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Texas Life and Health Insurance Exam 2024, Exams of Personal Health

1. A 45 year-old woman won $100,000 in a scratch-off lottery ticket. She purchased an annuity that will pay her $1500 per month beginning at age 60. Which of these annuities did this woman purchase? - ✔✔Deferred Fixed Annuity 2. A characteristic of preferred provider organization (PPOs) would be: - ✔✔Discounted fees for the patient 3. A Disability Income policyowner recently submitted a claim for a chronic neck problem that has now resulted in total disability. The original neck injury occurred before the application was taken 5 years prior. The neck injury was never disclosed to the insurer at the time of application. How will the insurer handle this claim? - ✔✔Claim will be paid and coverage will remain in force 4. A foreign insurance company conducting insurance business in Texas - ✔✔was formed under the-laws of another state 5. A Hospital/Surgical Expense policy was purchased for a family of four in March of 2013.

Typology: Exams

2024/2025

Available from 09/29/2024

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Texas Life and Health Insurance Exam
2024
1. A 45 year-old woman won $100,000 in a scratch-off lottery ticket.
She purchased an annuity that will pay her $1500 per month
beginning at age 60. Which of these annuities did this woman
purchase? - ✔✔Deferred Fixed Annuity
2. A characteristic of preferred provider organization (PPOs) would be:
- ✔✔Discounted fees for the patient
3. A Disability Income policyowner recently submitted a claim for a
chronic neck problem that has now resulted in total disability. The
original neck injury occurred before the application was taken 5
years prior. The neck injury was never disclosed to the insurer at the
time of application. How will the insurer handle this claim? -
✔✔Claim will be paid and coverage will remain in force
4. A foreign insurance company conducting insurance business in Texas
- ✔✔was formed under the-laws of another state
5. A Hospital/Surgical Expense policy was purchased for a family of four
in March of 2013. The policy was issued with a $500 deductible and a
limit of four deductibles per calendar year. Two claims were paid in
September 2013, each incurring medical expenses in excess of the
deductible. Two additional claims were filed in 2014, each in excess
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Texas Life and Health Insurance Exam

  1. A 45 year-old woman won $100,000 in a scratch-off lottery ticket. She purchased an annuity that will pay her $1500 per month beginning at age 60. Which of these annuities did this woman purchase? - ✔✔Deferred Fixed Annuity
  2. A characteristic of preferred provider organization (PPOs) would be:
    • ✔✔Discounted fees for the patient
  3. A Disability Income policyowner recently submitted a claim for a chronic neck problem that has now resulted in total disability. The original neck injury occurred before the application was taken 5 years prior. The neck injury was never disclosed to the insurer at the time of application. How will the insurer handle this claim? - ✔✔Claim will be paid and coverage will remain in force
  4. A foreign insurance company conducting insurance business in Texas
    • ✔✔was formed under the-laws of another state
  5. A Hospital/Surgical Expense policy was purchased for a family of four in March of 2013. The policy was issued with a $500 deductible and a limit of four deductibles per calendar year. Two claims were paid in September 2013, each incurring medical expenses in excess of the deductible. Two additional claims were filed in 2014, each in excess

of the deductible amount as well. What would be this family's out- of-pocket medical expenses for 2013? - ✔✔$1,

