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State Health Insurance
State Health Insurance MCQs
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An individual may obtain a temporary insurance producer's license without passing the licensing examination if the individual:
is a deceased licensed producer’s next of kin
is taking insurance courses at a university
has met the minimum experience requirement
holds a license in another state
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Controlled business is defined as insurance a producer writes on all of the following individuals EXCEPT the producer's:
relatives
employees
neighbors
spouse
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When taking an application for a Medicare Supplement policy, a producer must provide the applicant with:
an Outline of Coverage
a sample policy
a copy of the Medicare handbook
a copy of the insurer's annual report
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An insurer doing business in this state must operate under:
an advisory board
a resident board of directors
a certificate of authority
articles of incorporation filed with the Secretary of State
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Which of the following statements is prohibited in A & H insurance advertisements?
"This is an introductory offer."
"This plan is accredited by an agency of the federal government."
"The amount of benefits provided depends upon the plan selected."
"Coverage will continue as long as premiums are paid and the plan remains in force."
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Under a group health policy, an employee who has been covered under a company's group health plan for six months and is terminated for cause MUST...
convert to an individual policy by providing evidence of insurability
convert to an individual policy without providing evidence of insurability
continue the group coverage by providing evidence of insurability
continue the group coverage by paying the required premium
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The Insurance Commissioner may revoke or suspend a producer's license if the producer:
is no longer producing a minimum amount of business
has been indicted for a criminal offense unrelated to insurance
has used the license principally to solicit corporate insurance
has forged another person’s name on an insurance application
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A claim for a pre-existing condition may NOT be denied after a Major Medical policy has been in effect for a minimum of:
six months
one year
two years
seven years
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Any company that furnishes health care services to enrolled members in return for a fixed sum or prepaid premium is defined as:
a franchise plan provider
a health maintenance organization
a blanket health insurer
an industrial health insurer
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The Insurance Commissioner may examine the records of an insurer at which of the following times?
Only when a state court has ordered an examination
Only when consumer complaints against the company become unusually frequent
Only when the company is filing for reorganization
At any time the Insurance Commissioner sees fit
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Which of the following statements is CORRECT about health coverage for an insured's newborn child?
It becomes effective immediately after the insured provides proper notification to the insurer.
It becomes effective fifteen days after birth if the insured provides proper notification and premium payment to the insurer.
It is provided without notice or additional payment for thirty-one days after birth.
It is not provided unless maternity coverage is part of the insured's medical plan.
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An individual appointed by an insurer to solicit applications for a policy of insurance on its behalf is known as:
an adjuster
a consultant
an insurance broker
an insurance producer
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Credit A & H insurance MUST provide coverage for a loss caused by:
disability
accidental death
temporary layoff
voluntary unemployment
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In order for nonresident applicants to be eligible for an insurance producer license in this state, they MUST:
reside less than twenty-five miles from the state border
hold a like license in another state
plan to move to this state within six months after they submit their application
maintain an office in this state
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An insurance producer who makes false statements that harm the reputation of another insurer is guilty of:
discrimination
defamation
misrepresentation
controlled business
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An individual who, for the purpose of collecting premiums, acts for another in negotiating a contract of insurance is considered to be:
a principal
a broker
a solicitor
a producer
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Which of the following persons is authorized to enforce state insurance laws?
The Insurance Commissioner
The state Attorney General
The Governor
The state Auditor
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A producer may be guilty of misrepresentation if the producer:
tells an insured the deductible on a policy is less than it actually is
cancels a policy because of the insured's loss history
gives part of a commission to the applicant in order to make a sale
neglects to record information reported by an insured
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Each Long Term Care policy must state that the applicant has the right to return the policy and have the premium refunded if the applicant is not sati...
policy was delivered to the applicant
application was mailed to the insurer
applicant signed the application
policy was mailed to the producer of record
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Which of the following statements is CORRECT about Medicare Supplement coverage?
Both members of a married couple must be at least sixty-five years old for either to obtain coverage.
An applicant need not reveal existing Medicare Supplement coverage on an application for a second Medicare Supplement policy.
Replacement of an existing Medicare Supplement policy is specifically prohibited.
Duplication of Medicare benefits is specifically prohibited.
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Which of the following statements is CORRECT about insurance producers who fail to satisfy the continuing education requirements?
They may be subject to a fine.
They may be subject to legal prosecution.
Their licenses will be terminated.
Their licenses will be suspended.
