Health

Question 1

Short term disability length

Answer 1

6mo-2yrs

Question 2

max % of partial disability coverage

Answer 2

50% of benefits

Question 3

$ penalty for actions that break insurance regulations and allow for suspension or revocation of license by commissioner

Answer 3

$100-$1000

Question 4

of days a person has to report embezzlement

Answer 4

30

Question 5

fine for willfully misstating information in a financial or other statement

Answer 5

$2000-$10,000

Question 6

length of license suspension for refusing to submit to checking of records by commissioner

Answer 6

6 mo for first offense, 1 yr for subsequent offenses

Question 7

How often must commissioner inspect records of domestic insurers

Answer 7

Every 5 years

Question 8

of days an insurer has to furnish a proof of loss form after receiving notice of a claim

Answer 8

15 days

Question 9

time allowed to request a hearing for denial of licensure

Answer 9

30 days- hearing will be within 30 days of request for hearing

Question 10

penalty for class 1 misdemeanors

Answer 10

$1000-$5000 and/or imprisonment of 30 days to 1 year

Question 11

length of validity of disclosure authorization forms

Answer 11

30 months

Question 12

fine for violating cease and desist for Art. 39 (info stuff)

Answer 12

$10,000 per violation

Question 13

fine for violating cease and desist for Fair Trade Practices

Answer 13

$1000-$5000

Question 14

must maintain records of cont. ed. courses for how long

Answer 14

previous 3 years

Question 15

how long does a licensee have to renew license after not completing cont. ed.

Answer 15

120 days ($75 fee)

Question 16

grace period for weekly paid claims

Answer 16

7 days

Question 17

grace period for monthly paid claims

Answer 17

10 days

Question 18

grace period for longer than monthly paid claims

Answer 18

31 days

Question 19

probationary period for sickness for reinstated policies

Answer 19

10 days

Question 20

number of days insurer has to act on applications for reinstatement

Answer 20

45 days from date of application

Question 21

Time insured has to notify insurer of a pending claim

Answer 21

20 days

Question 22

of days insurer has to issue a claims form

Answer 22

15 days after receipt of notice of claim

Question 23

days insured has to produce proof of loss

Answer 23

180 days, but up to 1 year after date of loss

Question 24

Time frame within which insured can sue insurer for nonpayment of claims

Answer 24

60 days-3 years after receipt of proof of loss

Question 25

small groups

Answer 25

1-50 members

Question 26

large groups

Answer 26

51+ members

Question 27

for group insurance, length of time pre-existing conditions can be excluded if medical advice or treatment was given within 6 months prior to enrollment

Answer 27

1 year

Question 28

for group insurance, length of time pre-existing conditions can be excluded if employee does not enroll when eligible

Answer 28

18 months

Question 29

The Health Insurance Portability and Accountability Act guarantees the proposed insured will receive credit for time covered under a previous health plan provided there is no lapse in coverage of more than how many days

Answer 29

63

Question 30

How often can group premiums be adjusted, and after what period of time

Answer 30

every 6 months after the first year

Question 31

time requirement for notice of premium increase to employees for contributory group plans

Answer 31

45 days

Question 32

newly-hired employees must be covered under the group plan within how many days of employment

Answer 32

90

Question 33

social security waiting period

Answer 33

5 months