Health plans contract - Study guides, Class notes & Summaries

South Carolina Insurance Exam Questions and Answers Already Passed An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? Inflation protection Which of these riders will pay a death benefit if the insured's spouse dies? Family term insurance rider Disability income plans which require that the insurer can NEVER change or alter premium rates are usually considered Nonconcellable What is the required action to be taken by a...

Xcel Final Exam| Questions and Verified Answers| 100% Correct| Grade A (Latest 2024/ 2025) Q: P is a producer who notices 5 questions on a life application were not answered. What actions should P take? Answer: Set up a meeting with the applicant to answer the remaining questions Q: Q applied for life insurance and submitted the initial premium on January 1. The policy was issued February 1, but it was not delivered by the agent until February 7. Q is dissatisfied and returns the...

Contributory Health Insurance - Answer-If the employees share a portion of the premium. Often require participation by 75% of eligible members. Noncontributory Health Insurance - Answer-If the employer pays the entire premium. Most require 100% participation by eligible members. (Funding of Group Insurance) Shared funding - Answer-Allows employer to self-fund health care expenses, select a deductible and pay covered expenses for any individual incurring claims up to that max, insurer assum...

CEBS: GBA/RPA 3 (new curriculum) latest update 100% pass ERISA Employee Retirement Income Security Act 1974 SOC Reports Service Organization Controls: for external vendors SOC 1 Internal Controls & Financial reports; used by auditors SOC 2 Security, availability, processing integrity, confidentiality and privacy controls;used by management, regulators, and others under an NDA SOC3 Same as SOC2, but available for public use. Tribble V Edison Landmark court case re fiduciary responsibility pe...

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - Answer-You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at meeting the needs of senior citi...

Barbara's policy includes a rider which allows her to purchase additional insurance at specific dates or events without evidence of insurability. This rider is called a(n) Answers>>Guaranteed insurability rider A guaranteed insurability rider allows for the insured to purchase additional insurance at specific dates or events without evidence of insurability. Disability Income plans which require that the insurer can NEVER change or alter premium rates are usually considered Answers&...

Florida 2-15 Insurance Final Exam Test Bank (All Chapters complete 1-30, Questions and Answers, 100% Verified) Latest 2023/2024 1. A life insurance company is organized in Orlando where it maintains its home office. In Florida, the company is classified as a a. domestic company b. local company c. foreign company d. preferred company a 2. With regard to life insurance, all of the following statements are correct EXCEPT a. all individuals are considered to have insurable interests i...

UHC Ethics and Compliance Certification 2023/2024 Exam| Questions and Verified Answers| Graded A Q: What does generic mean with marketing materials? Answer: materials that do not meet the marketing materials criteria and do not carry any plan sponsor information or logos Q: does generic materials require prior approval? Answer: no Q: What methods are considered marketing material? Answer: newspaper, tv, internet, radio advertisements, direct mail, postcards, fl...

Idaho Life and Health Final Exam Questions and Answers Already Passed What are the benefits that must be provided by an individual health insurance policy for prenatal, maternity, and delivery expenses? Prenatal, maternity, and delivery expenses are required to be covered under all health plans subject to the same deductible and coinsurance as other medical and surgical expenses. Which situation would qualify an individual for receiving benefits from a qualified long-term care policy?...

Rules of Construction Help to identify and establish the intent of the parties to the contract Utmost good faith Each party is entitled to rely on the representation of the other, and each party should have a reasonable expectation that the other is acting in good faith without attempts to conceal or deceive. Aleatory Contract A contract under which one party's performance is contingent on an uncertain event. property and casualty agent has the power to bind the insurer...