Before conducting an HIV related test, an insurer is REQUIRED to obtain written authorization from the. \text{Income taxes payable} & \hspace{13pt}25,000 & \hspace{13pt}28,000 \\ port clinton high school athletics / roberto bettarini ambassador / roberto bettarini ambassador HIPPA considers which of the following as "individually identifiable health information"? Producers must complete a total of ____ continuing education credits for each two-year licensing period. The prescription of a drug for treatments other than what's labeled is known as _____ use, Coverage for newborns under a health plan MUST include coverage for. What is the purpose of having an accelerated death benefit on a life insurance policy? Mariais a preferred provider organization (PPO) subscriber and received care from anout-of-network provider. Tim's individual life insurance policy has just recently lapsed. As beneficiary, he will pay__taxeson any money withdrawn. 5151\left|\begin{array}{ll}5 & 1 \\ 5 & 1\end{array}\right| Provides the insured a specific dollar amount for services, An example of an unfair method of competition is, Overstating the benefits of an insurance policy, A pharmacy benefit covers prescription drugs derived from a list called, The type of policy which pays on the death of the last person is called, Converting a group plan to permanent life insurance requires, The conversion being applied for within 31 days of termination, Ownership of a life insurance policy may be temporarily transferred with a(n). Introducing Cram Folders! There is protection of proceeds against the insured's and the beneficiary's creditors, Susan is insured through her Group Health Insurance plan and changed her coverage to an individual plan with the same insurer after her employment was terminated. To be classified as a small employer, an employer must NOT have more than _________ eligible employees, The _______ is responsible for determining the appropriateness of a Medicare Supplement policy for an applicant, During the examination of an insurer's books and records by the Commissioner, the insurer, remain in effect until a new one is issued, John the insurance producer has an insurance license that expires in 6 months. An insurance producer is issued a _____ as evidence of authority. Which of the following is required for an insurer to conduct business in this state? The New Jersey Life and Health Insurance Guaranty Association is, Funded by assessments on member companies. The greater of the accumulated cash value or the total premium paid. Healthinsurance will typically cover which of the following perils? a. Oneor more diagnostic, preventive, therapeutic, rehabilitative, maintenance orpersonal care services in a setting other than an acute care unit of ahospital. Unintentionally misrepresented a material fact on the application. Whichof the following is Medicare Part B also known as? Which of the following would have the HIGHEST premium? Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. It is health insurance for the elderly. Which of these is NOT considered to be a nonforfeiture option in a whole life insurance policy? Disability Income plans which require that the insurer can NEVER change or alter premium rates are usually considered. Higher than the typical whole life policy duringthe first few years and then lower than typical for the remainder. 1. May an insurance producer licensed in New Jersey but not in New York sell a life insurance policy to a New York resident while in New Jersey? A plan in which an employer pays insurance benefits from a fund derived from the employer's current revenues is called. Course Hero is not sponsored or endorsed by any college or university. _____ is NOT an element of valid contract, The automatic premium loan provision authorizes an insurer to withdraw from a policy's cash value at the amount of, Past due premiums that have not been paid by the end of the grace period. 1. 5511. Which of these is NOT considered to be a risk factor in life insurance underwriting? The Right-to-Examine period in Maryland for Long-Term Care policies is ____ days. Assist in the underwriting of insurance policies. is one of the oldest and best known of all Barbadian funeral establishments. D. The face amount and premiumwill remain constant over the 10-year period. This situation is called, Written notice of a health insurance claim should be given to the insurer within _____ days after the occurrence of any loss covered by the policy, To conduct insurance business in this State, an insurer must be issued a certificate of authority. D.) Intentionally violated state insurance laws. Normally pay for losses arising from: Which of these would an insurer consider when determining whether to accept a group life plan? Must be bonded through the state. Whichmarket index is normally associated with an indexed