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| Section | Weight | Objectives |
|---|---|---|
| Individual Health Insurance Policy General Provisions | - Other provisions - Optional provisions - Uniform required provisions | |
| Health Insurance Basics | - Medical expense insurance - Social insurance - Health insurance concepts - Policy provisions and riders - Disability income insurance | |
| Group Health Insurance | - Group health insurance provisions - Group health insurance plans - Group health insurance concepts | |
| Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Penalties and offenses - Unfair trade practices - Pennsylvania Insurance Department - Agent conduct and trade practices - Licensing requirements |
| Specialized Health Insurance for Qualified Individuals | - Medicare - Medicaid - HIPAA - Long-term care insurance | |
| General Insurance | 6% | - Contracts - Agents and general rules of agency - Insurers - Concepts |
| Insurance Regulation | 8% | - Federal regulation - Licensing - State regulation |
| Annuities | - Annuity principles and concepts - Annuity products - Annuity taxation | |
| Life Insurance Policies | 11% | - Term life insurance - Group life insurance - Flexible premium policies - Specialized policies - Whole life insurance |
| Life Insurance Basics | 8% | - Licensee responsibilities - Premiums - Insurable interest - Business uses of life insurance - Factors in premium determination - Personal uses of life insurance - Determining amount of personal life insurance - Individual underwriting by the insurer - Differences in life insurance policies |
1. An insured has a stop-loss limit of $10,000, a deductible of $500, and an 80%'20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much I will the insured have to pay?
A) $10,600
B) $10,400
C) $10,000
D) $500
2. Under traditional fixed annuity contracts, the party who assumes the investment risk is the
A) annuitant.
B) insurer.
C) beneficiary.
D) contract owner
3. In Pennsylvania, insureds entitled to convert their group insurance to individual coverage must receive notice of their right to convert at least how many days prior to the expiration of those rights?
A) 15
B) 5
C) 10
D) 20
4. For licensing purposes, the producer's principal place of business or residence in any slate determines the producer's
A) license renewal date.
B) territory.
C) insurance transaction site.
D) home state.
5. Which annuity feature makes it a suitable source of retirement income for an individual?
A) Annuities provide income the annuitant cannot outlive.
B) Annuities pay out principal and interest
C) Deferred annuities provide a lump-sum distribution at retirement.
D) Annuities grow tax deferred.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: A |
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