Practice Exam Questions Flashcards
When must an insurable interest exist for a life insurance policy?
A) Both at the time of death and at the inception of the policy
B) At the time the beneficiary is paid
C) At the inception of the policy
D) At the time of death
The correct answer is (C).
An insurable interest for a life insurance policy must exist at the inception of the policy but not necessarily at the time of loss.
Tara wants to fully understand insurance contracts before she buys one. She asks for an explanation of the legal characteristics of an insurance contract. All of the following statements are correct EXCEPT:
A) An insurance contract is a contract of adhesion, that is, the insured accepts the contract as written.
B)An insurance contract is aleatory in the sense that equal monetary values are exchanged.
C) An insurance contract is unilateral, that is, only one party agrees to a legally enforceable promise.
D) An insurance contract is conditional, that is, an insured must meet all conditions of the policy in order to claim payment.
The correct answer is (B).
All of the statements are correct regarding the characteristics of a contract except option (B). An aleatory contract has values exchanged that are unequal (small premium versus potential large claim).
Amber owns a house with a replacement cost of $500,000. She purchases $300,000 of insurance with an 80 percent coinsurance requirement and a $500 deductible. If Amber’s house is hit by a hurricane and she suffers a $150,000 loss, what will the insurer pay?
A) $74,500
B) $112,000
C) $119,500
D) $149,500
The correct answer is (B).
(amount of coverage purchased ÷ coinsurance) × loss
[$300,000 ÷ ($500,000 × 0.80)] × $150,000 = $112,500 − $500 deductible = $112,000
Shira has a major medical policy with a $500 annual deductible, a $2,000 out-of-pocket limit on covered losses excluding the deductible, and an 80/20 coinsurance provision. Shira breaks a leg dancing and has surgery that costs $12,000. How much will she need to pay for the surgery?
A)$500
B) $2,300
C) $2,500
D) $2,800
The correct answer is (C).
Shira is responsible for a $500 annual deductible and 20 percent of the costs. However, she has an out-of-pocket limit of $2,000 excluding the deductible.
$12,000 − $500 = $11,500
$11,500 × 0.20 = $2,300
$2,000 + $500 = $2,500
Regarding the advantages of a preferred-provider option (PPO), all of the following are correct EXCEPT:
A) A gatekeeper is required for specialist consultations.
B) A primary care physician is not required.
C) Health care costs are low when the insured uses in-network providers.
D) Yearly out-of-pocket costs are limited.
The answer is (A).
An advantage of a PPO is that there is no gatekeeper or primary care physician that serves in that role.
All of the following are basic characteristics of health maintenance organizations (HMOs) EXCEPT
A) the use of an organized system to deliver medical services to the members.
B) broad, comprehensive health services that are provided to the members.
C) an emphasis on cost containment through the use of coinsurance and large deductibles.
D) a specified geographic region in which members must live.
The answer is (C).
Large deductibles and coinsurance are generally not emphasized in HMOs.
Henry is covered under his employer’s major medical expense plan. The plan has a calendar-year deductible of $1,000, a 75 percent coinsurance provision that applies to the next $8,000 of covered expenses, and full coverage for any remaining covered expenses. If Henry incurs covered medical expenses of $15,000 during the year, how much will be paid by his employer’s plan?
A) $10,500
B) $12,000
C) $13,000
D) $14,000
The answer is (B).
His employer’s plan will pay $12,000. If Henry incurs $15,000 of covered medical expenses, he must pay $1,000 out-of-pocket to meet the deductible. Of the remaining $14,000 of expenses, $8,000 of it is subject to the 75 percent coinsurance provision. This means that Henry must pay another $2,000 (that is, .25 × $8,000 = $2,000) out-of-pocket for a total amount of $3,000 (that is, $1,000 deductible + $2,000 coinsurance = $3,000). Subtracting $3,000 from $15,000 leaves $12,000 for the medical expense plan to cover.
Hanna, aged 59½, was employed full-time at AWY Corporation, but she was laid off during a recent downsizing. The company has 25 full-time employees and 10 part-time employees, but it does not offer group health insurance. What should Hanna do for health insurance while unemployed?
A) Elect 18 months of COBRA coverage.
B)Elect COBRA for up to 36 months or until she has group coverage with a new employer.
C) Elect Medicare coverage.
D) Purchase an individual major medical policy until she can obtain group coverage with a new employer.
The correct answer is (D).
The employer is not required to offer COBRA because it does not have group health insurance. Hanna is not eligible for Medicare until age 65.
All of the following statements regarding flexible spending accounts (FSAs) are correct EXCEPT:
A) Funds may be used for optional medical procedures like LASIK eye surgery.
B) Funds may be used for child care.
C) Funds must be used by the end of the calendar year.
D) The accounts are funded with pretax dollars.
The answer is (C).
Money in FSA accounts must be used by 2 ½ months after the end of the plan year or the funds are lost.
Members of a three-person partnership want to enter into a buy-sell arrangement. How many life insurance policies would need to be purchased to properly fund coverage of the partnership using a cross-purchase agreement?
A) One policy
B) Three policies
C) Six policies
D) Nine policies
The correct answer is (C).
Each owner would need to purchase a life insurance policy on the other owners, and therefore a total of six policies would need to be purchased.
3 × (3 − 1) = 3 × 2 = 6
Which of the following life insurance policies contains a cash value savings component that reaches the face value of the policy at age 100 or 120?
