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Which of the following best describes risk?
the uncertainty of loss
A peril is defined as
a cause of loss
Which type of risk is insurable?
pure risk
The principle of indemnity means
the insured cannot profit from a loss
An insurance contract is considered
conditional
Which is not a characteristic of an ideally insurable risk?
loss must be catastrophic
Aleatory contracts are characterized by
unequal exchange of value
The party who makes an offer in insurance is the
applicant
The law of large numbers allows insurers to
predict group losses
A moral hazard is
a dishonest tendency
Which clause states the insurer's promise to pay?
insuring clause
Insurance regulation is primarily the responsibility of
state government
Which authority is not granted to producers?
contractual authority
Twisting refers to
misrepresenting a policy to replace another
Rebating is
offering inducements not in the policy
A warranty is
guaranteed to be true
A unilateral contract means
only one party makes a legally enforceable promise
Which is not a type of insurer?
Tertiary
A domestic insurer is
in the same state
Underwriting primarily evaluates
applicant risk
Spreading risk among many insureds is called
risk pooling
A void contract is
not enforceable
An example of a physical hazard is
smoking
A policy is considered adhesion because
insurers draft the contract
Consideration for the insured includes
premium + statements on application
The age calculation most commonly used for life insurance is
age nearest birthday
Whole life insurance provides coverage
until age 100 or 120
Term insurance is best described as
temporary protection
Cash value in whole life grows through
guaranteed interest
Universal life insurance features
flexible premiums
Variable life invests cash value in the
separate account
A policy loan is taken from the
cash value
Insurable interest must exist at
application
A participating policy pays
dividends
Dividends are
not guaranteed
Level term life means
death benefit stays level
The incontestability clause prevents denial after
2 years
The payor benefit rider is used for
juvenile policies
The suicide clause typically excludes for
2 years
Waiver of premium waives premiums if insured
becomes disabled
Minimum free-look period is
10 days
A beneficiary designation that cannot be changed
irrevocable
A viatical settlement is
selling a policy by a terminally ill person
Replacement involves
exchanging one policy for another
Cost of insurance in ul policies is
deducted monthly
Limited-pay whole life premiums are paid
for a set number of years
Which is not a settlement option?
accelerated benefits
AD&D pays for
accidental death or dismemberment
Spendthrift clause protects from
creditors
Graded-premium life features
premiums increase then level off
The purpose of health insurance is to
financially protect against medical expenses
A deductible is
the amount the insured pays before insurance begins
A copayment is
a fixed amount paid for a service
Coinsurance is
percentage shared between insured and insurer
An HMO requires members to use
network providers only
The primary care physician in an HMO acts as
gatekeeper
7.PPO plans allow
out-of-network coverage at higher cost
An FSA is funded by
pre-tax employee contributions
An HSA requires enrollment in
high-deductible health plan (HDHP)
The elimination period in disability insurance is
waiting period before benefits begin
Short-term disability typically covers up to
2 years or less
Long-term disability typically covers
beyond 2 years
Social insurance includes
Medicare and Medicaid
Medicare part a covers
hospital care
Medicare part b covers
outpatient services
Medicare part d covers
prescription drugs
Medicaid is funded by
federal and state government
Guaranteed renewable policies
cannot be canceled but premiums can increase by class
Noncancelable policies
cannot change premiums or cancel policy
The grace period for health insurance is typically
30 days
A pre-existing condition is
an illness diagnosed before coverage
AD&D pays benefits for
accidental death or dismemberment
The probationary period prevents
immediate claims for sickness
A cob (coordination of benefits) provision prevents
duplicate benefits from multiple policies
Supplemental policies like Aflac are known as
limited or accident-supplement policies
The Alabama department of insurance is headed by the
commissioner of insurance
The commissioner is
appointed by the governor
A producer license in Alabama must be renewed every
2 years
Continuing education (CE) requirement for producers is
24 hours including 3 hours ethics
Alabama requires reporting address changes within
30 days
A temporary license lasts up to
6 months
Controlled business is defined as
insurance for family, employer, or associates
Alabama prohibits commissions on
controlled business as the majority of sales
Rebating in Alabama is
illegal
Twisting is defined as
misrepresenting to replace a policy
A producer must report criminal convictions within
30 days
The free-look period for life insurance in Alabama is
10 days
The free-look period for replacements in Alabama is
30 days
Alabama requires insurers to maintain
appointments for producers
Commissions may only be paid to
licensed producers
Alabama defines misrepresentation as
making false statements about a policy
Defamation in insurance refers to
making false statements about another insurer
A cease and desist order is issued for
unfair or illegal practices
The purpose of the Alabama life & disability guaranty association is
protect policy owners if insurer becomes insolvent
The maximum liability of the guaranty association for life insurance death benefits is
$300,000
Replacement regulations require giving the applicant
replacement notice
Producers must keep records of insurance transactions for
3 years
A domestic insurer in Alabama is
incorporated in Alabama
An alien insurer is
incorporated in another country
The commissioner may examine insurers at least once every
3 to 5 years