Life ins exam Flashcards
What is the consideration given by an insurer in the Consideration clause of a life policy?
Promise to pay a death benefit to a named beneficiary
Passed in 1945; the act was designed to, under certain conditions, ensure the preeminence (reign/supremacy) of state regulation not to free insurers from federal antitrust laws
McCarren-Ferguson Act
When third-party ownership is involved, applicants who also happen to be stated primary beneficiary are required to have
insurable interest in the proposed insured
How long does the coverage normally remain on a limited-pay life policy?
Age 100
The phrase “This policy will only pay for a semi-private room” is an example of a(n)
Internal limit
Which plan is intended to be used by a sole proprietor and the employees of that business?
Keogh Plan
What type of employee welfare plans are not subject to ERISA regulations?
Church plans
An employer that offers a qualified retirement plan to its employees is eligible to
Make tax-deductible contributions to the plan
Tom has a qualified retirement plan with his employer that is currently considered to be 80% “vested”. How can this be interpreted?
It Tom’s employment is terminated, 20% of the funds would be forfeited”
Which tax would an IRA participant be subjected to on distributions received prior to age 59 ½?
Ordinary income tax and a 10% tax penalty for early withdrawal
Post-tax dollar contributions are found in
Roth IRA investments
How long does an indiv have to “rollover” funds from and IRA or qualified plan?
60 days
What is the excise tax rate the IRS imposes on indiv aged 70 ½ or older who do not take the required minimum distributions from their qualified retirement plan?
50%
In a qualified retirement plan, the yearly contributions to an employee’s account
Are restricted to maximum levels set by the IRS
What is considered a valid reason for small businesses to insure the lives of its major SH?
Fund a buy-sell agreement
When an indiv is planning to protect his family with life ins, one method of doing so is called needs analysis. What exactly does needs analysis involve?
Establishes the needs of the indiv and his dependents
An engineer firm that would suffer financially from the death of a project manager should purchase a
Key Person life policy
Comp Z has a Cross Purchase Buy-Sell Agreement in place among its three founding partners. If the agreement is funded with indiv life ins, what would it require?
Each partner must own a policy on the other partners
G is an accountant who has ten employees and is concerned about how the business would survive financially if G became disabled. The type of policy which BEST addresses this concern is
Business Overhead Expense
A Business Overhead Expense policy would cover which of the following if a business owner becomes disabled?
Utilities and office rent
The health ins program which is administered by each state and funded by both the federal and state governments is called
Medicaid
Which of the following reimburses its insureds for covered medical expenses?
Commercial insurers
Which of the following Dividend options results in taxable income to the policyowner?
Accumulation of Interest
How are policyowner dividends treated in regards to income tax?
Interest on accumulations is taxed
The incontestable clause allows an insurer to
Contest a claim during the contestable period
Which type of policy contains a monthly mortality charge as well as self-directed investment choices?
Variable Universal Life
Which of the following best describes a contingent beneficiary?
Person designated by the insured to receive policy proceeds in the event that the primary beneficiary dies before the insured
Quarterly premium pmts increase the annual cost of ins because
Interest to the insurer is decreased while the administrative costs are decreased
What is the underlying concept regarding level premiums?
The early years are charged more than what is needed
Which premium schedule results in the lowest cost to the PO?
Annual
A level premium indicates
The premium is fixed for the entire duration of the contract
The Common Disaster clause provides that if both the insured and the sole named beneficiary were to die in a common accident, which of the following is true?
This clause provides the pmt of proceeds to the insured’s estate
If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the Uniform Simultaneous Death Act?
Insured’s contingent beneficiary
A PO is able to choose the frequency of premium pmts through what policy feature?
Premium mode
When can a PO change a revocable beneficiary?
Anytime
All of these are considered sources of underwriting information about an applicant, EXCEPT
Rating svcs
Which of the following statements is CORRECT about an agent who is taking an insurance app?
The agent should have the applicant initial any changes made on the app
The USA Patriot Act was enacted in
2001
What is being delivered during a policy delivery?
