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. When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates? Which of the following is Medicare Part B also known as? 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. Whichof the following is a requirement for ANY change in an insurance application? A. Timeperiod an insured must wait before coverage begins, B. Timeperiod a disabled person must wait before benefits are paid, C. Timeperiod after the policy issue date in which the provisions are stillcontestable, Inan insurance contract, the element that shows each party is giving something ofvalue is called. What is created after policy proceeds areobtained in a lump sum and then immediately invested? \end{array} Term, Whole, and universal lifeinsurance. Which of the following is NOT a duty of the Commissioner? A. d. A covered employee if terminated for grossmisconduct. D. Adjustable, permanent, and limited-pay lifeinsurance. D.) By providing consumer credit counseling. Elizabethis the beneficiary of a life insurance policy. a producers secretary who solicits prospects on the telephone. What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 allow an employee to do ? Anindividual covered under a Blue Cross Blue shield is called a(n), Aclosed network plan offers a primary physician copay $25. Which of these will typically authorize treatment from a specialist? An annuitant is guaranteed to NOT outlive their benefits will a(n). a. Oneor more diagnostic, preventive, therapeutic, rehabilitative, maintenance orpersonal care services in a setting other than an acute care unit of ahospital. What geographic factor makes Antarctica's ice caps drier than deserts in Africa and Asia? How long is her grace period? An individual can enroll in a Part C Medicare Advantage Plan at what time? Howsoon can the benefit payments begin with a deferred annuity? There are several types of whole life insurance that are as follow:- Tarathe producer is delivering a specified disease insurance policy to a new policyowner. \text{Net property, plant, and equipment} & \underline{\hspace{8pt}100,000} & \underline{\hspace{8pt}105,000} \\ \text{Inventory} & \underline{\hspace{13pt}55,000} & \underline{\hspace{13pt}50,000} \\ 1. An individual who has a hobby racing cars once a month. In the event of a controversy between the insured and the company, the producer is considered to represent the, A life policy loan in Maryland cannot charge a fixed rate of interest higher than, The Food and Drug Administration approves prescription drugs for treatment as stated on the drug's labeling. Which of the following is Medicare Part B also known as? The funeral of Wayne Emmerson Wilson leaves Downes and Wilson Funeral Home, Eagle Hall, St.Fax: 540-662-2627. She paid the premium on May 15 with the policy indicating the effective date being May 30. Premium mode is term used to describe the: The Fair Credit and Reporting Acts main purposeis to: A. Higher than the typical whole life policy duringthe first few years and then lower than typical for the remainder. An insurer may pay a commission in which of the following scenarios? What will the beneficiary receive if an annuitant dies during the accumulation period? \text{Cash and cash equivalents} & \$\ \hspace{5pt}48,000 & \$\ \hspace{5pt}57,000 \\ If the company debited Accounts Receivable and credited Sales for $600,000 during the year, what is the total amount of credits recorded in Accounts Receivable during the year? Which of these may NOT be used in a health insurance advertisement? she may need to resume premium payments, depending on actual results, Kiara filled out a life insurance application and was given a policy illustration that showed future premiums being paid out of non guaranteed values. In Maryland, an insurance producer cannot sell, solicit, or negotiate policies for an insurer unless there is an agreement in place between the producer and insurer. B.Canceling a term life policy to buy a whole life policy. No federal income tax is owed on life insurance proceeds, A non-contributory health insurance plan helps the insurer avoid, States that have "no loss no gain" laws require a replacing policy to, Pay for ongoing claims under the policy it replaces. Inwhich of the following situations would the insurer be liable for a loss? Adoctor who accepts Medicare Assignment agree to which of the following ? Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. 14 day waiting period / 10 year benefit period. When is an existing health insurance policy required to provide coverage for a new born child? B.) A life policy loan in Maryland cannot charge a fixed rate of interest higher than: A producer's secretary who solicits prospects on the telephone: a) is an example of the illegal act called twisting, d.) Is not required to be licensed as a producer. Whatwould be an expense factor in an insurance program? Which of the following is NOT a qualification to be licensed as a producer? Sonya applied for a health insurance policy on April 1. The applicant's medical history may be analyzed and reported, Which of the following MUST contain a "Statement of Policy Cost and Benefit Information". Which of these riders will pay a death benefit if the insured's spouse dies? HIPPA considers which of the following as "individually identifiable health information"? Which of the following situations would be suitable for a temporary work authority? Which of these is NOT considered to be a risk factor in life insurance underwriting? The policies continue in force with no change. All of these are standard exclusions found in a life insurance policy EXCEPT. AMaryland insurance producer solicits an insurance policy. A producer may be disciplined by the Commissioner for which of the following actions? Which of the following is NOT considered to be an act of fraud? A long-term care policy typically provides all of the following levels of care EXCEPT, A life insurance policy that has premiums fully paid up within a stated time period is called, A securities license is required for a life insurance producer to sell, In contrast to a guaranteed renewable policy, a noncancellable policy. How is a health provider reimbursed if they do NOT have an agreement in place with the insurance company? The greater of the accumulated cash value or the total premium paid. a producers secretary who solicits prospects on the telephone. In Maryland, a Producer may have his/her license revoked for which of the following acts? Their offer/administration. What is the purpose of having an accelerated death benefit on a life insurance policy? In the event of employment termination, group health insurance can be kept if the employee pays the premiums. Complete