WI Heath Number to remember
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80 Terms
Temporary license
6 months
Pre-Existing
12 months / 63 days
Exclude coverage
6 months
Group
18 months
Max for short term
36 months
Converted
3 months
Dental for how old
5 year old
Maintain records
3 years
Can contest a claim
2 years
Colon cancer check
50 year old
Child Dependent until
26 years old
Blood lead test until
6 years old
Grace period weekly
7 days
Grace period monthly
10 days
Normal Grace
31 days
Proof of loss
15 days
Claim
20 days
Free look disability
10 days
Experimental treatment
5 days
Newborn/birth
60 days
Free look supplement
30 days
Clear request
5 days
Chiropractic fees overdue
30 days
Notify commissioner that group coverage is ending
180 days
Skilled nursing care
30 days
Notify employer and employee’s ending group
90 days
Provide outline of coverage
At application
Do all providers cover diabetes?
no
Higher payments for chemo?
No
Pre-licensing
8 hours
Renewal licensing
24 hours
Group disability
60%
McCarren fine
$10,000
Intentional/ max violation fine
$15,000
Coverage for correction
$1,250
Non-contributory
100%
Medicare B
80%
Kidney disease
$30,000
Small employer max rate
30%
Small employer prohibited from Rasing rate per year more than
15%
How many visits are covered
40
Hearing aid
1 per ear per child every 3 years
Alcohol , drug abuse, mental illness
30 days $7000
Insulin pump
1 per year (30 days notify)
Women 45-49
2 mammograms
Notice written on
First page contrasting or sticker
Variable Universal is different than universal
Variable can select cash values
Subject to income taxation
Loan against cash value, policy withdrawal, policy dividend
Adjustable life insurance
Premium, death benefit, protection period
Non-forfeiture tools
Cash surrender, reduced paid-up insurance, extended term insurance
Non-forfeiture used
when policy lapses due to non-payment
Renewable only at discretion of company
Optionally renewable
Disability elimination period
Time deductible
Long term disability
Social security
Disability income pays
Periodic
Coordination of benefits applies to
Group, self-funded
Sum of out of pocket before benefits paid
Deductible
Specific illness
Dread disease
Health provider is reimbursed if they do NOT have an agreement in place
Usual, customary, reasonable fee
Maximum benefits
Upper limit of the total lifetime benefits the insurance company will pay
First dollar
No deductible
Scheduled dental policy
Benefits limited to specific dollar amount
Endodontic
Root Canal
Restorative dental cover
Crowns
Medicare B covers
Physican expenses
Medicare B open enrollment end
Jan 1st- March 31st
Medicare A does not pay for skilled nursing over
100 days
Qualified long term care benefits
7 1/2%
Provides Medicare supplement polices
Private insurance companies
To determine annuitant payments
Life expectancy
Deferred annuity
Tax-deferred basis
Annuity primarly used to provide
retirement income
Annuit does before payout start date
annuit gets premiums and interest
Benefits begin for deferred annuity
Min of 12 months
Annuity for greater accumulation
Annuity certain
Annuitization fee
When annuity is paid out
Traditional IRA rollover
60 days
Qualified for fed tax reduction
Keough, SIMPLE, traditional
Tax qualified retirement plan
Defined combination plan
Contributions to an IRA are
Tax deductible
Note 
Flashcards (24)