Theprescription of a drug for treatments other than whats labeled is known as(Blank) use. a producers secretary who solicits prospects on the telephone. Former dependent of employee no longer ofdependent status. In order for the producer's insurance business to continue, the Commissioner may issue to the producer's spouse a has a mental or physical handicap and remains dependent on the parent A dependent child may remain on a parent's health insurance plan beyond age 26 if the child 60 Who is required to notify the producer in the event of appointment termination? You have created 2 folders. What is the required action to be taken by a Maryland licensee before operating under an assumed business name? Insurable interest can be established sufficiently by sentimental attachment alone, A life insurance policy written on one contract for two people in which it is payable upon the first death is called. Please upgrade to Cram Premium to create hundreds of folders! Paul has a (n), Failingto Promptly provide a reasonable explanation for the denial of a claim is conservedto be a(n), AnHMO that involves a partnership of physicians and other providers who practiceout of a central facility is called a(n), Smallemployers who are spooned by an insurer to provider group benefits to itsemployees are called. How to take legal action against an insurance company. {"cdnAssetsUrl":"","site_dot_caption":"Cram.com","premium_user":false,"premium_set":false,"payreferer":"clone_set","payreferer_set_title":"Insurance\/Healt Agent Exam","payreferer_url":"\/flashcards\/copy\/insurance-healt-agent-exam--11456962","isGuest":true,"ga_id":"UA-272909-1","facebook":{"clientId":"363499237066029","version":"v12.0","language":"en_US"}}. Which disability policy provision would address any concerns of the value of the benefits decreasing over time? A newborn is required to be covered for ______ days from the moment of birth. Assist in the underwriting of insurance policies. Under this plan a, Adoption of a child (an uninsured, eligible employee who acquires a new dependent through marriage, birth, or adoption may qualify for special enrollment in a small employer's health benefit plan). The ____ is responsible for determining the appropriateness of a Medicare Supplement policy for an applicant. PartA Hospital expense coverage provided under Medicare is automatically madeavailable to each of the following EXCEPT, A. A50-year-old individual who has qualified for SSDI in the last 24 months, B. A70-year-old NOT Eligible for Social Security, C. A55-year-old suffering from kidney failure. Whichof these will have the highest monthly payout upon Annuitization? Maryland requires that a licensee completes___ hours of continuing education on the subject of ethics every reportingperiod. Which type of coverage pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance? Adoctor who accepts Medicare Assignment agree to which of the following ? Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. The coverage, condition, and limitations in the master policy of a group contract can be found in which document? Philsshopping for an annuity that guarantees he CANNOT outlive the benefits. If a subscriber chooses a primary care physician outside of the network, the subscriber will likely pay, Paul is an employee who caught a disease unique to the trade in which he was exposed to. Which of the following would disqualify a company's retirement plan from receiving favorable tax treatment? Which of these statements is true? Which of these is NOT considered to be a risk factor in life insurance underwriting? B. Guaranteedlifetime withdrawal benefit, D. Guaranteedminimum accumulation benefit. A licensee MUST notify the Commissioner of an address change within _______ days of the change, Violations of US Code Title 18 section 1033 may result in, In the state of Maryland, a licensed producer, sharing commissions with other licensed and appointed agents, All of the following actions are considered rebating EXCEPT, Under the Maryland Health Insurance Plan, comprehensive health benefits are provided to, A producer who knowingly submits a false statement in support of a claim. C. Remain of their current coverage for 30 months. How much does Medicare Part B pay forphysician fees? A life insurance policyowner is allowed ____ days upon policy delivery to return the policy for a full premium refund, A producer's license MUST be renewed every _______ years, Collecting a charge for insurance that is less than the charge applicable to that insurance. The power given to an individual producer that is not specifically addressed in his/her contract is considered what type of authority? 1. This is called a, A minor may receive a life insurance policy's death benefit ONLY, B. An insurance producer is issued a _____ as evidence of authority. D. Willfullycollecting a premium that exceeds the amount of the actual premium. \text{Income taxes payable} & \hspace{13pt}25,000 & \hspace{13pt}28,000 \\ Tara the producer is delivering a specified disease insurance policy to a new policyowner. Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. The Healthcare Insurance Exchange offers plans for everyone. ARoth IRA owner must be a least what age in order to make tax-free withdrawals? juin 5, 2022 . Which of the following is NOT a required provision in an accident and health insurance policy? Which of these premium payment frequencies is not typically available to a policy owner? An attending physician's statement would be appropriate for which life insurance purpose? B. Gainsare tax exempt at distribution. Whatis the elimination period of an individual disability policy? What may be the result of replacing an existing life insurance policy with a new one? Add to folder c. Travel accidental insurance premiums. Therole of the federal government was expanded when Medicaid was establish byallowing the state to, A. Froma large PPO on a statewide level, B. Purchasehealth insurance from the federal government, C. Receivematching funds to expand public assistance programs, D. Deferall costs to the federal government for public assistance program, Anaccident and Health policy that Provides reimbursement benefits makes them payable to the, Paulis an employee who caught a disease unique to the trade in which he was exposedto. Which military service exclusion clause would pay upon his death? Mike has inherited his fathers traditional IRA.As beneficiary, he will pay __Taxes on any money withdrawn. Producing an inadequate amount of new premium. Alimited payment whole life policy provides. \text{Total liabilities and stockholders' equity} & \underline{\underline{\hspace{3pt}\$244,000}} & \underline{\underline{\hspace{3pt}\$256,000}} \\ Which of the following is NOT required in an order from the Commissioner? B. All of these are responsibilities of the Commissioner EXCEPT, policy must be issued to XYZ, and a certificate must be issued to each employee, XYZ Corp was issued a group health policy for its employees. \text{Total current assets} & \underline{\hspace{8pt}144,000} & \underline{\hspace{8pt}151,000} \\ 1. When initial premium is collected and policy is issued. -is an example of the illegal act called twisting -must be bonded through the state -must be licensed as a producer -is not required to be licensed as a producer must be licensed as a producer Producers selling insurance in New Jersey while having a residence and business address C. Funded by federal, state, and local taxes. This type of agreement is called a, The act of using misrepresentation to induce an insured person to terminate an existing policy and purchase a new policy is referred to as, An advertisement for an insurance product may contain, Signing a prospect's name without their knowledge or presence. The Premium for a Modified whole life policy is: A. An individual can enroll in a Part C Medicare Advantage Plan at what time? C. Normally graded over a period of 20 years. 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. How long must a life insurance policy be in effect before the policyowner may use the nonforfeiture provision? The Commissioner must examine the financial affairs of each admitted insurer operating in Maryland at least once every how many years? A. Which settlement option pays a stated amount toan annuitant, but no residual value to a beneficiary? Long-term care insurance and Medicare Supplementplan have a free-look period of__ days. By Posted browning 725 pro sporting canada To be classified as a small employer, an employer mustNOT have more than__ eligible employees. What is this an example of? A _______ company is owned by its shareholders, The ___________ has the right to renew a small employer health plan, providing incorrect, misleading, incomplete, or materially untrue information in the license application, A producer who is licensed in Maryland but resident in another state is called a, A minor may receive a life insurance policy's death benefit ONLY, Interest on death benefits are NOT required to be paid by an insurance company as long as proceeds are paid within ______ after the date of the death of the insured, Submit to the replacing insurer a list of the policies to be replaced. Failing to promptly provide a reasonable explanation for the denial of a claim is considered to be a. Which entity is responsible for processing insurance advertising in New Jersey? What is created after policy proceeds areobtained in a lump sum and then immediately invested? Which of the following is an example of fraud? Which of the following topics needs to be discussed with this client? An individual life insurance policy can be contested by the insurer only during the first _________ years of the contract, An order issued by the commissioner that prohibits a specific practice listed in the order is called a. Doctor cannot charge more than Medicare's scheduled coverage, Health insurance advertisements that mention statistical information are required by New Jersey law to. Lower than the typical whole life policy duringthe first few years and then higher than typical for the remainder. By . What geographic factor makes Antarctica's ice caps drier than deserts in Africa and Asia? At the request of the insurer to assist in the underwriting decision. In the marketplace there are four various tiers of coverage, ranging from, bronze to platinum. A life insurance policy sold in Maryland can be cancelled for nonfraudulent misstatements for up to, A person who has a contract with an insurance company to represent it, To a licensed producer who is appointed with the insurer. These rights are called, A producer who intentionally makes an untrue or incomplete statement in the course of an insurance transaction may be guilty of. a producers secretary who solicits prospects on the telephonecapricorn and virgo flirting. D. The face amount and premium will remain constantover the 10-year period. B. Recieve a tax credit to help offset the cost of health insurance. Which of the following basics is a producer's fiduciary responsibility? Which of the following statements is TRUE? The benefit can be offered as a rider at a specific extra cost or may be at no cost, All of the following are included as part of a contract in the entire contract provision EXCEPT the. A plan in which an employer pays insurance benefits from a fund derived from the employer's current revenues is called. What is the purpose of having an accelerated death benefit on a life insurance policy? A. With a past due premium of $100, the insurer pays $400. Julie has a $100,000 30-year mortgage on her new home. Which of the following is NOT considered to be an act of fraud? Mary ran into John, another employee, who happened to be taking outthe garbage. 