Insurance Code And Policy Quiz

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Anansalee
A
Anansalee
Community Contributor
Quizzes Created: 1 | Total Attempts: 463
| Attempts: 463 | Questions: 150
Please wait...
Question 1 / 150
0 %
0/100
Score 0/100
1. Which are two activities of Daily Living?

Explanation

The two activities of daily living are eating and dressing. These activities are essential for individuals to maintain their basic self-care and independence. Eating refers to the ability to consume food and drink, while dressing refers to the ability to choose and put on appropriate clothing. Both activities are necessary for individuals to meet their basic needs and participate in daily life.

Submit
Please wait...
About This Quiz
Insurance Quizzes & Trivia

Do you wanna know more about insurance code and policy? Let's take this quiz now!

2. Terminally ill persons would need which of the following?

Explanation

Hospice care is the correct answer because terminally ill persons require specialized care that focuses on providing comfort and support rather than curative treatment. Hospice care provides a multidisciplinary approach to address the physical, emotional, and spiritual needs of the patient, as well as support for their family. This type of care aims to improve the quality of life for individuals with a limited life expectancy and to ensure a peaceful and dignified end-of-life experience. Skilled nursing care, intermediate care, and acute care may not be suitable for terminally ill persons as they prioritize different aspects of healthcare.

Submit
3. Any transaction that involves purchasing a life insurance policy and terminating an exsiting policy is known as:

Explanation

A replacement refers to the process of purchasing a new life insurance policy while terminating an existing policy. It involves replacing an old policy with a new one. This can occur when a policyholder decides to switch to a different insurance company or when they want to change the terms or coverage of their current policy. It is important to carefully consider the implications of a replacement since it may involve surrender charges, potential loss of benefits, and changes in premium costs.

Submit
4.
An insurer organized under the laws of the State of California is a:

Explanation

A domestic insurer refers to an insurance company that is organized and operates under the laws of a specific state. In this case, since the insurer is organized under the laws of the State of California, it is considered a domestic insurer.

Submit
5. A policy is returned to the insurer within 10 days of the date th epolicy is delivered. How much of the premium is returned to the applicant?

Explanation

If a policy is returned to the insurer within 10 days of the date it is delivered, the applicant is entitled to a full refund of the premium. This means that 100% of the premium will be returned to the applicant.

Submit
6. An individual license is considered terminated

Explanation

An individual license is considered terminated when the licensee dies. This means that the license is no longer valid and cannot be transferred to another person or beneficiary. The death of the licensee effectively ends their ownership and control over the license.

Submit
7. According to the code, all insurers must maintain a department to investigate

Explanation

The code states that all insurers must maintain a department to investigate possible fraudulent claims from insured individuals. This means that insurance companies are required to have a specific department dedicated to looking into claims that may be fraudulent or deceitful. This is important in order to prevent individuals from making false claims and receiving undeserved payouts from insurance companies. By having this department in place, insurers can thoroughly investigate any suspicious claims and take appropriate action if fraud is detected.

Submit
8. What does the Insurance Commissioner have the right to do if an agent lacks authority from an insurer named on a binder for coverage?

Explanation

The Insurance Commissioner has the right to suspend or revoke the license of the agent if they lack authority from an insurer named on a binder for coverage. This means that if the agent does not have the proper authorization from the insurer to provide coverage, the Insurance Commissioner has the power to take disciplinary action against the agent by suspending or revoking their license. This is to ensure that agents are acting in accordance with the regulations and guidelines set by the insurance industry.

Submit
9.
A failure to communicate information which a party to an insurance contract knows and should communicate, is called an act of:

Explanation

Concealment is the act of intentionally withholding or not disclosing information that one party to an insurance contract knows and should communicate to the other party. In this case, the correct answer is concealment because it refers to the failure to communicate information that should be disclosed in an insurance contract.

Submit
10.
Which party has rights in a life insurance policy only after the death of the insured?

Explanation

The beneficiary is the party who has rights in a life insurance policy only after the death of the insured. The beneficiary is the person or entity designated by the policy owner to receive the death benefit when the insured passes away. They are the ones who will receive the financial payout from the life insurance policy. The policy owner, applicant, and insured may have certain rights and responsibilities during the lifetime of the policy, but the beneficiary's rights only come into effect upon the death of the insured.

Submit
11. Under a disability insurance policy, an insured is eligible for a waiver of premium benefit:

Explanation

After the first six months of disability, an insured is eligible for a waiver of premium benefit under a disability insurance policy. This means that the insured does not have to pay the premiums for the policy during the period of disability after the initial six months. This benefit helps to alleviate the financial burden on the insured during a time when they are unable to work due to their disability.

Submit
12.
FYI Company's employee is injured while driving in the employ of the company. Coverage for te employee comes from:

Explanation

When an employee is injured while driving in the employ of the company, the coverage for the employee comes from FYI's Workers Compensation. Workers Compensation insurance provides benefits to employees who are injured or become ill as a result of their job. In this case, since the employee was driving for work purposes, the injury would be considered work-related and therefore covered under Workers Compensation. The other options, such as the employee's health policy or FYI's General Liability, would not typically cover work-related injuries.

Submit
13.
Deductibles, coinsurance, and co-payments in a health insurance policy are cost-effective choices that have the effect of:

Explanation

Deductibles, coinsurance, and co-payments in a health insurance policy are cost-effective choices that promote cost sharing. These mechanisms require individuals to pay a portion of their healthcare expenses out-of-pocket, which helps distribute the financial burden between the insurance company and the insured. By sharing the costs, it prevents the insurance company from bearing the full cost of healthcare services and encourages individuals to be more conscious of their healthcare utilization. This ultimately helps control healthcare costs and ensures that resources are used efficiently.

Submit
14.
An insured bought $150,000 non-participating whole life policy many years ago. She is 100 years old today. She has never borrowed from the policy, has made all premiums when due. The cash value is:

Explanation

The insured bought a non-participating whole life policy, which means that it does not accumulate any cash value over time. Since the insured has never borrowed from the policy and has made all premiums when due, the cash value remains at $0. Therefore, the correct answer is $0.

Submit
15.
The department responsible for evaluation, selection and distribution of risks is:

Explanation

The underwriting department is responsible for evaluating, selecting, and distributing risks. This department assesses the potential risks associated with insuring individuals or entities and determines whether to provide coverage and at what cost. They analyze various factors such as the applicant's health, age, occupation, and claims history to make informed decisions. The underwriting department plays a crucial role in ensuring that the insurance company takes on risks that are financially viable and align with their risk appetite.

Submit
16. What does it mean if an agents license is inactive?

Explanation

If an agent's license is inactive, it means that the agent cannot transact any insurance business for which a license is required. This means that the agent is not legally allowed to engage in any insurance transactions until their license is reactivated.

Submit
17.
Regarding life insurance coverage for a company, the one responsible for obtaining the coverage maintaining the policy, and paying the premium is:

Explanation

The master policy holder is responsible for obtaining and maintaining the life insurance coverage for a company. They are also responsible for paying the premium. This means that they have control over the policy and are the ones who entered into the agreement with the insurer. The individuals who make up the group may be covered under the policy, but they are not responsible for obtaining or maintaining it. The insurer provides the coverage, but they are not responsible for obtaining or maintaining it. The agent may have helped in obtaining the coverage, but they are not ultimately responsible for maintaining it.

Submit
18. If the commissioner issues a Notice of Seizure for documents and the individual fails to send those documents what is the penalty?

Explanation

If an individual fails to send the documents requested after receiving a Notice of Seizure from the commissioner, the penalty is either 1 year in jail or a $1,000 fine.

Submit
19. Which of the following is NOT provided by Hospice Care?

Explanation

Hospice care focuses on providing comfort and support to individuals who are terminally ill and their families. It aims to improve the quality of life through pain relief, symptom management, and counseling. Rehabilitation, on the other hand, is not typically provided by hospice care. Rehabilitation focuses on restoring function and improving physical abilities, which may not be the primary goal for individuals in hospice care who are nearing the end of their lives.

Submit
20. An insure, owned by policyholders is:

Explanation

A mutual insurer is owned by its policyholders, who are also the beneficiaries of the company's profits. Policyholders contribute premiums and share in the company's financial success through dividends or reduced premiums. This ownership structure allows mutual insurers to prioritize the interests of their policyholders rather than external shareholders. Mutual insurers often have a long-term perspective and focus on providing stable and affordable coverage to their policyholders.

