Tennessee Health Insurance Exam - Pearson VUE

What is required for insurance applicants for an insurer who are required to pass a written exam?

complete a pre-licensing course of study, pass a background check, obtain license

What is correct about the life and health guaranty association?

it is to protect policyholders when an insurance company becomes insolvent.

Moving from one state to another, a producer must file a change of address within how many days?

30 days

Which of the following acts by an insurance company would be considered unfair claims settlement practice?

making claims payments to an insured or beneficiary without indicating the coverage under which each payment is being made.

A limited insurance rep may sell what insurance?

limited travel, credit life, mortgage guaranty insurance, personal property insurance, crop hail insurance and title insurance

Free look provision in health policy begins when?

at the beginning of the policy

What must a license holder meet continuing education requirements in Tennessee?

40 hours of continuing education every two years

In Tennessee a long-term policy must be renewable in what way?

guaranteed renewable.

What is not required in accidental and health policies in Tennessee?

change of occupation

What is not a legit insurance practice from a business competitor?

reducing commissions in order to make a sale.

Medicare supplement contract may include a preexisting condition exclusion in how many months?

6 months

What is an example of defamation in insurance?

the act of making false statements or spreading false information about a person or entity that harms their reputation.

Commissioner of insurance is able to suspend or revoke a license except when?

a licensee defaults on a personal loan

A correct statement about the regulatory authority of the commissioner is that the commissioner may?

establish guidelines for continuing education as a part of the producer license renewal procedure.

Disclosure of the commissioner by procedure is required for what felony conviction?

any felony conviction in any state

A person may sell, solicit, or negotiate on behalf of insurer immediately after when?

receiving state license

A domestic insurance company is defined as

an insurance company that has gotten its license to operate in a particular state.

According to Tennessee insurance statute what is the dollar amount an insurance producer can give an unlicensed employee?

not to exceed $25

A company must be responsible for any act of boycott of the company if?

they approve to such act.

ACA (affordable care act) essential health benefits requires?

non grandfathered health plans in the individual and small group markets to cover essential health benefits.

Under federal law a tax-exempt health savings account can be opened up for someone who is

covered by a high deductible health plan.

Under disability policy the elimination period is

a week to a month for short term policies and 30 to 180 days for long term policies

producer submits an application to insurance without premium

Forward the application to the insurer without the initial premium

one reason for using deductible is to reduce

to reduce unnecessary expenses and visits

what policy was specified income benefit when insured becomes unable to work due to illness

Disability income insurance

what is correct about business overhead expense insurance

means the bills continue to get paid for the business when a disability or illness puts you on the sidelines

K applies for a health insurance policy on herself and submits the initial premium with the application. She is given a receipt by the producer stating that coverage begins immediately if the application is approved. What kind of receipt was used?

she used a conditional receipt

misstatement of age provision in an accident and health policy allows insurance companies to take the following action

Adjust the benefit payable

A self employee becomes totally disabled and receives disability insurance how taxes much can be taken out

?

Purpose of insuring clause in an accident and health policy is to

outlines the risks assumed by the insurer

basic cancer plans pay for all except

physical therapy

the coinsurance clause in an individual medical expense refers to

is a provision that requires the insured to share in the costs of medical care with the insurance company

after expiration cobra laws what is correct about an employee who quits the job and wants to convert

She does NOT need to provide evidence of insurability.

a type of health contract that allows remaining partners to buy out interests is known as

Disability Buy-Sell

most insurance companies use customary reasonable precharges to

determine what amount of a medical bill the insurance plan will cover.

what statement is generally correct about major medical policy

its comprehensive, complies with the Affordable Care Act's (ACA) regulations for qualifying health plans, and are designed to minimize out-of-pocket expenses for individuals and families.

under the guaranteed renewable provision a group having common occupations may not terminate coverage if a member

becomes disabled

an insured who has disability income forgot to pay premium if they file the insurance will most likely

get a cancellation notice, 30 day grace period

what condition is typical of a major medical policy

Emergency Care

Hospitalization

Doctor Visit

Diagnostic Tests

Preventive Care

Rehabilitation Services

Home Health Care

Hospice Care

what provisions establishes a restoring policy after its lapsed

Reinstatement

social security provides all of the following services except

unemployment

time of payment claims provision stated that intervals between disability income benefit may not exceed

30 days

producer must deliver outline of coverage who is eligible for Medicare at what time

Before the application is taken

what of the following kinds of policies contain a limited daily room and board

basic hospital

what statement about dismemberment is true

It provides benefits for the loss of specific parts of the body.

to enroll in Medicare part c an individual must

enroll in A and B first: be at least 65 years old

a doctor who is receiving disability income benefits is not able to return to work full time. What policy allows doctor to receive benefits?

residual or occupational clause? don't quote me

what is correct about disability income with a guaranteed insurance rider

A guaranteed insurability rider guarantees the insured the option of purchasing additional amounts of disability income coverage at predetermined times without requiring the insured to provide evidence of insurability

prospect submits an accident and health policy and receives a conditional receipt and insured never received it what is true about the situation

the policy is in force

what is true about group short term disability

typically have a maximum benefit period of three to six months, though some may provide one year's worth of benefits.

what is group insurance

offers coverage at a lower premium than an individual plan and is available to employees of a company or organization

what is true about coordination of benefits

Provision in group health insurance policies that prevents multiple insurers from paying benefits covered by other policies

what benefit is excluded from long term care policy

Alcoholism and drug addiction

Medicaid

funded by federal taxes, designed for long term care, health insurance program for people with low income

what loss would an insurance company pay under accidental death and dismemberment

loss of body part or function of a body

what is true about policy delivery

you can hand deliver it, mail it in, email it

the policy provision that prevents a company from altering its agreement is called

Entire contract provision

group vision insurance plans provide insurance that covers the cost of what

routine eye exams, glasses and contact lenses, and treatment for eye diseases and injuries

employee who has kidney failure requires a dialysis is eligible for what medical coverage

Medicare