A) A term policy
B) A whole life insurance policy
C) A universal life insurance policy
D) A lifetime annuity
The correct answer is (B).
Owners of whole life insurance policies pay premiums until age 100 or 120, when the cash value equals the face value of the policy.
Eugene has been advised by his insurance agent to purchase a variable universal life insurance policy. He has sought your advice regarding this purchase. All of the following are characteristics of a variable universal policy EXCEPT:
A) The policy features increasing or decreasing death benefits and flexibility of variable premium payments.
B) The policy owner has exclusive investment control over the cash value of the policy.
C) The death benefit is guaranteed to be equal to the face value.
D) The cash value of a variable universal life policy is dependent on premiums and investment returns.
The correct answer is (C).
All statements are true except option (C). The minimum death benefit of the variable universal life policy is guaranteed, but the death benefit can increase if the investment experience on cash value is good.
All of the following statements regarding a MEC are correct EXCEPT:
A) A life insurance policy that fails the seven-pay test is deemed a MEC.
B) Withdrawals from a MEC are subject to FIFO tax treatment.
C) A 10 percent penalty applies to withdrawals taken from a MEC prior to the owner reaching age 59½.
D) The primary issue with a MEC is the taxation of withdrawals (loans) because the death benefit is generally tax-free.
The correct answer is (B).
MECs are subject to LIFO tax treatment.
Which of the following statements concerning the operation of a life insurance policy is correct?
A) If the insured dies during the grace period, the insurer refunds only the premiums paid.
B) If after the insured’s death it is discovered that the insured’s age had been misstated, the insurer will pay the beneficiary the amount that the premiums paid would have purchased at the insured’s correct age.
C) Generally, a policy can be reinstated after it has been surrendered for its cash value as long as evidence of insurability is provided to the insurer.
D) Once a life insurance policy has been issued, it is incontestable on the basis of material misrepresentation or concealment.
The correct answer is (B).
If after the insured’s death it is discovered that the insured’s age had been misstated, the insurer will pay the beneficiary the amount that the premiums paid would have purchased at the insured’s correct age. Option (A) is incorrect because if the insured dies during the grace period, full policy benefits are paid, but the insurer may deduct the overdue premium. Option (C) is incorrect because reinstatement applies to policies that have lapsed. Option (D) is incorrect because the insurer can contest the validity of a policy during the contestable period.
All of the following statements concerning disability income insurance are correct EXCEPT:
A) Premiums for disability income insurance coverage are a function of the insured’s health, biological sex, age, and the level of income benefits provided by the policy.
B) To qualify for disability income, one must become totally disabled while the policy is in force and remain so until the elimination (exclusion) period has ended.
C) A policy that integrates with Social Security will reduce payable benefits by the amount of Social Security the person with a disability is eligible to receive.
D) The Social Security program requires the person who is disabled to wait at least one month before receiving benefits.
The correct answer is (D).
In order to receive disability benefits, a person must be disabled for 5 months, must be unable to perform the duties of any occupation, and must have a disability that is either expected to last for 12 months or to result in death.
Nia, a technician, buys a disability policy with a base benefit of $6,000 and an SIS offset benefit of $1,200. Nia becomes disabled and eventually receives $1,000 in Social Security disability benefits. How much will she receive from the insurance company after Social Security benefits begin?
A) $4,800
B) $6,000
C) $6,200
D) $7,200
The correct answer is (C).
Initially, the policy will pay the sum of the base benefit and the SIS benefit, which equals $7,200. After Social Security begins paying, the insurance company will only pay $6,200. The total benefit is offset by the amount received from the SSA.
All of the following regarding short-term disability coverage and long-term disability coverage are true EXCEPT:
A) It is not important to coordinate short-term disability coverage with long-term disability coverage.
B) Short-term coverage may range from 1 to 2 years.
C) Long-term benefits may continue until retirement or death.
D) The combination of short- and long-term coverages are common in group insurance offerings.
The correct answer is (A).
The benefits of short-term disability coverage and the benefits of long-term disability coverage should be coordinated so that there is no gap in coverage between short-term disability and long-term disability.
Kim earns $100,000 per year as a NASA engineer. He has a loss-of-income disability policy with a benefit of $5,000 per month. He suffers a disability to his right leg while at work. As a result of his injury, he needs to work at a desk job, earning $60,000. How much in disability benefits will he receive?
A) $5,000 per month
B) $40,000 per year
C) $2,000 per month
D) $0 since he is less than 50 percent disabled
The correct answer is (C).
Kim is partially disabled, and he lost 40 percent of his income. Therefore, he will receive a benefit equal to 40 percent of his monthly disability policy benefit, or $2,000 per month.
Carlotta is struck in the rear of her candy-apple-red sports car. Her injuries are severe, leaving her unable to work as a hostess at a high-end restaurant in New Orleans. The restaurant offers employees disability insurance, which Carlotta has elected as part of her employee benefits package. She pays for 50 percent of the insurance on a pretax basis. The employer pays the remainder of the policy premium. Her monthly benefit is $2,500 per month. Which of the following is correct?
A) One hundred percent of her benefit will be subject to income tax.
B) Two-thirds of her benefit will be subject to income tax.
C) Fifty percent of her benefit will be subject to income tax.
D) None of her benefit will be subject to income tax.
The correct answer is (A).
All of her premiums are paid on a pretax basis , therefore 100 percent of her benefit will be subject to income tax.