrong

representation - ANSWER a substantial truth, true to the best of knowledge

concealment - ANSWER OMISSION of a material fact

Declarations, Insuring agreement, Conditions, and Exclusions (DICE) - ANSWER The
four parts of a policy are:

declaration section - ANSWER lists named insured, policy limits, and premium and
policy limits

insuring agreement - ANSWER describes the coverages provided

conditions part - ANSWER list the obligations of both parties, the insurer and insured

exlusions part - ANSWER list the perils that are not covered

arbitration - ANSWER A way to settle manners if the insurer and insured disagree that
the liability policy does or does not provide coverage. Each party pays for one and a half
persons involved

Pro Rata Liability Clause - ANSWER Provides that losses will be paid in the proportion
that the amount of the policy bears to the entire amount of insurance on all policies
covering the loss. This provides for insurance companies to appropriately share in the
loss when more than one policy exists, yet prevents the insured from collecting in total
from several insurance companies and making a profit.

,breakage of glass, freezing of plumbing - ANSWER DWELLING policies do NOT cover
_____ after 60 days of vacancy, and ______ unless the heat was left on.

homeowners policy - ANSWER This type of policy excludes coverage for flood,
landslides, or mudslides

NO - ANSWER Is the land on which a house sits on insurable in HOMEOWNER
policies?

HO-3 (Special Form) - ANSWER Which homeowners policy form is all-risk on a
dwelling, but named peril on its contents?

3 years after the policy expires - ANSWER How many years after policy expiration are
CPPs (Commercial Package Policy) subject to audit?

BOP (business owners policy) - ANSWER There is NO coverage for vandalism,
sprinkler leakage, glass breakage, water damage, or theft, if the building has been
vacant for more than 60 consecutive days on this type of policy.

Coverage D - ANSWER Fair Rental Value Coverage in the Dwelling Policy?

$100 - ANSWER Workers compensation rating is developed by applying a bureau job
classification rating to each $_____ of payroll

Subrogation - ANSWER The legal process that gives the insurer, after payment of a
loss, the right to seek recovery from a third party that was responsible for the loss is
known as

General liability written with an aggregate limit - ANSWER Which of the following
policies does NOT contain an automatic reinstatement provision?

A customer's camera left at a camera shop for repair - ANSWER Which of the following
is covered under the Camera and Musical Instruments Dealers floater?

Hired and nonowned auto liability - ANSWER Which endorsement adds coverage for
employee use of automobiles in the insured's business and the insured's use of rented
autos if no coverage is provided on a business auto policy?

Material misrepresentation - ANSWER An insured stated on her application for life
insurance that she had never had a heart attack, when in fact she had a series of minor
heart attacks last year for which she sought medical attention. Which of the following
will explain the reason a death benefit claim is denied?

Peril - ANSWER The cause of loss insured against.

, Stated amount. - ANSWER When the amount of insurance written in a property policy is
not subject to any coinsurance provision and that amount is paid in the event of a
covered loss, the coverage is said to be written as

Speculative risk - ANSWER Events in which a person has both the chance of winning or
losing are classified as

Pro-rata liability. - ANSWER The other insurance provision that limits the liability of the
insurer to a portion of the loss no greater than the amount the insurer bears to all the
insurance covering the property is called

Exclusions apply to all three policy forms. - ANSWER Which of the following is true of
dwelling policy coverage?

The insured will receive a return premium. - ANSWER Which of the following is most
likely to occur if it is determined by the audit that the deposit premium was too high?

Commercial blanket position - ANSWER Which employee fidelity bond pays no more
than its limit of liability for each separate occurrence no matter that several separately
identifiable employees were involved in a single loss?

A pickup or van titled to and used in the named insured's business. - ANSWER With
respect to auto insurance, the term owned autos includes all of the following EXCEPT

$10,000 for all expenses incurred during a 12-month period - ANSWER What is the
maximum amount an insurer will pay under the equipment dealers pollution cleanup and
removal extension of an inland marine policy?

Subrogation - ANSWER The transfer of an insured's right to seek damages from a
negligent party to the insurer is found in which of the following clauses?

$500 - ANSWER If an insured covered under a Mobile Homeowners Policy moves the
mobile home to protect it from a covered peril, the policy will pay up to

The application given to a prospective insured - ANSWER Which of the following is
NOT the consideration in a policy?

10 days - ANSWER Under businessowners policy Section I, if an insurer wants to
nonrenew a policy for nonpayment of premium, how many days before the expiration
date must the insurer notify the mortgageholder?

The accounts receivable coverage form. - ANSWER An insured's accounts receivable
records have been damaged. The loss may be covered with

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TN Health and Life Insurance
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TN Health and Life Insurance

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