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Health & Life > Ch. 9 - State Regulations > Flashcards

Ch. 9 - State Regulations Flashcards

1
Q

Director of insurance term is how many years?

A

4

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2
Q

Department of insurance has how many years to examine domestic insurers

A

5 years

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3
Q

Dept. of insurance has how long to hold a hearing following a demand

A

30 days

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4
Q

Dept of insurance has how long to provide a written notice of hearing.

A

14 days

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5
Q

You must be how old to apply for an insurance license.

A

18

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6
Q

How long do you have to apply for a license after passing exam

A

180 days

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7
Q

How many hours of continuing education is required every two years?

A

24 hours

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8
Q

How many hours of continuing education must be in ethics?

A

3 hours

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9
Q

How long is the temporary license period.

A

180 days

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10
Q

How long do insurers have to notify director of agent appointment.

A

15 days

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11
Q

How long does insurer have to notify director of termination of appointment?

A

30 days

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12
Q

How long after your license lapses do you have to reinstate it by provide in proof of co tinuing education requirements and paying penalty.

A

90 days

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13
Q

What is the max imprisonment for a producer violating the insurance code?

A

6 months

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14
Q

How long does a producer have to notify the director of a change in address?

A

30 days

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15
Q

A producer must keep records for how many years?

A

5

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16
Q

How long does a producer have to send suspected fraudulent claims to the director?

A

60 days

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17
Q

How many days does a producer have to remit funds payable to policy owners?

A

14 days

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18
Q

How many days does a producer have to remit funds to an insurer?

A

21 days

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19
Q

How many days does a producer have to place large funds (over $2k) into a fudiciary account?

A

3 business days

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20
Q

Maximum fine for each conviction violating the insurance code or a cease and desist order.

A

$1000

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21
Q

Max fine for transacting insurance without a license.

A

$15,000

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22
Q

Max fine for violating unfair claims settlement practices by insurer.

A

$10,000

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23
Q

Not profit legal association that protects the insureds against insolvency.

A

Insurance guaranty association.

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24
Q

What type of licensee represents an insured.

A

Broker

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25
Q

When can the director examine insurers?

A

Whenever necessary but atleast once every 5 years

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26
Q

Q: What type of misrepresentation persuades an insured, to his or her detriment, to cancel, lapse, or switch policies from one to another?

A

Twisting

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27
Q

Who is responsible for the costs associated with the examination of insurers?

A

The insurer

28
Q

What illegal act does a producer commit when the producer represents a policy in a more favorable light than the policy really is?

A

Misrepresentation

29
Q

: On its advertisement, a company claims that it has funds in its possession that are, in fact, not available for the payment of losses or claims. What is the company guilty of?

A

Misrepresentation

30
Q

Through which branch(es) of the government is insurance currently regulated?

A

Legislative, judicial, and executive

31
Q

Federal law makes it illegal for any individual convicted of a crime involving dishonesty or breach of trust to work in the business of insurance affecting interstate commerce…

A

Without receiving written consent from an insurance regulatory authority.

32
Q

What determines whether a life and/or health policy is assignable and to what extent.

A

The terms of the policy

33
Q

All life and disability insurance in connection with credit transactions is subject to the provisions of the insurance code EXCEPT insurance lasting more than —— years

A

15

34
Q

I’d an insurance co. Makes a statement that it’s policies are guaranteed this would be considered an ________

A

Unfair trade practice

35
Q

Health insurers must provide a free look period of —— for a 7 day weekly premium, —- days for a mo they premium, and — days for other premium modes.

A

7, 10, 31

36
Q

Coverage is required from the moment of birth, if adoption is after — days of birth, coverage starts in the date of the adoption.

A

60

37
Q

To continue benefits For disabled dependent children beyond limiting age proof must be sent to insurer within — days of limiting age.

A

31

38
Q

Maternity benefits ——— exclude pregnancy complications and related illness

A

Cannot

39
Q

Health insurance must include mammograms — for women age 35-39, ——— for women age 40-49, and —— for women age 50 and over.

A

One, one every two years, and annually

40
Q

Hospital confinement indemnity must pay — per day up to — days

A

$40; 32

41
Q

Major medical expense must cover up to sum of $——-

A

$500,000

42
Q

Disability income protection must pay for —— disability

A

Ongoing

43
Q

Accident only policies must cover d—-,d—-, d——- , h/m care

A

Death, dismemberment, disability, hospital/medical

44
Q

Accidental death and dismemberment must be payable if loss occurs within how many days of incident.

A

90

45
Q

Must disclose — day advance notice of non renewal of disability policies

A

30

46
Q

How many days notice to insurers of a particular plan discontinuance

A

90 days

47
Q

How many days notice to insurers if no renewal of all plans

A

180 days notice

48
Q

Medicare advertisements must be sent to who for approval

A

Director

49
Q

Medicare supplement plans —— duplicate Medicare benefits

A

Cannot

50
Q

Medicare supplement plans ———- limit coverage by type of illness, treatment, medical condition or accident.

A

Cannot

51
Q

LTC must provide coverage for at least how many consecutive months.

A

12

52
Q

Pre existing conditions exclusion for LTC

A

6 months

53
Q

LTC must include option for —— protection.

A

Inflation.

54
Q

LTC trigger in Idaho

A

3 adl

55
Q

LTC ce requirements

A

8 hr training course, 4 hours ce every 24 months

56
Q

Disability income periodic payments payable after age —; and must be what percent of amount payable before that age.

A

62; 50%

57
Q

Disability income protection elimination periods
- for benefits Of 1 year or less
- for 1-2 years of benefits
- for all other cases

A

90 days
180 days
365 days

58
Q

Disability income protection must be payable for at least how many months.

A

6 months

59
Q

Small employer is defined as —- to —- employees

A

2 to 50

60
Q

Small employers must offer at least how many types of plans

A

2

61
Q

Small employer plans must be ——

A

Renewable

62
Q

Requiring that an insurer cannot discourage small employers from applying for coverage with other insurers is an example of

A

Fair marketing standards

63
Q

The purpose of what act is to improve fairness and efficiency if the insurance market, restruc premiums, prevent excessive rates, and disclose rating practices to consumers.

A

Individual health insurance availability act

64
Q

Proof of incapacity of a handicapped child of limiting age cannot be required more often than every —-

A

Year

65
Q

Which renewal provision must be included in a LTC policy

A

Guaranteed renewable

Health & Life (10 decks)

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