Louisiana Life and Health Insurance Exam
All of the following are correct about the required B. A reinstated policy provides immediate coverage for an
provisions of a health insurance policy EXCEPT illness.
Accidental injury is covered immediately, but to protect the insurer against adverse
A. The entire contract clause means the signed selection, losses resulting from sickness are covered only if the sickness occurs
at application, policy, endorsements, and attachments least 10 days after the reinstatement date.
constitute the entire contract.
B. A reinstated policy provides immediate
coverage for an illness.
C. Policies become incontestable after being in force
for 3 years.
D. A grace period of 31 days is found in an
annual pay policy.
An insured pays a monthly premium of $100 for B. 30 days
health insurance. What would be the duration of
the grace The grace period is 30 days for all health insurance policies in
Louisiana.
A. 15 days
B.30 days
C. 60 days
D. 7
days
,Question 11 of 15
D. Consideration Clause.
An applicant for an individual health policy failed to
complete the application properly. Before being able
The consideration clause specifies that both parties to the contract must give
to complete the application and pay the initial premium,
some valuable consideration. The payment of the premium is the consideration
she is confined to a hospital. This will not be covered
given by the applicant. Because the applicant had not paid an initial premium,
by insurance because she has not met the
she is not covered by insurance.
conditions specified in the
A. Insuring Clause.
B. Pre-existing Conditions Clause.
C. Eligibility Clause.
D. Consideration Clause.
Question 12 of 15
C. A statement that is sufficiently clear to identify the insured and the nature of
Under the mandatory uniform provision Notice of
the claim.
Claim, the first notice of injury or sickness covered
under an accident and health policy must contain
The Insurance Code requires that each policy must include, "Written notice
of claim must be given to the insurer within 20 days after the occurrence or
A. An estimate of the total amount of medical and
commencement of any loss covered by the policy, or as soon thereafter as is
hospital expense for the loss.
reasonably possible".
B. A complete physician's statement.
C.A statement that is sufficiently clear to identify
the insured and the nature of the claim.
D.A statement from the insured's employer showing
that the insured was unable to work.
Question 13 of 15
B. The insurer
The expense for an autopsy covered under the
physical exam and autopsy provision is paid by
Where not forbidden by state law, the insurer, at its own expense, may cause
an autopsy to be performed on a deceased insured.
A. The estate of the insured.
B. The insurer.
C. The state's autopsy fund.
D. The limits of coverage under the health insurance
policy.
, An insured notifies the insurance company that he
A. Time of Payment of Claims
has become disabled. What provision states that claims
must be paid immediately upon written proof of
The Time of Payment of Claims provision specifies that claims are to be paid
loss?
immediately upon written proof of loss.
A. Time of Payment of Claims
B. Incontestability
C. Physical Exam and Autopsy
D. Legal Actions
Which renewability provision allows an insurer to
D. Optionally renewable
terminate a policy for any reason, and to increase
the premiums for any class of insureds?
The renewability provision in an optionally renewable policy gives the insurer
the option to terminate the policy for any reason on the date specified in the
A. Conditionally renewable
contract (usually a renewal date). Furthermore, this provision allows the insurer to
increase the premium for any class of optionally renewable insureds.
B. Cancellable
C. Guaranteed renewable
D. Optionally renewable
When an insurer issues an individual health insurance
D. To renew the policy until the insured has reached age 65.
policy that is guaranteed renewable, the insurer
agrees
The guaranteed renewable provision is similar to the noncancellable provision,
with the exception that the insurer can increase the policy premium on the policy
A. To charge a lower premium every year the policy is
anniversary date. As with the noncancellable policy, coverage is generally not
renewed.
renewable beyond the insured's age 65.
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.
Which provision concerns the insured's duty to
A. Notice of Claim
provide the insurer with reasonable notice in the event
of a loss?
The Notice of Claim Provision spells out the insured's duty to provide the
insurer with reasonable notice in the event of a loss.
