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Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions:

1. All of the following are examples of unfair claims settlement practices EXCEPT:

A) Denying unsubstantiated claims on a timely basis
B) Misrepresenting pertinent facts of coverage
C) Refusing arbitrarily and unreasonably to pay claims
D) Failing to promptly provide a reason for a claim denial

2. What must the insurer provide to certificate holders when a group Medicare Supplement insurance policy is terminated and not replaced?

A) A buyer's guide to Medicare Part B
B) An offer of conversion to individual coverage
C) An offer of continuation coverage
D) An offer of membership in another group

3. An insurance producer provided several examples to the applicant, persuasively demonstrating that the insurance coverage offered under the producer's company policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

A) Rebating
B) Twisting
C) Discrimination
D) Fraud

4. An insurer may refuse to underwrite a particular insurance applicant for a reason based wholly on:

A) Medical condition
B) Race
C) Creed
D) Gender

5. In dental insurance coverage, which one of the following typically is EXCLUDED?

A) Preventive care
B) Treatment started prior to the eligibility date
C) Dental X-rays
D) Root canal therapy

Solutions: