LOUISIANA LIFE AND HEALTH INSURANCE EXAM NEWEST 2025 WITH
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When an insurer issues an individual health insurance policy that is guaranteed renewable, the
insurer agrees
A. To charge a lower premium every year the policy is renewed.
B.Not to change the premium rate for any reason.
C. To renew the policy indefinitely.
D. To renew the policy until the insured has reached age 65. - ANSWER-D. To renew the policy
until the insured has reached age 65.
The guaranteed renewable provision is similar to the noncancellable provision, with the
exception that the insurer can increase the policy premium on the policy anniversary date. As
with the noncancellable policy, coverage is generally not renewable beyond the insured's age
65.
Which provision concerns the insured's duty to provide the insurer with reasonable notice in
the event of a loss?
A. Notice of Claim
B. Loss Notification
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C. Claims Initiation
D. Consideration - ANSWER-A. Notice of Claim
The Notice of Claim Provision spells out the insured's duty to provide the insurer with
reasonable notice in the event of a loss.
In an optionally renewable policy, the insurer has which of the following options?
A. Alter the due date so the policy can be cancelled sooner
B. Shorten the notice that the insured receives
C. Increase premiums
D. Increase the grace period - ANSWER-C. Increase premiums
Optionally renewable policies allow the insurer to cancel a policy for any reason whatsoever.
Policies can only be cancelled by class on the policy anniversary or premium due date (renewal
date). If the insurer elects to renew coverage, it can also increase the policy premium.
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
A. Insuring clause.
B. Time Limit on Certain Defenses clause.
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C. Misstatement of Age clause.
D. Reinstatement clause. - ANSWER-B. Time Limit on Certain Defenses clause.
The Time Limit on Certain Defenses provision guarantees that a misstatement made in the
application, unless it is fraudulent, cannot be contested after the first 3 years of the policy.
An insured purchases a health policy in 2000 and submits a claim in 2005. The insurance
company discovers at that time that the insured misstated the information about his health
condition. What will the insurer most likely do?
A. Deny the claim
B. Pay a decreased benefit
C. Void the policy
D. Pay the full benefit - ANSWER-D. Pay the full benefit
The Time Limit on Certain Defenses provision stipulates that no statement or misstatement
(except fraudulent misstatements) made in the application at the time of issue will be used to
void a policy or deny a claim after the policy has been in force for 3 years.
While a claim is pending, an insurance company may require
A. The insured to be examined only once annually.
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B. An independent examination only once every 45 days.
C. An independent examination as often as reasonably required.
D. The insured to be examined only within the first 30 days. - ANSWER-C. An independent
examination as often as reasonably required.
While a claim is pending, an insurance company may require an independent exam as often as
reasonably required.
Which of the following statements is true concerning the alteration of optional policy
provisions?
A. An insurer may change the wording of optional policy provisions that would adversely affect
the policyholder but must first receive state permission before the change goes into effect.
B. Once any kind of provision is written, it cannot be changed.
C. An insurer may change the wording of optional provisions, as long as the change does not
adversely affect the policyholder.
D. An insurer may change the wording of optional provisions, regardless of its effect on the
policyholder. - ANSWER-C. An insurer may change the wording of optional provisions, as long as
the change does not adversely affect the policyholder.
Optional policy provisions can be changed by an insurer, as long as the changes do not adversely
affect the policyholder.
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