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Iowa Laws Question and answers rated A+ 2024

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Iowa Laws Question and answers rated A+ 2024 Iowa Laws, Rules, and Regulations Pertinent to Health Only "Individual Health Insurance Reform Act" - correct answer enacted to promote the availability of health insurance to individuals, to assure fair access to health plans, and to improve the o...

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  • August 30, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • iowa laws
  • iowa laws question and answers rated a 2024

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Iowa Laws, Rules, and Regulations
Pertinent to Health Only
"Individual Health Insurance Reform Act" - correct answer ✔enacted to
promote the availability of health insurance to individuals, to assure fair
access to health plans, and to improve the overall fairness and efficiency of
the individual health insurance market.
-members include all insurers that provide health, accident and sickness
insurance policies in Iowa
-prevents abusive rating practices compels insurers to disclose their rating
practices to consumers, sets rules for renewing coverage and sets limits on
the exclusions or pre-existing conditions


Eligible Individual - correct answer ✔-an Iowa residente who has qualifying
existing coverage or has had qualifying existing coverage within the last 30
days.
-individual who has and an event occur in the last 30 days that qualifies them
for coverage.


Required Provisions - correct answer ✔mandated provisions which must be
included in all individual accident and health insurance policies issued in the
state.


Entire Contract Provision - correct answer ✔stating that the policy, including
endorsements and attached papers, constitutes the entire contract.


time limit on certain defenses Provision - correct answer ✔stating that 2
years after the date of issue no misstatements on the application can be used
to void the policy or deny a claim unless the statements were fraudulent

, Grace Period Provision - correct answer ✔granting a grace period of at least
7 days for weekly premium policies
-10 days for monthly premium policies
-31 days for all other policies, for payment of each premium after the first.


Notice of Claim Provision - correct answer ✔requiring that a written notice of
claim must be given to the insurer within 20 days after the occurrence of any
loss covered by the policy


A Claim Forms Provision - correct answer ✔stating that the insurer, no later
than 15 days after receiving notice of the claim must furnish the claimant with
the forms required for filing proof of loss


A proof of Loss Provision - correct answer ✔stating that the insured must
furnish a completed claim form to the insurer within 90 days of the date of loss


A Time Payment of Claims Provision - correct answer ✔stating that claims
must be paid immediately upon receipt of written proof of a loss, unless
provided by periodic payments


Payment of Claims provision - correct answer ✔stating that indemnity for
loss of life is payable according to beneficiary designation


Physical Examination and Autopsy Provision - correct answer ✔stating the
insurer, at its own expense, has the right to requires a physical examination or
autopsy of the insured while a claim is pending (where it is not forbidden by
law)

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