Marketing, underwriting and policy delivery
Disability income insurance
Individual and group medical expense policies
Insurance for senior citizens and special needs individuals
Accident & Health policy provisions
100

True or False: anyone may gain access to MIB information 

False. Access is only available to approved company representatives/underwriters 

100

Death or dismemberment must occur on an AD&D policy within ____ days for benefits to be paid. 

90

100

HIPAA law describes a preexisting condition as one that was treated within __ months prior to group enrollment.  

6

100

What is meant by Medicare approved amount? 

It represents the amount of the bill Medicare agrees to pay or reimburse

100

The least expensive premium mode is _______, while the most expensive mode is _________.

annual, monthly 

200

When does the “Notice to the Applicant” regarding the Fair Credit Reporting Act need to be given? 

At the time of application 

200

The dismemberment benefit on an AD&D policy is equal to _____% of the death benefit 

50

200

If a person is doubly covered by both Medicare and a group plan, which plan is normally considered primary? 

The group plan 

200
What is the primary benefit of Medicare Part B? 

Doctor and surgeon fees

200

Describe coordination of benefits.

When an individuals with more than one benefit plan combine their benefits coverage payment without exceeding actual bill

300

What does the Fair Credit Reporting Act allow? 

It gives a consumer or applicant the right to dispute credit reporting information 

300

What is included in earned income for tax purposes?

Commissions, bonus, and salary 

300

List some examples of limited policies 

Hospital only, accidental death, travel accident, cancer only, credit, prescription, and vision 

300

Medicare Supplement plans must be sold on a ___________ renewable basis 

guaranteed
300

Who pays for the cost of a medical exam? 

the insurer

400

What is a declined risk? 

An application for insurance that has been turned down 
400

What is the definition of a permanent disability? 

A disability expected to last a lifetime 

400

True or False: Medical benefits for pregnancy-related conditions are paid differently than other medical conditions. 

False. Benefits for pregnancy-related conditions are paid in the same manner as other medical conditions 

400

What type of nursing care does Medicare Part A provide? 

Skilled nursing for up to 100 days

400

What would constitute proof of loss? 

Medical bills, doctor statements, and completed claim forms 

500

An applicant’s health history is usually found in ____________ of a life insurance policy. 

Section II

500

BOE premiums are ______________ to the owner and benefits received are __________. 

tax-deductible, taxable 

500

After a deductible has been satisfied, the insured may also be required to share the expenses by making a ____________. 

copayment 

500

When must an LTC Outline of Coverage be provided to an applicant? 

At or before the time of application 

500

Which clause is a summary of the entire contract and is usually the first or face page of the contract?

The Insuring Clause