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. audio not yet available for this language. Maryland requires that a licensee completes___ hours of continuing education on the subject of ethics every reportingperiod. A producer's secretary who solicits prospects on the telephone Must be licensed as a producer Which of the following is a requirement for ANY change in an insurance application? An individual can enroll in a Part C Medicare Advantage Plan at what time? Which type of disability would be less than total impairment and equal to permanent impairment? What is the purpose of having an accelerated death benefit on a life insurance policy? Producing an inadequate amount of new premium. 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. Mary ran into John, another employee, who happened to be taking outthe garbage. Which of the following is NOT information found in a life insurance buyer's guide? the daily amount paid for nursing home care, All long-term care policies sold in North Dakota are REQUIRED to pay the SAME daily benefit amount for "at home" care as paid for. In the event of employment termination, group health insurance can be kept if the employee pays the premiums. What is the contract called that is issued to an employer for a Group Medical Insurance plan? 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). What happens to the total amount of premium paid for an insurance policy when the payment frequency increases? 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. Twisting is an illegal act which involves, A producer does NOT have a fiduciary responsibility to. Afterwards, she deposits the check into her personal account. 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. 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. A _______ negotiates an insurance contract on behalf of an insurer, The Entire Contract provision states that an entire contract consists of the actual policy and the, the last day of the licensee's birth month (every two years), A producer's renewal date for his/her resident insurance license is on or before. Whatdoes the word Level in level term describe? The standard grace period for a life insurance policy sold in Maryland is. 5151\left|\begin{array}{ll}5 & 1 \\ 5 & 1\end{array}\right| 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. To be eligible for small employer group coverage, anemployee must work a MINIMUM of __ hoursI a typical week. Who is the individual paid on a fee-for-service basis? Higher than the typical whole life policy duringthe first few years and then lower than typical for the remainder. A producer may be disciplined by the Commissioner for which of the following actions? The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. A life insurance policy is hallowed ___ days upon policy delivery to return the policy for a full premium refund.. An order issued by the commissioner that prohibits a specific practice listed in the order is called a (n). It would be considered taxable income to the employee. Which of the following would be the appropriate tax consequence? The proceeds of this contract could be subject to the claims of. There are several types of whole life insurance that are as follow:- An applicant's character and personal habits can be obtained for underwriting purposes from which source? By Posted browning 725 pro sporting canada & \text{Balance}& \text{Balance} & \\ A master contract and certificate of coverage can be found in which type of policy? Determines what is paid by the primary and secondary insurers in the event of a claim, A producer has recently died and leaves behind a spouse. When does a life insurance policy typically become effective? A licensed producer is required to file notice of any change of address within how many days? When the minor has been approved by the Commissioner, When collection insurance premiums from a client, a producer MUST, A. This illustration MUST disclose that. How long is the Contestable Period for health insurance policies sold in New Jersey? At minimum, a carrier is required to offer which of the following health benefit plans to small employers? Which disability policy provision would address any concerns of the value of the benefits decreasing over time? Which option was chosen? Bob dies 12 months later. Replacement regulation is designed to protect the interests of, A health insurance policy that allows an insurer to change the policyowner's premiums, but NOT cancel the policy is called. Which market index is associated with an indexed annuity's rate of return? If the consumer price index has gone up 4%, how much may Ron increase the face value of the policy? Which of the following is NOT a circumstance to which a temporary producer license can be issued? a producers secretary who solicits prospects on the telephone. This is called a, A minor may receive a life insurance policy's death benefit ONLY, B. After 15 years, the cash value has accumulated to $100,000 and the police's face amount has become $600,000. What are the levels of coverage as defined by the Affordable Care Act? Which of these is likely to occur when life or health insurance is being applied for? A type of group that has a constitution and bylaws andhas been organized for purposes other than obtaining insurance is called awhat? Benefits provided by a Medicare Supplement policy must NOT, Funding for Medicare Part B is partially provided by. How long must a life insurance policy be in effect before the policyowner may use the nonforfeiture provision? A producer's license may only be suspended or revoked if the producer, one or more diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services in a setting other than an acute care unit of a hospital, Long-term care policies sold in Maryland may exclude coverage related to, The Life and health Guaranty Corporation provides funds to carry out its powers and duties by assessing, As of January 1, 2014, small group health insurance can be rated on the basis of, An individual covered under a Blue Cross Blue Shield plan is called a, An HMO that involves a partnership of physicians and other providers who practice out of a central facility is called a, Funding for Medicare Part B is partially provided by, Medicare Part A does not pay for medical benefits provided for treatment in a skilled nursing facility, MEWA (Multiple Employer Welfare Arrangement), Small employers who are sponsored by an insurer to provide group benefits to its employees are called. An eligible employee can be excluded from group health coverage for up to _______ months is he/she is considered a "late enrollee". C. Funded by federal, state, and local taxes. When an insured has a major medical plan with first dollar coverage, how does this impact the benefits paid? 1. Which of the following does Coordination of Benefits allow? a. Theinsured skipped a payment beyond the 31 day grace period, b. Theinsured was injured while participating in an illegal occupation, c. Theinsured was given a notice of cancellation from the insurer, d. Theinsured suffered an injury as an innocent bystander during a bank robbery. How many days notice must the Commissioner give prior to a hearing? 