Insurance contract to the proposed insured
An agent gives a conditional receipt to a client for an ins policy after collecting the initial premium. When will the policy become effective?
When the conditions of the receipt are met
According to the Time Payment of Claims provision, the insurer must pay DIe benefits no less frequently than which of the following options?
Monthly
An insured pays premiums on an annual basis for an indiv health ins policy. What is the MINIMUM number of days for the Grace Period provision.
31
What type of renewability guarantees premium rates and renewability?
Noncancellable
Health ins benefits NOT covered due to an act of war are
Excluded by the insurer in the contract provisions
Periodic health claim pmts MUST be made at least
Monthly
Which of the following policy provisions prohibits an ins comp from incorporating external documents into an ins policy?
Entire contract
The clause in an Accident and Health policy which defines the benefit amounts the insurer will pay is called the
Insuring clause
An ins comp receives E’s app for an indiv health policy. E did not complete all of the medical history questions bc she could not remember the exact dates. E signed the policy and submitted it to the ins comp anyway. A few weeks later, E suffers a heart attack and is hospitalized without completing the medical history questions and paying the initial premium. E is not insured. Which of the following clauses details the conditions that E did not meet?
Consideration clause
With Optionally Renewable Health policies, the insurer may
Review the policy annually and determine whether or not to renew it
An insured must notify an insurer of a medical claim within how many days after an accident
20 days
When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates?
Change of occupation provision
The Notice of Claims provision requires a PO to
Notify an insurer of a claim within a specified time
A DI PO recently submitted a claim for a chronic neck problem that has now resulted in total disability. The original neck injury occurred before the app was taken 5 years prior. The neck injury was never disclosed to the insurer at the time of app. How will the insurer handle this claim?
Claim will be paid and coverage will remain in force
The insuring clause:
States the scope and limits of the coverage
The sections of an ins contract which limit coverage are called
Exclusions
When an ins comp sends a policy to the insured with an attached app, the element that makes the app part of the contract between the insured and the insurer is called the:
Entire contract provision
According to the Time Limit of Certain Defenses provision in an Indiv Health Ins Policy, nonfraudulent misstatements first become incontestable
Two years from the date of the policy was issued
Which health policy clause stipulates that an ins comp must attach a copy of the app to the policy to ensure that it is part of the contract?
Entire contract
The Legal Actions provision of an ins contract is designed to do all of the following, EXCEPT
Protect the producer
What must the PO provide to the insurer for validation that a loss has occurred?
Proof of loss
P is self-employed and owns an Indiv DI policy. He becomes totally disabled on June 1 and receives $2,000 a month for the next 10 months. How much of this income is subject to federal income tax?
$0
A prepaid application for indiv DI ins was recently submitted to an insurer. When the insurer received the MIA (Medical Information Bureau) report, the report showed that the applicant had suffered a stroke 18 months ago, something that was not disclosed on the application. Which of the following actions would the ins comp NOT take?
Send a notice to the MIB that the applicant was declined
Pre-hospitalization authorization is considered an example of
Managed care
Agent J takes an application and initial premium from an applicant and sends the application and premium check to the ins company. The ins comp returns the check back to J bc the check is made out to J instead of the ins comp. What action should J take?
Return to the customer, collect a new check made out to the ins comp, and send the new check out to the ins company
T is receiving $3,000/month from a DIe policy in which T’s employer had paid the premiums. How are the $3,000 benefit pmts taxable?
Benefits are taxable to T
An agent takes an indiv DI app, collects the appropriate premium, and issues the prospective insured a conditional receipt. The next step the ins comp will take is to:
Determine if the applicant is an acceptable risk by completing standard underwriting procedures
Which of the following correctly explains the action an agent should take if a customer wants to apply for an ins policy?
Complete the application and review the information with the customer prior to obtaining the customer’s signature, then send the application off to the insurance company
Which Federal law allows an insurer to obtain an inspection report on a potential insured?
Fair Credit Reporting Act
Information obtained from a phone conversation to the proposed insured can be found in which of these reports?
