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Aflac Insurance- Exam Updated 2024/2025 Questions and Answers 100% Correct.
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Kelly purchases a health insurance policy issued on a conditionally renewable basis. The insurance company has a right to decline renewal of the policy for - reasons stated in the contract Which of the following describes the act of insuring a risk against possible loss? - risk transfer Which st...

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  • August 15, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Aflac Insurance
  • Aflac Insurance

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Aflac Insurance- Exam
Kelly purchases a health insurance policy issued on a conditionally renewable basis. The insurance
company has a right to decline renewal of the policy for - reasons stated in the contract

Which of the following describes the act of insuring a risk against possible loss? - risk transfer

Which statement is NOT true regarding the ability of an insured to return a disability (accident & health)
policy?

- A "Right to Return" clause must be conspicuously attached to the first page of the policy

- Policy may be returned within 10 days for a full refund

- The right to return period begins with policy delivery

In regards to health insurance, employees age 65 or older are typically required to - be offered the
same group health benefits offered to the younger employees

An insurer may cancel a policy midterm for all of the following reasons EXCEPT when the insured

- fails to pay the premium when due

- makes a material misrepresentation

- makes a substantial breach of policy conditions or contractual duties

- has a change in marital status - has a change in marital status



Who determines the suitability of a disability (accident & health) policy to a potential insured? -
Intermediary

Long Term Care policies will usually pay for eligible benefits using which of the following methods? -
Expense Incurred



Making a statement that is false or maliciously critical of the financial condition of an insurer is known as
- defamation

Which of the following statements regarding an examination of an insurer's books and records by the
Commissioner is true?

- An insurer has a right to delay an examination by the Commissioner for a period of not more than 15
days after notification

-The insurer must not impede an examination and is required to assist in the examination procedures

-Reports related to solicitors are not official records archived from insurance examinations

, - The Commissioner only has the authority to examine domestic insurers - The insurer must not
impede an examination and is required to assist in the examination procedures

When an intermediary's license is revoked for failure to meet continuing education requirements, the
intermediary CANNOT - be present during the sale of insurance by another intermediary

Which type of policy pays benefits to a policyholder covered under a Hospital Expense policy? -
reimbursement

Qualified long-term care policies must include all of the following provisions EXCEPT

- Nonforfeiture option

- Inflation protection

- Prior hospitalization

- Guaranteed renewability - Prior hospitalization

Medicare - a federal health insurance program for individuals over the age of 65 or permanently
disabled

John has a criminal record in which he was convicted of a felony that involved dishonesty. Under Federal
law, how would John be able to engage in insurance transactions? - Given written consent by the
state insurance regulatory agency

A Medicare Supplement insurance policy may EXCLUDE coverage for preexisting conditions for a
maximum period of how many months after the policy goes into effect? - 6

An insured's statement of a policy's benefits which is to be used in marketing materials is called a(n) -
testimony

Jim is covered under a disability income policy. He is hurt while engaged in an occupation that is more
hazardous than the occupation he specified in the policy. What action will the insurer likely take? -
Reduce the benefit level

All of these are considered to be a violation of the Federal Fraud and False Statements Act EXCEPT

- Overvaluing land

- Abstracting funds

- False entries on reports

-Claims reimbursement - Claims reimbursement

For group health plans covering employees in more than one state, the state regulatory jurisdiction
established for the plan may affect any of the following aspects EXCEPT

- Minimum enrollment percentages

- Eligibility qualifications

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