Which of these gaps in Medicare coverage is addressed with Medicare Supplemental Insurance? \text{Ratained earnings} & \underline{\hspace{13pt}57,000} & \underline{\hspace{13pt}61,000} \\ According to HIPPA, this tax will not be applied if the withdrawal is used for medical expenses that exceed _____ of the individual's adjusted gross income. In the event of employment termination, group insurance can be kept if the employee pays the premiums. Paul has a (n), Failingto Promptly provide a reasonable explanation for the denial of a claim is conservedto be a(n), AnHMO that involves a partnership of physicians and other providers who practiceout of a central facility is called a(n), Smallemployers who are spooned by an insurer to provider group benefits to itsemployees are called. The common disaster provision states the insurer will continue as if, Carmen's individual life insurance policy has recently lapsed. \end{array} Which of the following is an example of defamation? When the minor has been approved by the Commissioner, When collection insurance premiums from a client, a producer MUST, A. This agreement is called an, Upon receiving a producer complaint, the Commissioner may immediatley, ABC Insurance Company transfers part of their risk to XYZ Insurance Company. When an insured has a major medical plan with first dollar coverage, how does this impact the benefits paid? Which of the following statements is CORRECT regarding an individual applying for life or health insurance? Which of the following is NOT considered to be an actof fraud? As of January 1, 2014, small group health insurance can be rated on the basis of. An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? a producers secretary who solicits prospects on the telephone Which of the following statements is TRUE? Please upgrade to Cram Premium to create hundreds of folders! This rider is called a(n). Engaged in a fraudulent insurance practices. how many javan rhinos are left 2022; aquifer tim winton prezi; bloody mary lady gaga roblox id; . Howdo interest earnings accumulate in a deferred annuity? The Healthcare Insurance Exchange offers plans for everyone. Proof of loss on a health insurance claim must be submitted to an insurer within _____ days after the insure's date of loss. What is the MINIMUM benefit period that must be offered by a Long-Term Care Policy? b. Incomeif an insured is unable to work for a period of over six months, c. Coveragefor excess charges not paid for under Medicare. a producers secretary who solicits prospects on the telephone Call us (+254) 722 22 99 44 Email polucon@polucon.com Our Laboratories Nairobi & Mombasa fort worth murders 1990s Home Services a producers secretary who solicits prospects on the telephone Micro-Biology Services Agri - Services Instrumentation Division Environment Division What does the Group Life underwriting risk selection process help protect insurance companies from? Insurance producer Kelly offers an insured a $500 shopping card if an insurance product is purchased through her. Jim recently sold his whole life insurance policy under a critical settlement contract. His policy may be reinstated at any time within _____ years. How often must an insurance producer's license in Maryland be renewed? Intereston death benefits are NOT required to be paid by an insurance company as longas proceeds are paid within __ after the date of the death of the insured. In accordance with New Jersey law, a Producer must remit health insurance premiums to the insurer within what period? a producers secretary who solicits prospects on the telephone. a)When the policy owner notifies the insurance company, c.)When the required additional premium is paid, d.) No more than 10 days after date of birth, The double indemnity provision in a life insurance policy pertains to an insured's death caused by a(n), A) the policy would be payable, minus the premium amount, B) the policy would be payable only after the beneficiary makes past due premium payment, C) all past premiums will be refunded with interest, An insurance producer agrees to pay the first monthly premium for an insurance applicant. A life insurance policyowner was injured in an automobile accident which results in a total and permanent disability. A newborn is required to be covered for ______ days from the moment of birth. The right-to-examine period in Maryland for long-Term Care polices is ___ days. 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 \text{Inventory} & \underline{\hspace{13pt}55,000} & \underline{\hspace{13pt}50,000} \\ Upon receiving a producer complaint, the Commissioner may immediately A producer may begin to solicit insurance ONLY when, A.) She paid the premium on May 15 with the policy indicating the effective date being May 30. Which of the following is Medicare Part B also known as? Mikehas inherited his fathers traditional IRA. A master contract and certificate of coverage can be found in which type of policy? As beneficiary, he will pay ____ taxes on any money withdrawn. She would like to borrow $15,000 against the cash value. a. Oneor more diagnostic, preventive, therapeutic, rehabilitative, maintenance orpersonal care services in a setting other than an acute care unit of ahospital. Making the policy effective on an earlier date than the present. An individual can enroll in a Part C Medicare Advantage Plan at what time? Since each partner contributes an important element to the success of the business, they decide to take life insurance policies out on each other, and name each other as beneficiaries. Insurable interest can be established sufficiently by sentimental attachment alone, A life insurance policy written on one contract for two people in which it is payable upon the first death is called. A policyowner suffers an injury that renders him incapable of performing one or more important job duties. 