Insurance Terminology and Regulations Quiz
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Questions and Answers

A form of medical health insurance covering the treatment and care of gum disease is called:

  • Medicaid
  • Franchise health policy
  • Dental expense insurance (correct)
  • Major Medical
  • In South Carolina, what is the MAXIMUM length of time an insurer can defer payment of a cash surrender value of an annuity?

  • 6 months (correct)
  • 24 months
  • 12 months
  • 18 months
  • When can a policy no longer be cancelled for nonfraudulent misstatements after its date of issue?

  • 1 year
  • 5 years
  • At any time
  • 2 years (correct)
  • Which of the following is NOT an example of inducement to purchase insurance?

    <p>A gift having a value less than $25</p> Signup and view all the answers

    The Director MUST examine domestic insurers AT LEAST once every:

    <p>5 years</p> Signup and view all the answers

    An insurer may refuse to issue a policy to a particular insurance applicant for a reason based solely on:

    <p>Medical condition</p> Signup and view all the answers

    Mary is issued an initial producer's license on April 29, 2012. When does her license renew?

    <p>March 31, 2014</p> Signup and view all the answers

    An insurance producer CANNOT act as an agent of an insurer until the insurance producer becomes:

    <p>Appointed by the insurer</p> Signup and view all the answers

    A policy illustration given at the time of sale does NOT typically include the:

    <p>Names of the beneficiary</p> Signup and view all the answers

    Someone who sells, solicits, or negotiates insurance contracts for compensation on behalf of an insurer is called:

    <p>An insurance producer</p> Signup and view all the answers

    How many years is a producer REQUIRED to maintain transaction records of a policy?

    <p>5 years</p> Signup and view all the answers

    According to the Affordable Care Act, what metal tier is required to have an actuarial value of 70%?

    <p>Silver Plan</p> Signup and view all the answers

    When a life insurance policy is issued to replace another life insurance policy, which of the following does NOT need to be provided to the purchaser?

    <p>The replacing insurer's financial statements</p> Signup and view all the answers

    With respect to small group health benefit plans, a carrier may discontinue coverage or refuse to renew such a plan if the employer:

    <p>Fails to pay the premium prior to the end of the grace period</p> Signup and view all the answers

    Which one of the following statements regarding an examination of an insurer's books and records by the Director is TRUE?

    <p>The insurer must not impede an examination and is required to assist in the examination procedures</p> Signup and view all the answers

    A hospital or medical expense policy will typically cover dental treatment expenses under which circumstance?

    <p>Dental treatment is needed to repair an injury</p> Signup and view all the answers

    An insured MUST submit proof of loss on a health insurance claim within how many days after the date of loss?

    <p>30</p> Signup and view all the answers

    Study Notes

    Insurance Terminology

    • Dental Expense Insurance: Covers treatment and care of gum disease.
    • Insurance Producer: A person who sells, solicits, or negotiates insurance contracts for compensation on behalf of an insurer.

    State-Specific Insurance Rules

    • In South Carolina, cash surrender value of an annuity can be deferred for 6 months.
    • Domestic insurers must be examined at least once every 5 years.

    Policy Regulations

    • A policy can no longer be canceled for nonfraudulent misstatements after 2 years from its issue date.
    • An insurance producer cannot act as an agent for an insurer until they are appointed by that insurer.

    Licensing and Record Keeping

    • Mary’s producer license issued on April 29, 2012, renews on March 31, 2014.
    • A producer is required to maintain transaction records of a policy for 5 years.

    Insurance Plan Tiers

    • Under the Affordable Care Act, a Silver Plan has an actuarial value of 70%, with individuals paying 30% through cost sharing.

    Replacement Policies

    • When replacing a life insurance policy, the replacing insurer's financial statements do not need to be provided to the purchaser.

    Group Health Plans

    • Coverage for small group health benefit plans can be discontinued if the employer fails to pay the premium before the end of the grace period.

    Examination of Insurers

    • The insurer must not impede an examination conducted by the Director and is required to assist in the examination process.

    Coverage Conditions

    • A hospital or medical expense policy typically covers dental treatment expenses if dental treatment is needed to repair an injury.

    Claims and Timeframes

    • Insured individuals must submit proof of loss on a health insurance claim within 30 days after the date of loss.

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    Description

    Test your knowledge of insurance terminology and state-specific regulations in this comprehensive quiz. Covering important concepts such as dental expense insurance, producer licensing, and policy regulations, this quiz is essential for anyone studying insurance practices.

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