annuitys rate of return? Ahealth care provider claim may be settled using which of the following paymentmethods? B. Why are dividends from a mutual insurer not subject to taxation? At what age does the open enrollment period typically begin for Medicare Supplement coverage? Whichphase is this annuity in? The taxable portion of each annuity payment is calculated using which method? The commissioner must examine the financial affairs of each admitted insurer operating in Maryland at least once every how many years? The Commissioner issues a subpoena to a producer. What is the required action to be taken by a Maryland licensee before operating under an assumed business name? a producers secretary who solicits prospects on the telephonecapricorn and virgo flirting. Anindividual covered under a Blue Cross Blue shield is called a(n), Aclosed network plan offers a primary physician copay $25. On which date would Sonya have coverage? This type of agreement is called an. CashandcashequivalentsAccountsreceivableInventoryTotalcurrentassetsProperty,plant,andequipmentLessaccumulateddepreciationNetproperty,plant,andequipmentTotalassetsAccountspayableIncometaxespayableBondspayableCommonstockRatainedearningsTotalliabilitiesandstockholdersequityEndingBalance$48,00041,00055,000144,000150,00050,000100,000$244,000$32,00025,00060,00070,00057,000$244,000BeginningBalance$57,00044,00050,000151,000140,00035,000105,000$256,000$57,00028,00050,00060,00061,000$256,000. B. Protects insurers from an applicantsMisrepresentation, C. Protect consumers with guidelines regardingcredit reporting and distribution. What will the beneficiary receive if an annuitant dies during the accumulation period? Mary ran into John, another employee, who happened to be taking outthe garbage. A prorated death benefit based on the amount of insurance the insured's premiums would have been if purchased at the correct age, A guaranteed issue insurance policy has no, A single premium cash value policy can be described as, A policy that is paid up after only one payment. What happens to the total amount of premium paid for an insurance policy when the payment frequency increases? The waiting period for a disability insurance policy, Excludes payments for a short term illness or injury. She may reinstate her policy within _____ years. a producers secretary who solicits prospects on the telephonecrumbl cookies franchise applicationcrumbl cookies franchise application A Whole life policy option where extended terminsurance is selected is called a(n), A provision in a whole life policy that allows apolicy owner to terminate the policy in return for a reduced paid-up policy ofthe same type is called a(N). When the word "insurance" appears in a producer's business name, which of the following words cannot be approved? a producers secretary who solicits prospects on the telephone. In which of the following relationship would there NOT be an insurable interest? Which of the following is NOT part of an insurance contract? what happened to amy bailey happy healthy humble . When is an existing health insurance policy required to provide coverage for a new born child? What does a life insurance policy guarantee to the stated beneficiary upon the death of the insured? Which of the Uniform Optional Provisions covers this situation? A producer has recently died and leaves behind a spouse. Introducing Cram Folders! A. Doctormay charge up to a maximum of 15% more than Medicare pays for the service, B. Doctoris not bound by Medicare limitations on charge, C. Doctorcannot charge more than Medicares scheduled coverage, D. Doctor bills the Medicare beneficiary directlyfor services performed, A. Alwaysrequires service in a network, B. Providesa greater choice of providers, C. Alwaysrequires a referral to specialists. Term, Whole, and universal life insurance, C. Joint, credit, and group life insurance. New Jersey insurance law requires eligible individuals to make an election to continue health insurance benefits within a MAXIMUM of _____ days after coverage termination, A _____ insurance company is one that was formed under the laws of a state other than New Jersey, All of the following are typically included in a life insurance policy illustration EXCEPT, Claims payable to a Disability Income insured, even when the insured can continue to work, are the result of a. XYZ Corp pays the tax-deductible insurance premiums for a key employee disability policy. The insurer's obligation to pay a death benefit upon an approved death claim, Jennifer is required to pay a specific sum out of pocket before any benefits are paid in a year. In this situation, who will receive Bob's policy proceeds? The right-to-examine period in Maryland for long-Term Care polices is ___ days. The promise of a discount in premium as an inducement to purchase insurance is known as, exchanging a new