Certificate Final Exam Prep Flashcards

1
Q

Insurance agents must maintain records of the information collected from senior consumers used in making annuity recommendations for at least how many years after the insurance transaction is completed?

A

5 years

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2
Q

Is including nonguaranteed elements in a policy illustration an unfair trade practice?

A

No

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3
Q

How are disability income benefits taxed if premiums are paid by the employer?

A

Premiums are tax-deductible

Benefits are taxed as ordinary income

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4
Q

How are disability income benefits taxed if premiums are paid by the employee?

A

Premiums are paid with after-tax dollars so they are not tax-deductible

Benefits are tax-free

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5
Q

If an insured misstated his age on an application for health insurance, the insurance company has the right to

A

Adjust the benefit

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6
Q

Anyone who commits an unfair trade practice with regard to HMOs can be fined as much as

A

$200,000

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7
Q

An insurer that ceases use of a particular policy form must offer policyholders

A

Assistance in finding alternative coverage

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8
Q

A securities license is required to sell what kinds of annuities?

A

Variable annuities

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9
Q

Under the Time of Payment of Claims provision, health insurance claims must be paid

A

Within 60 days

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10
Q

If an insured who is covered by a double indemnity accidental death rider gets injured in an accident but dies 120 days later, what will the beneficiary receive?

Why?

A

The face amount

Typically the death must occur within 90 days of the accident after which the death benefit reverts to the face amount

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11
Q

In Florida, what is the required free-look period in individual long-term care policies?

A

30 days

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12
Q

A policyholder can file a lawsuit for nonpayment of claims if it has not been paid within

A

60 days

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13
Q

If a physician does not accept assignment, the maximum amount the physician can charge a Medicare beneficiary for a covered service is known as the

A

Limiting charge

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14
Q

In order to sign up for Medicare Part D, Prescription Drug Coverage, the insured must be enrolled in which of the following?

A

Medicare Part A or in Parts A and B

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15
Q

After being in force for 5 years, a life insurance policy was classified as a Modified Endowment Contract. When will the policy lose this classification?

A

Never

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16
Q

Withdrawing funds from a traditional IRA prior to age 59 ½/ incurs an additional tax of

17
Q

Florida’s Department of Financial Services is responsible for all of the following
EXCEPT
A. Depositing fines and penalties in a state insurance fund
B. Issuing cease and desist orders
C. Issuing or revoking licenses
D. Holding hearings regarding insurance matters

A

A. Depositing fines and penalties in a state insurance fund

It does collect fines and penalties but does not deposit them in a state insurance fund

18
Q

The replacing insurer must send a Comparative Information Form to applicants who request one within how many days of receiving the application?

19
Q

In Florida, written notice of a claim under a health insurance policy must be delivered within how many days of the loss?

20
Q

What is a primary difference between an HMO and a traditional insurance company?

A

The HMO provides both the financing and patient care for its members, while traditional companies provide the financing only

21
Q

What is the purpose of Medigap policies?

A

To cover expenses for Medicare deductibles and coinsurance

22
Q

What mandatory health provision states the specified number of days given to an insured to return the completed claim forms to the insurance company?

A

Proof of Loss

23
Q

What are the four factors the ACA allows to determine premium rates?

A
  • Age
  • Tobacco use
  • Geographic area
  • Family composition
24
Q

Under the waiver of premium provision, how long are premiums waived for a permanent and total disability?

A

For the duration of the disability

25
How many days does the Florida Office of Insurance Regulation have to respond to an insurer filing a new policy form before it is automatically approved?
30 days
26
Group policies issued in Florida must contain all of the following provisions EXCEPT A. Misstatement of age. B. Replacement. C. Incontestability. D. Grace period.
B. Replacement
27
At what point must the beneficiary have an insurable interest in the insured for life insurance policies?
At the time the policy is issued
28
In insurance, an offer is usually made when
The application is submitted The application is an offer to the insurance company to enter into a contract
29
In Florida, which department determines that insurers are financially sound and remain solvent?
The Office of Insurance Regulation The Office of Financial Regulation regulates only financial institutions
30
In Florida, a policyholder must file a lawsuit for an unpaid loss within how many years of furnishing proof of loss to the insurance company?
The statute of limitations for unpaid losses in Florida is 3 years
31
Expenses incurred during the examination of an insurance company are paid by the
Insurer being examined
32
In the event an employee covered under a group health insurance policy dies. how long may a spouse receive coverage through COBRA?
36 months
33
What Medicare Advantage Plan is offered through private insurance companies? A. Private fee-for-service B. Special needs C. Medicare Part A D. Point-of-service
A. Private fee-for-service
34
Under the Fair Credit Reporting Act (FCRA), consumer reports are not allowed to report negative information about a person after how many years?
7 years
35
All of the following apply to discount plans in Florida EXCEPT A. They provide discounts for medical services through specific health care providers. B. They are a type of insurance plans. C. Members pay for all health care services. D. The providers are not paid by the discount medical plan organization.
B. They are a type of insurance plans.
36
An employee covered under a group health insurance policy is terminated while off work on a disability. What is the maximum period of time this employee may continue coverage under the group plan?
29 months The usual 18 months plus an additional 11 months due to disability
37
During a life insurance policy replacement, a producer must do all of the following EXCEPT A. Send a written communication to existing insurers advising them of the proposed replacement. B. Give the applicant copies of all replacement related communication. C. Obtain a list of existing life insurance policies. D. Provide a signed Notice Regarding Replacement to the applicant.
C. Obtain a list of existing life insurance policies.