Submit
21. In order to deal with financial consequences of the death of a senior sales manager, a corporation could purchase:

Explanation

Key person insurance is a type of life insurance policy that a corporation can purchase to protect itself from the financial consequences of the death of a key employee, such as a senior sales manager. This insurance policy provides a death benefit to the corporation, which can be used to cover the costs of finding and training a replacement, as well as any potential loss of revenue or business opportunities that may result from the employee's death. It is specifically designed to mitigate the financial impact that the loss of a key employee can have on a company's operations and profitability.

Submit
22. In accidental death and dismemberment insurance, which of the following would not be considered accidental?

Explanation

The employee requiring abdominal surgery after food poisoning in the lunch room would not be considered accidental in accidental death and dismemberment insurance. Accidental death and dismemberment insurance typically covers injuries or deaths resulting from accidents, which are defined as sudden, unexpected, and unintentional events. In this case, the food poisoning and subsequent surgery would not be considered an accident as it is a result of consuming contaminated food, rather than an unforeseen event.

Submit
23. An insured bought an annuity ten years ago. He will retire in five years. To determine the value of the annuity, the number of accumulation units is mutiplied by the value of the seperate account. What type of annuity was purchased?

Explanation

The insured purchased a variable annuity. In a variable annuity, the value of the annuity is determined by the number of accumulation units multiplied by the value of the separate account. This means that the value of the annuity can fluctuate based on the performance of the investments in the separate account. This type of annuity provides the potential for higher returns but also carries more risk compared to other types of annuities.

Submit
24. The class beneficiary designation which means that the beneficiaries will recieve equal shares of the death benefit divided among surviving members of the class is

Explanation

Per capita means that each member of the class will receive an equal share of the death benefit. This means that regardless of the number of surviving members, each individual will receive an equal portion of the total benefit.

Submit
25. The mathematical rule that says that as the number of individual but similar exposure units increases the easier it is to predict losses is which of the following?

Explanation

The Law of Large Numbers is a mathematical principle that states that as the number of individual but similar exposure units (such as insurance policies) increases, the easier it becomes to predict losses. This principle is important in insurance because it allows insurers to make more accurate predictions about the frequency and severity of future losses based on historical data and actuarial calculations. By having a large pool of similar risks, insurers can spread the potential losses more evenly and reduce the overall risk. This helps insurers to set appropriate premiums and manage their business effectively.

Submit
26.
The main master policy owner of a group health insurance contract is the:

Explanation

The main master policy owner of a group health insurance contract is the employer. The employer is responsible for purchasing the insurance policy and providing coverage to their employees. They are also responsible for paying the premiums and managing the policy. The employees are the beneficiaries of the policy, but the employer holds the policy and has control over its terms and conditions. The plan administrator and agent may assist the employer in managing the policy, but they do not own it.

Submit
27. Hospice care is for:

Explanation

Hospice care is a type of care provided to individuals who are terminally ill. It focuses on providing comfort and support to patients who have a life-limiting illness and are no longer seeking curative treatment. Hospice care aims to improve the quality of life for these individuals by managing their pain and symptoms, providing emotional and spiritual support, and assisting with end-of-life decision-making. It also offers support to family caregivers who are caring for their terminally ill loved ones. Therefore, the correct answer is terminally ill persons.

Submit
28. Relevant to health insurance, morbidity includes all of the following EXCEPT:

Explanation

Morbidity refers to the occurrence of illness or disease in a population. In the context of health insurance, factors such as income, sex, and age are commonly considered when assessing the risk and determining the premiums. However, intelligence is not typically considered as a factor in determining morbidity rates or health insurance premiums. Intelligence is not directly linked to the occurrence of illness or disease, and therefore it is not included in the factors considered for morbidity in health insurance.

Submit
29. According to the Ca Insurance code, in which of the following classes of insurance can a binder NOT be issued?

Explanation

According to the California Insurance Code, a binder cannot be issued in the class of insurance for LIFE. This means that temporary insurance coverage cannot be provided for life insurance policies through binders. Binders are commonly used to provide temporary coverage until a formal insurance policy is issued, but in the case of life insurance, binders are not allowed.

Submit
30. What happens to a license after the death of a natural person who holds a valid insurance license?

Explanation

After the death of a natural person who holds a valid insurance license, the license always terminates. This means that the license is no longer valid and cannot be transferred to another person. The license becomes null and void upon the death of the license holder.

Submit
31. Why should a contingent beneficiary be named in a life insurance policy?

Explanation

A contingent beneficiary should be named in a life insurance policy to determine who receives the policy benefits if the primary beneficiary is deceased. This ensures that there is a backup plan in place in case the primary beneficiary is unable to receive the benefits. By naming a contingent beneficiary, the policyholder can ensure that their loved ones or chosen individuals will still receive the policy benefits even if the primary beneficiary is no longer alive.

Submit
32. An organization will cease to exist as an enity eligible to hold a license for all of the following reasons, EXCEPT:

Explanation

An organization will cease to exist as an entity eligible to hold a license if there is a termination of an association, dissolution of a corporation, or dissolution of a co-partnership. However, the termination of a key employee alone would not result in the organization ceasing to exist as an eligible entity.

Submit
33. A person has paid $50,000 into a fixed annuity over 20 years.When he decides to begin income payments the insurer calculates that he will recieve $4,000 per year for life, which means that he will recieve a total of $100,000. In the first 10 years of payments how much is taxable each year?

Explanation

The taxable amount each year for the first 10 years is $2,000. This is because the person paid $50,000 into the annuity over 20 years, resulting in a total of $100,000 to be received. Since the person will receive $4,000 per year for life, the remaining $2,000 each year is considered taxable income.

Submit
34. Twelve months ago, a man slipped and fell down a flight of stairs at his workplace. As a result he has a paralysis for which he is not expected to recover. This 46 year old person will probably be able to collect disability income benefits from

Explanation

Workers compensation is a type of insurance that provides benefits to employees who are injured or disabled as a result of their job. In this case, the man slipped and fell at his workplace, resulting in paralysis. Since he is not expected to recover, he would likely be eligible to collect disability income benefits from workers compensation. Medicare, Medicaid, and Social Security are not typically associated with workplace injuries and disabilities, making workers compensation the most appropriate option.

Submit
35.
The policy provision which prevents an insurer from voiding a policy for misstatements after 2 years is:

Explanation

The correct answer is Incontestability. This policy provision prevents an insurer from voiding a policy for misstatements made by the insured after a specific period of time, usually 2 years. It provides a level of protection to the insured, ensuring that their policy cannot be cancelled or voided based on innocent or unintentional misstatements made during the application process. After the incontestability period has passed, the insurer cannot use misrepresentations as grounds for policy cancellation or denial of claims.

Submit
36. A disability income policy covers injuries suffered by an insured on or off the job is called?

Explanation

An occupational policy is the correct answer because it specifically covers injuries suffered by an insured individual while they are on the job. This type of policy provides disability income benefits for work-related injuries or illnesses, ensuring that the insured is financially protected in the event of a disability caused by their occupation. It does not cover injuries or disabilities that occur outside of work.

Submit
37. An insured and beneficiary wants to recieve $2,000 per month until the principal and interest are exhausted. Which settlement option should be chosen?

Explanation

The insured and beneficiary should choose the fixed amount option. This option allows them to receive a specific amount of $2,000 per month until the principal and interest are exhausted. This ensures a steady and predictable income stream for the insured and beneficiary, meeting their desired monthly payment requirement.

Submit
38. After a life insurance policy has been in effect for two years, what keeps it from being rescinded by the insurer?

Explanation

The incontestability clause prevents the insurer from rescinding a life insurance policy after it has been in effect for two years. This clause ensures that the policy cannot be challenged or invalidated by the insurer based on any misrepresentations or omissions made by the policyholder during the application process. Once the two-year period has passed, the policy becomes binding and the insurer is no longer able to rescind it based on any grounds except for non-payment of premiums.

Submit
39. Insurer and the insured share covered losses. This is called:

Explanation

Coinsurance is a term used in insurance to describe the sharing of covered losses between the insurer and the insured. It means that both parties are responsible for a portion of the losses, typically in a predetermined ratio. This arrangement helps to distribute the financial risk and ensure that both the insurer and the insured have a vested interest in preventing losses. By sharing the costs, it encourages the insured to take measures to mitigate risks and also helps to keep insurance premiums affordable.

Submit
40. Which of the following must any person engaged in the business of acting as an insurance agent or broker who recieves compensation for arranging or directing sales in connection with a premium financing agreement do?

Explanation

not-available-via-ai

Submit
41. Tony Brown has a CLU certification. which of the following names would be automatically approved for his agency's use?

