Texas Life, Accident and Health Agent Exam, Accident and Health: Policy Provisions, Clauses and Riders: all 31 questions

All questions from the Accident and Health: Policy Provisions, Clauses and Riders section for Texas Life, Accident and Health Agent Exam, each with the correct answer.

6001The entire contract provision in a health policy states that
6002The time limit on certain defenses (incontestable) provision in an individual health policy limits the insurer's right to
6007The time of payment of claims provision requires the insurer to pay benefits
6008Under the payment of claims provision, indemnity for loss of life is payable to
6009The physical examination and autopsy provision allows the insurer to
6011The change of beneficiary provision allows the insured to change the beneficiary
6012The misstatement of age provision in a health policy provides that, if the age of the insured was misstated,
6013The change of occupation provision allows the insurer to
6014The relation of earnings to insurance provision allows the insurer to
6015The illegal occupation provision allows the insurer to
6016A probationary period in a health policy is
6017The elimination period in a disability income policy is
6018A longer elimination period in a disability income policy will generally
6019A waiver of premium provision in a health policy generally applies when the insured
6020A preexisting condition is generally defined as
6021Coinsurance in a major medical policy means that
6022Under an 80/20 coinsurance policy with a $500 deductible, the insured has a covered loss of $5,500. How much will the insurer pay?
6023A deductible differs from a copayment in that a deductible is
6024A pre-authorization (prior approval) requirement means that
6025Usual, reasonable and customary (URC) charges refer to
6026A policy that pays 80 percent of a lifetime maximum of $1 million per person has
6027A noncancelable health policy
6028A guaranteed renewable health policy
6029A cancelable health policy
6030An impairment rider (exclusion rider) on a health policy
6031A future increase option rider on a disability income policy allows the insured to
6032A disability income policy has a benefit period of two years. This means
6033An insured has a $1,000 deductible and a 20 percent coinsurance clause with a $3,000 out-of-pocket (stop-loss) cap on a major medical policy. Which statement is true?
6034A health policy that does not pay for care until the insured has paid the first $2,000 of covered expenses in the benefit year has a
6035Which provision keeps an insured from collecting twice for the same medical expense under two different policies?
6037A consideration clause in a health policy states that the policy is issued

Texas Life, Accident and Health Agent Exam, Accident and Health: Policy Provisions, Clauses and Riders: all 31 questions

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