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. The commissioner must examine the financial affairs of each admitted insurer operating in Maryland at least once every how many years? Which of the followingunfair trade practices involves an agent who makes malicious statements aboutanother person's financial condition? B. Guaranteedlifetime withdrawal benefit, D. Guaranteedminimum accumulation benefit. The company did not retire any bonds or repurchase any of its own common stock during the year. A plan in which an employer pays insurance benefits from a fund derived from the employer's current revenues is called. Determine whether the discriminant is positive, negative, or zero. A provision in a whole life policy that allows a policy owner to terminate the policy in return for a reduced paid-up policy of the same type is called, A type of group that has a constitution and bylaws and has been organized for purposes other than obtaining insurance is called. Long-term care insurance and Medicare Supplement plans have a free-lock period of ______ days, A ______ insurance company is one that was formed under the laws of a state other than Maryland, they are both licensed in the same line of business, Two producers may share a commission ONLY if, Mary's Medicare Supplement policy had been in effect for 12 months. A person who is a nonsmoker, of average weight, and in excellent health would most likely be in which risk classification? The two plans are fee-for-service and. How much does Medicare Part B pay for physician fees? 59 and owned account for a minimum of 5 years, C. 70 and owned account for a minimum of 10 years, D. 70 and owned account for a minimum of 5 years, A. Cancelingdisability policy to buy a term life policy, B. Cancelinga term life policy to buy a whole life policy, C. Cancelinga long-term care policy to buy a whole life policy, D. Cancelinga whole life policy to buy a major medical policy. When is an existing health insurance policy required to provide coverage for a newborn child, a producer who shares commissions with a client. Premium mode is a term used to describe the, A newborn is required to be covered for _____ days from the moment of birth, A clause that allows an insurer the right to terminate coverage at any anniversary date is called. The policy's effective date is earlier than the present, A Renewable Term Life insurance policy can be renewed, At a predetermined date or age, regardless of the insured's health, A producer's secretary who solicits prospects on the telephone. A. 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. A minimum of 12 months after date of purchase. Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. \\ In the event of a controversy between the insured and the company, the producer is considered to represent the, A life policy loan in Maryland cannot charge a fixed rate of interest higher than, The Food and Drug Administration approves prescription drugs for treatment as stated on the drug's labeling. All Medicare Supplement policies MUST contain which provision? Duringthe accumulation period, who can surrender an annuity? Similar to the differen o Term Life insurance: an individual is buying protection for a specific period of time. (To help answer this question, create an Accounts Receivable T-account and insert the beginning and ending balances.) A silver level medical plan is what percent the insurance company pays for the employee and the other percent is what the employee pays out of pocket (Unders Insurance companies look at a number of factors when it comes to setting premiums for a particular company. Re: Acting as insurance producer without a license Questions Presented 1. Kurt is an active duty serviceman who was recently killed in an accident while home on leave. James is the insured on a life insurance policy where his age was misstated on the application. Jay the producer is giving insurance advice regarding a prospect's existing coverage. 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. Which type of rider will waive the premium on a child's life insurance policy if the parent paying the premium dies? port clinton high school athletics / roberto bettarini ambassador / roberto bettarini ambassador A branch office registration form is required to be filed at least _____ days before selling insurance out of that branch. Which of the following would be the appropriate tax consequence? A. Providing claim payments to insureds under the guidelines of the insurance contract. What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 allow an employee to do ? Which of the following is NOT a required provision in an accident and health insurance policy? Their offer/administration. When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates? Juni 2022. 2.1.1 6 Whole life Insurance in Malaysia Failing to promptly provide a reasonable explanation for the denial of a claim is considered to be a. One or morediagnostic, preventive, therapeutic, rehabilitative, maintenance or personalcare services in a setting other than an acute care unit of a hospital. How much does Medicare Part B pay forphysician fees? Which of the following is NOT a requirement for soliciting insurance in Maryland? Doctor cannot charge more than Medicare's scheduled coverage, Health insurance advertisements that mention statistical information are required by New Jersey law to. At minimum, a carrier is required to offer which of the following health benefit plans to small employers? Which of the following situations would be suitable for a temporary work authority? Which type of long-term care benefit would be most appropriate for a stroke victim who requires speech therapy administered at her home? Annuities are intended to create an estate. a producers secretary who solicits prospects on the telephone A producer who sells an individual life insurance policy in Maryland MUST deliver to the policyowner a, Refusing to pay persons bringing false or fraudulent claims, All of these may be an Unfair Claims Practice EXCEPT, is eligible for a Federal tax credit through the SHOP Exchange, An existing health benefit plan offered by a small employer may be replaced by a SHOP Exchange Navigator only if the small employer, An insurance producer who replaces an existing policy by making false written or oral statements is committing the act of, A producer has recently died and leaves behind a spouse. The individual is paying premiums that are priced for each year or Use LEFT and RIGHT arrow keys to navigate between