Inspection report
An ins applicant MUST be informed of investigation regarding his/her reputation and character according to the
Fair Credit Reporting Act
What is the name of the law that requires insurers to disclose information gathering practices and where the information was obtained?
Fair Credit Reporting Act
At what point must a life ins applicant be informed of their rights that fall under the Fair Credit Reporting Act?
Fair Credit Reporting Act
From what authority derives the requirement that an insurance application contains a disclosure stating that an investigative consumer report may be obtained on an applicant?
Fair Credit Reporting Act
MIB
Medical Information Report
DI
Disability income
FRCA
Fair Credit Reporting Act
A Medical Information Report (MIB) may disclose which of the following
Prior use of marijuana
Which of the following actions will an ins comp most likely NOT take if an applicant, who has diabetes, applies for a DI policy?
Issue the policy with an altered Time of Payment of Claims provision
Which of the following statements about the classification of applicants is INCORRECT?
Substandard [Medicaid, medicare] applicants are never declined by underwriters
An annuity promises that, if the annuitant dies before receiving pmts equal to the correct value, the pmts will be continued to a beneficiary until an amount equal to the contract value has been paid. This type of annuity is called
An installment Refund annuity
P is a 40 year old woman and would like to purchase an annuity that will provide a lifetime income stream beginning at age sixty. Which of the following did she NOT buy?
An immediate annuity
W is a 39 year old female who just purchased an annuity to provide income for life starting at age 60. All of these would be acceptable annuity choices, EXCEPT a(n)
Immediate annuity
The type of annuity that can be purchased with one monetary deposit is called a(n)
Immediate annuity
P, age 50, purchased an annuity that P will fund with $500/month for 15 years. The annuity will then pay P retirement pmts after the 15 years. Which type of annuity did P purchase?
Deferred
Which product would best serve a retired indiv looking to invest a lump-sum of money through and ins comp?
Annuity
G purchased a $50,000 single premium, Straight Life Annuity 2 years ago. G has been receiving monthly pmts from the annuity. When G dies, the insurer
Does not have to make any further pmts
Which of these is an element of a Single Premium annuity?
Lump-sum pmt
Which of the following statements regarding a Tax Sheltered Annuity (TSA) is INCORRECT?
The income from the TSA is received income tax-free
What is considered to be a characteristic of an immediate annuity?
Benefit pmts start within one pmt period of purchase
What type of annuity has a cash value that is based upon the performance of it’s underlying investment funds?
Variable
Which of these require an offer, acceptance, and consideration?
Contract
Life and health ins policies are
Unilateral contracts
All of the following are considered to be typical characteristics describing the nature of an ins contract, EXCEPT
bilateral
When must insurable interest exists for a life ins contract to be valid?
Inception of the contract
Ins policies are offered on a “take it or leave it” basis, which make them:
Contracts of Adhesion
A life ins policy would be considered a wagering contract WITHOUT
Insurable interest
The agreement in a life ins contract that states a specific sum of money will be paid to a designated person upon an insured’s death is called a(n)
Insuring agreement
What does the insuring agreement in a Life ins contract establish?
An insurer’s basic promise
When does a life ins contract become effective if the initial premium is not collected during the application process?
When producer delivers policy and collects initial premium
Which provision is NOT a requirement in a group life policy?
Accidental
A comprehensive major medical health ins policy contains an Eligible Expense provision which identifies the types of health care svcs that are covered. All of the following health care svcs are typically covered, EXCEPT for
Experimental and investigative services
Which provision allows a portion of any used medical benefits to be restored following a particular amount of benefit has been used, or after the policy has been in effect for a particular period of time?
Restoration of used benefit
R had received full DI benefits for 6 months. When he returns to work, he is only able to resume half his normal daily workload. Which provision pays reduced benefits to R while he is not working at full capacity?
Residual Disability
T is covered by two health ins plans: a group plan through his employer and his spouse’s plan as a dependent. Under the Model Group Coordination of Benefits provision, when T files a claim, his employer’s plan is considered the:
Primary carrier
K is the insured and P is the sole beneficiary on the AD&D ins policy. Both are involved in a fatal accident where K dies before P. Under the Common Disaster provision, which of these statements is true?
