Part 2 Final Exam Flashcards
P Is a major medical policyowner Who is hospitalized as a result of injuries from participating in a carjacking. How will the insurer handle this claim?
A. Claim will be denied and policy terminated
B. Claim will be paid
C. Claim will be denied
Claim will be denied since illegal act
What type of writer would be added to an accident (AD&D) health policy if policy owner wants to ensure the policy will continue if he/she ever becomes totally disabled?
A. Accidental death and disbursement Rider
B. Disability income rider
C. Waiver of premium rider
Waiver of premium rider
Policyowner wants to ensure policy will continue if they become totally disabled
Which accident and health policy provision addresses pre-existing conditions?
A. Time limit on certain defenses
B. Payment of claims
Time Limit on certain defenses
Provision limits During which an insurer can deny a claim based on pre-existing
Which statement about a whole life policy is correct?
A. Beneficiary much maybe change only with the consent of the premium payor
B. Death benefits can be adjusted
C. Cash value may be borrowed against
Cash value may be borrowed against
With accidental death and dismemberment policies, what is the purpose of the grace period?
A. Gives the policy owner additional time to pay over due premiums
B. Gives policy owner additional time to provide proof of loss
Gives the policy owner additional time to pay overdue premiums
Which term accurately defined the underwriters assessment of information on life insurance application?
A. Insurable interest
B Risk classification
Risk classification
The consideration clause in life insurance contains what pertinent information?
A. Offer and acceptance
B. Summary of benefits
C. Amount of premium payments and when they are due
Amount of premium payments and when they are due
Automatic premium loan provision is designed to?
A. Avoid a policy lapse
B. Allow a policy owner to take out additional coverage
Avoid a policy lapse
Insurance Co can deduct overdue premiums from the insured cash value by the end of the grace period.
Basic medical expense insurance:
A. Normally has a deductible and coinsurance
B. Has lower benefits limits than Major medical
Has lower benefit limits and major medical insurance
Insurance agent is in violation of the rules governing advertisement of life insurance and annuities, if the agent takes the following action during a sales presentation?
A. Asked prospects for referrals
B. Analysis another insurance company‘s policy
C. There’s a cost of two similar policies
D. Refers to guarantee policy dividends
Refers to guarantee policy dividends
Which of the following organizations would make reimbursement payments directly to the insured individual for covered medical expenditures? A. Administrative service-only plan B. Commercial insurer C. PPO D. HMO
Commercial insurance Companies
Legal Actions provision of insurance contract is designed to do all, except:
A. Provide the insurer adequate time to research a claim (60 days)
B. Protect the insured from having claim research delayed
C. Give the insurance guidelines for pursuing legal action against insurer
D. Protect the producer
Protect the producer
The underlying concept regarding level premiums?
A. The early years or charge more than what is needed
B. The early years are charged less than what is needed
C. Level premiums build cash value quicker in the early years
The early years are charge more than what is needed
Which life insurance rider allows the applicant to have excessive coverage?
A. Waiver of premium rider
B. Guaranteed insurability rider
C. Term rider
Term rider
If an Insurance company it is a Disability Income policy that cannot cancel or increase premiums, that type of renewability policy is called:
A. Noncallable
B. Guaranteed renewable
Noncallable
How long does the coverage remain on a limited-pay life policy ?
A. Age 100
B. At discretion on the insurer
C. Age 65
Age 100
limited-pay where Insured is covered his entire life, premiums are paid only for a limited time
Periodic health claim payments Must be made at least ?
A. Monthly
B. Weekly
C. Annually
Monthly
What kind of insurance starts out as temporary coverage but then later modified to permanent coverage without evidence of insurability?
A. Limited pay whole life
B. Decreasing term
C. Convertible term
Convertible term
Which features of a group term life policy enables an
Individual to leave the group and continue his insurance without providing evidence of insurability?
A. Owners rights clause
B. Conversion privilege
Conversion privilege
What is face amount paid under Joint Life and survivor policy?
A. Upon death of the first insured
B. Upon death of the last insured
Upon death of a last insured pays benefits
A father who dies within three years after purchasing a life insurance policy on his infant daughter can have the policy premiums waved under which provision?
A. Payor provision
B. Accelerated benefits provision
Payor provision
When adult is the premium payer then premiums are waived on children
Whole life insurance policy endows when:
A. Premiums paid equal the death benefit
B. Cash value equals the death benefit
Cash values equal the death benefit
This policy Best identifies one in which cash value may fluctuate to reflect changes regarding mortality cost, interest, and expense factors:
A. Universal life
B. Endowment life
C. Graded premium whole life
Universal life
T wants to be assured $10,000 in available in 10 years to replace a roof on his house. What kind of $10,000 policy to purchase?
A. Ten-year endowment
B. Interest sensitive whole life
10 year endowment
Jay is 35 years old looking to purchase a whole life insurance policy. Once a policy that will provide the most rapid growth of cash value?
A. 20-pay life
B. Increasing term to 65
20 pay life
Shorter the pay period, the faster the cash value grows!
These elements are a variable life policy?
A. a Fixed & Level premium
B. Insurer assumes the investment risk
C. Rate of returns are guaranteed
A fixed and level premium
Investment gains from a universal life policy go towards:’
A. Death benefits
B. Dividends
C. The cash value
The cash value
This life policy contains a monthly mortality charge as well as self-directed investment choices?
A. Variable universal life
B. Universal life
Variable Universal life
This type of life insurance Incorporates flexible premiums and adjustable death benefit ?
A. Modified whole life
B. Universal life
Universal life
What kind of insurance policy supplies an income stream over a set period of time that starts when the insured dies?
