A. Thepolicys elimination period is waived, B. Thetime frame for reinstating a lapsed policy is extended, C. Thepolicys probation period is earlier than the present, D. Thepolicy effective date is earlier than the present, D. The policy effective date is earlier than thepresent, Premiummode is a term used to describe the. Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. When are group disability benefits considered to be tax-free to the insured? New Jersey insurance law requires eligible individuals to make an election to continue health insurance benefits within a MAXIMUM of _____ days after coverage termination, A _____ insurance company is one that was formed under the laws of a state other than New Jersey, All of the following are typically included in a life insurance policy illustration EXCEPT, Claims payable to a Disability Income insured, even when the insured can continue to work, are the result of a. XYZ Corp pays the tax-deductible insurance premiums for a key employee disability policy. A Medicare Supplement policy may exclude coverage fora preexisting condition for up to __months. Converting a group plan to permanent lifeinsurance requires: D. The conversion being applied for within 31 daysof termination. What would be an expense factor in a insurance program? All of these are valid options for an Adjustable Life Policy EXCEPT, A nonforfeiture option can be used to increase the death benefit. B.Canceling a term life policy to buy a whole life policy. A beneficiary has just received a claim payment for a life insurance policy. Collecting a chargefor insurance that is less than the charge applicable to that insurance. To be classified as a small employer, an employer must NOT have more than _________ eligible employees, The _______ is responsible for determining the appropriateness of a Medicare Supplement policy for an applicant, During the examination of an insurer's books and records by the Commissioner, the insurer, remain in effect until a new one is issued, John the insurance producer has an insurance license that expires in 6 months. Which type of long-term care benefit would be most appropriate for a stroke victim who requires speech therapy administered at her home? Commissioner may impose an administrative penalty. Duringthe accumulation period, who can surrender an annuity? A domestic insurance company in Maryland MUST, Collecting premiums and paying them to the insurance company. What is the maximum fine for a producer violating a New Jersey Insurance law for the first time? who would be responsible for the prosecution of this crime? What happens to interest earned if the annuitant dies before the payout start date? Which of these premium payment frequencies is not typically available to a policy owner? How long must a life insurance policy be in effect before the policyowner may use the nonforfeiture provision? What happens to coverage under a children's term rider when that child reaches a certain specified age? Maria the insurance producer completes a sale by collecting the required signatures on the application and obtaining the initial premium. Maryland requires that a licensee completes ______ hours of continuing education on the subject of ethics every reporting period. These rights are called, A producer who intentionally makes an untrue or incomplete statement in the course of an insurance transaction may be guilty of. An insurer must furnish to a claimant forms for filing proof of loss within ___ days upon receiving a notice of claim. Fundingfor Medicare Part B is Partially provided by. Julie has a $100,000 30-year mortgage on her new home. ABC Insurance Agency is entering each applicant who purchases insurance through their agency into a drawing to win a free trip. In which of the following relationship would there NOT be an insurable interest? 1. A life insurance policyowner is allowed ____ days upon policy delivery to return the policy for a full premium refund, A producer's license MUST be renewed every _______ years, Collecting a charge for insurance that is less than the charge applicable to that insurance. what happened to amy bailey happy healthy humble . Whichphase is this annuity in? Ifan insurer refuses to pay a claim, how many days must the insured wait to takelegal action against a health insurer after submitting written proof of loss? Under a Traditional IRA, Interest earned istaxed. Which of these is NOT subject to income taxation under a Modified Endowment Contract (MEC)? She recently replaced the policy with a new one that provides better coverage. Which of the following would be the appropriate tax consequence? Tara the producer is delivering a specified disease insurance policy to a new policyowner. Joanne has a $100,000 whole life policy with an accumulated $25,000 of cash value. The names of the insurance companies represented by the producer. Unintentionally misrepresented a material fact on the application. A. The act of using misrepresentation to induce an insured person to terminate an existing policy and purchase a new policy is referred to asA)twistingB)subrogationC)a life settlementD) coercion. Which of the following describes a person who is NOT acceptable by an insurer at standard rates because of health history, occupation, or hobbies? Whichof these is considered to be a document that describes the critical segments ofa life insurance policy? When a qualified plan starts making payments to its recipient, which portion of the distributions is taxable? 