policy for one already in force, with guidelines regarding credit reporting and distribution, The Fair Credit Reporting Act protects consumers, Terminally-ill life insurance policyowners may sell their policy at a discount to a third party. Which of the following is NOT required in an order from the Commissioner? The exceptions, reductions, and limitations affecting the basic provisions of the policy, Any advertisement that mentions a dollar amount, period of time for which any benefit is payable, cost of policy, policy benefit, or the loss for which the benefit is payable MUST disclose. C.) Unintentionally misrepresented a material fact on the application. Whoregulates the quality of care provided by a health maintenance organization(HMO), a. Secretaryof department of health and mental hygiene, b. NationalAssociation of insurance commissioners, A.Secretary of the department of health and mental hygiene. by recommending insurers with good AM Best ratings, C.) With guidelines regarding credit reporting and distribution. The standard grace period for a life insurance policy sold in Maryland is. Any decrease in income resulting from this injury would make him eligible for benefits under which provision? The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. Who would be responsible for the prosecution of this crime? What is the purpose of the Medical Information Bureau (MIB)? What kind of insurance provides coverage for one or more necessary or appropriate diagnostic, preventative, therapeutic, rehabilitative, maintenance, or personal care services in a setting other than an acute care unit of a hospital? Which of the following is the likely result? D. Adjustable, permanent, and limited-pay lifeinsurance. A disability income policy can prevent an insured from earning a higher income than if he/she were working by utilizing. The IRS allows a taxpayer to deduct medicalexpenses of that exceed 7.5% of their adjusted grossincome. Atax-free 1035 Exchange of a life insurance policy to a different policy ispermitted if it occurs, A. Inthe same state as the original transaction, C. Frominsurer to insurer and no cash is received by the policy owner, D. Fromagent to agent as long as the agents are licensed in the same line. Which of the following enables a life policy to be replaced with another life policy and results in the postponement of the tax consequence? AMaryland insurance producer solicits an insurance policy. b. Pat the client interest on any monies held. What is involved when a life insurance policy has been backdated? a. The family's financial objectives if the income earner were to die or become disabled, Normally at any time during the policy term, Loans obtained by a policyowner against the cash value of a life insurance policy, The solicitation of a non-authorized contact in New Jersey violates. Please select the correct language below. The face amount and the premium will remain constant over the 10-year period. Whichtype of life insurance is normally associated with a payor benefit rider? Which entity is responsible for processing insurance advertising in New Jersey? d. Alump sum payment upon first diagnosis of cancer, heart attack, or stroke. Pay for Medicare charges exceeding the approvedamount. Advertising material for a life insurance policy does NOT need to contain which of the following? A life insurance replacement gives the policyowner the right to return the policy for a 100% refund within _____ days of policy delivery, A producer MUST maintain insurance transaction records for a minimum of ____ years. During the year, Ravenna paid a $6,000 cash dividend and it sold a piece of equipment for$3,000 that had originally cost $6,000 and had accumulated depreciation of$4,000. This agreement is called an, Upon receiving a producer complaint, the Commissioner may immediatley, ABC Insurance Company transfers part of their risk to XYZ Insurance Company. Which of the following is TRUE regarding the federal income tax? As of January 1, 2014, small group health insurance can be rated on the basis of. pain between 4th and 5th metatarsal. Krissa purchases a 10-year level term life insurance policy that has a death benefit of $200,000. B. Whenthe application is collected and policy is issued, C. Whenthe application is completed and signed, D. Whenthe completed application is signed and initial premium is collected. Benefits provided by a Medicare Supplement policy must NOT, Funding for Medicare Part B is partially provided by. a. Mustmeet certain underwriting guidelines. B. Providea risky, yet high return investment, Fixedannuities provide each of the following EXCEPT. Which of the following areas do error commonly occur on applications and for which the incontestable clause does NOT apply? ABC Corporation has a group life insurance policy that covers its employees and their dependent