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Which of the following best describes the insurers obligation to provide coverage to children with disabilities who are unable to care for themselves?
Which of the following best describes the function of MINI-Cobra?
Jason doesn’t want to teach insurance anymore. He’s decided to become a PILOT and help search for Unidentified Flying Objects. Which of the following statements pertaining Jason’s insurance ELIGIBILITY is correct?
[Identify] SPECIAL Risk = Pilots while flying a specific / experimental aircraft.
iMost Wanted – References Limited / SPECIAL Risk Policies
Which entity finances healthcare services to subscribers on a pre-payment basis?
After a successful sales presentation, you help Kelli complete the policy application. She provides her banking information and pays the premium one year in advance. You explain she’ll be covered for all claims starting now if, underwriting deems her insurable.
What type of initial premium Receipt did you issue Kelli?
What is an Un-Affiliated Insurance Agent?
Karen has basic medical expense coverage. She’s going into surgery soon and wanted to know if anesthesia is considered a covered expense. How would you advise Karen?
Sliding occurs when,
Which of the following statements pertaining an Outline of Coverage is INCORRECT?
Which law requires insurers to notify applicants in writing when an investigative consumer report is going to be conducted on the applicant?
(10) Fair Credit Reporting Act
Which of the following best describes the mandatory healthcare benefits provided for newborn children under Group & Individual policies?
To qualify for issue as a group, how many members of an Association or Labor Union must participate?
(12) Eligible Groups
How long does the insured have to submit Proof of Loss to the insurer?
(13) Proof of Loss
The Florida Fire Marshal is the head of the,
(14) CFO Authority
Licensees are required to archive information pertaining premiums collected for a minimum of,
Which of the following groups of people would not be covered under a Group Blanket Health Insurance policy?
[Identify] Which GROUP option is different than the others?
A married insured has an Accidental Death and Dismemberment (AD&D) policy that names his brother the Primary Beneficiary and his son as the contingent beneficiary. If the insured and his brother are both killed instantly in a train accident, the policy proceeds would be paid to which of the following?
– DFS.VIII.D – NAIFA (7.2.1.1) p. 140
Which of the following statements pertaining the DFS Division of Investigative and Forensic Services is correct?
(18) DFS | Division of Investigative & Forensic Services
What type of group policy would provide coverage to the participants of a summer camp?
(19) Types of Eligible Groups
Health insurance policies are offered on a “take it or leave it” basis and referred to as which of the following types of contracts?
The Florida Financial Services Commission is comprised of,
When must an Outline of Coverage be provided?
(22) Disclosures at the Point of Sale
Jeff is an Authorized Insurance Agent from Orlando. He permanently moves to Miami. How long does he have to notify the Department of his move?
(23) DFS Recordkeeping
The insurance policy clause that identifies the contracting parties and defines the scope and limits of coverage is called the:
(24) Standard Policy Provisions
Which statement best identifies the benefits associated with Medigap?
Which of the following best describes a person arrested for DUI?
(26) RISK | Perils / Hazards
Which of the following describes the Authority of a Process Agent?
(27) CFO Authority | Receiver of Legal Process
Which of the following entities has investigators with the authority to detain suspects?
(28) DFS Investigative Authority
Which of the following types of health policy structure provides guaranteed premiums and renewability?
[ Identify ] Keywords “OPTIONALLY” renewable & “CONDITIONALLY” Renewable ALL policy renewals are executed at the insured’s request.
Which of the following best explains Insurer Balance Billing?
Which of the following statements about the continuation of group coverage is INCORRECT?
DFS Division of Consumer Services has the authority to,
An Eligible Expenses provision in a comprehensive major medical policy identifies all the following covered health care services EXCEPT:
What is a Representation and who does it pertain to? Representations are…
When an agent receives a request for information from the Division of Consumer Services, how long do they have to respond?
Which of the following statements about a Waiver of Premium provision in a Disability Income policy is CORRECT?
Which of the following healthcare coverages are not identified as protected by the Federal Patient Protection and Affordable Care Act (PPACA)?
Consideration Clauses in accident and health policies states,
A statement made by the insurance applicant which is GUARANTEED to be TRUE is called a,
Which of the following entities manages accounts receivable and claims payable for insolvent insurers?
Sara is an insurance agent from Texas with non-resident authorization from the Florida Department of Financial S Sara decides to permanently move to Florida. How long does she have to notify the Department before her appointments are terminated?
Jessie recently qualified to continue coverage under her ex-husbands small employers’ group policy. Which of the following statements about her continued coverage is INCORRECT?
Which of the following statements about coinsurance is CORRECT?
When a health insurance policy is required to comply with Federal Patient Protection and Affordable Care Act (PPACA) it’s considered to be a,
Which type of health insurance policies charges a fixed monthly premium in return for comprehensive coverage focused on early detection of critical illnesses?
If an insurer discontinues all health insurance policies in Florida, how long must they remain out of the marketplace before being allowed to begin reselling policies in Florida again.
Which of the following entities is responsible for regulating securities and products offered by banks and lending institutions in Florida?
On June 1, Kelli signed her health insurance application and paid her initial premium. On July 1st , Jason, Kelli’s agent, received the approved policy from the insurance company. The policy contained a Ten-Day Free Look provision. On July 3, Jason attempted to deliver the policy but, Kelli was not at home. On July 5, Jason was able to deliver the policy to Kelli. On July 7th Kelli decided he did not want the policy. Kelli had 10 days from which of the following dates to return the policy and obtain a full premium refund?
