Montana Health Review
Probationary period - answer Initial period of time specified in a disability income policy
that must pass, after policy is in force, before a loss can be covered
Proof of Loss under a health insurance policy - answer should be filed within 60 days of
a loss
In LTC insurance, what type of care is provided with intermediate care? – answer
Occasional Nursing/ rehabilitation care
Disability income coverage specifies that the policy covers the Insured if he is unable to
perform any job for which he is qualified. Total disability is defined as - answer any
occupation, more restrictive than others
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is
hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have
to pay? - answer900 (deductible + 20% of bill after deductible
If policy is in force for more than ______ years, insurer is prohibited from denying the
claim - answer2 years
Accidental injury is covered immediately, but to protect insurer against adverse
selection, losses resulting from sickness are covered only if sickness occurs at least -
answer10 days after reinstatement date
How soon must you submit written proof of a covered loss? - answerwithin 90 days or
as soon as reasonably possible, but not exceeding 1 year
Fair Credit Report Act- Producer must notify an applicant that a credit report may be
requested - answerat time of application
What is the Cobra extension? - answer60 days
What happens if Insurer needs to make changes to the policy? - answerInsured must
sign a statement acknowledging awareness of change
An issued producer license is considered property of - answerState of Montana
When disability policy terminates, you can't receive coverage - answerif you are eligible
for Medicare
Probationary period - answer Initial period of time specified in a disability income policy
that must pass, after policy is in force, before a loss can be covered
Proof of Loss under a health insurance policy - answer should be filed within 60 days of
a loss
In LTC insurance, what type of care is provided with intermediate care? – answer
Occasional Nursing/ rehabilitation care
Disability income coverage specifies that the policy covers the Insured if he is unable to
perform any job for which he is qualified. Total disability is defined as - answer any
occupation, more restrictive than others
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is
hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have
to pay? - answer900 (deductible + 20% of bill after deductible
If policy is in force for more than ______ years, insurer is prohibited from denying the
claim - answer2 years
Accidental injury is covered immediately, but to protect insurer against adverse
selection, losses resulting from sickness are covered only if sickness occurs at least -
answer10 days after reinstatement date
How soon must you submit written proof of a covered loss? - answerwithin 90 days or
as soon as reasonably possible, but not exceeding 1 year
Fair Credit Report Act- Producer must notify an applicant that a credit report may be
requested - answerat time of application
What is the Cobra extension? - answer60 days
What happens if Insurer needs to make changes to the policy? - answerInsured must
sign a statement acknowledging awareness of change
An issued producer license is considered property of - answerState of Montana
When disability policy terminates, you can't receive coverage - answerif you are eligible
for Medicare
