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Life and Health Insurance Producer Exam

Health policy provisions: practice questions

Our Life & Health Insurance bank has 13 questions on this topic. Here are 4 of them with answers; the full mock exam draws from every topic, like the real one.

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Question 1

What is an impairment rider?

  1. A rider that pays an extra benefit for a specific impairment or illness
  2. A rider that waives premiums during disability
  3. A rider that covers the insured's dependants
  4. A rider that excludes a specific condition from coverage
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D. A rider that excludes a specific condition from coverage — It allows coverage that might otherwise be declined.

Question 2

What is the grace period for a monthly premium health policy under the uniform provisions?

  1. No grace period is allowed
  2. At least 10 days
  3. At least 31 days
  4. At least 7 days
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B. At least 10 days — It is 7 days for weekly, 10 for monthly and 31 for other modes.

Question 3

What does the 'insurance with other insurers' provision address?

  1. Benefits may be prorated if the insured has other coverage not disclosed
  2. The agent must disclose all of the client's other policies to every insurer each year
  3. The insurer will match the benefits of the other policy
  4. The insured must buy coverage from at least two insurers
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A. Benefits may be prorated if the insured has other coverage not disclosed — Coordination of benefits applies to group plans.

Question 4

Under the uniform provisions, how soon must the insured give notice of a claim?

  1. Within 24 hours of the loss, without exception, or the claim will be denied
  2. Within 20 days of the loss, or as soon as reasonably possible
  3. Within 1 year of the loss, at any time
  4. Within 90 days, but only by certified mail
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B. Within 20 days of the loss, or as soon as reasonably possible — Proof of loss usually follows within 90 days.

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