Once the insurer has been notified of a claim, how long do they have to furnish a Claim Form?
Who is responsible for providing each covered employee a Certificate of Coverage?
After a successful sales presentation, you help Kelli complete the policy application. She pays her policy premiums a year in advance. You explain, her coverage will begin AFTER she’s been APPROVED by underwriting.
What type of initial premium receipt did you issue Kelli?
The Department of Financial Services contains 13 divisions. Six pertain to the business of insurance. Which of the following is NOT relevant to the business of insurance?
Which of the following best identifies the insurers’ rights when a person has misstated their age, gender, or occupation to the insurer?
A pre-certification review prior to a nonemergency hospitalization is an example of:
Which of the following statements pertaining the Coordination of Benefits is incorrect?
Jethro lost his hand playing poker with an alligator. Which statement best describes his benefit payable under an Accidental Death & Dismemberment policy?
David is a classical ballet dancer. He comes to you to purchase 1-Million Dollars of insurance to cover his legs if he suffered an accident which would affect his ability to perform. What type of policy should you sell David?
The Coordination of Benefits clause found in group health master contracts is used to:
What does it mean if a health insurance policy is Grandfathered?
Which of the following statements about Group Health Insurance policies is NOT true?
What is the minimum timeframe an association or labor union must be in existence to qualify as a group and offer Health Insurance?
How much notice are insurers required to give the agent if, they intend on terminating the agent’s appointment?
A producer and an applicant complete an application for a health policy and submit it to the insurer for underwriting without any premium. The underwriter issues a policy and mails it to the producer for delivery to the applicant.
Producers should take all the following actions while delivering a policy EXCEPT:
A regularly scheduled OIR audit identifies an insurer in financial distress. The insurer should be able to correct their operational problems with some help. Which of the following best describes this insurer?
James has a basic medical expense policy and a comprehensive major medical policy. What type of deductible does James have if his Major Medical policy allocates the benefits paid under his basic policy toward his deductible?
James has a basic medical expense policy and a comprehensive major medical policy. What type of deductible does James have if his Major Medical policy allocates the benefits paid under his basic policy toward his deductible?
How many hours of continuing education must a newly licensed agent complete each compliance period?
Craig allowed his policy to lapse almost a year ago. He tried reinstating it by sending the insurer a premium payment however, it was rejected. He comes to you for help reinstating his policy.
Which of the following is incorrect?
Kelli is a licensed insurance agent. She’s been licensed and appointed for 10 years. How many hours of CE must Kelli complete this upcoming CE compliance period.
Once the insured has submitted Proof of Loss, how long must they wait for payment before they are legally permitted to sue the insurer to recoup their qualified expenses?
Which of the following is NOT a characteristic of a Health-Maintenance Organizations?
Mandatory second opinions, pre-certification reviews and case management to review large claims are all characteristics of which Insurer structure?
If an insurer chooses to discontinue offering a particular type of policy to the group marketplace, how many days do they have to notify each policy owner who’s losing coverage?
Which of the following is a characteristic of a Preferred Provider Organization?
Which of the following is a characteristic of a Point of Service plan?
Which one of the following is NOT a characteristic of a Managed Care HMO?
Which of the following statements pertaining Health Savings Accounts (HSA) is TRUE?
Which Part of Medicare DOES NOT require the beneficiary to pay a monthly premium?
Which of the following entities is responsible for overseeing Florida’s Insurers, banks, and lending institutions?
Which statements pertaining Original Medicare’s benefit periods is incorrect?
An insurer decides to terminate ALL Group Insurance offerings in Florida. Which regulatory entity must they notify and how many days of notice must they provide?
Which of the following eliminates the insurers’ ability to dispute claims after the policy has been in force 24-months?
How many days do licensees have to respond to an Office of Financial Regulations request for information?
When an insurer can no longer meet their financial obligations, they are deemed,
How long do insurer appointments remain in force?
Which of the following prohibits insurance agents from changing policy provisions or making changes to the application without the applicants’ permission?
Which of the following regulatory entities is responsible for regulating Variable Life Insurance?
If an insurer sells participating policies, which of the following is NOT TRUE?
Which of the following types of policies provides consumers a lifetime guarantee of 100% of their premiums returned if the policy is ever terminated for any reason?
Jason has a Guaranteed Renewable Insurance policy. His renewal anniversary is coming up and the insurer sent him the standard increase of premium notice. Jason calls you to find out if theirs’s a way he can lower his renewal premium without lowering his benefits.
How should you advise him?
Which of the following insurers sells Participating Policies?
Kelli has a $10,000 deductible on her supplemental Major Medical policy. She suffered a knee injury and now needs surgery. Her basic medical expense benefits paid the first $7,500.00 of her expenses. She’s expected to incur another $12,000.00 to $15,000 in eligible expenses. If she needs to pay $2,500.00 to satisfy her deductible, what type of deductible does Kelli have?
Which of the following statements best identifies insurance Mortality Charges?
Which of the following is NOT a valid reason for an insurer to terminate an individual health insurance policy?
When a group insurance policy is issued, who is the policy owner?
Which of the following statements pertaining eligible beneficiaries of a small employer group policy is NOT Correct?
How long does the insured have to notify the insurer of a claim?
Which of the following best identifies the insurers obligation to reinstate a policy which has lapsed for non-payment of premiums?
Which of the following statement about Medicare Supplement is TRUE?