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Exam (elaborations)

Missouri Life and Health Exam

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Missouri Life and Health Exam Life Insurance Contracts - In a Life insurance contract, an insurance company's promise to pay stated benefits is called the: ️ Insuring clause. - The Consideration clause in a life insurance contract contains what pertinent information? ️ Amount of premi...

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  • September 1, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
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  • Missouri Life and Health Exm
  • Missouri Life and Health Exm
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Missouri Life and Health Exam


Life Insurance Contracts

- In a Life insurance contract, an insurance company's promise to pay stated benefits is called the:

✔️ Insuring clause.



- The Consideration clause in a life insurance contract contains what pertinent information?

✔️ Amount of premium payments and when they are due.



Health Insurance Grievance Procedures

- Under which circumstance MUST a health insurer have an expedited grievance review procedure?

✔️ When the enrollee's life or health is jeopardized.



Long Term Care Policies

- Long Term Care policies will usually pay for eligible benefits using which of the following methods?

✔️ Expense incurred.



Disability Income Taxation

- T is receiving $3,000/month from a Disability Income policy in which T's employer had paid the
premiums. How are the $3,000 benefit payments taxable?

✔️ Benefits are taxable to T.



Insurance Application Statements

- A statement made by an insured in an insurance application that must be true to the best of one's
knowledge and which becomes a part of the contract is known as:

✔️ A representation.



Long Term Care Insurance Regulations

- Which long term care insurance statement is true?

, ✔️ Pre-existing conditions must be covered after the coverage has been in force for six months.



Medigap Policy Restrictions

- Which of the following is NOT allowed in regard to the Medigap (Medicare Supplement) policy?

✔️ Issuing an additional Medigap policy to ensure no out-of-pocket exposure for the insured.



Licensing Requirements

- Jasmine is a salaried employee of an insurance company. Which of the following duties would require
her to be licensed as an insurance producer?

✔️ Soliciting insurance policies.



Adjustable Life Policy Characteristics

- All of these are characteristics of an Adjustable Life policy EXCEPT:

✔️ Face amount can be adjusted using policy dividends.



Director of Insurance Authority

- The Director of Insurance is authorized:

✔️ To enforce state laws relating to insurance.



Group Accident and Health Policies

- When a group accident and health policy is issued to an employer:

✔️ A policy is issued to the employer and a certificate is issued to each employee.



Accelerated Death Benefits

- Which of the following statements is CORRECT about accelerated death benefits?

✔️ Must have a terminal illness to qualify.



Irrevocable Beneficiary Changes

,- T is covered by an Accidental Death and Dismemberment (AD&D) policy that has an irrevocable
beneficiary. What action will the insurance company take if T requests a change of beneficiary?

✔️ Request of the change will be refused.



Federal Tax Treatment of Life Insurance

- Which of these statements is INCORRECT regarding the federal income tax treatment of life insurance?

✔️ Entire cash surrender value is taxable.



Misrepresentation in Insurance

- A producer is circulating incorrect information about the benefits of a policy. This producer may be
found guilty of:

✔️ Misrepresentation.



Major Medical Insurance Expenses

- The first portion of a covered Major Medical insurance expense that the insured is required to pay is
called the:

✔️ Initial deductible.



Application Changes

- Any changes made on an insurance application require the initials of whom?

✔️ Applicant.



Modification of a Policy of Adhesion

- A policy of adhesion can only be modified by whom?

✔️ The insurance company.



Policy Change Authority

- Which of the following health policy provisions states that the producer does NOT have the authority
to change the policy or waive any of its provisions?

✔️ Entire Contract.

, Nature of Insurance Contracts

- All of the following are considered to be typical characteristics describing the nature of an insurance
contract, EXCEPT:

✔️ Bilateral.



AD&D Benefits

- The Accidental Death and Dismemberment (AD&D) provision in a life insurance policy would pay
additional benefits if the insured:

✔️ Is blinded in an accident.



Application Attachment in Insurance Contracts

- Which health policy clause stipulates that an insured company must attach a copy of the application to
the policy to ensure that it is part of the contract?

✔️ Entire Contract.



Coverage for Bone Marrow Transplantation

- Coverage for human leukocyte antigen testing for bone marrow transplantation is REQUIRED to be
provided in all:

✔️ Group comprehensive health policies.



Policy Limits

- The phrase "This policy will only pay for a semi-private room" is an example of a(n):

✔️ Internal limit.



Death Benefit Distribution

- T and S are named co-primary beneficiaries on a $500,000 Accidental Death and Dismemberment
policy insuring their father. Their mother was named contingent beneficiary. Five years later, S dies of
natural causes and the father is killed in a scuba accident shortly afterward. How much of the death
benefit will the mother receive?

✔️ $0.

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