Chapter 10 Flashcards

1
Q

Nnot subject to an obligation

A

Exempt

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2
Q

Policy written on a noncancellable basis with guaranteed right to renew

Guaranteed renewable

Outline of coverage

Exempt

A

Guaranteed renewable

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3
Q

Pays health policy benefits to insured based on a predetermined fixed rate regardless of actual expense incurred

Exempt

Indemnity contract

Dependent

A

Indemnity contract

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4
Q

Doc required with all health ins policies that provides a full coverage disclosure to the applicant

Outline of coverage

Indemnity contract

Exempt

A

Outline of coverage

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5
Q

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

A

From moment of birth and insurer must be notified within 31 days

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6
Q

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

A

Another insurer

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7
Q

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

A

Cannot exclude newborn children from coverage

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8
Q

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

A

Physical illness

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9
Q

If ins company offered Medicare supplement policies must also offer

A
An
Aj

A

A

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10
Q

Which states insurer’s right to change premium amounts

Continuation provision

Premium provision

Insurer’s rights

A

Insurer’s rights

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11
Q

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

A

Guaranteed renewable

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12
Q

Insured’s premium increases as result of her age

Attained age

Age oriented

Age based

A

Attained age

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13
Q

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

A

Must be guaranteed renewable (at least)

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14
Q

Issue age policy premiums increase in response to which of the following factors

Age
Increased benefits
Increased deductible

A

Increased benefits

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15
Q

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

A

At least 2 and not more than 50

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16
Q

Company y had 20 employees on staff last year; which term labels company’s group ins classification

Class b

Small group

Small employer

A

Small employer

17
Q

Minimum renew ability standard for long term care policies issued in this state

Conditionally renewable

Cancellable

Guaranteed renewable

A

Guaranteed renewable

18
Q

Which is not required to be stated in outline of coverage provided with long term care policy

Policy number

Basic information about supplementary policies

Right to return policy for refund

Basic information about the ins company

A

Basic information about supplementary policies