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Which of the following statements about universal life insurance is NOT true?
Death benefit can be increased
Premiums are flexible
Universal life insurance normally has a minimum guaranteed cash value for duration of policy
The cash value interest rate must equal or exceed a guaranteed minimum value
Universal life insurance normally has a minimum guaranteed cash value for duration of policy
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In regards to the Affordable Care Act (ACA), which of these is NOT a role of a health insurance exchange?
Offer individual, unique formats for consumers to evaluate different health plan options
Certify that a health pan is qualified to be offered on the exchange
Contact the employer if an employee stops coverage under a plan offered in the exchange
Resolve and verify an applicant's inconsistent or incomplete information
Contact the employer if an employee stops coverage under a plan offered in the exchange
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Which of the following is considered to be an unfair restraint of competition?
Sliding
Subrogation
Coercion
Defamation
Coercion
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An insured is covered with a health insurance policy. If the insured would like to cancel the policy, he/she must
wait until the end of the calendar year
notify the insurance company in writing
notify the insurance company by telephone
provide a reason for canceling
notify the insurance company in writing
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An example of endodontic treatment is a
bridge
crown
filling
root canal
root canal
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Which tax cost is normally associated with death?
Federal excise tax
Sales tax
Federal estate tax
Payroll
Federal estate tax
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Jerome is covered by a disability income policy that does NOT provide benefits for losses occurring as the result of his employment. What kind of coverage is this?
Limited coverage
Workers' Compensation coverage
Occupational coverage
Nonoccupational coverage
Nonoccupational coverage
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Employer-paid qualified long-term care insurance premiums are typically
deducted from the employee's net income
included in the employee's gross income
included as a dividend to the employee
excluded from the employee's gross income
excluded from the employee's gross income
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An individual who purchases a modified life insurance policy expects
a higher rate of return
coverage for two people
an improvement in future income
a flexible face amount
an improvement in future income
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Jim is covered under a disability income policy. He is hurt while engaged in an occupation that is more hazardous that the occupation he specified in the policy. What action will the insurer likely take?
Decrease the premium
Reduce the benefit level
Increase the benefit level
Increase the premium
Reduce the benefit level
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Which of the following statements BEST describe employer contributions for employer provided health insurance?
Employer is given tax credits for contributions paid
Employee can deduct contributions by the employer
Employer contributions are deductible
Employer contributions are taxable to the employee
Employer contributions are deductible
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A(n)_______ insurer operates in the U.S but is headquartered outside the U.S.
unauthorized
alien
foreign
reciprocal
alien
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Which of the following is NOT a duty of the Commissioner?
Adopt, amend, and rescind insurance rules
Enact legislation dealing with insurance
Examine books and records of insurers
Administer oaths
Enact legislation dealing with insurance
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When a deferred annuity is surrendered, who must sign the authorization to do so?
Owner
Annuitant and beneficiary
Annuitant
All parties involved
Owner
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Which of the following statements BEST describes a double indemnity provision in travel accident insurance?
Benefits are doubled under certain circumstances stated in the policy
If the claim is disputed in court and the insurer loses, the face amount will be double
Benefits cover two people when traveling
Accidents and illnesses are covered while the insured is traveling
Benefits are doubled under certain circumstances stated in the policy
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A signed good health statement my be requested by the a life produce at the time of
policy issue
application
policy delivery
physical examination
policy delivery
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Which of the following situation would qualify an insured to receive funds from an accelerated (living) benefit rider?
Insured is expected to remain in a nursing home for life
Insured has entered a substance abuse facility
Insured is recovering from a broken leg
Insured is expected to rmain in a nursing home for life
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A "premature" distribution from a modified endowment contract (MEC) incurs a penalty tax of
5%
10%
17.5%
20%
10%
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Patrick purchased a long-term care policy. He has a health condition for which medical treatment was recommended by a physician within 6 months prior to the policy's effective date. This condition is called a(n)
antecedent condition
pre-existing condition
hazardous condition
grandfather condition
pre-existing condition
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A physician who accepts assignement on all Medicare claims is called a(n)
participating provider
authorized provider
registered provider
admitted provider
participating provider
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Which of the following is NOT an allowable exclusion for long-term care insurance policies?
Self-inflicted injuries
Acute care
Custodial care outside the U.S.
Care for incurable conditions
Care for incurable conditions
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Why were Exchanges implemented by the Affordable Care Act (ACA)?
To create a one-stop market for standardized health insurance plans
Provide an additional stream of income for the Federal government
To enforce every U.S citizen to purchase health insurance
Assist in the conversion of individual policies to government mandated plans
To create a one-stop market for standardized health insurance plans
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Notice of information practices must be given to a policyholder at least
every year
every two years
every three years
every four years
every three years
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A source of supplemental income for a life insurance policyowner can be derived from the
cash value
payor benefit
consideration
face amount
cash value
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Which would NOT be a location where skilled nursing care is provided?
Hospital
Custodial care facility
Nursing home
Personal residence
Personal residence
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Which of the following statements accurately describes the "time limit on certain defenses"?
After a stated period of time, claims cannot be denied due to material misrepresentation on the application
All claims can be disputed after two years
An insured cannot file a lawsuit within 90 days of the claim being filed
The right to return an accident and health policy must be within a 10 days of policy delivery
After a stated period of time, claims cannot be denied due to material misrepresentation on the application
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Which of the following situations would a medical exam NOT be required for an individual health insurance applicant?
