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Question 1 of 10
1. Question
If a group seems to have given up a clear right by acts or by inaction that another party has relied on, the legal basis for asserting the original right may have been lost. This is known as the legal doctrine of
Correct
Estoppel is a legal term that means a party has given up a right by previous acts or inactions on which another party has relied. This is known as the legal doctrine of estoppel.
Incorrect
Estoppel is a legal term that means a party has given up a right by previous acts or inactions on which another party has relied. This is known as the legal doctrine of estoppel.
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Question 2 of 10
2. Question
Individual health insurance plans can contain a clause that applies to Premiums that are owed. When the provision applies, if a premium payment is overdue when a claim for benefits is made
Correct
This is a standard provision in almost all life and health insurance policies. The insurer always has the right to deduct overdue premiums from any benefits paid.
Incorrect
This is a standard provision in almost all life and health insurance policies. The insurer always has the right to deduct overdue premiums from any benefits paid.
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Question 3 of 10
3. Question
There is a consideration clause for health insurance plans, which states that the insurance is provided in consideration of what?
Correct
The clause states that the insurance is provided in consideration of payment of the first premium and completion of the application.
Incorrect
The clause states that the insurance is provided in consideration of payment of the first premium and completion of the application.
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Question 4 of 10
4. Question
If a health insurance policy has expired and is reinstated later, the reintroduced policy would only cover sickness that starts
Correct
If a health insurance policy has lapsed and is later reinstated, the reinstated policy will cover the only sickness that begins at least 10 days after the date of reinstatement. This provision exists because a person who becomes sick might be motivated to reinstate coverage only to claim benefits. Accidents are covered immediately because accidents cannot be anticipated.
Incorrect
If a health insurance policy has lapsed and is later reinstated, the reinstated policy will cover the only sickness that begins at least 10 days after the date of reinstatement. This provision exists because a person who becomes sick might be motivated to reinstate coverage only to claim benefits. Accidents are covered immediately because accidents cannot be anticipated.
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Question 5 of 10
5. Question
A required provision concerning notice of claim obligates a policyholder to give the insurer or its agent notice of a claim Under the Uniform Policy Provisions Law within
Correct
The provision requires a policyholder to give the insurer or its agent notice of a claim within 20 days of a loss, or as soon as reasonably possible.
Incorrect
The provision requires a policyholder to give the insurer or its agent notice of a claim within 20 days of a loss, or as soon as reasonably possible.
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Question 6 of 10
6. Question
Which one of the following is incorrect about a presumptive disability?
Correct
After a presumptive disability has been medically verified, no further examinations are required to verify the loss.
Incorrect
After a presumptive disability has been medically verified, no further examinations are required to verify the loss.
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Question 7 of 10
7. Question
The purpose of a grace period In health insurance policies is to give a policyholder extra time to
Correct
In health insurance policies, the purpose of a grace period is to give a policyholder extra time to pay a premium after the due date.
Incorrect
In health insurance policies, the purpose of a grace period is to give a policyholder extra time to pay a premium after the due date.
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Question 8 of 10
8. Question
One of the main reasons many group disability insurance policies are written on a nonoccupational basis is that
Correct
Because workers’ compensation covers work-related injuries, most group health insurance plans are written on a nonoccupational basis to cover only injuries or illnesses that are not work-related.
Incorrect
Because workers’ compensation covers work-related injuries, most group health insurance plans are written on a nonoccupational basis to cover only injuries or illnesses that are not work-related.
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Question 9 of 10
9. Question
Small employers who do not otherwise count for the group health insurance plan may be able to obtain similar low-cost benefits for their employees by joining a
Correct
A multiple employer trust allows small employers to join together to obtain health care benefits for their employees at a reasonable cost.
Incorrect
A multiple employer trust allows small employers to join together to obtain health care benefits for their employees at a reasonable cost.
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Question 10 of 10
10. Question
A document is issued by individuals covered by a community health insurance plan that summarizes the advantages and the main policy provisions. This document is known as a
Correct
Members covered by group insurance plans receive certificates of insurance that summarize the benefits.
Incorrect
Members covered by group insurance plans receive certificates of insurance that summarize the benefits.