Explanation

The CLU certification is a professional designation for insurance professionals specializing in life insurance and estate planning. However, having this certification does not automatically approve any specific names for an agency's use. The approval of agency names typically depends on various factors such as legal requirements, availability, and compliance with industry regulations. Therefore, none of the given names would be automatically approved solely based on Tony Brown's CLU certification.

Submit
42. The likelihood of incurring disease or disability at any given time is;

Explanation

Morbidity refers to the state of being diseased or the incidence of disease within a population. It measures the likelihood of incurring disease or disability at any given time. Therefore, the correct answer is MORBIDITY.

Submit
43. Which of the folowing is a description of a Life and Disability Analyst?

Explanation

The correct answer is "A person licensed to advise clients about life and disability insurance for a fee." This answer accurately describes the role of a Life and Disability Analyst, who is licensed to provide advice and guidance to clients regarding life and disability insurance. They are authorized to charge a fee for their services, indicating that they provide professional expertise in this field.

Submit
44.
Which of the following gives individuals the right to purchase additional life insurance regardless of their insurability?

Explanation

Guaranteed insurability gives individuals the right to purchase additional life insurance regardless of their insurability. This means that even if the individual's health or other factors change, they can still obtain more life insurance coverage without having to go through the underwriting process again. It provides flexibility and ensures that individuals can increase their coverage as their needs change over time.

Submit
45. Which is NOT part of transacting insurance?

Explanation

Establishing a list of clients is not part of transacting insurance. Transacting insurance involves various activities such as solicitation, which refers to the act of seeking potential clients for insurance policies. Negotiation is also a crucial part of transacting insurance, as it involves discussing and finalizing the terms and conditions of the insurance contract. Lastly, the execution of a contract is essential to complete the insurance transaction. However, establishing a list of clients is not directly related to the process of transacting insurance, as it focuses more on marketing and building a customer base.

Submit
46. Physicians and surgeons services, whether provided in a hospital, or elsewhere:

Explanation

Physicians and surgeons services are covered by Medicare Part B, which is a specific part of Medicare that covers outpatient medical services. Unlike Medicare Part A, which covers hospital stays and has no charge for coverage, Medicare Part B requires individuals to pay a premium for the coverage. Therefore, the correct answer is that physicians and surgeons services are covered by Medicare Part B with a charge for the coverage.

Submit
47.
Which type of life insurance policy gives the policy owner the right to share in the insuer's surplus?

Explanation

A participating life insurance policy gives the policy owner the right to share in the insurer's surplus. This means that the policy owner will receive dividends or additional benefits based on the performance of the insurance company. These dividends can be used to reduce premiums, increase the policy's cash value, or purchase additional coverage. Non-participating policies, on the other hand, do not offer these benefits and have fixed premiums and benefits. Level term and decreasing term policies refer to the structure of the policy and do not involve sharing in the insurer's surplus.

Submit
48. A single deductible amount for all memebers of the same family and a right to single family memeber deductible is known as:

Explanation

A family deductible refers to a single deductible amount that applies to all members of the same family. This means that once the total medical expenses of the family members reach the deductible amount, the insurance coverage will start. It is different from individual deductibles where each family member has to meet their own deductible before the insurance coverage begins. The family deductible provides a more cost-effective option for families as the total deductible amount is shared among all family members.

Submit
49.
An insured an benificiary die in a car accident and it is impossible to determine who died first. Who will recieve the life proceeds?

Explanation

In this scenario, if it is impossible to determine who died first, the general rule is that the insured is presumed to have outlived the beneficiary. Therefore, the insured's estate would receive the life proceeds.

Submit
50.
As an employer, the sudden death of an employee is considered a:

Explanation

The sudden death of an employee is considered a personnel loss for an employer. This means that the employer experiences a loss within their workforce due to the employee's death. It could be a loss of skills, knowledge, experience, and productivity that the employee brought to the organization. Additionally, the employer may also feel a personal loss as they may have had a relationship with the employee and may be emotionally affected by their death.

Submit
51. Harold, a variable annuity applicant, does not request the premium be invested in a stock or bond portfolio during the cancellation period. The policy is returned to the company within the cancellation period. What is Harold entitled to recieve?

Explanation

During the cancellation period, if Harold returns the policy to the company and does not request the premium to be invested in a stock or bond portfolio, he is entitled to receive the premium back. This means that he will receive the full amount of money he paid as the premium for the variable annuity policy.

Submit
52. An association of industry specific employers who are joined together in order to qualify for, or gain premium advantages, in group insurance is:

Explanation

MET stands for Multiple Employer Trust, which is an association of industry-specific employers who join together to qualify for or gain premium advantages in group insurance. This allows smaller employers to pool their resources and negotiate better insurance rates and benefits for their employees. By joining a MET, employers can access the benefits of a larger group, similar to those offered by a large corporation, which can help reduce costs and provide more comprehensive coverage.

Submit
53. When claimant is covered by more than one plan the situation is resolved through:

Explanation

When a claimant is covered by more than one plan, the situation is resolved through coordination of benefits. This means that the different insurance plans work together to determine how much each plan will pay towards the claim. The coordination of benefits process ensures that the total benefits received do not exceed the actual cost of the claim, preventing any potential overpayment. This is typically done by determining the primary and secondary insurance plans, with the primary plan being responsible for paying the majority of the claim, and the secondary plan covering any remaining costs.

Submit
54. Usually, in order to join a group insurance plan without providing insurability, an employee must:

Explanation

In order to join a group insurance plan without providing insurability, an employee must join the plan during the enrollment period. The enrollment period is the specific time frame during which employees can sign up for or make changes to their insurance coverage. By joining during this period, the employee can bypass the need for insurability, which typically involves undergoing a medical evaluation or providing evidence of good health. Joining the plan while eligible but after the enrollment period, during the probationary period, or during the elimination period would not guarantee the same exemption from providing insurability.

Submit
55. Which of the following are common insurance policy provisions?

Explanation

The common insurance policy provisions are the entire contract, grace period, and reinstatement. The entire contract provision states that the insurance policy includes all agreements between the insured and the insurer. The grace period provision allows the insured a specified period of time after the premium due date to make the payment without any penalty. The reinstatement provision allows the insured to reinstate a lapsed policy by paying any outstanding premiums and providing evidence of insurability.

Submit
56. Supplemental insurance used to pay for hospital confinment to treat cancer is also known as

Explanation

Dread disease is the correct answer because it refers to supplemental insurance specifically designed to cover the costs associated with the treatment of serious illnesses such as cancer. This type of insurance provides financial support for medical expenses, hospital confinement, and other related costs related to the specified disease.

Submit
57.
which of the following would be considered a morale risk?

Explanation

Driving too fast can be considered a morale risk because it demonstrates a disregard for safety and a lack of responsibility. It increases the likelihood of accidents and potential harm to oneself and others on the road. This behavior can negatively impact the morale of the insured and also increase the risk for the insurance company, as they may have to pay out claims for accidents caused by the insured's reckless driving.

Submit
58.
Medicare Part A, begins automatically at age:

Explanation

Medicare Part A is a health insurance program provided by the government for individuals who are 65 years old or older. Therefore, it begins automatically at the age of 65.

Submit
59.  
What must an insurer do who accepts an application from an agent who is not specifically appointed by the insurer and then issues a policy from that application?

Explanation

The correct answer is to forward to the Insurance Commissioner a Notice of Appointment within 14 days of receipt of the application. This is necessary because the agent is not specifically appointed by the insurer, so the insurer must notify the Insurance Commissioner of the agent's appointment within a specified timeframe. This ensures that the agent is authorized to issue policies on behalf of the insurer and is in compliance with regulatory requirements.

Submit
60.
The policy owner, age 50 has been paying the premiums on his whole life policy for 15 years. He needs the equivalent of 1/3 of the cash value of his polcy over the next two years. He wants to continue to have the policy protection, and can afford to pay the premiums. Which would appear to be his best course of action?

Explanation

not-available-via-ai

Submit
61. Joe recieves a large bonus at work and decides to purchase an annuity with it. His monthly income payments from the annuity will begin the following month. Which of the following has Joe purchased?

Explanation

Joe has purchased a single premium immediate annuity. This type of annuity allows him to make a lump-sum payment (single premium) and start receiving monthly income payments immediately (immediate annuity). The other options are not applicable in this scenario. A single premium deferred annuity would delay the income payments, an individual retirement annuity is specifically designed for retirement savings, and a tax-sheltered annuity is a type of retirement plan offered by certain employers.

