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How is the uninsured protected if a payor benefit is attached to the life insurance policy?
premium payments are waived in the event the premium payor dies or becomes disabled
Which of the following health care plans charges a premium that cannot be increased?
Noncancelable
What is the effect of the market value adjustments in a market value adjustment annuity?
Transfers some of the investment risk to the policyowner
Which type of life insurance policy allows the policyowner the choice of investments along with flexible premium payments?
Variable Universal Life
Which of these is NOT considered to be a cost connected with an individual's death?
Business expenses
A (an) ___________ insurer assumes risk from another insurance company.
Reinsurance
When group insurance under COBRA have expired, a fully insured group policy can be converted to a (an)
Individual health policy
The authority to change the beneficiary in an individual annuity lies with the
Owner
How are monthly life annuity benefit payments treated under a tax sheltered annuity (TSA)?
Taxed as an ordinary income in the year recieved
Which individual would be best suited for Medicare Supplement Insurance?
Medicare enrollee
Which of the following is NOT an example as risk retention?
Not doing a business deal after deciding it would be too risky.
Tim is in need of surgery. Before being hospitalized, he is referred to an outpatient clinic for diagnostic tests. What is this an example of?
Pre-admission testing
Does the Superintendent have the ability to examine the records of authorized insurers?
Yes, because of the powers granted through state statues
Which statement about group life insurance is INCORRECT?
Each participant requires evidence of insurability
Medicare Part A does NOT provide coverage for
The first three pints of blood
Darrell has a group long-term disability income policy paid by his employer. Which of these statements is true?
The specified benefit amount is a percentage of his wages.
Twisting means
Pursuading an insured, to the insured's detriment, to switch policies.
What is the maxium number of employees (earning at least 5,000) that an employer can have in order to start a SIMPLE retirement plan?
100
The following are all elements of a valid contract EXCEPT
written evidence
Which of the following would permit an insurer to delay a covered disability policy claim?
Elimination period
Tom has a qualified retirement plan with his employer that is currently considered to be 80% "vested". How can this be interpreted?
If Tom's employment is terminated, 20% of his funds could be forfeited.
When a ten year renewable term life insurance policy issued at age 45 is renewed, the premium rate will be the current rate for
Ten year term insurance for a person aged 55.
What kind of arrangement gives the policyowner the right to change the beneficiary?
Revocable designation
Wyatt is shopping for life insurance and is mainly concerned with the policy's death benefit. Which index should he be looking at when making comparisons?
Net payment cost index
An individual health insurance policy with premiums paid monthly has a minimum grace period of
10 days
The Medical Information Bureau consists of members from which group?
Insurance companies
A single premium deferred annuity sometimes containes a bail out feauture. Which statement regarding this feauture is correct?
If an interest rate falls below a specified level, the surrender charge is waived.
Which of these statements is NOT a characteristic of the law of large numbers?
Rates can be calculated to compensate for losses
Which of the following is NOT a valid contract exchange?
An annuity exchanged for a life insurance policy
All of these are duties that a producer may be required to perform when delivering an insurance policy EXCEPT
Leave a conditional receipt with the client
The owner's cost basis for a non-qualified deferred is typically the same as the
total premiums paid
Which of these statements is NOT true regarding cash value loan against a life insurance policy?
Interst payment made by the policyowner are deductiable
Which group is the Do Not Call Registry designed to protect against?
telemarketers
Which of the following is NOT subject to the promise to pay in an insuring clause?
How the premium is calculated
A policyowner has a life insurance policy where she had listed her age on the application as 5 years younger than her actual age. If she dies and the insurer discovers the misstatement of age, how much will the insurance company pay?
Less than the face amount.
Which term refers to insurance written on the interests of the licensee, the licensee's employer, or the licensee's immediate family?
Controlled Business
With life insurance, the needs approach is used primarily in determining
how much life insurance a client should apply for
When a sum of money undergoes capital liquidation, that sum will
decrease in size
Which of the following is NOT considered to be an expense for surviving family members of a deceased wage earner?
unemployment tax expenses
Which is an accurate discription of the premium in a graded premium life insurance policy?
Annual increases in premium for a stated number of years then remains level
A terminated employee has how many days upon termination to convert group life insurance coverage to an individual policy?
31 days
What is the name of the period of time during which a new employee is ineligible for group health insurance coverage?
Probationary period
In order to contribute to a Health Savings Account (HSA),
The applicant must be enrolled in a High Deductible Health Plan (HDHP)
Julie is an employee with a group health plan that contains the Mandatory Second Surgical Opinion provision. What is to be expected with this provision in place?
Out-of-pocket expenses are lower when a Second Surgical Opinion is obtained as opposed to having only one.
Which annuity allows contributions to an IRA?
Deferred
Pete is covered by a group health insurance plan which covers employees in multiple states. This plan is governed by the laws of which state?
Where the master contract was issued
Tim had an on-the-job accident and collects benefits from his individual disability income policy. Which factor could possibly reduce these benefits?
Benefits he recieves from worker's compensation
In health insurance, 60 days must pass after written proof of loss has been recieved by an insurer before the insured may
Bring legal action against the insurer
In New Mexico, continuing a Health plan coverage beyond the inital coverage period may require the policyholder to do all of the following EXCEPT
certify the newborn's insurablity
Making a statement that is false or maliciously critical of the financial condition of an insurer is known as
defamation
Which of the following statements about the contestability of a life insurance policy is true?
