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Insurance Fundamentals
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Insurance Fundamentals

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Questions and Answers

What type of Accident and Sickness insurance provides a daily or weekly benefit for hospital stays?

  • Critical illness insurance
  • Disability insurance
  • Hospital cash insurance (correct)
  • Life insurance
  • What is the duration of benefit payments in Accident and Sickness insurance?

  • Elimination period
  • Premium period
  • Waiting period
  • Benefit period (correct)
  • Which principle of the Code of Ethics guides insurance professionals to make decisions based on facts, not personal interests?

  • Integrity
  • Objectivity (correct)
  • Fairness
  • Competence
  • What is the professional obligation of insurance professionals to provide clients with relevant information about policies and services?

    <p>Disclosure</p> Signup and view all the answers

    What type of Accident and Sickness insurance replaces income if unable to work due to illness or injury?

    <p>Disability insurance</p> Signup and view all the answers

    What is the time before coverage begins in Accident and Sickness insurance?

    <p>Waiting period</p> Signup and view all the answers

    Study Notes

    Accident and Sickness Insurance

    • Definition: Accident and Sickness (A&S) insurance provides financial protection against unexpected medical expenses or loss of income due to injury or illness.
    • Types of A&S Insurance:
      • Disability insurance: replaces income if unable to work due to illness or injury.
      • Critical illness insurance: pays a lump sum upon diagnosis of a specified illness (e.g. cancer, heart attack).
      • Hospital cash insurance: provides a daily or weekly benefit for hospital stays.
    • Key features:
      • Premiums: usually paid monthly or annually.
      • Waiting period: time before coverage begins.
      • Benefit period: duration of benefit payments.
      • Elimination period: time before benefit payments start.

    Ethics and Professional Practice

    • Code of Ethics: a set of principles guiding the conduct of insurance professionals.
    • Key principles:
      • Integrity: act with honesty and transparency.
      • Competence: maintain knowledge and skills to provide quality service.
      • Confidentiality: protect client information.
      • Objectivity: make decisions based on facts, not personal interests.
      • Fairness: treat clients fairly and without bias.
    • Professional obligations:
      • Disclosure: provide clients with relevant information about policies and services.
      • Duty of care: act with reasonable care and skill when advising clients.
      • Compliance: adhere to regulatory requirements and industry standards.

    Insurance Contracts and Policy Provisions

    • Insurance contract: a legally binding agreement between the insurer and policyholder.
    • Key elements:
      • Insuring agreement: outlines the coverage provided.
      • Exclusions: lists what is not covered.
      • Conditions: policy terms and requirements.
      • Endorsements: changes or additions to the policy.
    • Policy provisions:
      • Premium payment provisions: specify how and when premiums are paid.
      • Grace period: allows policyholders to pay premiums after the due date.
      • Cancellation provisions: outline the process for canceling the policy.
      • Renewal provisions: specify how and when the policy can be renewed.

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    Description

    Test your knowledge of insurance basics, including accident and sickness insurance, ethics and professional practice, and insurance contracts and policy provisions.

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