A. Notice of Claim
B.Loss Notification
C. Claims Initiation
D.Consideration
All of the following are correct about the required B. A reinstated policy provides immediate coverage for an
provisions of a health insurance policy EXCEPT illness.
Accidental injury is covered immediately, but to protect the insurer against adverse
A. The entire contract clause means the signed selection, losses resulting from sickness are covered only if the sickness occurs
at application, policy, endorsements, and attachments least 10 days after the reinstatement date.
constitute the entire contract.
B. A reinstated policy provides immediate
coverage for an illness.
C. Policies become incontestable after being in force
for 3 years.
D. A grace period of 31 days is found in an
annual pay policy.
An insured pays a monthly premium of $100 for B. 30 days
health insurance. What would be the duration of
the grace The grace period is 30 days for all health insurance policies in
Louisiana.
A. 15 days
B.30 days
C. 60 days
D. 7
days
,Question 11 of 15
D. Consideration Clause.
An applicant for an individual health policy failed to
complete the application properly. Before being able
The consideration clause specifies that both parties to the contract must give
to complete the application and pay the initial premium,
some valuable consideration. The payment of the premium is the consideration
she is confined to a hospital. This will not be covered
given by the applicant. Because the applicant had not paid an initial premium,
by insurance because she has not met the
she is not covered by insurance.
conditions specified in the
A. Insuring Clause.
B. Pre-existing Conditions Clause.
C. Eligibility Clause.
D. Consideration Clause.
Question 12 of 15
C. A statement that is sufficiently clear to identify the insured and the nature of
Under the mandatory uniform provision Notice of
the claim.
Claim, the first notice of injury or sickness covered
under an accident and health policy must contain
The Insurance Code requires that each policy must include, "Written notice
of claim must be given to the insurer within 20 days after the occurrence or
A. An estimate of the total amount of medical and
commencement of any loss covered by the policy, or as soon thereafter as is
hospital expense for the loss.
reasonably possible".
B. A complete physician's statement.
C.A statement that is sufficiently clear to identify
the insured and the nature of the claim.
D.A statement from the insured's employer showing
that the insured was unable to work.
Question 13 of 15
B. The insurer
The expense for an autopsy covered under the
physical exam and autopsy provision is paid by
Where not forbidden by state law, the insurer, at its own expense, may cause
an autopsy to be performed on a deceased insured.
A. The estate of the insured.
B. The insurer.
C. The state's autopsy fund.
D. The limits of coverage under the health insurance
policy.
, An insured notifies the insurance company that he
A. Time of Payment of Claims
has become disabled. What provision states that claims
must be paid immediately upon written proof of
The Time of Payment of Claims provision specifies that claims are to be paid
loss?
immediately upon written proof of loss.
A. Time of Payment of Claims
B. Incontestability
C. Physical Exam and Autopsy
D. Legal Actions
Which renewability provision allows an insurer to
D. Optionally renewable
terminate a policy for any reason, and to increase
the premiums for any class of insureds?
The renewability provision in an optionally renewable policy gives the insurer
the option to terminate the policy for any reason on the date specified in the
A. Conditionally renewable
contract (usually a renewal date). Furthermore, this provision allows the insurer to
increase the premium for any class of optionally renewable insureds.
B. Cancellable
C. Guaranteed renewable
D. Optionally renewable
When an insurer issues an individual health insurance
D. To renew the policy until the insured has reached age 65.
policy that is guaranteed renewable, the insurer
agrees
The guaranteed renewable provision is similar to the noncancellable provision,
with the exception that the insurer can increase the policy premium on the policy
A. To charge a lower premium every year the policy is
anniversary date. As with the noncancellable policy, coverage is generally not
renewed.
renewable beyond the insured's age 65.
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.
Which provision concerns the insured's duty to
A. Notice of Claim
provide the insurer with reasonable notice in the event
of a loss?
The Notice of Claim Provision spells out the insured's duty to provide the
insurer with reasonable notice in the event of a loss.
A. Notice of Claim
B.Loss Notification
C. Claims Initiation
D.Consideration