Submit
62. The clause that rotects the proceeds of a life insurance policy from attachment by creditors after the death of the insured is:

Explanation

The correct answer is the Spendthrift trust clause. This clause protects the proceeds of a life insurance policy from being attached by creditors after the death of the insured. It establishes a trust that restricts the beneficiary's access to the funds, preventing them from being used to satisfy the beneficiary's debts or obligations. Instead, the funds are managed by a trustee who distributes them to the beneficiary in a manner that ensures their financial security and prevents them from being seized by creditors.

Submit
63.
COBRA applies to employers with at least:

Explanation

COBRA, which stands for Consolidated Omnibus Budget Reconciliation Act, is a federal law that allows employees to continue their health insurance coverage after leaving their job. The law applies to employers with at least 20 employees. Therefore, the correct answer is 20 employees.

Submit
64.
Who has the right to change life insurance beneficiaries?

Explanation

The policyholder has the right to change life insurance beneficiaries. As the person who owns the policy, they have the authority to make changes to the policy, including adding or removing beneficiaries. The policyholder can make these changes at any time during the policy's term, as long as they are mentally competent and have the legal capacity to do so. This allows the policyholder to ensure that their life insurance benefits go to the intended beneficiaries.

Submit
65. Which of the following is not an option for the use of the policy dividends?

Explanation

The policy dividends cannot be used to fund the distribution of monthly income payments. Policy dividends are usually paid out to policyholders as a return of premium or as a share of the insurance company's profits. They can be used to purchase paid-up additions, reduce the current premium, or purchase one-year term insurance, but not for the distribution of monthly income payments.

Submit
66. According to California Insurance code, a judgement agaginst an applicant who enterd a plea of "nolo contendere" is considered to be:

Explanation

According to the California Insurance code, a judgment against an applicant who entered a plea of "nolo contendere" is considered to be "convicted." This means that even though the applicant did not admit guilt, the judgment still treats them as if they were found guilty.

Submit
67. Which of the following is not one of the common personal uses of life insurance?

Explanation

The common personal uses of life insurance include helping to fund a person's retirement, creating emergency funds to avoid the need to liquidate assets, and creation of an immediate estate. Funding a buy/sell agreement, on the other hand, is a business use of life insurance rather than a personal use. It is typically used by business partners to fund the purchase of a deceased partner's share of the business.

Submit
68. A person who spends $10,000 in a single premium annuity, and another $10,000 in a Certificate of Deposit (CD). Both pay %10 interest annually. The person is in a 31% income tax bracket. For 40 years, this person does not touch his annuity, and reinvest all income from the CD at 10%. Which of the following statements is true?

Explanation

The annuity would be worth several hundred thousand more because of the tax deferral of the earnings. This is because the person is in a 31% income tax bracket, and by investing in an annuity, they are able to defer paying taxes on the earnings until they withdraw the money. This allows the earnings to compound over time, resulting in a higher overall value compared to the CD, where taxes are paid annually on the interest earned.

Submit
69.  
Listed below are descriptions of four types of policies. Which is term policy?

Explanation

This policy is a term policy because it has a specific term of coverage, in this case, 10 years. The premium paid increases every five years, and after ten years, the policyholder stops paying premiums and the coverage stops. Additionally, the policy has no cash value, further indicating that it is a term policy rather than a whole life or universal life policy.

Submit
70. In group insurance the Certificates of Insurance are issued to: 

Explanation

In group insurance, the Certificates of Insurance are issued to the group members. These certificates serve as proof of insurance coverage and provide details about the benefits and coverage options available to each individual member within the group. The group sponsor, employer, and plan administrator may play a role in facilitating the issuance of these certificates, but ultimately, they are issued to the group members themselves.

Submit
71. Which of the following  requires a reporting company to respond to a consumer's complaint that his file contains inaccurate information?

Explanation

The Fair Credit Reporting Act requires a reporting company to respond to a consumer's complaint that his file contains inaccurate information. This act ensures that consumers have the right to dispute any inaccurate or incomplete information in their credit reports and that reporting companies must investigate and correct any errors.

Submit
72. The type of healthcare provider that provides both the healthcare services and healthcare coverage is called:

Explanation

A health maintenance organization (HMO) is a type of healthcare provider that offers both healthcare services and healthcare coverage. HMOs typically have a network of healthcare providers that patients must use in order to receive coverage. These providers are often employed by the HMO itself. HMOs focus on preventive care and emphasize the coordination of healthcare services. They usually require patients to select a primary care physician who will manage their healthcare and provide referrals to specialists if needed. HMOs are known for their cost-effective approach and emphasis on preventative care.

Submit
73. What information can a party to a contract of insurance be allowed NOT to communicate according to California law?

Explanation

According to California law, a party to a contract of insurance is allowed not to communicate information that the other party already knows. This means that if both parties are already aware of certain information, there is no obligation to communicate it again.

Submit
74.  
How is the Insurance Commissioner selected?

Explanation

The Insurance Commissioner is selected through an election by the people. This means that the citizens of the state have the opportunity to vote for the candidate they believe will best fulfill the role of Insurance Commissioner. This method ensures that the selection process is democratic and that the chosen individual has the support and trust of the public.

Submit
75.
Which is the most expensive LTC policy?

Explanation

The most expensive LTC policy is the one with a 14 day elimination period and a 5 year benefit period. This means that there is a 14 day waiting period before the policy starts paying out benefits, and the policy will continue to provide benefits for a period of 5 years. The longer the benefit period, the higher the premium cost, and the 14 day elimination period also adds to the cost compared to policies with longer elimination periods.

Submit
76.
Under the Consolidated Omnibus Budget Reconsolidation Act (COBRA), which of the following is a qualifying event?

Explanation

A qualifying event under the Consolidated Omnibus Budget Reconsolidation Act (COBRA) refers to an event that allows an individual to continue receiving their health insurance coverage after a certain triggering event. In this case, divorce is considered a qualifying event because it results in a loss of health insurance coverage for the dependent spouse. COBRA allows the dependent spouse to continue their health insurance coverage for a certain period of time, typically up to 36 months, by paying the premiums themselves.

Submit
77.
All of the following would be considered unfair claim practices, EXCEPT:

Explanation

Directly advising a claimant to obtain the services of an attorney is not considered an unfair claim practice. In fact, it can be seen as a helpful suggestion to ensure that the claimant receives proper legal representation and guidance throughout the claims process. The other options listed are all examples of unfair claim practices as they involve failing to acknowledge communications, misrepresenting policy provisions, and failing to affirm or deny coverage within a reasonable time frame.

Submit
78. Certain healthcare providers are called "service type providers." this mean

Explanation

The term "service type providers" implies that these healthcare providers offer services directly to the insured individuals. This means that payments for these services are made directly to the provider, rather than being paid to the insured who then reimburses the provider. Therefore, the correct answer is "Payments for services are made directly to the provider."

Submit
79.
Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), a qualifying event ensures that an employee who is covered can:

Explanation

Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), a qualifying event allows an employee who is covered to choose to continue their health insurance coverage. This means that even if the employee is no longer employed or experiences a change in employment status, they have the option to keep their health insurance coverage for a certain period of time. This provides them with a safety net and ensures that they have access to healthcare even after leaving their job.

Submit
80.
If one were to recieve the principal sum benefit of death in a disability policy, the death must occur:

Explanation

The correct answer is "Within a specified number of days after injury occurs." This means that in order to receive the principal sum benefit of death in a disability policy, the death must occur within a certain number of days after the injury takes place. This indicates that the policy has a time limit for when the death must occur in relation to the injury in order for the benefit to be paid out.

Submit
81.  
In life insurance, the loss of a key family memeber is considered a:

Explanation

The loss of a key family member in life insurance is considered a personal loss. This is because the loss of a family member is a deeply emotional and personal experience for the insured individual and their family. It is not just a financial loss, but also a loss of companionship, support, and love.

Submit
82. Each of the following terms is an important characteristic of a major medical policy, except:

Explanation

Capitation is not an important characteristic of a major medical policy. Capitation refers to a payment method where healthcare providers receive a fixed amount per patient regardless of the services provided. In major medical policies, the focus is on coverage for major medical expenses and cost-sharing mechanisms like deductibles, setting maximum amounts, and coinsurance. Capitation is more commonly associated with managed care plans like HMOs, where providers are paid a fixed amount per patient to provide all necessary healthcare services.

Submit
83.
If a person gives erroneous statement on an application unintentionally, this is:

Explanation

If a person gives an erroneous statement on an application unintentionally, it is considered false. This means that the statement is not true or accurate. It may be a mistake or an error, but it is still false because it does not align with the facts or the truth.

