Health Flashcards
Short term disability length
6mo-2yrs
max % of partial disability coverage
50% of benefits
$ penalty for actions that break insurance regulations and allow for suspension or revocation of license by commissioner
$100-$1000
of days a person has to report embezzlement
30
fine for willfully misstating information in a financial or other statement
$2000-$10,000
length of license suspension for refusing to submit to checking of records by commissioner
6 mo for first offense, 1 yr for subsequent offenses
How often must commissioner inspect records of domestic insurers
Every 5 years
of days an insurer has to furnish a proof of loss form after receiving notice of a claim
15 days
time allowed to request a hearing for denial of licensure
30 days- hearing will be within 30 days of request for hearing
penalty for class 1 misdemeanors
$1000-$5000 and/or imprisonment of 30 days to 1 year
length of validity of disclosure authorization forms
30 months
fine for violating cease and desist for Art. 39 (info stuff)
$10,000 per violation
fine for violating cease and desist for Fair Trade Practices
$1000-$5000
must maintain records of cont. ed. courses for how long
previous 3 years
how long does a licensee have to renew license after not completing cont. ed.
120 days ($75 fee)
grace period for weekly paid claims
7 days
grace period for monthly paid claims
10 days
grace period for longer than monthly paid claims
31 days
probationary period for sickness for reinstated policies
10 days
number of days insurer has to act on applications for reinstatement
45 days from date of application
Time insured has to notify insurer of a pending claim
20 days
of days insurer has to issue a claims form
15 days after receipt of notice of claim
days insured has to produce proof of loss
180 days, but up to 1 year after date of loss
Time frame within which insured can sue insurer for nonpayment of claims
60 days-3 years after receipt of proof of loss
