How many days notice must the Commissioner give prior to a hearing? A domestic insurance company in Maryland MUST, Collecting premiums and paying them to the insurance company. Pay for Medicare charges exceeding the approvedamount. A medicare supplement plan can be canceled by the insurer, Small employers who are sponsored by an insurer to provide group benefits to its employees are called, Health insurance involves two perils, accident and _____. D.In the event of employment termination, group health insurance can be kept if the employer pays the premium. In the event of employment termination, group insurance can be kept if the employee pays the premiums. Medicare Part A does not pay for medical benefits provided for treatment in a skilled nursing facility beyond. With a past due premium of $100, the insurer pays $400. 2.1.1 6 Whole life Insurance in Malaysia The greater of the accumulated cash value or the total premium paid. Proof of loss on a health insurance claim must be submitted to an insurer within _____ days after the insure's date of loss. a producers secretary who solicits prospects on the telephone Bob and Tom start a business. ABC Corporation has a group life insurance policy that covers its employees and their dependent children. XZY company has applied for group health insurance for its employees. An agent is required to keep replacement forms on file for at LEAST _____ years, When a Medicare supplement policy is purchased during the open enrollment period, The policy must be issued regardless of health status, Have it's content approved by the Insurance Commissioner. Duringthe accumulation period, who can surrender an annuity? Underthe Maryland health insurance plan, comprehensive health benefits are providedto. Since each partner contributes an important element to the success of the business, they decide to take life insurance policies out on each other, and name each other as beneficiaries. Which of the following is typically NOT eligible for coverage in a group health policy? As beneficiary, he will pay ____ taxes on any money withdrawn. Which of the Uniform Optional Provisions covers this situation? \text{Common stock} & \hspace{13pt}70,000 & \hspace{13pt}60,000 \\ To be classified as a small employer in Maryland, and employer must employ, Secretary of the Department of Health and Mental Hygiene. Advertising material for a life insurance policy does NOT need to contain which of the following? What does a life insurance policy guarantee to the stated beneficiary upon the death of the insured? A provision in a whole life policy that allows a policy owner to terminate the policy in return for a reduced paid-up policy of the same type is called, A type of group that has a constitution and bylaws and has been organized for purposes other than obtaining insurance is called. Whatis the elimination period of an individual disability policy? Hill during her initial calls made to the call center. \text{Accounts payable} & \$\ \hspace{5pt}32,000 & \$\ \hspace{5pt}57,000 \\ In regards to a life insurance contract, which of the following statements is NOT true regarding the concept of insurable interest? After an insured gives notice of loss, what must he/she do if the insurer does not furnish forms? An insurance producer who convinces a prospective insured to purchase a policy by exaggerating the benefits of the policy may be found guilty of, An ____ _____ sells, solicits, or negotiates insurance contracts for compensation, All of these activities require an individual to hold a producer's license EXCEPT, Jim recently sold his whole life insurance policy under a viatical settlement contract. In order for the producer's insurance business to continue, the Department of Banking and Insurance may issue to the producer's spouse a. Maria has committed what crime? She recently replaced the policy with a new one that provides better coverage. port clinton high school athletics / roberto bettarini ambassador / roberto bettarini ambassador Failingto promptly provide a reasonable explanation for the denial of a claim isconsidered to be a (n). Financial report from the previous year. How long must an individual be unable to engage in any gainful activity due physical or mental disability in order to qualify for Social Security Total Disability? A silver level medical plan is what percent the insurance company pays for the employee and the other percent is what the employee pays out of pocket (Unders Insurance companies look at a number of factors when it comes to setting premiums for a particular company. Written notice for a health claim must be given to the insurer ___ days after the occurrence of the loss. An effort by an existing insurer to prevent replacement and continue existing Life Insurance in force is known as which of the following? Maximizes productivity through use of appropriate tools; planned training and Columbia Care LLC . If Jay were to receive a fee for this advice (in addition to his commission), he MUST, Obtain a signed memorandum from the prospect acknowledging the amount of compensation. & \text{Balance}& \text{Balance} & \\ What are the levels of coverage as defined by the Affordable Care Act? \text{Accounts receivable} & \hspace{13pt}41,000 & \hspace{13pt}44,000 \\ For large samples, describe the sampling distribution of, (p^1p^2)\left( \hat { p } _ { 1 } - \hat { p } _ { 2 } \right) How long is the Contestable period for health insurance policies sold in Maryland? A producer may be disciplined by the Commissioner for which of the following actions? How long is her grace period? Their offer/administration. A producer has recently died and leaves behind a spouse. Determine financial strength of an insurance company, As classified by the Adorable Care Act (ACA), a silver plan offers. The insurer's obligation to pay a death benefit upon an approved death claim, Jennifer is required to pay a specific sum out of pocket before any benefits are paid in a year. Within how many days must a producer report to the Commissioner any administrative actions made against him/her? Introducing Cram Folders! How much does Medicare Part B pay forphysician fees? On which date would Sonya have coverage? a)When the policy owner notifies the insurance company, c.)When the required additional premium is paid, d.) No more than 10 days after date of birth, The double indemnity provision in a life insurance policy pertains to an insured's death caused by a(n), A) the policy would be payable, minus the premium amount, B) the policy would be payable only after the beneficiary makes past due premium payment, C) all past premiums will be refunded with interest, An insurance producer agrees to pay the first monthly premium for an insurance applicant. Course Hero is not sponsored or endorsed by any college or university. By . \\ A policyowner suffers an injury that renders him incapable of performing one or more important job duties. Whichmarket index is normally associated with an indexed annuitys rate of return? Which of the following is NOT a reason for