flashcards; Use UP and DOWN arrow keys to flip the card; Barbara's policy includes a rider which allows her to purchase additional insurance at specific dates or events without evidence of instability. An insurance company may ONLY pay a sales commission to, Continuous 24-hour care provided by licensed medical professionals under the direct supervision of a physician is called. At what age can she begin to receive distributions without a tax penalty? Premium mode is term used to describe the: The Fair Credit and Reporting Acts main purposeis to: A. Final Exam - New Jersey Life and Health Flashcards | Quizlet The power given to an individual producer that is not specifically addressed in his/her contract is considered what type of authority? The policies continue in force with no change. Who would most likely be coveredunder Workers Compensation? At what age does the open enrollment period typically begin for Medicare Supplement coverage? Which of these statements about Medicaid iscorrect? What is issued to each employee of an employerhealth plan? Find out how you can intelligently organize your Flashcards. Introducing Cram Folders! What kind of insurance provides coverage for one or more necessary or appropriate diagnostic, preventative, therapeutic, rehabilitative, maintenance, or personal care services in a setting other than an acute care unit of a hospital? In advertisements of life insurance and annuities, all of the following are true EXCEPT, Advertisements must include training materials provided to the producer. Which of these if NOT considered to be a purpose of an annuity? EXCEPT for fraud, the time after issuance of a policy during which an insurance company may contest a health insurance claim due to the statements on an application is, All of the following are core benefits of Medicare Supplement Plan A EXCEPT, Deductible payments for the first 60 days of hospitalization under Medicare hospitalization under Medicare hospitalization insurance, Statements made by an insurance applicant on an application are considered to be. by . It is administrated by the federal government, C. It is funded by federal, state, and local taxes. An error was made on Erica's life insurance application. \text{Accounts receivable} & \hspace{13pt}41,000 & \hspace{13pt}44,000 \\ a producers secretary who solicits prospects on the telephone Percent frequency distribution for key variables. She is receiving the deathbenefit in payments of $10,000 per month until the principal and interest hasbeen paid out. Mike has inherited his fathers traditional IRA.As beneficiary, he will pay __Taxes on any money withdrawn. Which of these statements is true? An insurance producer who replaces an existing policy by making false written or oral statements is committing the act of, A license MUST notify the Commissioner of an address change with ___ Days of the change. The ____ is responsible for determining the appropriateness of a Medicare Supplement policy for an applicant. Kathy pays a monthly premium on her health insurance policy. June 24, 2022 . The producer decides not to respond. -is an example of the illegal act called twisting -must be bonded through the state -must be licensed as a producer -is not required to be licensed as a producer must be licensed as a producer Producers selling insurance in New Jersey while having a residence and business address A professional liability for which producers can be sued for mistakes of putting a policy into effect is called. Anapplicants character and personal habits can be obtained for underwritingpurposes from which source? 1980 camaro z28 for sale in canada; fixer upper homes for sale clarksville, tn; crossroads inn leechburg menu B. Which type of coverage pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance? The ________ has the right to renew a small employer health plan. CashandcashequivalentsAccountsreceivableInventoryTotalcurrentassetsProperty,plant,andequipmentLessaccumulateddepreciationNetproperty,plant,andequipmentTotalassetsAccountspayableIncometaxespayableBondspayableCommonstockRatainedearningsTotalliabilitiesandstockholdersequityEndingBalance$48,00041,00055,000144,000150,00050,000100,000$244,000$32,00025,00060,00070,00057,000$244,000BeginningBalance$57,00044,00050,000151,000140,00035,000105,000$256,000$57,00028,00050,00060,00061,000$256,000. Producers must complete a total of ____ continuing education credits for each two-year licensing period. Whatis the elimination period of an individual disability policy? What will the beneficiary receive if an annuitant dies during the accumulation period? In Maryland, a producer may have his/her license revoked for which of the following acts? An applicant's character and personal habits can be obtained for underwriting purposes from which source? Under a disability income policy, which provision would be payable if the cause of an injury is unexpected and accidental? A life insurance policy which contains cash values that vary according to its investment performance of stocks is called. Whatdoes the word Level in level term describe? All of these are responsibilities of the Commissioner EXCEPT, policy must be issued to XYZ, and a certificate must be issued to each employee, XYZ Corp was issued a group health policy for its employees. D. The face amount and premium will remain constantover the 10-year period. A Medicare Supplement policy may exclude coverage fora preexisting condition for up to __months. A non-contributory health insurance plan helps the insurer avoid, An employee under a group insurance policy has the right to name a beneficiary and the right to, A) remain on the group in the event of employment termination, D) Convert to an individual policy in the event of employment termination, D) Convert to an individual policy in the event of employment termination, All of the following are Characteristics of a group life insurance plan EXCEPT, Tim is covered under a group plan and would like to change his group coverage to an individual policy with the same insurer because of employment termination. How long is her grace period? A. Which of the following is NOT a common exclusion for a medical expense policy? An insurance producer is issued a _____ as evidence of authority. Which of the following statements is TRUE? 