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. by . If she dies 15 years after the policy's inception date, how much will her beneficiary receive? Whichof the following is a requirement for ANY change in an insurance application? In Maryland, an insurance producer cannot sell, solicit, or negotiate policies for an insurer unless there is an agreement in place between the producer and insurer. A producer may begin to solicit insurance ONLY. Johan the producer charged a fee to a sales prospect for analyzing insurance coverages A written statement describing the elements of a policy is called, All of the following are considered appropriate uses of life insurance for business purposes EXCEPT, Protecting the business by covering entry level employees with life insurance, An insured individual and the policy's beneficiary die from the same accident. Erica is 35 years old and owns an IRA. In what form do disability income policies typically pay benefits? B.) Which of the following is a reinstatement condition? In Maryland, a Producer may have his/her license revoked for which of the following acts? Which of the following must be included in the advertisement? A debtor may receive Credit Life insurance in which of the following forms? Whowere Keogh Plans designed to provide pension benefits for? Before conducting an HIV related test, an insurer is REQUIRED to obtain written authorization from the. Which of the following is CORRECT regarding the death benefit amount. What is involved when a life insurance policy has been backdated? Which of thesestatements is true? Kathysannuity is currently experiencing tax-deferred growth until she retires. Lower than the typical whole life policy duringthe first few years and then higher than typical for the remainder. The statement which best describes the relationship between the relationship between the premiums of a whole life policy and the premium payment period is, The shorter the payment period, the higher the premium. In the event of the employment termination, group health insurance can be kept if the EMPLOYEE pays the premiums, A health insurer must be provided with written proof of loss _____ days after the date of loss, A producer must notify the Commissioner within _____ days of a felony conviction. Which of the following is NOT a duty of the Commissioner? How much does Medicare Part B pay for physician fees? Maria has committed what crime? We weren't able to detect the audio language on your flashcards. 1. The time limit for filing claim disputes is addressed in which provision of an accident and health policy? What amount will be paid under a policy where the insured misstated his/her age? 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. B. Guaranteedlifetime withdrawal benefit, D. Guaranteedminimum accumulation benefit. c. Send receipt of payment to the commissioner, d. Forward Premiums to the insurer on a timely basics. The Office of General Counsel issued the following opinion on April 25, 2005, representing the position of the New York State Insurance Department. Find out how you can intelligently organize your Flashcards. Anapplicants character and personal habits can be obtained for underwritingpurposes from which source? Medicare Part A does not pay for medical benefits provided for treatment in a skilled nursing facility beyond. A person who is a nonsmoker, of average weight, and in excellent health would most likely be in which risk classification? Which of these gaps in Medicare coverage is addressed with Medicare Supplemental Insurance? Find out how you can intelligently organize your Flashcards. An insurer formed according to the legal requirements of another country is called an. Donnaand Mary were racing bicycles in a store parking lot while being cheered on by fellowemployees. Kurt is an active duty serviceman who was recently killed in an accident while home on leave. Which of the following is required for an insurer to conduct business in this state? In the event of employment termination, group insurance can be kept if the employee pays the premiums. C.) Unintentionally misrepresented a material fact on the application. Which of these is NOT an Unfair Claims Settlement Practice? How long after its effective date will an individual life insurance policy become incontestable? 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. When a qualified plan starts making payments to its recipient, which portion of the distributions is taxable? Using derogatory statements about an insurance company's financial condition. Which of the following may be used as continuation education credit? cuanto gana un pintor de autos en estados unidos . Upon receiving a producer complaint, the Commissioner may immediately A producer may begin to solicit insurance ONLY when, A.) James is the insured on a life insurance policy where his age was misstated on the application. how many javan rhinos are left 2022; aquifer tim winton prezi; bloody mary lady gaga roblox id; . What does the word "level" in Level Term describe? \\ Normally pay for losses arising from: Which of these would an insurer consider when determining whether to accept a group life plan? Which of these is NOT a characteristic of the Accelerated Death Benefit option? Eventually, they retire and dissolve the business. a producers secretary who solicits prospects on the telephone Welcome To Be Falcon Solutions Website Hotline & WhatsApp : +971556212280 | Landline : +97143873596 , +97167499398 james reynolds obituary popeyes vs chicken express do venmo requests expire yorba linda football maxpreps primary care physicians in cleveland ohio Which scenario would most life insurance policies exclude coverage for? Which of these statements about Medicaid iscorrect? What does a life insurance policy guarantee to the stated beneficiary upon the death of the insured? Which of the following is an example of defamation? b. An individual the means to replace wages. Pierre MUST remit the premium to his insurer within ___ business days of receipt. All Medicare Supplement policies MUST contain which provision? a producers secretary who solicits prospects on the telephone; episcopal academy ice hockey; atlas copco fault codes 7008. serta idirections hybrid queen. Krissa purchases a 10-year level term lifeinsurance policy that has a death benefit of $200,000. 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. She may reinstate her policy within _____ years. Under a life insurance policy, what does the insuring clause state? How many months can a life insurance policy normally be backdated from the date of application? Which situation accurately describes a reduced paid-up nonforfeiture option? \text{Accounts payable} & \$\ \hspace{5pt}32,000 & \$\ \hspace{5pt}57,000 \\ New Jersey Department of Banking Insurance, A limited payment whole life policy provides, All advertisements for health insurance shall make clear the identity of the, The double indemnity provisions in a life insurance policy pertains to an insured's death caused by a. Mike has inherited his father's traditional IRA. 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. 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? If a subscriberchooses a primary care physician outside of the network, the subscriber willlikely pay, Medicareprovides coverage for each of the following EXCEPT. If the consumer price index has gone up 4%, how much may Ron increase the face value of the policy? Failing to promptly provide a reasonable explanation for the denial of a claim is considered to be a. Howsoon can the benefit payments begin with a deferred annuity? 1. Engaged in a fraudulent insurance practices. 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. Maria the insurance producer completes a sale by collecting the required signatures on the application and obtaining the initial premium.