Chapter 10 Flashcards
Nnot subject to an obligation
Exempt
Policy written on a noncancellable basis with guaranteed right to renew
Guaranteed renewable
Outline of coverage
Exempt
Guaranteed renewable
Pays health policy benefits to insured based on a predetermined fixed rate regardless of actual expense incurred
Exempt
Indemnity contract
Dependent
Indemnity contract
Doc required with all health ins policies that provides a full coverage disclosure to the applicant
Outline of coverage
Indemnity contract
Exempt
Outline of coverage
How long is newborn covered without notification to insurer
Moment of birth and insurer must be notified within 31 days
Newborn is not covered without notification to insurer
From moment of birth and insurer must be notified within 90 days
From moment of birth and insurer must be notified within 31 days
Insurers are allowed to disclose hiv related test result to all of the following except
Insured’s doctor
Reinsurer involved in the underwriting process
Texas departments of health
Another insurer
Another insurer
Which is true re group health ins policy
Cannot exclude coverage from an occupational accident
Cannot excluded newborn children from coverage
Cannot exclude coverage for VA hospital treatment
Cannot exclude newborn children from coverage
Group health ins benefit plans in tx must provide coverage for necessary care and treatment of chemical dependency on same basis as benefits provided for
Gym membership
Grocery stipend
Physical illness
Physical illness
If ins company offered Medicare supplement policies must also offer
A
An
Aj
A
Which states insurer’s right to change premium amounts
Continuation provision
Premium provision
Insurer’s rights
Insurer’s rights
If has right to keep longterm care ins policy in force by making timely premium payments and insurer may not make any change to policy or decline to renew it
Conditional
Guaranteed renewable
Permanent
Guaranteed renewable
Insured’s premium increases as result of her age
Attained age
Age oriented
Age based
Attained age
True re Medicare supplement policies
Must be at least guaranteed renewable
Must have at least a 15 day free look period
Must contain minimum of plans a and b
Must be guaranteed renewable (at least)
Issue age policy premiums increase in response to which of the following factors
Age
Increased benefits
Increased deductible
Increased benefits
Classification small employer means any person or firm that employed how many employees
At least 2 and not more than 50
At least 10 and not more than 100
No more than 10
At least 2 and not more than 50
