1. The Notice of Claims provision requires a policyowner to
Answer: notify an insurer ofa claim within a specified time
2. An insured must notify an insurer of a medical claim within how many daysafter an
accident?
10
Answer: 20
3. Which of the following health insurance policy provisions specifies thehealth care services
a policy will provide?
Answer: Insuring clause
4. Which health policy clause specifies the amount of benefits to be paid?
Answer: Insuring
5. An insurer receives proof of loss for an acceptable medical expense claimunder an
Individual Health Insurance Policy. Under the Time of Payment of Claims provision, the
insurer MUST pay the benefits
Answer: immediately
6. Which of the following statements about a Guaranteed Renewable Health Insurance policy
is CORRECT?
Answer: Premiums normally increase at time of renewal
7. What is the purpose of the Time of Payment of Claims provision?
Answer: Preventsdelayed claim payments made by the insurer
8. Which health policy clause stipulates that an insurance company must attach a copy of the
application to the policy to ensure that it is part of thecontract?
Answer: Entire Contract
9. Which of the following provisions specifies how long a policyowner's healthcoverage will
remain in effect if the policyowner does not pay the premium when it is due?
Answer: Grace Period
10. K has a health policy that must be renewed by the insurer and the premiums can only be
increased if applied to the entire class of insureds. This typeof policy is considered
Answer: guaranteed renewable
11. Health insurance benefits NOT covered due to an act of war are
Answer: excludedby the insurer in the contract provisions
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