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? If a producer has been engaged in an administrative action by any governmental agency, within how many days following the final deposition must the producer report the action to the Commissioner? A. XZY company has applied for group health insurance for its employees. Re: Acting as insurance producer without a license Questions Presented 1. For large samples, describe the sampling distribution of, (p^1p^2)\left( \hat { p } _ { 1 } - \hat { p } _ { 2 } \right) Ravenna Company is a merchandiser that uses the indirect method to prepare the operating activities section of its statement of cash flows. Jay the producer is giving insurance advice regarding a prospect's existing coverage. The face amount and the premium will remain constant over the 10-year period. \text{Inventory} & \underline{\hspace{13pt}55,000} & \underline{\hspace{13pt}50,000} \\ Frank is shopping for a disability income policy. If the consumer price index has gone up 4%, how much may Ron increase the face value of the policy? Employee must be able to make unlimited contributions. The premium for a Modified whole life policy is, How long is the Contestable Period for health insurance policies sold in New Jersey, An applicant intentionally lying to an insurance company on an application in order to obtain a cheaper premium is an example of. A term life insurance policy is what most people think of when they think about life insurance. What will the beneficiary receive if an annuitant dies during the accumulation period? An eligible employee can be excluded from group health coverage for up to _______ months is he/she is considered a "late enrollee". Joanne has a $100,000 whole life policy with an accumulated $25,000 of cash value. The individual is paying premiums that are priced for each year or Use LEFT and RIGHT arrow keys to navigate between flashcards; Use UP and DOWN arrow keys to flip the card; Barbara's policy includes a rider which allows her to purchase additional insurance at specific dates or events without evidence of instability. Which course of action must be taken by the Commissioner? B.Change must be initialed by the applicant. If Jay were to receive a fee for this advice (in addition to his commission), he MUST, Obtain a signed memorandum from the prospect acknowledging the amount of compensation. A producer is meeting with a client to determine whether an annuity would be suitable for purchase. Registered for the state insurance examination. Determine whether the discriminant is positive, negative, or zero. B. Providea risky, yet high return investment, Fixedannuities provide each of the following EXCEPT. Both May and John are injured. Cram has partnered with the National Tutoring Association, Comparing Health Insurance Rates And Suppliers. A beneficiary has just received a claim payment for a life insurance policy. D. Licensedproducers not appointed by an insurer. Eventually, they retire and dissolve the business. A. Toaccept or decline insurance applicants, B. Toset the premium rates for insurers, D. Toperform physical examination on applicants. Whichof the following is a requirement for ANY change in an insurance application? How many months can a life insurance policy normally be backdated from the date of application? Who is eligible for insurance under a group policy issued to a labor union? B. A. Changemust be initialed by the agent, B. Changemust be initialed by the applicant, C. Changemust be approved by the insurer. \text{Cash and cash equivalents} & \$\ \hspace{5pt}48,000 & \$\ \hspace{5pt}57,000 \\ Bob dies 12 months later. Maximizes productivity through use of appropriate tools; planned training and Columbia Care LLC . The law that established insurance transactions regulated by the states is called. The entity which issues the certificate of authority is the, A policyowner has _____ days after policy delivery to return a major medical policy for a full refund, make any transactions before being approved for a licence, counsels and advises the Governor on all matters assigned to the Maryland Insurance Administration, A Maryland insurance producer solicits an insurance policy. Whichof the following is Medicare Part B also known as? a producers secretary who solicits prospects on the telephone 12. The Commissioner issues a subpoena to a producer. Which of the following is Medicare Part B also known as? Which settlement options pays a stated amount to an annuitant but no residual value to a beneficiary? ashlyn 72" ladder bookcase / la montagne jean ferrat partition piano pdf / a producers secretary who solicits prospects on the telephone. Juni 2022. The ________ has the right to renew a small employer health plan. 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. Whichof these will have the highest monthly payout upon annuitization? When is an existing health insurance policy required to provide coverage for a new born child? She may reinstate her policy within _____ years.
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