Making a statement that is false or maliciously critical of the financial condition of an insurer is known as
- correct answer ✔✔defamation
Which of the following statements regarding an examination of an insurer's books and records by the
Commissioner is true?
- An insurer has a right to delay an examination by the Commissioner for a period of not more than 15
days after notification
-The insurer must not impede an examination and is required to assist in the examination procedures
-Reports related to solicitors are not official records archived from insurance examinations
- The Commissioner only has the authority to examine domestic insurers - correct answer ✔✔The
insurer must not impede an examination and is required to assist in the examination procedures
When an intermediary's license is revoked for failure to meet continuing education requirements, the
intermediary CANNOT - correct answer ✔✔be present during the sale of insurance by another
intermediary
Which type of policy pays benefits to a policyholder covered under a Hospital Expense policy? - correct
answer ✔✔reimbursement
Qualified long-term care policies must include all of the following provisions EXCEPT
Medicare - correct answer ✔✔a federal health insurance program for individuals over the age of 65 or
permanently disabled
,John has a criminal record in which he was convicted of a felony that involved dishonesty. Under Federal
law, how would John be able to engage in insurance transactions? - correct answer ✔✔Given written
consent by the state insurance regulatory agency
A Medicare Supplement insurance policy may EXCLUDE coverage for preexisting conditions for a
maximum period of how many months after the policy goes into effect? - correct answer ✔✔6
An insured's statement of a policy's benefits which is to be used in marketing materials is called a(n) -
correct answer ✔✔testimony
Jim is covered under a disability income policy. He is hurt while engaged in an occupation that is more
hazardous than the occupation he specified in the policy. What action will the insurer likely take? -
correct answer ✔✔Reduce the benefit level
All of these are considered to be a violation of the Federal Fraud and False Statements Act EXCEPT
For group health plans covering employees in more than one state, the state regulatory jurisdiction
established for the plan may affect any of the following aspects EXCEPT
- Minimum enrollment percentages
- Eligibility qualifications
- Required contract provisions
- COBRA continuation of coverage - correct answer ✔✔COBRA continuation of coverage
A false statement made by an applicant that would influence an insurer in determining whether or not to
accept the risk is - correct answer ✔✔a material misrepresentation
Which parties are directly involved in a group accident and health insurance contract? - correct answer
✔✔employer and insurer
, (not employees)
Who determines the suitability of a disability (accident & health) policy to a potential insured? - correct
answer ✔✔Intermediary
Long Term Care policies will usually pay for eligible benefits using which of the following methods? -
correct answer ✔✔Expense Incurred
Greg applies for insurance and makes a false statement on the application that will influence whether or
not the insurer will accept the risk. Greg's false statement is called a(n) - correct answer ✔✔material
misrepresentation
Which of the following statements BEST describes a double indemnity provision in travel accident
insurance? - correct answer ✔✔Benefits are doubled under certain circumstances stated in the policy
A copy of all Medicare Supplement advertisements must be submitted for approval to - correct answer
✔✔The Commissioner
Jill has a group health plan with an employer that covers employees in more than one state. Which of
the following is NOT affected by the state regulatory jurisdiction established for this plan?
- Eligibility requirements
- Required provisions
- Minimum enrollment percentage
- Continuation of coverage under COBRA - correct answer ✔✔Continuation of coverage under COBRA
Which of the following statements accurately describes the financial impact of total disability? - correct
answer ✔✔The financial impact may be worse than that of death
In long-term care insurance, what is the length of time for which claims will be paid? - correct answer
✔✔Benefit period
All of these are used to prevent adverse selection in a group dental plan EXCEPT
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