the Commissioner to deny or refuse a producer license application? A. An insurance company needs to obtain personal information from a third party concerning an applicant. One or morediagnostic, preventive, therapeutic, rehabilitative, maintenance or personalcare services in a setting other than an acute care unit of a hospital. What happens when an insurance policy is backdated? Under a Traditional IRA, Interest earned istaxed. It is administrated by the federal government, C. It is funded by federal, state, and local taxes. d. Alump sum payment upon first diagnosis of cancer, heart attack, or stroke. Johan the producer charged a fee to a sales prospect for analyzing insurance coverages A written statement describing the elements of a policy is called, All of the following are considered appropriate uses of life insurance for business purposes EXCEPT, Protecting the business by covering entry level employees with life insurance, An insured individual and the policy's beneficiary die from the same accident. \end{array} Converting a group plan to permanent lifeinsurance requires: D. The conversion being applied for within 31 daysof termination. a producers secretary who solicits prospects on the telephone The concept is simple - the insured buys the policy and names Life insurance pays after a persons death to help family members pay for debt, lost income, or funeral costs (Life Insurance 686). PartA Hospital expense coverage provided under Medicare is automatically madeavailable to each of the following EXCEPT, A. A50-year-old individual who has qualified for SSDI in the last 24 months, B. A70-year-old NOT Eligible for Social Security, C. A55-year-old suffering from kidney failure. \quad \text{Less accumulated depreciation} & \underline{\hspace{13pt}50,000} & \underline{\hspace{13pt}35,000} \\ The benefit can be offered as a rider at a specific extra cost or may be at no cost, All of the following are included as part of a contract in the entire contract provision EXCEPT the. There are several types of whole life insurance that are as follow:- Which of the following is NOT a qualification to be licensed as a producer? Whoregulates the quality of care provided by a health maintenance organization(HMO), a. Secretaryof department of health and mental hygiene, b. NationalAssociation of insurance commissioners, A.Secretary of the department of health and mental hygiene. To be eligible for small employer group coverage, an employee must work a MINIMUM of ____ hours in a typical week. 1. What happens to the coverage under a children's term rider when that child reaches a certain specified age? 1. a producers secretary who solicits prospects on the telephone Call us (+254) 722 22 99 44 Email polucon@polucon.com Our Laboratories Nairobi & Mombasa fort worth murders 1990s Home Services a producers secretary who solicits prospects on the telephone Micro-Biology Services Agri - Services Instrumentation Division Environment Division According to HIPPA, this tax will not be applied if the withdrawal is used for medical expenses that exceed _____ of the individual's adjusted gross income. Howdo interest earnings accumulate in a deferred annuity? a. Mustmeet certain underwriting guidelines. Which of the following actions is REQUIRED by an agent who is replacing an existing life insurance policy? Pre-existing conditions may only be excludes from coverage for a maximum of 6 months, The reinstatement provision in a health insurance policy is, The type of policy where the insurer can send a notice to the insured that the policy has been cancelled in the middle of the term is called, Naming a contingent beneficiary as "all surviving children" is describing by which term, The entire contract includes the actual policy and the. Fundingfor Medicare Part B is Partially provided by. D. Coverage includes compulsory hospital andvoluntary supplementary medical insurance. Which of the following would be the appropriate tax consequence? Find out how you can intelligently organize your Flashcards. Inwhich of the following situations would the insurer be liable for a loss? C. Careis only covered in a government facility, D. Careis only covered if primary care physician gives a referral, Theopen enrollment period for Medicare part B is, D. Generaltax revenue and user premiums. The exceptions, reductions, and limitations affecting the basic provisions of the policy, Any advertisement that mentions a dollar amount, period of time for which any benefit is payable, cost of policy, policy benefit, or the loss for which the benefit is payable MUST disclose. Aninsureds status under social security can be described as, Along-term care policy typically provides all of the following levels of careEXCEPT. The waiting period for a disability insurance policy, Excludes payments for a short term illness or injury. We weren't able to detect the audio language on your flashcards. Which of the following is an example of defamation? Intereston death benefits are NOT required to be paid by an insurance company as longas proceeds are paid within __ after the date of the death of the insured. An attending physician's statement would be appropriate for which life insurance purpose? Atax-free 1035 Exchange of a life insurance policy to a different policy ispermitted if it occurs, A. Inthe same state as the original transaction, C. Frominsurer to insurer and no cash is received by the policy owner, D. Fromagent to agent as long as the agents are licensed in the same line. Engaged in a fraudulent insurance practices. All Medicare Supplement policies MUST contain which provision? Percent frequency distribution for key variables. Which of the following statements is TRUE about Medicaid? Tim's individual life insurance policy has just recently lapsed. Please upgrade to Cram Premium to create hundreds of folders! Which of the following is the likely result? This MANDATORY health policy provision states that the policy, including endorsements and attached papers, constitutes, The entire insurance contract between the parties, All of the following are elements of an insurance policy EXCEPT. If she dies 15 years after the policy's inception date, how much will her beneficiary receive? By Posted browning 725 pro sporting canada What is created after policy proceeds areobtained in a lump sum and then immediately invested? Whichof the following is a requirement for ANY change in an insurance application? The type of annuity she is seeking is called? Which of thesestatements is true? In the event of employment termination, group health insurance can be kept if the employee pays the premiums. Registered for the state insurance examination. A. A separate converted policy may, at the option of the insurance company, be issued to cover an. When does a life insurance policy typically become effective? A. Premium mode is term used to describe the: The Fair Credit and Reporting Acts main purposeis to: A. Her agent submitted the information to the insurance company on April 6.
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