Proceeds will be paid to P’s estate
How are surrender charges deducted in a life policy with a rear-end loaded provision?
Deducted when the policy is discontinued
A provision in a life ins policy that pays the policyowner an amount that does not surpass the guaranteed cash value is called the
Policy Loan provision
The automatic premium loan provision is designed to
Avoid a policy lapse
P is blinded in an industrial accident. Which provision of his life ins policy will pay a stated benefit amount?
AD&D clause
The insuring clause:
States the scope and limits of the coverage
T took out a $50,000 life ins policy with an AD&D rider. Five years later, T commits suicide. How much will the insurer pay
$50,000
P & Q are married and have three children. P is the primary beneficiary and Q’s AD&D policy and Q’s sister R is the contingent beneficiary. P, Q and R are involved in a car accident and Q and R are killed instantly. The AD&D benefits will be paid to:
P only
T is covered by an AD&D policy that has an irrevocable beneficiary. What action will the ins comp take it T requests a change of beneficiary?
Request of the change will be refused
What kind of AD&D ins beneficiary requires his/her consent when a change of beneficiary is made?
Irrevocable beneficiary
T is covered by an AD&D policy that has an irrevocable beneficiary. What action will the ins comp take if T requests a change of beneficiary?
Request of the change will be refused
T and S are named co-primary beneficiaries on a $500,000 AD&D policy insuring their father. Their mother was named contingent beneficiary. Five years later, S dies of natural causes and the father is killed in a scuba accident shortly afterwards. How much of the death benefit will the mother receive?
0 (bc T is still alive)
M purchased an Accidental Death and Dismemberment (AD&D) policy and named his son as beneficiary. M has the right to change the beneficiary designation at any time. What type of beneficiary is his son?
Revocable
AD&D coverage is provided to commercial airline passengers in which of the following types of policies?
Blanker Accident policy
The part of a life ins policy guaranteed to be true is called a(n):
Warranty?
Which of the following will a Long Term Care plan typically provide benefits for?
Home health care
A “reimbursement policy” pays what amount of covered Long-Term Care expenses?
Actual covered expenses
Which Long Term Care ins statement is true?
Pre-existing conditions must be covered after the coverage has been in force for six months
The guarantee of insurability option provides a long-term care PO the ability to
Buy additional coverage at a later date
Warranty
A statement guaranteed to be true
Which of these is considered a statement that is assured to be true in every respect?
Warranty
D was actively serving in the Marines when he was killed in an automobile accident while on leave. His $100,000 Whole life policy contains a War Exclusion clause. How much will D’s beneficiary’s receive?
The full face amount
Which statement is TRUE regarding a Variable Whole Life policy?
A minimum guaranteed Death benefit is provided
If X wants to buy $50,000 worth of permanent protection on his/her spouse and $25,000 worth of 10-year Term coverage on X under the same policy, the applicant should purchase:
A Whole Life Policy with an Other Insured Rider
When applied to Whole Life ins, the word “straight” denotes:
The duration of premium pmts
J is 35-years old and looking to purchase a whole life ins policy. Which of the following types of policies will provide the most rapid growth of cash value?
20-pay Life
What kind of life policy either pays the face value upon death of the insured or when the insured reaches age 100?
Whole life
When is the face amount of a Whole Life policy paid?
When the insured dies or at the policy’s maturity date, whichever happens first
B owns a Whole Life policy with a guaranteed insurability option that allows him to purchase, without evidence of insurability, stated amounts of:
Additional Whole Life coverage at specified times
C is trying to determine whether to convert her convertible term life policy to whole life ins using her original age or attained age. What factor would affect her decision the most?
The cost
An employee with $25,000 group term life coverage was recently fired. This employee’s group coverage may be converted to a
$25,000 indiv whole life policy
When must insurable interest be present in order for a life ins policy to be valid?
When the application is made
Life ins immediately created an estate upon the death of an insured. Which of the following policies is characterized by a guaranteed minimum death benefit?
