Ahealth care provider claim may be settled using which of the following paymentmethods? Which of the following statements is CORRECT regarding an individual applying for life or health insurance? They are both involved in an automobile accident where Pat dies instantly and Karen dies 5 days later Key Person Disability Insurance pays benefits to the. b. pain between 4th and 5th metatarsal. D.) By providing consumer credit counseling. A _______ company is owned by its shareholders, The ___________ has the right to renew a small employer health plan, providing incorrect, misleading, incomplete, or materially untrue information in the license application, A producer who is licensed in Maryland but resident in another state is called a, A minor may receive a life insurance policy's death benefit ONLY, Interest on death benefits are NOT required to be paid by an insurance company as long as proceeds are paid within ______ after the date of the death of the insured, Submit to the replacing insurer a list of the policies to be replaced. \text{Accounts payable} & \$\ \hspace{5pt}32,000 & \$\ \hspace{5pt}57,000 \\ Whoregulates the quality of care provided by a health maintenance organization(HMO), a. Secretaryof department of health and mental hygiene, b. NationalAssociation of insurance commissioners, A.Secretary of the department of health and mental hygiene. B.Canceling a term life policy to buy a whole life policy. Which of these is NOT subject to income taxation under a Modified Endowment Contract (MEC)? _____ is NOT an element of valid contract, The automatic premium loan provision authorizes an insurer to withdraw from a policy's cash value at the amount of, Past due premiums that have not been paid by the end of the grace period. 1. New Jersey insurance law requires eligible individuals to make an election to continue health insurance benefits within a MAXIMUM of _____ days after coverage termination, A _____ insurance company is one that was formed under the laws of a state other than New Jersey, All of the following are typically included in a life insurance policy illustration EXCEPT, Claims payable to a Disability Income insured, even when the insured can continue to work, are the result of a. XYZ Corp pays the tax-deductible insurance premiums for a key employee disability policy. a producers secretary who solicits prospects on the telephonecrumbl cookies franchise applicationcrumbl cookies franchise application June 24, 2022 . Kurt is an active duty serviceman who was recently killed in an accident while home on leave. B. Bob and Tom start a business. In which of the following relationship would there NOT be an insurable interest? The commissioner must examine the financial affairs of each admitted insurer operating in Maryland at least once every how many years? Failingto promptly provide a reasonable explanation for the denial of a claim isconsidered to be a (n). d. Alump sum payment upon first diagnosis of cancer, heart attack, or stroke. What kind of insurance provides coverage for one or more necessary or appropriate diagnostic, preventative, therapeutic, rehabilitative, maintenance, or personal care services in a setting other than an acute care unit of a hospital? In accordance with New Jersey law, a Producer must remit health insurance premiums to the insurer within what period? You are given the graphs of several functions of the form f(x)=ax2+bx+cf(x)=a x^2+b x+cf(x)=ax2+bx+c for different values of a, b, and c. For each function. Using derogatory statements about an insurance company's financial condition. Which of these is affected by the frequency of an insurance policy's premium payments? Which of the following is a reinstatement condition? Which of the following basics is a producer's fiduciary responsibility? Which of the following is Medicare Part B also known as? When is an existing health insurance policy required to provide coverage for a new born child? belmont funeral home obituaries barbados a producers secretary who solicits prospects on the telephone Welcome To Be Falcon Solutions Website Hotline & WhatsApp : +971556212280 | Landline : +97143873596 , +97167499398 james reynolds obituary popeyes vs chicken express do venmo requests expire yorba linda football maxpreps primary care physicians in cleveland ohio Vaginal plastic surgery is made up of two main procedures, external and . Medical history from the insured may be reviewed and reported, If an insurer receives a notice of claim under an individual health policy, and fails to provide proof of loss forms within 15 days, the insured must, File a written proof of loss, detailing the occurrence, character and extent of loss. Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. (To help answer this question, create an Accounts Receivable T-account and insert the beginning and ending balances.) a producers secretary who solicits prospects on the telephone In event of acontroversy between the insured and the company, the producer is considered to representthe. In order for the producer's insurance business to continue, the Department of Banking and Insurance may issue to the producer's spouse a. \\ cuanto gana un pintor de autos en estados unidos . She paid the premium on May 15 with the policy indicating the effective date being May 30. Whatis the purpose of the medical information Bureau (MIB)? When does a life insurance policy typically become effective? When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates? C. Normally graded over a period of 20 years. A policyowner suffers an injury that renders him incapable of performing one or more important job duties. Since each partner contributes an important element to the success of the business, they decide to take life insurance policies out on each other, and name each other as beneficiaries. Under this plan a, Adoption of a child (an uninsured, eligible employee who acquires a new dependent through marriage, birth, or adoption may qualify for special enrollment in a small employer's health benefit plan). . Insurable interest can be established sufficiently by sentimental attachment alone, A life insurance policy written on one contract for two people in which it is payable upon the first death is called. A Long-Term Care policy may only exclude pre-existing conditions for up to _____ months, The identity of the ____ must be made clear in every health insurance advertisement, _______________ is the authority given to a producer to sell, solicit, or negotiate insurance on behalf of the insurer, Pre-existing conditions may only be excluded from coverage for a maximum of 6 months. a. A life insurance policy sold in Maryland can be cancelled for nonfraudulent misstatements for up to, A person who has a contract with an insurance company to represent it, To a licensed producer who is appointed with the insurer. She is receiving the deathbenefit in payments of $10,000 per month until the principal and interest hasbeen paid out. A. Which of the following is the likely result? An insurer formed according to the legal requirements of another country is called an. Bob dies 12 months later. A Medicare supplement policy can be cancelled by the insurer for: Maria the insurance producer completes a sale by collecting the required signatures on the application and obtaining the initial premium. Hill during her initial calls made to the call center. A closed network plan offers a primary physician copay of $25. Mark continues working after the age of 65 and is covered through his employer's group health plan. Providing claim payments to insureds under the guidelines of the insurance contract. The Premium for a Modified whole life policy is: A. The two plans are fee-for-service and. Tarathe producer is delivering a specified disease insurance policy to a new policyowner. Eventually, they retire and dissolve the business. A master contract and certificate of coverage can be found in which type of policy? The names of the insurance companies represented by the producer. A producer has committed an insurance crime that violates US code 1033 (interstate commerce). Which of the following must be included in the advertisement? Determine whether there are 0,1 , or 2 real solutions to f(x)=0. Who would make the final determination on whether or not an insurance advertisement is misleading? D.) Intentionally violated state insurance laws. HIPPA considers which of the following as "individually identifiable health information"? what happened to amy bailey happy healthy humble . If the company debited Accounts Receivable and credited Sales for $600,000 during the year, what is the total amount of credits recorded in Accounts Receivable during the year? Maria would like an annuity that provides a guaranteed accumulation or payout. Financial report from the previous year. An ___________ insurance company is one that was formed under the laws of another country outside of the U.S. a producers secretary who solicits prospects on the telephone; episcopal academy ice hockey; atlas copco fault codes 7008. serta idirections hybrid queen. D. Willfullycollecting a premium that exceeds the amount of the actual premium. A licensed producer is required to file notice of any change of address within how many days? What is this an example of? & \text{Balance}& \text{Balance} & \\ When the minor has been approved by the Commissioner, When collection insurance premiums from a client, a producer MUST, A. Please sign in to share these flashcards. a producers secretary who solicits prospects on the telephone. Disability Income plans which require that the insurer can NEVER change or alter premium rates are usually considered. Which military service exclusion clause would pay upon his death? B. Protects insurers from an applicantsMisrepresentation, C. Protect consumers with guidelines regardingcredit reporting and distribution. What is the MINIMUM benefit period that must be offered by a Long-Term Care Policy? What does the amount of these credits represent? An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? All Medicare Supplement policies MUST contain which provision? Making the policy effective on an earlier date than the present.