Applicant was recently hospitalized
Applicant has not had a physical exam in a number of years
Applicant's family members have a history of cancer
Applicant has no prior health insurance
Applicant's family members have a history of cancer
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What is the guaranteed cash value of a whole life insurance policy when the insured turns 65 years old?
Greater than the policy's face amount
Less than the policy's face amount
Depends on the performance of the separate underlying investment account
Equal to the policy's face amount
Less than the policy's face amount
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What is considered interstate travel under the Federal Fraud and False Statements Act?
Canada
Jamaica
Mexico
Puerto Rico
Puerto Rico
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Which of the following is NOT the responsibility of an insurer?
Notifying the Commissioner of the termination of a producer's appointment
Providing sales material to its appointed producers
Assuming liability for a producer's unauthorized acts
Obtaining a Certificate of Authority prior to conduncting insurance business in this state
Assuming liability for a producer's unauthorized acts
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According to the Affordable Care Act, new Health Insurance Marketplaces are established by the
ICIICO
CCIIOO
CCOII
CCIIO
CCIIO
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Some standard Medicare Supplement policies include which benefit?
Hospice care
Respite care
Vision care
Custodial care
Hospice care
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Prepaid dental plans differ from most other types of dental plans in what way?
X-rays and teeth cleanings are fully covered
Possible exclusion of pre-existing conditions
Closed panel of dentists can only be used
Deductibles may have to be met
Closed panel of dentists can only be used
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A consumer who has been recently denied insurance, credit, or employment based on an unfavorable consumer report MUST be advised as such. Which of the following does this statue originate from?
Fair Credit Reporting Act
Glass-Steagall Act
Consumer Fairness Act
Civil Rights Act
Fair Credit Reporting Act
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Julie is an employee with a group health plan that contains the Mandatory Second Surgical Opinion provision. What is to be expected with this provision in place?
Mandatory second surgical opinions are required when emergency surgery is needed
The second surgical opinion must always be accepted by the insured
Out-of-pocket expenses are higher when a second surgical opinion is obtained as opposed to having only one
Out-of-pocket expenses are lower when a second surgical opinion is obtained as opposed to having only one
Out-of-pocket expenses are lower when a second surgical opinion is obtained as opposed to having only one
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Mary is an employee who is covered with disability income policy through her employer. She pays for the portion of the premium attributable to the cost of residual disability benefits, while her employer pays for the remainder. What are the tax implications of the policy?
Residual benefits will be received income tax-free
Residual benefits will be taxable to May
Premiums paid by the employer are NOT tax-deductible
Premiums paid by Mary are tax-deductable
Residual benefits will be received income tax-free
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Which of the following does NOT involve a life settlement transaction?
Converting term life coverage to whole life insurance
Inducing life settlement contracts
Monitoring life settlement contracts
Securing life settlement contracts
Converting term life coverage to whole life insurance
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The dental specialty which deals with the replacement of missing teeth is called
Periodontics
Otology
Pediatrics
Prosthodontics
Prosthodontics
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Tim is covered by an accident and health insurance policy that may not be changed in any wya by the insurer up to a stated age, as long as the premiums are paid. What type of policy is this?
Optionally renewable
Noncancelable
Guaranteed renewable
Conditionally renewable
Noncancelable
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Medicare will cover a maximum of how many days per benefit period in a skilled nursing facility?
10 days
30 days
60 days
100 days
100 days
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A business becoming incorporated is an example of risk ____.
reduction
severance
retention
transfer
transfer
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Statements made by an insured on an accident and health insurance application are considered to be
representations
warranties
conditional
aleatory
representations
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Which of the following would permit an insurer to delay a covered disability policy claim?
Probationary period
Service Waiting period
Elimination period
Grace period
Elimination period
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Which statement concerning a decreasing term life policy is accurate?
Cash value decreases over the policy period
Premium decreases over the policy period
Face amount decreases over the policy period
Face amount stays the same over the policy period
Face amount decreases over the policy period
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What effect can a long-term care benefit rider have on a life insurance policy?
Increased cash value
Decreased cash value
Increased death benefit
Reduced death benefit
Reduced death benefit
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In the event of premium default, which life insurance provision will use the cash value to keep the policy in force?
Waiver of premium
Automatic premium loan
Reinstatement
Policy loan
Automatic premium loan
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A life insurance policy that includes a return of premium rider will pay the beneficiary how much upon the insured's death?
Total premiums paid plus the policy face amount
Face amount plus interest accrued
Interest accrued plus total premiums paid
Face amount minus any outstanding loan balances
Total premiums paid plus the policy face amount
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Which of the following is true regarding a person receiving a waiver of premium benefit?
The insured must be expected a total recovery within 2 years
The insured will not qualify for short-term disability
The insured will not qualify for workers compensation
The insured must be disabled for a period of time
The insured must be disabled for a period of time
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A policyowner is permitted to take out a policy loan on a whole life policy at what point?
When the policy has a cash value
When the policy has been in force 2 years
When the cash value equals the face amount
When the policyowner has demonstrated financial need
When the policy has a cash value
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What could be the potential result of taking out a cash value loan under a life insurance policy?
Death benefit will be subject to income taxes if insured dies with an outstanding loan balance
Interest that accrues on policy loan is tax-deductible to the policyowner
Loan amount will be added to the policyowner's gross income
Reduces the amount receivable upon surrender of the contract
Reduces the amount receivable upon surrender of the contract
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