Term
| How many mandatory provisions are found in individually issued health insurance contracts? |
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Definition
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Term
| An insurer may attempt to change the wording of a uniform policy provision: |
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Definition
| as long as the new wording is no less favorable to the insured. |
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Term
| It is lawful for an insurance company to subtract from benefits any premiums that the insured has failed to pay into the contract |
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Definition
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Term
| T/F The conformity wtih state statutes provision states that the policy must conform to the minimum requirements ofhte laws of the state where the agent resides, should there be a conflict. |
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Definition
| False. It depends where the policy was written |
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Term
| The "free look" (right of recission) clause of health insurance stipulates a minimum number of days the insured may review a policy and return it to the insurance company for a full refund of premiums paid. What is the number of days? |
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Definition
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Term
| Marvins health policyos one that cannot be cancelled, and must be renewed untilhe attains the age of 65. Provisions within the contract stipulate that premiums can be increased, assuming they are increased for all insured in the same class. What kind of policy does this refer to? |
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Definition
| a guaranteed renewable contract |
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Term
| How many days are allowed by law for an insurance firm to supply claim forms to the person submitting a claim. |
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Definition
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Term
| Ha company wants to create an in-house health insurance program whereby payments is made by the company to the employees for their claims. What is this type of program called. |
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Definition
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Term
| A ____________ administrator is an outside organizqation that handles the documentation and recordeeping of an employers self-insured health program |
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Definition
| third-party administrator. |
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Term
| A man and his 5-year old son are covered by a group life and a group health insurance plan. should the man be laid off because of a factory closure he can pay the premiums not to exceed 102% ofthe old premium, retain coverage for 36 onths and because of COBRA, " : |
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Definition
| have health coverage for himself and have health coverage for his son. |
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