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. At minimum, a carrier is required to offer which of the following health benefit plans to small employers? Which of the following is NOT a duty of the Commissioner? Which of the following is NOT part of an insurance contact? B.) Proceeds payable under a life insurance contract to a policyowner in anticipation of death or upon the occurrence of specified life-threatening conditions as defined by the policy are best described as: A temporary producer license in Maryland is valid for up to. In Maryland, a full-time employee of a small employer MUST work an average of at least ___ per week. In regards to a life insurance contract, which of the following statements is NOT true regarding the concept of insurable interest? The waiting period for a disability insurance policy, Excludes payments for a short term illness or injury. Lower than the typical whole life policy duringthe first few years and then higher than typical for the remainder. Whena qualified plan starts making payments to its recipient, which portion of thedistributions is taxable? Please upgrade to Cram Premium to create hundreds of folders! D. Assist an insurer in determine an applicantscreditworthiness. After passing the state Producer licensing exam, application for the license must be made within, How long must an insurance company keep record on life insurance replacement activity, An insurance company that is organized or chartered in a country other than the United States is defined as, Advertisements of insurance in a local newspaper, must be approved by, Which of the following actions may an insurance company NOT do in a health policy that contains a guaranteed renewable premium benefit, Increase the premiums on an individual basis, Continued coverage under COBRA would be provided to a(n), A covered employee is terminated for gross misconduct, In New Jersey, health insurance advertisements are required to contain the, The purpose of a coordination-of-benefits provision in group health accident and health plans is to, If an insured dies during the grace period with no premiums paid, The policy would be payable, minus the premium amount, A 10% excise tax is normally applied to an early withdrawal from an IRA. The Right-to-Examine period in Maryland for Long-Term Care policies is ____ days. Net death benefit will be reduced if the loan is not repaid. A disability income policy can prevent an insured from earning a higher income than if he/she were working by utilizing. Mike has inherited his fathers traditional IRA.As beneficiary, he will pay __Taxes on any money withdrawn. Theprescription of a drug for treatments other than whats labeled is known as(Blank) use. Whichtype of injury would NOT be covered under a health insurance policy? XZY company has applied for group health insurance for its employees. The Healthcare Insurance Exchange offers plans for everyone. Higher than the typical whole life policy duringthe first few years and then lower than typical for the remainder. The Commissioner issues a subpoena to a producer. by . Focus of Major medical insurance is providingcoverage for: C. Medical and Hospitalization expenses. c. Solve the equation f(x)=0, if possible. Whatis the elimination period of an individual disability policy? Temporarily Deposit the funds in a personal account. Which of the following may be used as continuation education credit? According to HIPPA, this tax will not be applied if the withdrawal is used for medical expenses that exceed _____ of the individual's adjusted gross income. \\ Jim recently sold his whole life insurance policy under a critical settlement contract. The applicant's medical history may be analyzed and reported, Which of the following MUST contain a "Statement of Policy Cost and Benefit Information". Proof of loss on a health insurance claim must be submitted to an insurer within _____ days after the insure's date of loss. Whichscenario would most life insurance policies exclude coverage for? Which of the following actions by a producer would NOT result in a license suspension or revocation? Their offer/administration. An example of a primary care physician would be an, A fee for service health insurance plan will normally cover. A life insurance policy which contains cash values that vary according to its investment performance of stocks is called. Tarathe producer is delivering a specified disease insurance policy to a new policyowner. What is the primary purpose of a rating service company such as A.M. Best? What is the MINIMUM benefit period that must be offered by a Long-Term Care policy? A Medicare supplement policy can be cancelled by the insurer for: Maria the insurance producer completes a sale by collecting the required signatures on the application and obtaining the initial premium. Complete the sentence using