Submit
84. Unless it is merely a statement of an expectation or a belief, a representation as to the future is considered which of the following?

Explanation

A representation as to the future is considered a promise. A promise is a statement or assurance made by one party to another, indicating their intention to do or not do something in the future. It implies a commitment and expectation of fulfilling that commitment.

Submit
85.
Which of the following may be offered by insurers providing Medicare supplement policies?

Explanation

Insurers providing Medicare supplement policies may offer the core benefit plan without any additional benefits. This means that the policy will cover the basic benefits that are not covered by Medicare, such as deductibles and coinsurance, but will not include any extra benefits beyond that. This option allows individuals to have some additional coverage without paying for unnecessary benefits.

Submit
86. If the financial loss on a certain group of people occuring over a certain period of time defines the pricing of a disability policy, it is the pricing principle known as:

Explanation

The correct answer is FREQUENCY. In this context, the pricing of a disability policy is determined by the financial loss occurring over a certain period of time. The frequency of these losses, i.e., how often they occur, is a key factor in determining the pricing of the policy. The more frequent the losses, the higher the pricing would be to compensate for the increased risk and potential payouts.

Submit
87.
All of the following are valid reasons for the Insurance Commissioner to deny the applicant for an insurance license, EXCEPT:

Explanation

The Insurance Commissioner can deny an applicant for an insurance license for various reasons, such as not having a good business reputation, not being properly qualified to perform duties, or lacking integrity. However, the absence of a California business address is not a valid reason for denial.

Submit
88.
The Federal Act that is designed to protect group plan participants, establish pension equality, and mandates strict reporting and disclosure requirement is:

Explanation

ERISA stands for the Employee Retirement Income Security Act. It is a federal act that aims to protect participants in group retirement plans, ensure equal treatment of pension plans, and enforce strict reporting and disclosure requirements. ERISA sets standards for the administration and management of retirement plans, including rules for vesting, funding, and fiduciary responsibilities. It also establishes the Pension Benefit Guaranty Corporation (PBGC) to provide protection for participants in the event of plan termination. Overall, ERISA is designed to safeguard the interests and rights of employees who participate in employer-sponsored retirement plans.

Submit
89. The person whose life is the object of a life insurance policy is;

Explanation

The correct answer is "Insured." In a life insurance policy, the insured refers to the person whose life is being insured. They are the individual whose death will trigger the payment of the policy's death benefit to the designated beneficiary. The insured is typically the same person as the policy owner, but this is not always the case. The insured is the central figure in the life insurance contract as their life is the object of the policy.

Submit
90.
HMO's are involved in all of the following, EXCEPT:

Explanation

HMOs are involved in controlling costs by encouraging preventative care, providing health care services, and providing health care financial coverage. However, they do not emphasize the use of specialty physicians.

Submit
91.
If an insurance agent or broker recieves a commission for arranging a premium finance agreement they must do which of the following?

Explanation

Insurance agents or brokers are required to disclose to the client the amount of commission received for arranging the financing agreement. This is important for transparency and to ensure that the client is aware of any potential conflicts of interest. By disclosing the commission, the agent or broker is providing the client with all the necessary information to make an informed decision about the premium finance agreement.

Submit
92. Renewable  term insurance can best be described as:

Explanation

Renewable term insurance is a type of life insurance where the death benefit remains the same throughout the policy term, providing a level death benefit. However, the premium for renewable term insurance typically increases over time, which is referred to as a raising premium. This means that as the insured individual gets older, the premium amount gradually increases to reflect the higher risk of mortality. Therefore, the correct answer is "A level death benefit with a raising premium."

Submit
93. Which of the following is true about life insurance beneficiary designations?

Explanation

If there is no surviving beneficiary, the death benefit is paid to the insured's estate. This means that if the primary and secondary beneficiaries both pass away before the insured, or if there are no designated beneficiaries at all, the death benefit will be given to the insured's estate.

Submit
94. An insurance company pays claims after a self-insured, specified limit has been reached. This is:

Explanation

Stop-loss coverage refers to a type of insurance policy where an insurance company agrees to pay claims once a self-insured, specified limit has been reached. In other words, the company will cover any losses beyond the predetermined limit. This type of coverage is often used by employers who self-insure their employee benefits plans and want to protect themselves from excessive claims expenses. By purchasing stop-loss coverage, they can ensure that their financial liability is limited and that they are protected against catastrophic losses.

Submit
95. With the cost of living rider, the life insurance policy holder

Explanation

The correct answer is that the life insurance policy holder gets an automatic increase in the face value if there is an increase in the cost of living index, and there is an additional premium for the additional coverage. This means that if the cost of living increases, the face value of the policy will also increase without any action required from the policy holder. However, this increase in coverage comes with an additional premium that the policy holder must pay.

Submit
96. All of the following is required on a life insurance application, EXECPT:

Explanation

On a life insurance application, the health history, amount of other life insurance in force, and age of the insured are all required pieces of information. However, the amount of disability income insurance in force is not necessary for a life insurance application.

Submit
97. Which statement best descibes a life insurance policy dividend?

Explanation

A life insurance policy dividend refers to the distribution of excess funds accumulated by the insurer on participating policies. This means that when the insurer collects more premiums than necessary to cover the policyholder's death benefit and expenses, they distribute the excess funds as dividends to the policyholders. It is important to note that dividends are only available in participating policies, not in non-participating policies or stockholder rights. Additionally, the statement about interest paid to the policyholder from the cash value of a permanent insurance policy is not accurate in the context of a life insurance policy dividend.

Submit
98. Which of the following is not an example of cost sharing in a health insurance policy?

Explanation

Cost sharing in a health insurance policy refers to the portion of healthcare expenses that the insured individual is responsible for paying. Coinsurance, co-payment, and deductible are all examples of cost sharing as they require the insured person to contribute a certain amount towards their healthcare costs. However, coordination is not an example of cost sharing. Coordination refers to the process of managing and integrating healthcare services to ensure that the insured individual receives appropriate and timely care. It does not involve the sharing of costs.

Submit
99. Which of the following is a true statement regarding the social security (OASDHI) program?

Explanation

The social security (OASDHI) program is designed to provide a minimum floor of income for retirees and is meant to supplement their own personal retirement programs. This means that it is not fully funded and individuals are expected to have their own retirement savings in addition to the benefits they receive from the program. The actuarial value of each person's contribution is not necessarily equal to the actual value of each person's benefit.

Submit
100.
Identify the penalty for each violation for a person engaging in any unfair method of competition'

Explanation

The penalty for each violation for a person engaging in any unfair method of competition is no more than $5,000 for each act, or no more than $10,000 for each act if the act is judged to be willful.

Submit
101.
Which of the following is a correct statement about life insurance policy types?

Explanation

Term insurance typically has lower initial premiums compared to whole life insurance because it provides coverage for a specific term or period of time, whereas whole life insurance provides coverage for the entire lifetime of the insured. The lower initial premium for term insurance is due to the fact that it does not accumulate cash value like whole life insurance.

Submit
102. The policy provision which comes into effect when the insured and primary beneficiary die in a simultaneous (common) accident with no evidence as to who died first is:

Explanation

The common disaster provision is a policy provision that applies when the insured and primary beneficiary die in a simultaneous accident with no evidence of who died first. This provision ensures that if both the insured and primary beneficiary die at the same time, the proceeds of the policy will be distributed according to the policy's terms, such as to the contingent beneficiary or the insured's estate. It helps to address the issue of uncertainty regarding the order of death in a common accident.

Submit
103. What would a person be guilty of who refuses to submit books and records to the Commissioner?

Explanation

A person who refuses to submit books and records to the Commissioner would be guilty of a misdemeanor. This means that they have committed a minor offense or a lesser crime. By not complying with the request to provide books and records, they are disobeying the law and can be charged with a misdemeanor.

Submit
104.
Any person who diverts or misappropriates fiduciary funds is guilty of:

Explanation

If a person diverts or misappropriates fiduciary funds, it means they are taking funds that they are entrusted with for their own personal use or benefit, rather than using them for their intended purpose. This action is considered theft because it involves unlawfully taking someone else's property, in this case, the fiduciary funds.

Submit
105. A probationary period in a group health policy is intended for people:

Explanation

The probationary period in a group health policy is designed for individuals who joined the group after the effective date. This means that if someone becomes a member of the group health policy after the policy's effective date, they may be subject to a probationary period before certain benefits become available to them. During this probationary period, the individual may have limited coverage or may not be eligible for certain benefits. This provision is in place to prevent individuals from joining the group only when they need immediate medical attention and then dropping out once their needs are met.