Variable life
M completes an app for life ins but does not pay the initial premium. All of these actions must occur before M’s policy goes into effect, EXCEPT
Free-look period has expired
True or False: Life ins policies are NOT limited benefit plans
True
In life ins, the needs approach is used mostly to establish:
How much life ins a client should apply for
Whose life is covered on a life ins policy that contains a payor benefit clause?
Child
What type of life ins gives the greatest amount of coverage for a limited period of time?
Term life
F needs life ins that provides coverage for only a limited amount of time with a death benefit that changes regularly according to a schedule. What kind of policy is needed?
Decreasing term policy
Under federal tax laws, what is the tax treatment for an employer providing $50,000 of a contributory group Term Life plan to all its eligible employees?
Portion of the premiums paid for by the employer may be a tax deduction
S would like to use dividends from her life ins policy to purchase paid-up additions. All of these would be factors that determine how much coverage can be purchased EXCEPT
Beneficiary’s age
A primary beneficiary has died before the insured in a life insurance policy. A contingent beneficiary is also named in the policy. Which of the following will occur when the insured dies?
Proceeds will go to the contingent beneficiary
K has a life ins policy where her husband is beneficiary, and her daughter is contingent beneficiary. Under the Common Disaster clause, if K and her husband are both killed in an automobile accident, where would the death proceeds be directed?
Daughter
K applies for a life insurance policy on herself and submits the initial premium with the application. She is given a receipt by the agent stating that coverage begins immediately if the application is approved. What kind of receipt was used?
Conditional
Upon delivery of a rated life ins policy, the Producer must obtain each of the following, EXCEPT:
Signed HIPAA disclosure
A 42-year old executive wants to purchase life ins that will allow for increases or decreases to coverage as his/her needs change. Which of the following policies will best meet his needs?
Universal Life
Which of the following policies combines investment choices with a form of Term coverage?
Variable Universal Life
What type of ins incorporates flexible premiums and an adjustable death benefit?
Universal Life
Type of life ins in which a single contract covers an entire group of people. Typically, the policy owner is an employer, and the policy covers the employees.
Group life
What group term life feature permits an individual to depart from the group and continue to be covered without providing evidence of insurability?
Conversion
How does group ins differ from indiv ins?
Premiums are lower
Under a trustee group life policy, who would be eligible for a certificate of coverage?
Employee
Which of the following statements about noncontributory employee group life ins is FALSE?
A minimum number of employees is required to participate
Under which of the following circumstances will the benefits under COBRA continuation coverage end?
All group health plans are terminated by the employer
C was injured while deep sea diving and requires a hosp stay. C has a Major Medical policy with a 80/20 coinsurance clause and a $400 deductible. What is the MAXIMUM C will pay if the covered medical expenses are $2000?
$720
Which of the following is an important underwriting principle of group life ins?
Everyone must be covered in the group
Group life ins policies are generally written as:
Annually renewable term
What type of group ins plan involves employees sharing the cost?
Contributory plan
P is a new employee and will be obtaining non-contributory group Major Medical ins from her employer. Which of the following actions must she take during the open enrollment period?
Sign an enrollment card
Which of the following indiv health ins policies will provide the broadest protection?
Major Medical policy
Which of the following health ins coverages is BEST suited for meeting the expenses of catastrophic illness?
Major Medical policy
Which type of health coverage freq uses a deductible?
Major Medical policy
Major Medical policies typically:
Contain a deductible and coinsurance
The first portion of a covered Major Medical ins expense that the insured is required to pay is called the:
Initial deductible
What is Old Age and Survivors Health Ins (OASDHI) also known as?
Social security
All of these are considered to be a benefit under SS, EXCEPT for:
Unemployment
Which of the following does SS NOT provide benefits for?
Dismemberment
The percentage of an indiv Primary ins Amount (PIA) determines the benefits paid in which of the following programs?
Social Security DI
To be eligible for SS disability benefits, an employee must be unable to perform:
Any occupation
Medicare Part A and Part B do NOT pay for:
Dental work
Medicare Part C is only available to
Those who are enrolled in Medicare Part A and Part B
J is a subscriber to a plan which contracts with doctors and hospitals to provide medical benefits at a predetermined price. What type of plan does J belong to?