The policy can be contested by the insurer only during the first two years of the contract
Which life insurance clause prohibits an insurance company from questioning the vaildity of the contract after a stated period of time has passed?
Incontestable clause
Which statement regarding the cash value of a whole life insurance policy is correct?
available to the policyowner when policy has been surrendered
Alan is an enrollee of a health maintenance organization (HMO) which uses a gatekeeper system. If there ever comes a time when he needs emergency health services, what should he do?
Proceed to the nearest emergency room
Third-party administration has become fairly common in accident and health insurance due to the growth of
self-funding of benefits
When a lapsed policy's premium has been paid current, it has the potential of being
reinstated
Field underwriting by a producer
may result in the disclosure of hazardous activities of the applicant
Nonqualified medical expense distributions from a Health Savings Account (HSA) have a tax penalty of
20%
Which of these life insurance policies does NOT contain a cash value provision?
decreasing term life
Which of the following is generally a form of group credit life insurance?
Decreasing Term Insurance
In New Mexico, who would be eligible for a temporary agent's license?
A designated employee who is replacing a deseased agent
Individual and group health insurance typically exclude coverage for which of the following?
Cosmetic Surgery
Terry recieves long-term physical therapy at her residence. What type of insurance would cover this service?
Home health care
At what age do most people become eligible for Medicare?
65
Under Medicare Supplement insurance, what form provides information about services, benefits, copayments, deductiables, exclusions, premiums, and the insurer?
The outline of coverage
When a policy loan is requested by a policyowner and it requires the consent of the beneficiary, what kind of beneficiary designation is this?
irrevocable beneficiary
Which of the following is NOT a reason the government provides insurance?
reduce fraudulent claims
Which of the following can be defined as "the potential for loss"?
Risk
Patrick purchased a long-term care policy. He has a health condition for which medical treatment was recommended by a physician within 6 months prior to the policy's effective date. This condition is called a(n)
pre-existing condition
James ownes a business and purchased a policy that covers the business expense of finding a permenant or temporary employee to replace a disabled one. This type of disability coverage is called
key employee coverage
A comprehensive group policy also covers expenses related to vison care. Which of the following is not typically covered under a vison plan?
Cataract surgey
How are level term policies able to provide level premiums?
Premiums are averaged over the term of the policy
Long-term care insurance policies may exclude coverage for all of the following EXCEPT
Senile demetia
After the extended term life nonforfeiture option is chosen, the available insurance will be
level term for a stated period of time
Tim is covered by an accident and health insurance policy that may not be changed in any way by the insurer up to a stated age, as long as the premiums are paid. What type of policy is this?
Noncancelable
Under HIPPA, medical plan late enrollees may be excluded for pre-existing conditions for a maximum of
18 months
Illistrations used in the sale of life insurance contain a statement that must be signed by
the agent
A single-life annuity only has ONE
Annuitant
An accident and health plan that typically covers ONLY the services of approved providers is called a (an)
HMO plan
A life insurance illistrations showing future premiums being paid out of nonguaranteed values must disclose that
The policyowner may need to resume premium payments depending on actual results
Which statement concerning a decreasing term life policy is accurate?
face amount decreases over the policy period
Jerry has an indemnity plan which covers dental expenses. Typically, these type of plans
cover preventive care once every six months
Accident and health insuance claim handling is made more convenient to the insured by utliizing
Assignment of Benefits
Which of the following does a Medicare Advantage enrollee typically pay for?
Small co-pay per visit or per service
All of these statement correctly describe an aleatory contract EXCEPT
Only one party makes any kind of legally enforceable offer
What type of doctor-ordered care assists an individual with performing basic daily activities such as bathing, dressing, and eating?
Custodial Care
Who must sign a rider attached to a health insurance policy in order for it to be valid?
Insured and producer
What qualifies as acceptance of an insurance contract offer?
The issued policy
Peter, age 50, surrenders his modified endowment contract (MEC). How is the gain treated in terms of federal income taxes?
The gain is treated as taxable income and a penalty tax is imposed on the gain
If an individual would like to enroll in Medicare or seek public information about Medicare, which federal agency handles this?
Social Security Administration
Individuals who participate in in a HMO plan are called
subscribers
What is the minimum number of employee's needed for a small employer medical expense plan in New Mexico?
2
The New Mexico small employer rules must apply to a medical expense plan when the number of eligible employee's is within a specified range. What is the range?
2-50
Which of the following best describes the tax treatment of medical expense policies for the self-employed?
100% of medical expense plan premiums are tax deductable
Part A Medicare includes coverage for all of the following services EXCEPT
120 days of Skilled Nursing Care
Individual health insurance policies must cover mentally and physically handicapped dependent children
until they become self-supportive
An insurance company can be liable for a producer's unauthorized acts
when the agency contract is unclear concerning the authority given
The unwritten authority given to the producer to carry out necessary incidental acts of the agency agreement is called
implied authority
In the event of premium default, which life insurance provision will use cash value to keep the policy in force?
automatic premuim loan
The Superintendent must inspect the financial records of each domestic company every
5 years