the sentence using each term once. When an insured has a major medical plan with first dollar coverage, how does this impact the benefits paid? Employee must be able to make unlimited contributions. What is the MINIMUM benefit period that must be offered by a Long-Term Care policy? Which type of rider will waive the premium on a child's life insurance policy if the parent paying the premium dies? We weren't able to detect the audio language on your flashcards. cuanto gana un pintor de autos en estados unidos . A life insurance policy normally contains a provision that restricts coverage in the event of death under all of the following situations EXCEPT, An insurance consultant is BEST defines as a. The waiting period for a disability insurance policy, Excludes payments for a short term illness or injury. Making the policy effective on an earlier date than the present. Course Hero is not sponsored or endorsed by any college or university. EXCEPT for fraud, the time after issuance of a policy during which an insurance company may contest a health insurance claim due to the statements on an application is, All of the following are core benefits of Medicare Supplement Plan A EXCEPT, Deductible payments for the first 60 days of hospitalization under Medicare hospitalization under Medicare hospitalization insurance, Statements made by an insurance applicant on an application are considered to be. What is this an example of? 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. What are the levels of coverage as defined by the Affordable Care Act? Which of the following is TRUE regarding the federal income tax? A _______ company is owned by its shareholders, The ___________ has the right to renew a small employer health plan, providing incorrect, misleading, incomplete, or materially untrue information in the license application, A producer who is licensed in Maryland but resident in another state is called a, A minor may receive a life insurance policy's death benefit ONLY, Interest on death benefits are NOT required to be paid by an insurance company as long as proceeds are paid within ______ after the date of the death of the insured, Submit to the replacing insurer a list of the policies to be replaced. A non-contributory health insurance plan helps the insurer avoid, An employee under a group insurance policy has the right to name a beneficiary and the right to, A) remain on the group in the event of employment termination, D) Convert to an individual policy in the event of employment termination, D) Convert to an individual policy in the event of employment termination, All of the following are Characteristics of a group life insurance plan EXCEPT, Tim is covered under a group plan and would like to change his group coverage to an individual policy with the same insurer because of employment termination. Pierre MUST remit the premium to his insurer within ___ business days of receipt. The ____of coverage describes policy features, benefits, exclusions and riders in a long-term care policy. A branch office registration form is required to be filed at least _____ days before selling insurance out of that branch. Which of the following is NOT a required provision in an accident and health insurance policy? Which type of disability would be less than total impairment and equal to permanent impairment? 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. \text{Total liabilities and stockholders' equity} & \underline{\underline{\hspace{3pt}\$244,000}} & \underline{\underline{\hspace{3pt}\$256,000}} \\ Fundingfor Medicare Part B is Partially provided by. Which of the following would be the appropriate tax consequence? Level premium permanent insurance accumulates a reserve that will eventually, Ambiguities in an insurance policy are always resolved in favor of the, Chapter 11 Exam - New Jersey Laws and Rules, Life Insurance Policies - Provisions, Options, Marketing Essentials: The Deca Connection, Carl A. Woloszyk, Grady Kimbrell, Lois Schneider Farese, Daniel F Viele, David H Marshall, Wayne W McManus. a producer's secretary who solicits prospects on the telephone. ARoth IRA owner must be a least what age in order to make tax-free withdrawals? The IRS allows a taxpayer to deduct medicalexpenses of that exceed 7.5% of their adjusted grossincome. How to take legal action against an insurance company. assure full and truthful disclosures to the public, All of the following are typically included in a life insurance policy illustration EXCEPT. This is an unlawful practice known as, must be delivered with or prior to policy delivery. During the year, Ravenna paid a $6,000 cash dividend and it sold a piece of equipment for$3,000 that had originally cost $6,000 and had accumulated depreciation of$4,000. When an applicant passes a licensing examination and answers all background questions negatively. In this situation, who will receive Bob's policy proceeds? A licensed producer is required to file notice of any change of address within how many days? \text{Total current assets} & \underline{\hspace{8pt}144,000} & \underline{\hspace{8pt}151,000} \\ Maximizes productivity through use of appropriate tools; planned training and Columbia Care LLC . The Commissioner must examine the financial affairs of each admitted insurer operating in Maryland at least once every how many years? If the consumer price index has gone up 4%, how much may Ron increase the face value of the policy? A. To be classified as a small employer in Maryland, and employer must employ, Secretary of the Department of Health and Mental Hygiene. A licensee MUST notify the Commissioner of an address change within _______ days of the change, Violations of US Code Title 18 section 1033 may result in, In the state of Maryland, a licensed producer, sharing commissions with other licensed and appointed agents, All of the following actions are considered rebating EXCEPT, Under the Maryland Health Insurance Plan, comprehensive health benefits are provided to, A producer who knowingly submits a false statement in support of a claim. \text{Common stock} & \hspace{13pt}70,000 & \hspace{13pt}60,000 \\ Maryland requires that a licensee completes ______ hours of continuing education on the subject of ethics every reporting period. A. At the request of the insurer to assist in the underwriting decision. What is this an example of? Which of these describes the change that will take place?A) Coordination of benefitsB) ConversionC) Extension of benefitsD) Rollover, Under a group life policy, the insurer will issue an individual _____ to the policyowner for delivery to each person insured.A) policyB) certificateC) applicationD) rider.
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