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. It would be considered taxable income to the employee. 1. D.In the event of employment termination, group health insurance can be kept if the employer pays the premium. You are here: how to remove chicken giblets a producers secretary who solicits prospects on the telephone. 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? Bob dies 12 months later. a producers secretary who solicits prospects on the telephone 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. How often must an insurance producer's license in New Jersey be renewed? At minimum, a carrier is required to offer which of the following health benefit plans to small employers? Which of the following is typically NOT eligible for coverage in a group health policy? What happens to interest earned if the annuitant dies before the payout start date? Which of these is NOT subject to income taxation under a Modified Endowment Contract (MEC)? Unintentionally misrepresented a material fact on the application. Upon delivery, she may be expected to collected all of the followingEXCEPT a(n), B. Signedimpairment rider acknowledgement, C. Modifiedapplication with a new signature, Oneof the most important considerations when replacing health insurance would bethe. a producers secretary who solicits prospects on the telephonecapricorn and virgo flirting. In event of acontroversy between the insured and the company, the producer is considered to representthe. June 24, 2022 . After passing the state Producer licensing exam, application for the license must be made within, How long must an insurance company keep record on life insurance replacement activity, An insurance company that is organized or chartered in a country other than the United States is defined as, Advertisements of insurance in a local newspaper, must be approved by, Which of the following actions may an insurance company NOT do in a health policy that contains a guaranteed renewable premium benefit, Increase the premiums on an individual basis, Continued coverage under COBRA would be provided to a(n), A covered employee is terminated for gross misconduct, In New Jersey, health insurance advertisements are required to contain the, The purpose of a coordination-of-benefits provision in group health accident and health plans is to, If an insured dies during the grace period with no premiums paid, The policy would be payable, minus the premium amount, A 10% excise tax is normally applied to an early withdrawal from an IRA. What type of life insurance could she purchase that is designed to pay off the loan balance if she dies within the 30-year period? 14 day waiting period / 10 year benefit period. A producer may begin to solicit insurance ONLY. A separate converted policy may, at the option of the insurance company, be issued to cover a (n). Whowere Keogh Plans designed to provide pension benefits for? 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. A life insurance policy sold in Maryland can be cancelled for nonfraudulent misstatements for up to, A person who has a contract with an insurance company to represent it, To a licensed producer who is appointed with the insurer. 1. Which of the following is a reinstatement condition? What types of life insurance are normally usedfor key employee indemnification? The face amount and the premium will remain constant over the 10-year period. During the year, Ravenna paid a $6,000 cash dividend and it sold a piece of equipment for$3,000 that had originally cost $6,000 and had accumulated depreciation of$4,000. Upon delivery, she may be expected to collect all of the following EXCEPT a(n), Modified application with a new signature, All of these are valid policy dividend options for a life insurance policyowner EXCEPT. What is created after policy proceeds areobtained in a lump sum and then immediately invested? In Maryland, a full-time employee of a small employer MUST work an average of at least ___ per week. The renewability provision for an individual long-term care insurance policy must be located on the policy form's, The ______________________ must be notified of a licensee's address change within 30 days of such change, Producers must complete a total of _______ Continuing Education hours for each two-year licensing period, A Medicare Supplement policy may exclude coverage for a preexisting condition for up to ____ months. 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). Which of these will typically authorize treatment from a specialist? she may need to resume premium payments, depending on actual results, Kiara filled out a life insurance application and was given a policy illustration that showed future premiums being paid out of non guaranteed values. yabombay Flashcards | Quizlet a producer's secretary who solicits prospects on the telephone. Producing an inadequate amount of new premium. a. social stratification b. feminization of poverty c. social class d. social mobility e. bourgeoisie f. vertical mobility g. proletariat h. intergenerational mobility i. wealth j. horizontal mobility k. income l. open-class system m. prestige n. absolute poverty o. relative poverty p. caste system. licensed producers not appointed by an insurer. Whatis the purpose of the medical information Bureau (MIB)? The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. This is an unlawful practice known as, must be delivered with or prior to policy delivery. D. Licensedproducers not appointed by an insurer. pain between 4th and 5th metatarsal. Which entity is responsible for processing insurance advertising in New Jersey? D.) Intentionally violated state insurance laws. Which of the following is an example of fraud? a producers secretary who solicits prospects on the telephone. d. Alump sum payment upon first diagnosis of cancer, heart attack, or stroke. Which of these is NOT considered to be a nonforfeiture option in a whole life insurance policy? Whichtype of injury would NOT be covered under a health insurance policy? Any decrease in income resulting from this injury would make him eligible for benefits under which provision?