each term once. Which of the following is an example of defamation? Upon delivery, she may be expected to collect all of the following EXCEPT a(n), Modified application with a new signature, All of these are valid policy dividend options for a life insurance policyowner EXCEPT. Maryland requires that a licensee completes___ hours of continuing education on the subject of ethics every reportingperiod. Elizabethis the beneficiary of a life insurance policy. a producers secretary who solicits prospects on the telephone. It allows for cash advances to be paid against the death benefit if the insured becomes terminally ill. Who assumes the investment risk in a variable insurance contract? B. In the marketplace there are four various tiers of coverage, ranging from, bronze to platinum. At the request of the insurer to assist in the underwriting decision. You are given the graphs of several functions of the form f(x)=ax2+bx+cf(x)=a x^2+b x+cf(x)=ax2+bx+c for different values of a, b, and c. For each function. Which of these is NOT considered to be a risk factor in life insurance underwriting? A master contract and certificate of coverage can be found in which type of policy? Which of these if NOT considered a form of life insurance advertisement? Which type of rider will waive the premium on a child's life insurance policy if the parent paying the premium dies? a. Theinsured skipped a payment beyond the 31 day grace period, b. Theinsured was injured while participating in an illegal occupation, c. Theinsured was given a notice of cancellation from the insurer, d. Theinsured suffered an injury as an innocent bystander during a bank robbery. A whole life policy option where extended term insurance is selected is called a(n). In event of acontroversy between the insured and the company, the producer is considered to representthe. The time limit for filing claim disputes is addressed in which provision of an accident and health policy? An insurance company's trademark instead of the company's actual name, Using misrepresentation to induce an insured person to terminate an existing policy and purchase a new policy, Field underwriting performed by the producer involves, Completing the application and collecting initial premium. a producers secretary who solicits prospects on the telephone Which of the following is Medicare Part B also known as? D.In the event of employment termination, group health insurance can be kept if the employer pays the premium. Which of the following is considered a tax-deductible medical expenseunder this rule? & \text{Ending}& \text{Beginning} & \\ When the minor has been approved by the Commissioner, When collection insurance premiums from a client, a producer MUST, A. At what age does the open enrollment period typically begin for Medicare Supplement coverage? c. Travel accidental insurance premiums. d. A covered employee if terminated for grossmisconduct. What is the required action to be taken by a Maryland licensee before operating under an assumed business name? How long must an individual be unable to engage in any gainful activity due physical or mental disability in order to qualify for Social Security Total Disability? Which of the following is NOT a qualification to be licensed as a producer? A producer has committed an insurance crime that violates US Code 1033 (interstate commerce). Maria has committed what crime? What is issued to each employee of an employerhealth plan? Premium mode is a term used to describe the, A newborn is required to be covered for _____ days from the moment of birth, A clause that allows an insurer the right to terminate coverage at any anniversary date is called. Who is the individual paid on a fee-for-service basis? Which of these statements is true? For large samples, describe the sampling distribution of, (p^1p^2)\left( \hat { p } _ { 1 } - \hat { p } _ { 2 } \right) The prescription of a drug for treatments other than what's labeled is known as _____ use, Coverage for newborns under a health plan MUST include coverage for. Whoregulates the quality of care provided by a health maintenance organization(HMO), a. Secretaryof department of health and mental hygiene, b. NationalAssociation of insurance commissioners, A.Secretary of the department of health and mental hygiene. & \text{Balance}& \text{Balance} & \\ 16381 Chillicothe Rd, Chagrin Falls, OH 44023, USA 440-708-1855. search. CashandcashequivalentsAccountsreceivableInventoryTotalcurrentassetsProperty,plant,andequipmentLessaccumulateddepreciationNetproperty,plant,andequipmentTotalassetsAccountspayableIncometaxespayableBondspayableCommonstockRatainedearningsTotalliabilitiesandstockholdersequityEndingBalance$48,00041,00055,000144,000150,00050,000100,000$244,000$32,00025,00060,00070,00057,000$244,000BeginningBalance$57,00044,00050,000151,000140,00035,000105,000$256,000$57,00028,00050,00060,00061,000$256,000. Who would make the final determination on whether or not an insurance advertisement is misleading? Duringthe accumulation period, who can surrender an annuity? What does the Group Life underwriting risk selection process help protect insurance companies from? Final Exam - New Jersey Life and