HMO
Which of the following types of organizations are prepaid group health plans, where members pay in advance for services of participating physicians and hospitals that have agreements?
HMO
A characteristic of PPO’s would be:
Discounted fees for the patient
Which of the following BEST describes how a PPO is less restrictive than a HMO?
More physicians to choose from
What is DI?
provides assistance to people with disabilities, or who become disabled
A disability elimination period is best described as a
Time deductible
Which of the following is the MOST important factor when deciding how much DI coverage an applicant should purchase?
Applicant’s monthly income
Z owns a DI policy with a 30-day Elimination period. Z contracts pneumonia that leaves him unable to work from January 1 until January 15. Z then becomes disabled from an accident on February 1 and the disability lasts until July 1 the same year. Z will become eligible to receive benefits starting on:
March 1
An insured owns an individual DI policy with a 30-day Elimation Period for sickness and accidents and a monthly indemnity benefit of $500. If the insured is disabled for 3 ½ months, what is the MAXIMUM amount he would receive for an approval claim?
$1,250
A CEO’s personal assistant suffered injuries at home and as a result, was unable to work for four months. Which type of policy will pay a monthly benefit to the personal assistant?
DI
J has a DI policy that does NOT provide benefits for losses occurring as the results of his employment. What kind of coverage is this?
Nonoccupationally coverage
When determining the monthly benefit amount for a DI policy, the factor that limits the amount a prospective insured may purchase is:
Income
What does a Guaranteed Insurability rider provide a DI PO?
The ability to periodically increase the amount of coverage without evidence of insurability
Which of the following factors affects the amount of monthly disability benefits payable under Social Security?
The amount of the benefits available from other sources
Disability policies do NOT normally pay for disabilities arising from which of the following?
War
What is the max SS Disability benefit amount an insured can receive?
100% of the insured’s Primary Insurance Amount (PIA) minus any monies received from a retirement plan
A Business Disability Buyout plan policy is designed:
To pay benefits to the Corporation or other SH’s
Which of the following statements does NOT accurately describe the tax treatment of premiums and benefits of an indiv Accident and Health ins?
DI policy benefits are normally not taxed
Which of these would be considered a Limited-Pay Life policy?
Life Paid-Up at Age 70
Which of these arrangements allows one to bypass insurable interest laws?
Investor-Originated Life ins
What type of life policy covers 2 lives and pays the face amount after the first one dies?
Joint Life policy
P is looking to purchase a life ins policy that will pay a stated monthly income to his beneficiaries for 20 years after he dies and a lump sum of $20,000 at the end of that 20 year period. What type of policy should P purchase?
Family Maintenance policy
Which of these is NOT a type of agent authority?
Principal
Generally, how long is a benefit period for a Major Expense Plan?
One year
A Limited-Pay Life policy has:
Premium pmts limited to a specified number of years
In a life ins policy, which provision states who may select policy options, designate and name a beneficiary, and be the recipient of any financial benefits from the policy?
Owner’s Rights
The stated amount or percent of liquid assets that an insurer must have on hand that will satisfy future obligations to its PH’s is called
Reserves
Which of the following costs would a Basic Hospital/Surgical policy likely cover?
Surgically removing a facial birthmark
What type of life policy covers two people and pays upon the death of the last insured?
Survivorship
Which of the following svcs is NOT covered under a hospitalization expense policy?
Surgeon’s fees
All of the following statements are true regarding a policy’s Grace period, EXCEPT:
Past due premiums are waived
What benefit does the Payor clause on a Juvenile Life policy provide?
Premiums are waived if payor becomes disabled
When an insurer issues a policy that refuses to cover certain risks, this is referred to as a(n):
Exclusion
When an employee is terminated, which statement about a group term life conversion is true?
Policy proceeds will be paid if the employee dies during the conversion period
What is the purpose of the U.S.A. Patriot Act?
Detect and deter terrorism
True or False: the underwriting process is not involved in policy loans
True
