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Kentucky Health & Life Exam Questions and Answers (Commonwealth Schools of Insurance - PT 4B)
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Kentucky Health & Life Exam Questions and Answers (Commonwealth Schools of Insurance - PT 4B)
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Kentucky Health & Life (CommonwealthSchools of Insurance - PT 4B) [7-12]
Jean misstated her age on her health insurance application. According to the optional provisions of
Uniform Policy Provisions Law, what is the insurer's duty? - Answer-to adjust any benefits to what the
premium paid would have purchased at the correct age
Which of the following is an effective means of controlling overinsurance in health coverage under
optional provisions of Uniform Policy Provisions Law? - Answer-establishing maximum amounts payable
to any one insured for certain coverages
Russ has two identical health insurance policies from different insurers. He has an operation costing
$10,000 and both policies would cover it. Under the optional provisions of Uniform Policy Provisions
Law, how will the provider be paid ? - Answer-the companies will pay their proportionate shares.
Tad suffers a disability and is covered under both the accident and disability coverages of a single policy.
Under the optional provisions of Uniform Policy Provisions Law, will Tad receive benefits? - Answer-yes,
he will receive benefits but not to exceed the monthly earning at the time of disability or the average
monthly earnings for two years immediately preceding the disability.
Remaining disabled as a means of continuing to collect insurance is termed: - Answer-malingering
,Tuck's insurer cancels his health insurance policy. The company returns part of his last premium calling it
"unearned," and the company keeps a part of the premium calling it "earned." This called a: - Answer-
pro rata return
Ramona cancels her health insurance policy. The company retains a portion of her last premium paid
above the earned premium and returns the remainder to Ramona. This is called a(n): - Answer-short
rate return
Under the optional provisions of Uniform Policy Provisions Law, if an insurance policy is in conflict with a
state statute, which one prevails? - Answer-the statute
In an attempt to rob a pawn shop, Victor is accidentally shot in the back by his partner in crime and is
permanently paralyzed. Under the optional provisions of Uniform Policy Provisions Law, will his health
or disability income coverage pay benefits? - Answer-no because he was in the act of committing a
felony
Aaron has been a successful bank robber by profession. While robbing a large bank, he is shot with a
shotgun in both legs by bystander. Under the optional provisions of Uniform Policy Provisions Law, will
his health or disability income coverage pay benefits? - Answer-no because a contributing cause of the
loss was the insured's being engaged in an illegal profession
Connie suffers an accidental heroin overdose, and she is in a coma for two months. Under the optional
provisions of Uniform Policy Provisions Law, will her health insurance pay benefits for coverage for
treatment? - Answer-no because she was under the influence of a narcotic not administered on the
advice of a physician
When an insured changes to a less hazardous occupation, the insurance company - Answer-with due
proof, will reduce the premium
Among the optional provisions an Accident or Health Policy can contain is a provision that frees the
company from liability if the insured is accidentally injured or killed: - Answer-- while engaged in the
commission of a felony.
, - while engaged in an illegal occupation.
- while under the influence of a drug not prescribed by a physician
If the age of the insured has been misstated, all amounts payable under the policy are - Answer-such
that the premium paid would have purchased at the correct age.
What does the "Conformity with States Statute" Provision provide? - Answer-that any provision in
conflict with state statutes in the state in which the insured resides on the effective date of the policy is
automatically amended to conform with the minimum requirements of the statutes
Premium amounts that cover the time for which protection has not yet been provided, are called -
Answer-unearned premiums
Under the Misstatement of Age Provision, if an insured has misstated his or her age on the application,
the company has the right to - Answer-adjust the benefits payable.
Which statement describes the purpose of the Uniform Provisions Law? - Answer-to provide each state
with a law that will permit the use of uniform standard provisions, resulting in some standardization of
policy forms.
Optional Provisions 3, 4, 5, and 6, Other Insurance in This Insurer, Insurance, With Other Insurers,
Relation of Earnings of Insurance, respectively, has which common purpose? - Answer-to avoid the
insured from becoming over-insured
The Misstatement of Age provision gives the insurance company the right to - Answer-adjust benefits
payable
All of the following are required A&H Policy Provisions: - Answer-- time limit on certain defenses:
incontestability
- change of beneficiary
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