A. Family maintenance policy
B. Family income policy
C. Survivor policy
Family maintenance policy
What kind of special need would a policyowner require with an Adjustable life policy?
A. Level premiums
B. Flexible premiums
C. Flexible nonforfeiture
Flexible premiums
Which statement is true regarding variable whole life policy?
A. A minimum guaranteed death benefit is provided
B. Combination of endowment and increasing term
C. Premiums and benefits are variable
D. It has guaranteed dividends
A minimum guaranteed death benefit
A policy owner exchange is a term policy for a whole policy without providing proof of good health, it is?
A. Extended term option
B. Conversion provision
Conversion provision
On August 6, D submitted an application for $50,000 life insurance but didn’t pay the initial premium. On August 18, D went to the doctor complaining of chest pains and test forgiven. The life policy was delivered to the producer on August 20 and D explains what had recently taken place with the doctor. What action should producer take?
A. Collect initial premium along with signed state health statement
B. Explain
to applicant for policy is no longer in effect due to health condition
C. Collect initial premium and leave a binding receipt.
Collect initial premium along with a sign health statement.
What action should a producer take if the initial premium is not submitted with application?
A. Forward the application to the insured after giving applicant binding receipt
B. Forward application to the insurer without the initial premium.
Forward the application to the insurer without the initial premium.
Go ahead and submit application however policy will not become valid until initial premium is collected
T apply for life insurance and is told by the producer that the insurer is bound to the coverage as of the date of the application or medical examination, whichever is last. Assuming that T is an acceptable risk, what item is given to T ?
A. Binding receipt
C. Conditional receipt
Conditional receipt
Binds the insured to coverage as the date of the application or examination provided the proposed insured is an acceptable risk
On delivering of a policy, a signed statement of good health is typically requested if?
A. Condition receipt was given to applicant
B. Application was submitted without the initial premium
Application was submitted without the initial premium
When does a life insurance contract become effective if the initial premium is not collected during the application process?
A. When insurer receives initial premium from producer
B when producer delivers the policy & collect premiums
When producer delivers policy& collects premiums
Information obtained from a phone conversation to the proposed insured can be found on this report?
A. Agents report
B. Inspection report
Inspection report
May include phone conversation
What time must a policy owner have insurable interest on the insured in order for the policy to be valid:
A. After contestable period
B. At the time of application
At the time of application
Which correctly explains the actions and agent should take if a customer Wants to apply for an insurance policy?
A. Complete the application over the phone with a customer, signed the application for the customer then sent the application often insurance company
B. Complete the application and review the information with the customer prior to obtaining the customer signature, then send the application optive insurance company
Complete the application and review the information with the customer prior to obtaining the customer signature, then send the application often insurance,.
Which factors are taken into consideration when a insurance company determines the premium rate for whole life on applicant?
A. Source of income
B. Risk classification
Risk classification
An underwriter determines that an applicant risk should be re-categorized due to a health issue. Policy maybe issued with:
A. Delayed effective date
B. Exclusion for medical condition
Exclusion for medical condition
Which of these factors do not play a role in the underwriting of life insurance policy? A. Avocations B. Credit status C. Occupation D. Marital status
Marital status
ABC insurance comp excepted a life insurance application which could contains unanswered questions. The company takes the applicant part of the life contract. The insurer has
A. Waived one of its legal rights
B. Issued a voidable policy
Waved one of its legal rights
An agent gives a conditional receipt to a client for an insurance policy after collecting the initial premium. When will the policy become effective?
A. When the policy is issued
B. When the conditions of the receipt are met
When the conditions of the receipt are met
M has insurance policy also has outstanding policy loan at the time of his death. The insurer will deduct outside the outstanding loan balance from:
A. Cash value
B: policy proceeds
Policy proceeds
N covered by Term Life policy & doesn’t make required premium payment due August 1. N dies September 15. What action insurer take?
A. Claim will be denied
B. Claim will be paid in full
Claim will be denied
What type of life policy has a death benefit that adjusts periodically and is written for a specific period of time?
A. 20 year paid up
B. Decreasing term
C. Endowment
Decreasing term
Which plan is intended to be used by a sole proprietor and the employees of the business?
A. SIMPLE plan
B. SEP plan
C. Keogh plan
Keogh plan
Qualified long-term care policies may take into consideration applicants pre-existing conditions for a maximum of ___ months prior to effective coverage date?
A. 6
B. 12
C. 24
6 months
Individual has major medical policy with 5000 deductible and 80/20 coinsurance clause. How much will the Insured have to pay if total covered medical expenses are $15,000?
A. $2000
B. $5000
C. $7000
$7000
5,000 + 20% remain bill =$7000
Insurer must provide an insurance claim forms within —- days after receiving notice of loss?
A. 10
B. 15
C. 20
15
K have a Disability income policy that does Not thrive benefits for losses occurring as a result of his employment. What kind of coverage?
A. Worker’s Compensation coverage
B. occupational coverage
C. Non-occupational coverage
Non-occupational coverage
Common disaster clause provides that both the insured and the soul named beneficiary were to die in a common accident, which is true? A. This clause provides a payment of proceeds to the insured’s estate B. This class provides the payment to proceeds to the beneficiaries esstate
Provide the payment of proceeds to the Insurer’s estate
Quarterly premium payments increase the annual cost of insurance because?
A. Interest to the insurer is increase while administrative cost are decreased
B. Interest to the insurer is decreased by the administrative costs are increased
Interest to the insurer is decreased by administrative cost are increased
Higher the frequency of payments, higher the premiums
Provision that defines whom the insurer will pay benefits is:
A. Entire contract
B. Proud of loss
C. Payment of claims
Payment of claims