Exam (elaborations)
North Carolina Accident and Health Questions and Answers Correct
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North Carolina Accident and Health
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North Carolina Accident and HealthInsured - answer Who does an insurance broker in North Carolina Represent
dismemberment - answer Which of the following does Social Security NOT provide
benefits for
Date the initial premium is collected – answer K completes an application for disability
policy but does not pay the initial premium. The company approves the policy standard
and the agent delivers the policy. K then pays her initial premium 3 days later. At what
point does k's policy take effect.
wages - answer What is the primary factor that determines the benefits paid under a
disability income policy
monthly - answer According to the time payment of claims provisions, the insurer must
pay disability income benefits no less frequently than which of the following options
Be licensed as an agent in the agent's state of domicile - answer An applicant for a
nonresident agent license must meet which of the following requirements
initial deductible - answerthe first portion of a covered major medical insurance expense
that the insured is required to pay is called the:
forward the application to the insurer without the initial premium - answerwhat action
should a producer take if the initial premium is not submitted with the application
life insurance policies - answerAll of the following are limited benefit plans, except
life insurance master policy holders - answerThe commissioner of insurance has the
authority to examine the business records of all of the following entities except
Fair Credit reporting Act - answerFrom what authority derives the requirement that an
insurance application contains a disclosure sating that an investigative consumer report
may be obtained on an applicant
Blanket health policies do not issue certificates - answerThe difference between group
insurance and blanket health policies is
Foreign Company - answerIn North Carolina, an insurer licensed to conduct business in
North Carolina, but domiciled in New Jersey, is called a(n)
,3600 : 2000+20% of the remaining bill - answerJ's Major Medical policy has a 2000
deductible and an 80/20 coinsurance clause. If j is hospitalized and receives a bill for
10000, J would pay
Business overhead expense - answerG is an accountant who has ten employees and is
concerned about how the business would survive financially if G became disabled. The
type of policy which best addresses this concern is
all of the above (respiratory illness, alcoholism and drugs, cerebral palsy) -
answerMedical treatment in tax supported institutions cover the cost of
adjust the premium payments - answerWhich of the following statements describes
what an accident and health policyowner may not do
employees who suffer non-work related disabilities, since work-related disabilities are
covered by Workers' Compensation - answerNon-occupational disability coverage is
designed for
60 days from the date proof of loss is furnished - answerIf a health insurance claim is
not promptly paid, legal action may be taken against the insurer after
guaranteed renewable - answerWhich of the renewability best describes a disability
income policy that covers an individual until the age of 65, but the insurer has the right
to change the premium rate for the overall risk class
normally includes an elimination period - answerwhich of these statements concerning
an individual disability income policy is true
16000 - answerchemical dependency treatment under a group health policy must
include (over the life of the contract) a minimum benefit of
0 - answerP is self-employed and owns an individual disability income policy. He
becomes totally disabled on June 1 and receives 2000 a month for the next 10 months.
How much of this incomes is subject to federal income tax
10 - answerz is an agent who violated the insurance information and privacy protection
act. z was then issued and served a statement of charges and notice of hearing by the
commissioner of insurance. z's hearing date must be at least __ days after service of
charges
governor - answerif the commissioner of insurance is no longer able to complete the
term of office, who is required to fill this vacancy
to pay benefits to the corporation or other shareholders - answerA business disability
buyout plan policy is designed
, an individual policy is given to each member - answerall of the following statements
regarding group health insurance is true except
insuring clause - answerthe clause in an accident and health policy which defines the
benefit amounts the insurer will pay is called the:
change of occupation provison - answerWhen an insured changes to a more hazardous
occupation, which disability policy provision allows an insurer to adjust policy benefits
and rates
domestic company - answerAn insurance company formed under North Carolina laws is
referred to as a(n)
Guaranteed insurability rider - answerBryce purchased a disability income policy with a
rider that guarantees him the option of purchasing times without requiring to provide
evidence of insurability. What kind of rider is this?
Primary care physician - answerThe individual who provides general medical care for a
patient as well as the referral for specialized care is know as a
inform insurer of relevant information not included on the application - answerWhich of
these actions should a producer take when submitting an insurance application to an
insurer
beneficiary - answerwho is not required to sign a health insurance application
any insurance transaction - answerwhich of these circumstances require an insurer to
clearly specify questions designed to obtain information solely for marketing research
applicants monthly income - answerwhich of the following is the most important factor
when deciding how much disability income coverage an applicant should purchase
continue coverage but exclude the heart condition - answerA prospective insured
completes and signs an application for health insurance but intentionally conceals
information about a pre-existing heart condition. the company issues the policy. Two
months later, the insured suffers a heart attack and submits a claim. while processing
the claim, the company discovers the pre-existing condition. in this situation, the
company will
must continue the coverage to the end of the period of time for which the premium was
accepted - answerK sent a renewal premium paymetn to her insurer that would extend
her coverage beyond the policy's maximum age limit. if the insurer accepts this premium
payment, it
26 - answerunder the Affordable Care Act (ACA), health coverage is provided for
dependents up to the age of
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