children. On Social Security disability for over two years, D.Falling below the federal poverty level, D. Falling below the federal poverty level, Field underwriting performed by the producer involves, Completing the application and collecting initial premium, A provision that allows a policy owner to withdraw a policy's cash value interest free is a(n). When initial premium is collected and policy is issued. Who is the individual paid on a fee-for-service basis? licensed producers not appointed by an insurer. \text{Accounts receivable} & \hspace{13pt}41,000 & \hspace{13pt}44,000 \\ Which of the following is NOT a requirement for soliciting insurance in Maryland? In the advertising of Individual Life Insurance policies, an "introductory" or "special enrollment" may not be made available until any previous enrollment period for the same policy has been closed for at least how long? She would like to borrow $15,000 against the cash value. This rider is called a(n). An insurance producer who replaces an existing policy by making false written or oral statements is committing the act of, A license MUST notify the Commissioner of an address change with ___ Days of the change. Pierre the producer receives a premium for an individual health insurance policy. Upon delivery, she may be expected to collected all of the followingEXCEPT a(n), B. Signedimpairment rider acknowledgement, C. Modifiedapplication with a new signature, Oneof the most important considerations when replacing health insurance would bethe. a)When the policy owner notifies the insurance company, c.)When the required additional premium is paid, d.) No more than 10 days after date of birth, The double indemnity provision in a life insurance policy pertains to an insured's death caused by a(n), A) the policy would be payable, minus the premium amount, B) the policy would be payable only after the beneficiary makes past due premium payment, C) all past premiums will be refunded with interest, An insurance producer agrees to pay the first monthly premium for an insurance applicant. Selecting an insurance organization ought to be founded on a few components that can be broken into two general gatherings: An example of a primary care physician would be an, A fee for service health insurance plan will normally cover. B.) B. Anytimewithin 12 months after date of purchase, C. Aminimum of 6 months after date of purchase, D. Aminimum of 12 months after date of purchase. In event of acontroversy between the insured and the company, the producer is considered to representthe. The proceeds of this contract could be subject to the claims of. Which of the following is NOT a duty of the Commissioner? How is a health provider reimbursed if they do NOT have an agreement in place with the insurance company? C. Protects consumers with guidelines regarding creditreporting and distribution. Its balance sheet for this year is as follows: EndingBeginningBalanceBalanceCashandcashequivalents$48,000$57,000Accountsreceivable41,00044,000Inventory55,00050,000Totalcurrentassets144,000151,000Property,plant,andequipment150,000140,000Lessaccumulateddepreciation50,00035,000Netproperty,plant,andequipment100,000105,000Totalassets$244,000$256,000Accountspayable$32,000$57,000Incometaxespayable25,00028,000Bondspayable60,00050,000Commonstock70,00060,000Ratainedearnings57,00061,000Totalliabilitiesandstockholdersequity$244,000$256,000\begin{array}{l c c} A. Collectinga premium for insurance that is not provided. In a group health care, what is the purpose of the coordination of benefits provision? A type of group that has a constitution and bylaws andhas been organized for purposes other than obtaining insurance is called awhat? Maximizes productivity through use of appropriate tools; planned training and Columbia Care LLC . Which of the followingunfair trade practices involves an agent who makes malicious statements aboutanother person's financial condition? How long after its effective date will an individual life insurance policy become incontestable? A. The death benefit paid will be what the premium would have purchased at the correct age. She recently replaced the policy with a new one that provides better coverage. An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? Which type of contract may NOT be issued by an insurance company? Premium mode is term used to describe the: The Fair Credit and Reporting Acts main purposeis to: A. 59 and owned account for a minimum of 5 years, C. 70 and owned account for a minimum of 10 years, D. 70 and owned account for a minimum of 5 years, A. Cancelingdisability policy to buy a term life policy, B. Cancelinga term life policy to buy a whole life policy, C. Cancelinga long-term care policy to buy a whole life policy, D. Cancelinga whole life policy to buy a major medical policy.
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