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Cram Course: 6-Health Insurance Policy Provisions Questions With Complete Solutions
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Cram Course: 6-Health Insurance Policy Provisions Questions With Complete Solutions
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Cram Course: 6-Health Insurance Policy ProvisionsQuestions With Complete Solutions
"A producer does not have the authority to change a policy or
waive any of its provisions." The health provision that best
describes this statement is called the: Correct Answer Entire
Contract.
A disability income policy that only the policy owner can
terminate and which the rates will never go up is considered to
be: ? Correct Answer noncancellable.
A Disability Income policyowner recently submitted a claim for
a chronic neck problem that has now resulted in total disability.
The original neck injury occurred before the application was
taken 5 years prior. The neck injury was never disclosed to the
insurer at the time of application. How will the insurer handle
this claim? Correct Answer the claim will be paid and coverage
will remain in force.
-after a policy has been in force for 2 or 3 years, it enters the
INCONTESTABLE period, in which the insurer may not deny a
claim based on information that wasn't disclosed at the time of
application.
A(n) ___________ of benefits of a Health Policy transfers
payments to someone other than the policy owner? Correct
Answer assignment.
According to the Mandatory Uniform Policy Provisions, what is
the MAXIMUM amount of time after the premium due date
, during which the policy remains in force even though the
premium has not been paid? Correct Answer 31 days.
According to the Time Payment of Claims provision, the insurer
must pay Disability Income benefits no less frequently than
which of the following options? Correct Answer monthly.
After an insured gives notice of loss, what must he/she do if the
insurer does not furnish (provide service to) forms? Correct
Answer file a written proof of loss.
An insurance company normally has 2 years to contest
information provided on an accident and health application. This
2 year period begins on the date that the? Correct Answer
insurer dates the policy.
An insurance company receives E's application for an individual
health policy. E did not complete all of the medical history
questions because she couldn't remember all of the exact dates.
E signed the policy and submitted it to the insurance company
anyways. A few weeks later, E suffers a heart attack and is
hospitalized without completing the medical history questions
and without paying the initial premium. E is not insured. Which
of the following clauses details the conditions that E did NOT
meet? Correct Answer the Consideration Clause; a health
insurance contract is only valid if the insured provides
consideration in the form of the full minimum premium and the
statements made in the application.
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