Questions and Answers
When an insurance company requests an attending physician's report, what must be accompanied by it?
Copy of the signed authorization
Which of the following is NOT a required uniform provision in individual health policies?
What does the phrase 'Life insurance creates an immediate estate' mean?
When the insured dies, a death benefit is paid
What do you call a person who asserts a right of recovery under an insurance policy?
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What must be completed before an insurer is allowed to test an individual for HIV?
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If Jim holds 2 jobs, how will the insurer classify him concerning his risk?
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What will adult day care coverage under a long-term care insurance policy provide for?
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Which of the following is NOT true regarding a family policy that covers children?
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How long is a person expected to be disabled in order to receive Social Security disability benefits?
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What does the term 'mortality rate' describe?
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Which of the following is NOT required in the content of a policy?
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What must Jim do regarding his past misdemeanor conviction when applying for an insurance license?
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Which of the following is a life insurance policy that does NOT require a physical exam?
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What type of policy allows the insurer the option of terminating a health insurance policy on a date stated in the contract?
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What is an individual with 40 quarters of coverage considered for Social Security purposes?
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What constitutes the entire contract in a life insurance policy?
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Which of the following is NOT considered to be an act of insurance solicitation?
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Which of the following circumstances would EXCEPT make loss retention an effective risk management technique?
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What rule demonstrates the importance of a representation?
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Which word implies permissiveness according to the California Insurance Code?
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What do medical expense policies typically cover?
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Which of the following is NOT protected under the California Life and Health Guarantee Association?
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At what age do individuals become eligible for Medicare Part A benefits?
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What is an agent's attempt to stop the replacement of an existing life insurance policy known as?
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Which of the following is NOT an accurate description of Access for Infants and Mothers Program (AIM)?
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All of these statements concerning Medicare are true EXCEPT?
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Which of the following is NOT considered to be an unfair claims settlement practice?
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Under which government regulation are retirement plans prevented from favoring highly compensated employees?
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Which statement about Health Maintenance Organizations is NOT true?
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Study Notes
Insurance Authorization and Reporting
- An attending physician's report request must include a signed authorization copy.
- Claimant refers to a person pursuing recovery under an insurance policy.
Health Insurance Provisions
- Change of occupation is not a standard uniform provision in individual health policies.
- Adult day care under long-term care insurance provides part-time care for elderly individuals at facilities while they live at home.
Life Insurance Essentials
- The phrase "life insurance creates an immediate estate" means a death benefit is paid upon the insured's death.
- Non-medical life insurance policies do not require a physical examination.
Risk Assessment and Categorization
- Insurers may classify individuals based on the most hazardous occupation when assessing risk.
- The mortality rate compares the number of deaths in a year to the population of a select group.
Insurance Policy Requirements
- Policies are not required to include the probability of loss.
- The content of a policy comprises the policy itself and any attached application.
Social Security and Eligibility
- Individuals must be disabled for at least 12 months to qualify for Social Security disability benefits.
- A person with 40 quarters of coverage is considered fully insured under Social Security.
Licensing and Disclosure
- Expunged misdemeanor convictions must still be disclosed on an insurance license application.
Policy Features and Coverage
- Optionally renewable policies allow insurers to terminate health insurance on a specified date.
- Medical expense policies typically cover injuries resulting from accidents.
Medicare and Eligibility
- Eligibility for Medicare Part A benefits begins at age 65.
- Medicare does not cover long-term care under Part C.
California Regulations and Practices
- Insurers are not protected under the California Life and Health Guarantee Association.
- Conservation is the term for an agent’s attempt to prevent the replacement of an existing life insurance policy.
Unfair Practices and Risk Management
- Advising a claimant to hire an attorney is not an unfair claims settlement practice.
- Effective risk management through loss retention cannot occur if the probability of loss is unclear.
Access for Infants and Mothers Program (AIM)
- AIM eligibility does not require women to have private insurance plans with high maternity-only deductibles or copayments over $1,500.
Health Maintenance Organizations (HMOs)
- Misconceptions about HMOs may include beliefs regarding costs when using out-of-network providers.
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Description
Test your knowledge on life, accident, and health insurance with this California pre-licensing education flashcards quiz. Cover essential terms and concepts required for the insurance licensure exam. Prepare yourself for success in the insurance industry!