Submit
106.
A person who acts in a capacity that requires an active license without having a valid license, is guilty of a:

Explanation

When a person acts in a capacity that requires an active license without actually having a valid license, they are guilty of a misdemeanor. A misdemeanor refers to a less serious offense compared to a felony, but it is still a criminal offense. In this case, the person is engaging in an activity that requires a license, such as practicing a profession or operating a vehicle, without meeting the necessary legal requirements. This act is considered a misdemeanor, which typically carries penalties such as fines, probation, or imprisonment for a short period of time.

Submit
107.
The purchase of an insurance policy may not provide one of the following for the insured. Select the most complete answer;

Explanation

The purchase of an insurance policy does not eliminate the risk completely. It provides financial protection and compensation in the event of a loss or damage, but it does not eliminate the possibility of the risk occurring. Insurance helps to reduce uncertainty, provides peace of mind, and replaces a large possible loss with a small certain loss, but it cannot completely eliminate the risk.

Submit
108. Insurers make adjusment to the cash value of an account of a universal life policy each time a payment is made. They add the premium paid and:

Explanation

Each time a payment is made to a universal life policy, insurers adjust the cash value of the account by adding the premium paid and the current interest. However, they also take into account the mortality risk and general expenses associated with the policy. Therefore, the cash value is adjusted by the current interest, which is further adjusted for mortality and a general expense charge. This ensures that the cash value reflects the policyholder's premium payments, as well as the interest earned and the costs incurred by the insurer.

Submit
109. All of the following would be considered one of the three major types of loss exposures, EXCEPT;

Explanation

The correct answer is "Human and loss exposure." This is because the three major types of loss exposures are typically considered to be liability loss exposure, financial loss exposure, and property loss exposure. Human and loss exposure is not typically recognized as a distinct category of loss exposure.

Submit
110. Which of the following statements concerning the usual coordination-of-benefits provision are correct?

Explanation

When both plans have the coordination-of-benefits provision, the coverage as an employee takes precedence over the coverage paid to dependents.

Submit
111. In order to be quilified to sell LTC insurance in the state of CA, agents must comply with all of the following: EXECPT

Explanation

Agents in the state of CA who are qualified to sell LTC insurance must comply with several requirements. These include completing 8 hours of training for the first four 12-month periods after license issuance, then 8 hours prior to each renewal. Non-resident licensees must file with the Insurance Commissioner and have the Commissioner approve their education requirement. However, the exception is that all licenses are not required to pass a LTC knowledge exam every 10 years.

Submit
112.
The purpose of laws regarding the replacement of life and annuity contracts inccludes all of the following, EXCEPT:

Explanation

Laws regarding the replacement of life and annuity contracts have several purposes. They aim to establish penalties for non-compliance with replacement requirements, reduce the chances of misrepresentation and incomplete disclosures, and ensure that purchasers receive sufficient information to make informed decisions. However, they do not exist to protect the interests of life insurers and their agents.

Submit
113.
Any attempt by an exsiting insurer or their agent to dissuade a ploicy owner from replacing an existing life insurance or annunity contract is known as:

Explanation

Conservation refers to any attempt made by an existing insurer or their agent to discourage a policy owner from replacing their current life insurance or annuity contract. This could involve providing the policy owner with information about the benefits and advantages of keeping the existing policy, or offering alternative options to meet their needs without replacing the contract. The goal of conservation is to retain the policy and prevent the policy owner from switching to a different insurance provider or policy.

Submit
114.  
Which of the following is not oridinary life insurance?

Explanation

A group life insurance is not considered ordinary life insurance because it is typically offered as a benefit by an employer or an organization to a group of individuals. It provides coverage for a specific period of time or as long as the individual remains a member of the group. In contrast, ordinary life insurance policies are typically purchased by individuals to provide coverage for their entire lifetime or for a specific term.

Submit
115.
Which of the following applies to the social insurance program know as social security?

Explanation

The social insurance program known as social security requires most workers to make compulsory contributions. This means that individuals are required by law to contribute a portion of their income towards the social security program. These contributions are used to fund the benefits provided by the program, such as retirement benefits, disability benefits, and survivor benefits. The compulsory nature of the contributions ensures that the program has a steady source of funding to provide these benefits to eligible individuals.

Submit
116.
All of the following would be considered unfair trade practies, EXCEPT:

Explanation

The question asks for the exception among the given options that would not be considered an unfair trade practice. The correct answer, "Committing an act of discrimination whether it be fair or unfair," is the exception because it does not involve any form of misrepresentation, false statements, or misleading information, which are all considered unfair trade practices.

Submit
117. Which of the following is not a standard level of care for a LTC policy?

Explanation

The correct answer is CONVALESCENT CARE. Convalescent care refers to the care provided to individuals who are recovering from an illness or surgery and need assistance with daily activities. It is not typically included as a standard level of care in a long-term care (LTC) policy, which typically covers intermediate care, custodial care, and skilled nursing care.

Submit
118. All of the following statements regarding survivorship life insurance are true, EXCEPT:

Explanation

Survivorship life insurance is a type of policy that covers two individuals, typically spouses, and pays out the death benefit only after both insured individuals have passed away. This type of insurance is commonly used to provide cash to cover estate taxes upon the death of the second insured individual. The policy face amounts are usually for more than $1,000, and it offers lower premiums compared to separate policies for each individual. Therefore, the statement "the policy face amount is made out based only on the death of the first to die" is not true, as survivorship life insurance pays out after the death of both insured individuals.

Submit
119. When a family policy covers children, all of the following are true, EXCEPT:

Explanation

The given answer is correct because it states that evidence of insurability is required if coverage for children is permanent insurance. This means that if the family policy includes permanent insurance coverage for children, then the insurance company will require proof of the child's insurability before providing the coverage. This is the only statement that is not true when a family policy covers children.

Submit
120. A movie company concerned about their financial losses in case of the illness of one their actors would purchase:

Explanation

Surety insurance would be the correct choice for the movie company concerned about financial losses in case of the illness of one of their actors. Surety insurance is a type of insurance that protects against financial losses resulting from the failure to fulfill a contractual obligation. In this case, if the actor falls ill and is unable to fulfill their contractual obligations, the movie company can make a claim on the surety insurance to cover the financial losses incurred as a result. This type of insurance provides financial security and peace of mind to the movie company in case of unforeseen circumstances affecting their actors.

Submit
121.  
In insurance terms a representation can be considered:

Explanation

An implied warranty in insurance terms refers to a statement or representation that is not explicitly stated but is assumed to be true. It is a guarantee that is not directly expressed but is inferred from the circumstances or actions of the parties involved. Unlike an absolute fact or an express warranty, an implied warranty is not explicitly stated or written down, but it is understood to be true based on the context or expectations. Therefore, the correct answer is an implied warranty.

Submit
122. Along with having enough assests to provide for its liabilities and for reinsurance for all outstanding risks, in order to remain solvent, the insurer must also meet minimum requirements equal to what amount required by the California Code?

Explanation

The correct answer is "Paid-in capital." In order to remain solvent, an insurer must have enough assets to cover its liabilities and reinsurance for all outstanding risks. Additionally, they must meet minimum requirements for paid-in capital as required by the California Code. This means that the insurer must have a certain amount of capital invested in the company to ensure financial stability and the ability to fulfill its obligations to policyholders.

Submit
123. The purpose of the California Life and Health Guarantee Association is:

Explanation

The purpose of the California Life and Health Guarantee Association is to protect life and health policy holders and/or insureds when member insurers become insolvent. This protection is subject to certain limitations. The association ensures that policy holders are not left without coverage or benefits in the event of their insurer's insolvency. It provides a safety net for individuals by guaranteeing that their policies will still be honored, even if their insurance company fails.

Submit
124. In managed care the members' choice of providers is most restrictive in which of the following type of plan?

Explanation

In managed care, the members' choice of providers is most restrictive in an HMO (Health Maintenance Organization) plan. HMOs typically require members to choose a primary care physician (PCP) who acts as a gatekeeper for all healthcare services. Referrals from the PCP are usually required to see a specialist or receive specialized care. Additionally, HMOs usually have a network of providers that members must use in order to receive coverage, limiting their choice of healthcare providers outside of the network.

Submit
125. In order for an enity to be eligible to hold a license, a co-partnership whose membership has changed must do all of the following, EXCEPT:

Explanation

The co-partnership whose membership has changed must do all of the following in order for an entity to be eligible to hold a license: obtain the signature of the general partner on the application for registration, ensure that at least one person who will exercise the agency powers of the partnership remains with the co-partnership, and submit a new application to the commissioner within 30 days of the change of partners with the names of the new members of the partnership. However, they do not need to return the old license with signatures of the original partners to the Commissioner with an explanation.