Health Flashcards | Quizlet a producers secretary who solicits prospects on the telephone Krissa purchases a 10-year level term lifeinsurance policy that has a death benefit of $200,000. Assist in the underwriting of insurance policies. B. Anytimewithin 12 months after date of purchase, C. Aminimum of 6 months after date of purchase, D. Aminimum of 12 months after date of purchase. What is the MINIMUM benefit period that must be offered by a Long-Term Care Policy? B. Benefits provided by a Medicare Supplement policy must NOT, Funding for Medicare Part B is partially provided by. the daily amount paid for nursing home care, All long-term care policies sold in North Dakota are REQUIRED to pay the SAME daily benefit amount for "at home" care as paid for. Write a sentence explaining its significance to the executive branch. Which of the following actions is REQUIRED by a producer who is replacing an existing life insurance policy? Shirley has a $500,000 10-year non-renewable level term life policy. How long is the Contestable period for health insurance policies sold in Maryland? The law that established insurance transactions regulated by the states is called. When an insured has a major medical plan with first dollar coverage, how does this impact the benefits paid? A _______ negotiates an insurance contract on behalf of an insurer, The Entire Contract provision states that an entire contract consists of the actual policy and the, the last day of the licensee's birth month (every two years), A producer's renewal date for his/her resident insurance license is on or before. There is protection of proceeds against the insured's and the beneficiary's creditors, Susan is insured through her Group Health Insurance plan and changed her coverage to an individual plan with the same insurer after her employment was terminated. In Maryland, a producer may have his/her license revoked for which of the following acts? How much does Medicare Part B pay forphysician fees? Pay for Medicare charges exceeding the approvedamount. National Milk Producers Federation 2107 Wilson Blvd., Suite 600 Arlington, VA 22201 Phone: 703-243-6111 E-mail: info@nmpf.org In some cases, NDRC also solicits the opinions of relevant Chinese industrial regulators and consulting agencies, which may include industry associations that represent Chinese domestic firms. A producer may be disciplined by the Commissioner for which of the following actions? Who is eligible for insurance under a group policy issued to a labor union? {"cdnAssetsUrl":"","site_dot_caption":"Cram.com","premium_user":false,"premium_set":false,"payreferer":"clone_set","payreferer_set_title":"Insurance\/Healt Agent Exam","payreferer_url":"\/flashcards\/copy\/insurance-healt-agent-exam--11456962","isGuest":true,"ga_id":"UA-272909-1","facebook":{"clientId":"363499237066029","version":"v12.0","language":"en_US"}}. Any decrease in income resulting from this injury would make him eligible for benefits under which provision? Which of the following statements is TRUE? The exceptions, reductions, and limitations affecting the basic provisions of the policy, Any advertisement that mentions a dollar amount, period of time for which any benefit is payable, cost of policy, policy benefit, or the loss for which the benefit is payable MUST disclose. Which type of contract may NOT be issued by an insurance company? A producer is meeting with a client to determine whether an annuity would be suitable for purchase. This rider is called a(n). Howsoon can the benefit payments begin with a deferred annuity? Which of the following enables a life policy to be replaced with another life policy and results in the postponement of the tax consequence? Ahealth care provider claim may be settled using which of the following paymentmethods? The policy automatically converts to whole lifeafter the 10-year period, B. Which of these may NOT be used in a health insurance advertisement? If he files an application for renewal before the expiration date, his license will, A Medicare Supplement policy can be cancelled by the insurer for, Recording the receipt and distribution of premiums due to an insurer is considered a producer's _________ responsibility. June 24, 2022 . Which settlement option pays a stated amount toan annuitant, but no residual value to a beneficiary? A newborn is required to be covered for ______ days from the moment of birth. Which type of life insurance policy is this? Which military service exclusion clause would pay upon his death? Medical history from the insured may be reviewed and reported, If an insurer receives a notice of claim under an individual health policy, and fails to provide proof of loss forms within 15 days, the insured must, File a written proof of loss, detailing the occurrence, character and extent of loss. Financial report from the previous year. The New Jersey Life and Health Insurance Guaranty Association is, Funded by assessments on member companies. 