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| Section | Objectives |
|---|---|
| Topic 1: Insurance Fundamentals | - Insurance contract law basics
|
| Topic 2: State Regulations (New York) | - Ethics and compliance
|
| Topic 3: Accident and Health Insurance | - Policy features and provisions
|
1. A 65-year-old employee who works for an employer with 24 employees is disabled on the job. The employee has fully recovered and returned to work. Which health coverage is primary?
A) his employer ' s group plan
B) workers ' compensation
C) an individual plan
D) Medicaid
2. Which type of group has a constitution and bylaws, is organized and maintained in good faith for purposes other than obtaining insurance, and has insurance for the purpose of covering members and their employees?
A) Employee or individual employer group.
B) Multiple employer group.
C) Credit Insurance group.
D) Association or labor group.
3. What is an insurer ' s liability when it is discovered after an insured dies that the insured ' s age on the policy was misstated?
A) The insurer is not liable to pay any amount due to the insured ' s misstatement of age.
B) The insurer must pay a prorated amount of the policy based on the amount of insurance the insured ' s premiums would have bought if purchased at the correct age.
C) The insurer must pay the full amount as stated in the policy, as age is not considered a relevant factor.
D) The insurer must pay the full amount of the policy, minus any additional premiums the insurance company would have paid based on the insured ' s actual age.
4. An annuitant dies during the accumulation period. What happens to the cash value in the annuity?
A) The cash value is paid to the IRS.
B) The company keeps the cash value.
C) The cash value is paid to the beneficiary.
D) The cash value is paid into the estate.
5. How long can an insurer exclude coverage for a preexisting condition on a Medicare Supplement Policy?
A) 18 months.
B) 24 months.
C) 12 months.
D) 6 months.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |
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