Full Life insurance questions what could be on test Flashcards
Which type of jurisdiction requires an insurer to have its rates accepted by the Insurance Department prior to using them?
A. Prior approval
B. Prior acceptance
C. File and use
D. State approval
A. Prior approval
A prior approval state requires that an insurance company receives approval for a new insurance rate before it is sent to the public.
Which of the following statements about aleatory contracts is NOT true?
A. The insured and the insurer have the potential for unequal contributions
B. Aleatory contracts are conditioned upon the occurrence of an event
C. Insurance contracts are considered aleatory
D. The insured and the insurer contribute equality to the contract
D. The insured and the insurer contribute equality to the contract
This statement is NOT true. An aleatory contract has the potential for the unequal exchange of value or consideration for both parties. For example, an individual who is covered under a disability insurance policy will collect benefits upon disability. However, if no disability occurs, benefits are not paid.
One important function of an insurance company is to identify and sell to potential customers. Which of these BEST describes this function?
A. Underwriting
B. Regulation
C. Marketing
D. Reinsurance
C. Marketing
Marketing can be best defined as identifying and selling to potential customers.
According to PPACA, what is a health benefits exchange?
A. An entity that provides tax credits to employers for providing health insurance to their employees
B. An entity where existing policies can be converted to newer policies
C. An entity to which individuals and small businesses can have access to affordable health coverage
D. An entity that offers affordable health coverage to only those with low incomes
C. An entity to which individuals and small businesses can have access to affordable health coverage
PPACA creates new entities called American Health Benefits Exchange through which individuals, small business, and those who do not have access to affordable employer coverage can purchase coverage.
According to the PPACA, an adult can be covered by a parent’s health care plan until what age?
A. Age 25
B. Age 26
C. Age 18
D. Age 21
B. Age 26
Under PPACA, an adult child may be covered by a parent’s health insurance plan until age 26
Which of the following does specified disease insurance NOT cover?
A. out-of-pocket expenses
B. costs covered by medical expense insurance
C. incidental costs
D. medical expenses that are noncovered
B. costs covered by medical expense insurance
Specified disease insurance covers all of these EXCEPT costs covered by medical expense insurance.
Which of the following is NOT required in the content of a policy?
A. Probability of loss
B. Risk insured against
C. Parties involved in the contract
D. Period to which the coverage exists
A. Probability of loss
The probability of loss is not required in the content of a policy.
The California Insurance Code allows an individual how many days to cancel a life policy for a full-refund?
A. Up to 10 days
B. Between 10 and 30 days
C. Between 30 and 45 days
D. Between 15 and 20 days
B. Between 10 and 30 days
Every policy of individual life insurance shall have a notice stating that after receipt of the policy by the owner, the policy may be returned by the owner for the cancellation by delivering it or mailing it to the insurer or to the agent through whom it was purchased. This period shall not be less that 10 days nor more than 30 days.
Which of the following is NOT a primary objective of insurance regulation?
A. Insurance Code enforcement
B. Interpret policy provisions
C. Protect policyowners
D. Licensing agents
B. Interpret policy provisions
All of these are considered objectives of insurance regulation EXCEPT “ Interpret policy provisions”
All of these statements concerning Medicare are true EXCEPT
A. Medicare is primarily funded by Federal payroll and self-employment taxes
B. Doctors’ services are covered by Medicare Part B
C. Long-term care is covered by Medicare Part C
D. Hospice is covered by Medicare Part A
C. Long-term care is covered by Medicare Part C
Medicare Part C does NOT cover long-term care
What prevents a life insurance policy from being rescinded by the insurer after being in force for two years?
A. Free-look provision
B. Incontestability clause
C. Grace period provision
D. Subrogation
B. Incontestability clause
Insurers are prohibited from denying claims or rescinding a policy based on misstatements in a life, accident, or disability policy application after the policy has been in force for two years. The is called the incontestability clause.
Failure to report background changes withing 30 days as required under section 1729.2 of the California insurance code could subject a license or applicant to
A. Denial
B. Suspension
C. All of these
D. Fine
C. All of these
Failure to report background changes within 30 days as required under Section 1729.2 of the California Insurance Code could subject a licensee or applicant to formal disciplinary action, including a fine, suspension, denial, restriction, or revocation of the license.
Which of the following is NOT a requirement of a contract?
A. Equal consideration is required between the involved parties
B. Offer and acceptance must be involved
C. Parties involved must be competent
D. Contract must have a legal purpose
A. Equal consideration is required between the involved parties
Equal consideration between parties is NOT a requirement of a contract
The Human Life Value concept is based on
A. education level
B. income
C. age
D. occupation
B. income
The Human Life Value approach calculated the amount of money a person is expected to earn over his lifetime to determine the face amount of life insurance needed
The California Insurance Code defines “policy” as a(n)
A. accepted offer
B. promissory arrangement
C. written quotation
D. written contract
D. written contract
A “policy” as described by the California Insurance Code is a written contract in which one party promises to indemnify another against loss that arises from an unknown event.
The systematic liquidation of a sum of money is provide by a(n)
A. 1035 contract exchange
B. endowment contract
C. life insurance policy
D. annuity
D. annuity
An annuity contract provides for the systematic liquidation of a fund.
The problem of over insurance is addressed in which health insurance provision?
A. Reinstatement
B. Entire contract
C. Coordination of benefits
D. Suitability
C. Coordination of benefits
The purpose of the coordination of benefits (COB) provision is to avoid duplication of benefit payments and over insurance when an individual is covered under more than one group health plan.
An insurer having a large number of similar exposure units is considered important because
A. the greater the number insured, the more premiums it collects
B. its financial rating will improve
C. the insurer can decrease its reserves
D. the greater the number insured, the more accurately the insurer can predict losses and set appropriate premiums.
D. the greater the number insured, the more accurately the insurer can predict losses and set appropriate premiums.
The greater the number insured, the more accurately the insurer can predict losses and set appropriate premiums.
What distinguishes a deferred annuity from an immediate annuity?
A. The time at which benefit payments start
B. The taxation of benefit payments
C. The benefit payment amount
D. The age at which the annuity can be purchased
A. The time at which benefit payments start
The difference between deferred and immediate annuities is when annuity benefit payments begin
The misstatement of age provision in a health policy states that is an insured gives the wrong age at the time of application, what action can the insurance company take?
A. Benefits can be adjusted
B. Reissue the policy
C. Premiums can be adjusted
D. Policy cancellation
A. Benefits can be adjusted
If the insured’s age or sex is misstated in an application for insurance, the benefit payable is adjusted to reflect the actual age or sex of the insured.
Which of the following is NOT considered a definition of risk?
A. Uncertainty
B. The cause of a loss
C. The potential for loss
D. Exposure to danger
B. The cause of a loss
Something that cause a loss, such as an earthquake or tornado, is referred to as a peril, not a risk.
Which of the following is a situation where there is a possibility of either a loss or a gain?
A. Peril
B. Pure risk
C. Speculative risk
D. Hazard
C. Speculative risk
A situation in which there is a possibility of a loss or a gain is a speculative risk.
What must an applicant do in order to authorize the release of an attending physician report?
A. Give verbal consent
B. Sign a consent form
C. Agree to a physical examination
D. Write a letter to the MIB
B. Sign a consent form
To authorize the release of an attending physician’s report, the applicant must sign a consent form.
According to the California Insurance Code, what term is used to describe a fact so important it could affect the policy premium?
A. Absolute
B. Warranty
C. Materiality
D. Guarantee
C. Materiality
Materiality is relevant information that would probably influence an insurer’s assessment of a proposed contract.