Submit
126.
In which of the following plans are claim forms typically completed and submitted by the participant?

Explanation

In an indemnity plan, claim forms are typically completed and submitted by the participant. This means that the individual who is covered by the plan is responsible for filling out the necessary paperwork and submitting it to the insurance company in order to receive reimbursement for any medical expenses incurred. Unlike other types of plans, such as Preferred Provider Organizations (PPOs), Point of Service (POS) plans, and Health Maintenance Organizations (HMOs), where the provider or the insurance company may handle the claim forms, in an indemnity plan it is the participant's responsibility.

Submit
127. To be classified as accidental under a disability income insuranc epolicy, the following criteria must be used:

Explanation

The correct answer is that the cause may be intentional, but the result must be accidental. This means that even if the initial cause of the disability was intentional, the resulting disability itself must still be accidental in order for it to be classified as accidental under a disability income insurance policy.

Submit
128. The SEC is involved in the regulation of:

Explanation

The SEC, or Securities and Exchange Commission, is involved in the regulation of variable life policies. Variable life policies are a type of life insurance policy that allows policyholders to invest their premiums in various investment options, such as stocks, bonds, and mutual funds. As these policies involve investment components, the SEC oversees their regulation to ensure that they comply with securities laws and protect the interests of policyholders.

Submit
129.  
The guarantee insurability rider provides that the policy holder can purchase more insurance.

Explanation

The guarantee insurability rider allows the policy holder to purchase more insurance on their own life at certain specified ages without having to provide proof of insurability. This means that the policy holder can increase their coverage at certain points in their life without having to go through the process of proving that they are still insurable. This provides flexibility and convenience for the policy holder to adjust their coverage as needed.

Submit
130.
Subject to the restrictions of the CA Insurance Code, any person capable of making a contract may be considered:

Explanation

The given correct answer states that any person capable of making a contract may be considered an insurer. This means that as long as a person meets the requirements to enter into a contract, they can be considered an insurer. This suggests that being an insurer is not limited to specific qualifications or professional designations, but rather depends on the ability to enter into a contract.

Submit
131. Which of the following is true regarding participation is a group health plan

Explanation

A non-contributory group health plan must involve all members because in a non-contributory plan, the employer pays the entire premium for the plan, and as a result, all eligible employees must be included in the plan. This ensures that all employees are provided with health insurance coverage without having to contribute towards the premium cost.

Submit
132.
Unless the applicant indicates otherwise during the right-to-return period in an individual annuity, the premium for a variable annuity would be invested only in:

Explanation

During the right-to-return period in an individual annuity, unless the applicant specifies otherwise, the premium for a variable annuity would be invested only in fixed income investments and money market funds. This means that the funds would not be invested in the mutual funds underlying the variable annuity contract, the insurer's general fund, or the insurer's separate account.

Submit
133.
A distinct feature of the alternative funding method known as self-funding is:

Explanation

Self-funding is a type of alternative funding method where the benefits are customized according to the needs of the participants. This means that the participants have the flexibility to choose the benefits that align with their specific requirements. Unlike traditional methods, self-funding allows for a more personalized approach, ensuring that individuals receive the coverage and benefits that best suit their needs.

Submit
134. The Common Disaster provision is designed to protect the interests of which of the following?

Explanation

The Common Disaster provision is designed to protect the interests of the contingent or secondary beneficiary. In the event that both the primary beneficiary and the insured die simultaneously or within a short period of time, this provision ensures that the contingent or secondary beneficiary receives the benefits. This provision is important to ensure that the intended beneficiaries are protected and that the insurance policy's benefits are distributed as intended.

Submit
135.
An agent who replaces an exsiting life insurance contract, must do all of the following, EXCEPT:

Explanation

The agent is required to submit a copy of the replacement notice to the applicant, the replacing insurer, and obtain a signed statement from the applicant as to whether insurance is to be replaced. However, they are not required to submit a copy of the replacement notice to the existing insurer.

Submit
136. An individual might purchase LTC protection out of concern for all of the following, EXCEPT:

Explanation

The correct answer is "Ineligibility for Medigap coverage." This means that an individual would not purchase LTC protection because they are not eligible for Medigap coverage. The other options, such as the inevitable cost of health care, increasing probability of needed services, and existing medical coverage, are all valid concerns that might prompt someone to purchase LTC protection.

Submit
137.
All of the following are true statements concerning the treatment of federal income tax on life insurance, EXCEPT:

Explanation

Annuity death benefit proceeds are not exempt from all taxation.

Submit
138.  
Senior citizens are given a 30 day right to retun a life insurance policy:
   

Explanation

Senior citizens are given a 30-day right to return a life insurance policy, which means they have the option to cancel the policy within 30 days of purchasing it and receive a full refund. This right applies to individuals who are 60 years old or older, regardless of whether they have an individual or group life insurance plan. Therefore, the correct answer is "At age 60 or older."

Submit
139.
Under the 10 day right to return , the policy will pay proceeds:

Explanation

If the policy is not returned but the premium is paid, the policy will pay proceeds. This means that even if the policyholder decides to keep the policy and does not return it within the 10-day right to return period, they will still receive the proceeds from the policy.

Submit
140. Which of the following (recall) provisions of a disability contract is likely to change the contract least and cost the most?

Explanation

A non-cancelable contract is likely to change the contract least and cost the most. This is because a non-cancelable contract guarantees that the insurer cannot cancel or change the terms of the policy as long as the premium is paid on time. This provides the policyholder with stability and assurance that their coverage will remain the same throughout the duration of the contract. However, this level of security comes at a higher cost compared to other provisions, as the insurer takes on a greater risk by offering such a guarantee.

Submit
141. Which of the following statements about policy dividends is true?

Explanation

The insured usually selects the dividend option at the time of policy purchase. This means that when an individual purchases an insurance policy, they have the opportunity to choose whether they want to receive policy dividends or not. This decision is typically made at the time of purchasing the policy, allowing the insured to determine how they want to receive any potential dividends that may be generated from the policy.

Submit
142. How much continuing education is a new agent who is both life and fire 8 casualty licensed is required to complete?

Explanation

A new agent who is both life and fire & casualty licensed is required to complete 25 hours of continuing education per year for either license. This means that the agent can choose to complete 25 hours of continuing education for either the life license or the fire & casualty license, but not both.

Submit
143. A disability income policy social insurance supplement (SIS) benefit rider:

Explanation

The disability income policy social insurance supplement (SIS) benefit rider provides a benefit if the insured does not qualify for social insurance benefits. This means that if the insured is not eligible for any social insurance benefits, such as workers compensation benefits or any other social insurance plan benefits, they can still receive a benefit through this rider. It serves as a supplement to fill the gap for individuals who do not qualify for social insurance benefits.

Submit
144. A health insurance co-payment is:

Explanation

A health insurance co-payment is a payment that the insured person pays directly to the healthcare provider at the time of receiving a service. It is a fixed amount that is predetermined by the insurance plan and is typically a smaller portion of the total cost of the service. The purpose of a co-payment is to share the cost of healthcare between the insured person and the insurance provider.

Submit
145. The home care coverage of a LTC policy provides for:

Explanation

The home care coverage of a LTC policy provides for part-time nursing at home for a custodial care patient. This means that the policy will cover the cost of having a nurse come to the patient's home and provide part-time nursing care. This type of coverage is specifically for custodial care patients, who require assistance with activities of daily living but do not require full-time nursing care.

Submit
146.
A variable annuity applicant request that the premium be immediately invested in a stock portfolio. The policy is returned to the insurer within the cancellation period. What was the applicant entitled to recieve?

Explanation

The applicant is entitled to receive the policy amount value on the date the policy was received by the insurer. This means that the applicant will receive the value of the policy as of the date it was received by the insurer, which may be different from the initial premium paid. This takes into account any changes in the value of the stock portfolio during the time the policy was in effect.

Submit
147.  
Which of the following is considered ordinary life insurance?

Explanation

Mortgage insurance is considered ordinary life insurance because it provides coverage specifically for the outstanding balance on a mortgage loan. It is designed to protect the policyholder's family or beneficiaries from the financial burden of repaying the mortgage in the event of their death. Unlike other types of life insurance, mortgage insurance is specifically tied to the mortgage loan and is typically offered by the lender or mortgage company.