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. Introducing Cram Folders! An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? Her agent submitted the information to the insurance company on April 6. A policy owner may exercise which of these dividend options that uses the dividend to pay all or part of the next premium due? Which of the followingunfair trade practices involves an agent who makes malicious statements aboutanother person's financial condition? B.Change must be initialed by the applicant. June 24, 2022 . All of these are standard exclusions found in a life insurance policy EXCEPT. c. Send receipt of payment to the commissioner, d. Forward Premiums to the insurer on a timely basics. Which disability policy provision would address any concerns of the value of the benefits decreasing over time? If an insurer refuses to pay a claim, how many days must the insured wait to take legal action against a health insurer after submitting written proof of loss? a producers secretary who solicits prospects on the telephonecapricorn and virgo flirting. Which type of disability would be less than total impairment and equal to permanent impairment? An applicant's character and personal habits can be obtained for underwriting purposes from which source? An individual the means to replace wages. What is the purpose of the Medical Information Bureau (MIB)? The statement which best describes the relationship between the relationship between the premiums of a whole life policy and the premium payment period is, The shorter the payment period, the higher the premium. It is administrated by the federal government, C. It is funded by federal, state, and local taxes. This is called a, A minor may receive a life insurance policy's death benefit ONLY, B. a. social stratification b. feminization of poverty c. social class d. social mobility e. bourgeoisie f. vertical mobility g. proletariat h. intergenerational mobility i. wealth j. horizontal mobility k. income l. open-class system m. prestige n. absolute poverty o. relative poverty p. caste system. You are here: leeds city council repairs phone number a producers secretary who solicits prospects on the telephone. Ravenna Company is a merchandiser that uses the indirect method to prepare the operating activities section of its statement of cash flows. A minimum of 12 months after date of purchase. Benefits for a Medicare Supplement policy. An attending physician's statement would be appropriate for which life insurance purpose? Juni 2022. Which of these is affected by the frequency of an insurance policy's premium payments? On which date would Sonya have coverage? The coverage, condition, and limitations in the master policy of a group contract can be found in which document? Anindividual covered under a Blue Cross Blue shield is called a(n), Aclosed network plan offers a primary physician copay $25. An ___________ insurance company is one that was formed under the laws of another country outside of the U.S. Whoassumes the investment risk with a fixed annuity contract? This agreement is called an, Upon receiving a producer complaint, the Commissioner may immediatley, ABC Insurance Company transfers part of their risk to XYZ Insurance Company. When must a claim on a life insurance policy be paid after proof of loss has been received by the insurer? PartA Hospital expense coverage provided under Medicare is automatically madeavailable to each of the following EXCEPT, A. A50-year-old individual who has qualified for SSDI in the last 24 months, B. A70-year-old NOT Eligible for Social Security, C. A55-year-old suffering from kidney failure. If a producer has been engaged in an administrative action by any governmental agency, within how many days following the final deposition must the producer report the action to the Commissioner? June 5, 2022 . After an insured gives notice of loss, what must he/she do if the insurer does not furnish forms? Whatdoes the word Level in level term describe? Therole of the federal government was expanded when Medicaid was establish byallowing the state to, A. Froma large PPO on a statewide level, B. Purchasehealth insurance from the federal government, C. Receivematching funds to expand public assistance programs, D. Deferall costs to the federal government for public assistance program, Anaccident and Health policy that Provides reimbursement benefits makes them payable to the, Paulis an employee who caught a disease unique to the trade in which he was exposedto. A life insurance policy sold in Maryland can be cancelled for nonfraudulent misstatements for up to, A person who has a contract with an insurance company to represent it, To a licensed producer who is appointed with the insurer. This situation is called, Written notice of a health insurance claim should be given to the insurer within _____ days after the occurrence of any loss covered by the policy, To conduct insurance business in this State, an insurer must be issued a certificate of authority. How often must an insurance producer's license in New Jersey be renewed? a producers secretary who solicits prospects on the telephone. \text{Common stock} & \hspace{13pt}70,000 & \hspace{13pt}60,000 \\ How much does Medicare Part B pay for physician fees? Pat is insured with a life insurance policy and Karen is his primary beneficiary.
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