Rules & Regulation Flashcards

1
Q

What is an insurance Contract?

A

Policy & App, agreement Between policy owner and insurer; for consideration, indemnify insured at loss

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2
Q

Acts considered Transacting Insurance?

A

Solicitation, negotiations preliminary, execution of insurance contract, transaction matters, insuring

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3
Q

Consequence: Issue ins. Contract under an unauthorized insurer

A

Held personally liable, suspension or revoke license, max fine of $2500
Commissioner order replacement of policies

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4
Q

Days foreign or alien insurer has to plead, answer to commissioner if suit is brought against?

A

40 Day

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5
Q

Wa Life & Disability Ins Guaranty Association

A

Protects, $500,000 max

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6
Q

Wa Life & Disability ins guaranty Assoc Two Accounts ??

A

Disability, Life Ins and Annuity

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7
Q

What’s a Fraternal Benefit Society?

A

Charitable not ins, Ins Benefits for member w lodge religious org, fraternal org.
No property or liability

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8
Q

Commissioners Gen Powers ?

A

ACMIIDA
Adopt Rules
Conduct Exams
Maintain Confidentiality
Issue cease and desist order
Issue insurance license
Disseminate information
Appoint Chief Deputy Commissioner

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9
Q

Purpose of the Commissioners ability to exam insurance companies ? How often?

A

Ensure companies remain SOLVENT, following state laws
As often as necessary, every 5years

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10
Q

Days to respond after notice of hearing?

A

90 Days

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11
Q

Days Commissioner has to hold hearing for temporary suspension?

A

30 Days

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12
Q

Days in advance filings should be made before issuance? Disapprove?

A

30 Days
15 days Disapprove

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13
Q

Max Days for temp license?

A

180 Days

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14
Q

Temp license for who?

A

Spouse of producer who dies for prod recovery, sale of business, training
Member or employee
Designee for producer enter active service

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15
Q

Insurer must file a notice of appointment in how many days?
Will receive verification?
Days to be deemed ineligible?

A

15 Days
30 Days
10 Days

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16
Q

License Renewal Period ?

A

Initial: last day of birth month plus a year
After: 2 Years

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17
Q

Late Renewal Fees

A

First 30: 50%
31-60 Days: 100%
61-12 months: 200%

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18
Q

DRLP
Designated Responsible Licensed Person serves what purpose to an insurance company ?

A

Responsible to ensure insurer is in compliance with Laws

19
Q

Suspension notice for Felonies ?

A

15 days

20
Q

Suspension period for felony?

A

No longer than 12 months

21
Q

Consequences for transacting insurance
w/o a license?

A

Class B Felony
Cease and desist
Suspend or revoke
No more than 25,000$

22
Q

Fines for licensed found guilty of violating insurance code?

A

1,000$ for each offense
Paid fully within 15 - 30 Days

23
Q

Receipt should contain ?

A

Prod. Name and address
Insurers full name
Name of person who paid
Amount received
Identity of contract and discript

24
Q

Commingling constitutes?

A

Each willful violation is a misdemeanor

25
Q

Days to reply to Commissioner for inquiry regarding business of ins?

A

15 Days

26
Q

If compensation includes a fee producer must disclose?

A

Full Amt paid, full Amt of commission, explanation, full name of insurer

27
Q

Commission Disclosure must be maintained for how long?

A

5 Years

28
Q

What is the Fair Credit Reporting Act?

A

Establish procedures consumer reporting agencies must follow,
Protects consumers

29
Q

Consumer Report

A

Credit, character, reputation, habits

30
Q

Investigative Consumer Report

A

obtained thru investigation and interviews w friends and associates
Must advise client 3days of report made

31
Q

How many years for willfully obtaining info on a client under false pretenses?

A

2 years
$2500

32
Q

Unlawful insurance fraud punishment.?
Embezzlement?

A

10-15 Years
+5k

33
Q

Federal Law 18 USC Section 1033

A

Anyone who violates the Violent Crime Control
need LETTER OF CONSENT
Felony conviction = 5 Years

34
Q

Federal Law 18 USC Section 1034

A

Anyone who violates 1033,
Civil Action
50,000$ per violation

35
Q

What is Can Spam?

A

Set rules for commercial email and right to reject them.

36
Q

Can Spam must contain ?

A

Opt out
W/in 10 business days

37
Q

Can spam violation subject to?

A

Each violation 16,000$
$250 per non compliant email

38
Q

What is the Gramm Leach Bailey Act

A

Can’t disclose no public personal info to third party

39
Q

Gramm Leach Bailey Requires what 2 disclosures?

A

Policy purchased
Disclosure of protected info

40
Q

National Do Not Call List time period ?
Must consult the registry how often?

A

8am - 9pm
Every 31 Days

41
Q

Affordable Care Act (ACA) Patient Protection and Affordable Care Act (PPACA) serve what purpose ?

A

Make sure us resident have affordable access to health care

42
Q

The ACA provides what and for who?

A

Premium tax credits
Lower health care costs for Lower Income

43
Q

ACA is protection for who ?

A

Individuals with pre existing conditions