Submit
148.
In the absence of a coordination of benefits clause, all of the following circumstances might result in the recovery of some health care expenses, EXCEPT:

Explanation

Guarantee association laws do not result in the recovery of health care expenses. Guarantee association laws are designed to protect policyholders in the event that an insurance company becomes insolvent. These laws ensure that policyholders can still receive benefits and coverage even if their insurer goes out of business. However, guarantee association laws do not directly result in the recovery of health care expenses.

Submit
149. Regarding an organizational license, what happens when a corporation is dissolved?

Explanation

When a corporation is dissolved, the organizational license is continued only if an original partner (stockholder) remains with the new corporation. This means that if at least one of the original partners continues to be a part of the new corporation, the license will still be valid. However, if none of the original partners remain, the license will be terminated.

Submit
150. A person has a disability policy with the following definition of disability: "the inability to perform any occupation for which the insured is suited through education, training, experience or prior economic status." This is an:

Explanation

The given definition of disability states that the insured must be unable to perform any occupation for which they are suited through education, training, experience, or prior economic status. This means that the insured would only be considered disabled if they cannot work in any occupation that they are qualified for. This is an "any occupation" definition because it focuses on the insured's ability to work in any occupation, rather than their ability to work in their own occupation specifically. This definition is considered to be less restrictive because it requires a higher level of disability for the insured to be eligible for benefits.

Submit
View My Results

Quiz Review Timeline (Updated): Mar 21, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Nov 19, 2011
    Quiz Created by
    Anansalee
Cancel
  • All
    All (150)
  • Unanswered
    Unanswered ()
  • Answered
    Answered ()
Which are two activities of Daily Living?
Terminally ill persons would need which of the following?
Any transaction that involves purchasing a life insurance policy and...
An insurer organized under the laws of the State of California is a:
A policy is returned to the insurer within 10 days of the date th...
An individual license is considered terminated
According to the code, all insurers must maintain a department to...
What does the Insurance Commissioner have the right to do if an agent...
A failure to communicate information which a party to an insurance...
Which party has rights in a life insurance policy only after the death...
Under a disability insurance policy, an insured is eligible for a...
FYI Company's employee is injured while driving in the employ of...
Deductibles, coinsurance, and co-payments in a health insurance policy...
An insured bought $150,000 non-participating whole life policy many...
The department responsible for evaluation, selection and distribution...
What does it mean if an agents license is inactive?
Regarding life insurance coverage for a company, the one responsible...
If the commissioner issues a Notice of Seizure for documents and the...
Which of the following is NOT provided by Hospice Care?
An insure, owned by policyholders is:
In order to deal with financial consequences of the death of a senior...
In accidental death and dismemberment insurance, which of the...
An insured bought an annuity ten years ago. He will retire in five...
The class beneficiary designation which means that the beneficiaries...
The mathematical rule that says that as the number of individual but...
The main master policy owner of a group health insurance contract is...
Hospice care is for:
Relevant to health insurance, morbidity includes all of the following...
According to the Ca Insurance code, in which of the following classes...
What happens to a license after the death of a natural person who...
Why should a contingent beneficiary be named in a life insurance...
An organization will cease to exist as an enity eligible to hold a...
A person has paid $50,000 into a fixed annuity over 20 years.When he...
Twelve months ago, a man slipped and fell down a flight of stairs at...
The policy provision which prevents an insurer from voiding a policy...
A disability income policy covers injuries suffered by an insured on...
An insured and beneficiary wants to recieve $2,000 per month until the...
After a life insurance policy has been in effect for two years, what...
Insurer and the insured share covered losses. This is called:
Which of the following must any person engaged in the business of...
Tony Brown has a CLU certification. which of the following names would...
The likelihood of incurring disease or disability at any given time...
Which of the folowing is a description of a Life and Disability...
Which of the following gives individuals the right to purchase...
Which is NOT part of transacting insurance?
Physicians and surgeons services, whether provided in a hospital, or...
Which type of life insurance policy gives the policy owner the right...
A single deductible amount for all memebers of the same family and a...
An insured an benificiary die in a car accident and it is impossible...
As an employer, the sudden death of an employee is considered a:
Harold, a variable annuity applicant, does not request the premium be...
An association of industry specific employers who are joined together...
When claimant is covered by more than one plan the situation is...
Usually, in order to join a group insurance plan without providing...
Which of the following are common insurance policy provisions?
Supplemental insurance used to pay for hospital confinment to treat...
Which of the following would be considered a morale risk?
Medicare Part A, begins automatically at age:
 ...
The policy owner, age 50 has been paying the premiums on his whole...
Joe recieves a large bonus at work and decides to purchase an annuity...
The clause that rotects the proceeds of a life insurance policy from...
COBRA applies to employers with at least:
Who has the right to change life insurance beneficiaries?
Which of the following is not an option for the use of the policy...
According to California Insurance code, a judgement agaginst an...
Which of the following is not one of the common personal uses of life...
A person who spends $10,000 in a single premium annuity, and another...
 ...
In group insurance the Certificates of Insurance are issued to: 
Which of the following  requires a reporting company to respond...
The type of healthcare provider that provides both the healthcare...
What information can a party to a contract of insurance be allowed NOT...
  How is the Insurance Commissioner selected?
Which is the most expensive LTC policy?
Under the Consolidated Omnibus Budget Reconsolidation Act (COBRA),...
All of the following would be considered unfair claim practices,...
Certain healthcare providers are called "service type...
Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), a...
If one were to recieve the principal sum benefit of death in a...
 ...
Each of the following terms is an important characteristic of a major...
If a person gives erroneous statement on an application...
Unless it is merely a statement of an expectation or a belief, a...
Which of the following may be offered by insurers providing Medicare...
If the financial loss on a certain group of people occuring over a...
All of the following are valid reasons for the Insurance Commissioner...
The Federal Act that is designed to protect group plan participants,...
The person whose life is the object of a life insurance policy is;
HMO's are involved in all of the following, EXCEPT:
If an insurance agent or broker recieves a commission for arranging a...
Renewable  term insurance can best be described as:
Which of the following is true about life insurance beneficiary...
An insurance company pays claims after a self-insured, specified limit...
With the cost of living rider, the life insurance policy holder
All of the following is required on a life insurance application,...
Which statement best descibes a life insurance policy dividend?
Which of the following is not an example of cost sharing in a health...
Which of the following is a true statement regarding the social...
Identify the penalty for each violation for a person engaging in any...
Which of the following is a correct statement about life insurance...
The policy provision which comes into effect when the insured and...
What would a person be guilty of who refuses to submit books and...
Any person who diverts or misappropriates fiduciary funds is guilty...
A probationary period in a group health policy is intended for people:
A person who acts in a capacity that requires an active license...
The purchase of an insurance policy may not provide one of the...
Insurers make adjusment to the cash value of an account of a universal...
All of the following would be considered one of the three major types...
Which of the following statements concerning the usual...
In order to be quilified to sell LTC insurance in the state of CA,...
The purpose of laws regarding the replacement of life and annuity...
Any attempt by an exsiting insurer or their agent to dissuade a ploicy...
 ...
Which of the following applies to the social insurance program know as...
All of the following would be considered unfair trade practies,...
Which of the following is not a standard level of care for a LTC...
All of the following statements regarding survivorship life insurance...
When a family policy covers children, all of the following are true,...
A movie company concerned about their financial losses in case of the...
 ...
Along with having enough assests to provide for its liabilities and...
The purpose of the California Life and Health Guarantee Association...
In managed care the members' choice of providers is most...
In order for an enity to be eligible to hold a license, a...
In which of the following plans are claim forms typically completed...
To be classified as accidental under a disability income insuranc...
The SEC is involved in the regulation of:
 ...
Subject to the restrictions of the CA Insurance Code, any person...
Which of the following is true regarding participation is a group...
Unless the applicant indicates otherwise during the right-to-return...
A distinct feature of the alternative funding method known as...
The Common Disaster provision is designed to protect the interests of...
An agent who replaces an exsiting life insurance contract, must do all...
An individual might purchase LTC protection out of concern for all of...
All of the following are true statements concerning the treatment of...
 ...
Under the 10 day right to return , the policy will pay proceeds:
Which of the following (recall) provisions of a disability contract is...
Which of the following statements about policy dividends is true?
How much continuing education is a new agent who is both life and fire...
A disability income policy social insurance supplement (SIS) benefit...
A health insurance co-payment is:
The home care coverage of a LTC policy provides for:
A variable annuity applicant request that the premium be immediately...
 ...
In the absence of a coordination of benefits clause, all of the...
Regarding an organizational license, what happens when a corporation...
A person has a disability policy with the following definition of...
Alert!

Advertisement