  1. A license may be denied, suspended, or revoked if the licensee - ✔✔is found guilty of misrepresentation in obtaining the license
  2. A life policy with a death benefit and cash value that can fluctuate according to the performance of its underlying investment portfolio is referred to as: - ✔✔Variable Life
  3. A major medical policy typically: - ✔✔provides benefits for reasonable and necessary medical expenses, subject to policy limits
  4. A medical Information Report (MIB) report may disclose which of the following: - ✔✔Prior use of marijuana
  5. A medicare supplement policy may be cancelled for which of the following reasons? - ✔✔The premium has not been paid by the insured
  6. A pilot applies for Life Insurance. The insurer approves the application with a $10 additional monthly premium modification due to the risk involved. The pilot declines the additional premium modification. The insurer will then likely issue the coverage with a(n)
    • ✔✔Aviation Exclusion
  1. ABC Insurance Company is actively engaging in boycott, coercion, and intimidation that results in the unreasonable restraint of trade. ABC is committing a prohibited act under Texas insurance laws covering - ✔✔Unfair methods of competition
  2. All of the following statements about traditional individual retirement accounts are false EXCEPT - ✔✔10% penalty is applied to withdrawals before age 59 1/
  3. All of these statements about the Waiver of Premium provision are correct EXCEPT - ✔✔Insured must be eligible for Social Security disability for claim to be accepted
  4. An applicant MUST receive an Outline of Coverage when an application is taken for a(n) - ✔✔Medicare Supplement policy
  5. An Evidence of Coverage form may be issued by a Health Maintenance Organization (HMO) after being approved by the - ✔✔Commissioner
  6. An example of false advertising would be - ✔✔An insurer exaggerating its dividends in a magazine advertisement
  7. An immediate annuity consists of a - ✔✔Single Premium
  1. An individual has a Major Medical policy with a $5,000 deductible and an 80/20 Coinsurance clause. How much will the INSURED have to pay is a total of $15,000 in covered medical expenses are incurred? - ✔✔$
  2. $5,000 + 20% = $7,
  3. An insurance agent has a fiduciary responsibility to all of the following except - ✔✔other agents
  4. An insurance applicant MUST be informed of an investigation regarding his/her reputation and character according to the - ✔✔Fair Credit Reporting Act
  5. An insurance company organized under New York laws and licensed to do business in Texas is considered a(n) - ✔✔foreign company
  6. An insured is past due on his life insurance premium, but is still within the Grace Period. What will the beneficiary receive if the insured dies during this Grace Period? - ✔✔Full face amount minus any past due premiums
  1. Before a life policy is issued, which of these contract elements is necessary? - ✔✔A signed application by the prospect
  2. Bryce purchased a disability income policy with a rider that guarantees him the option of purchasing additional amounts of coverage at predetermined times without requiring to provide evidence of insurability. What kind of rider is this? - ✔✔Guaranteed insurability rider
  3. Credit Life Insurance is - ✔✔insurance issued on a debtor to cover outstanding loan balances
  4. Deductibles are used in health policies to lower - ✔✔overuse of medical services
  5. During a sales presentation for a participating life insurance policy, an agent MUST - ✔✔make a prospect understand that dividends are NOT guaranteed
  6. Every 12-months after the initial enrollment period, an HMO must hold an open enrollment period of - ✔✔31 days
  7. Generally, how long is a benefit period for a Major Medical Expense Plan? - ✔✔One year
  1. How long can a cash surrender value payment be deferred by the insurance company under the Nonforfeiture Law? - ✔✔6 months
  2. How often must an insurance agent license normally be renewed?
    • ✔✔Every two years
  3. How would a contingent beneficiary receive the policy proceeds in an Accidental Death and Dismemberment (AD&D) policy? - ✔✔If the primary beneficiary dies before the insured
  4. If its employees share in the cost of insurance, what type of group life insurance plan would a corporation have? - ✔✔Contributory
  5. If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the Uniform Simultaneous Death Act? - ✔✔Insured's contingent beneficiary
  6. In Texas, an individual life insurance policy is REQUIRED to have a grace period of - ✔✔31 days
  7. In Texas, how long must a policy be enforce before an insurance company must pay death benefits for suicide? - ✔✔2 years
  1. K pays on a $20,000 20-Year Endowment policy for 10 years and dies from an automobile accident. How much will the insurance company pay the beneficiary? - ✔✔$20,000 death benefit
  2. K's whole life insurance policy lapsed two months ago due to nonpayment. She would now like to reinstate the policy. All of these statements are correct about the policy's reinstatement EXCEPT - ✔✔K will forfeit the right to use the automatic loan provision upon reinstatement
  3. Life insurance that covers an insured's whole life with level premiums paid over a limited time is called: - ✔✔Limited Pay Life
  4. M is insured under a basic Hospital/Surgical Expense policy. A physician performs surgery on M. What determines the claim M is eligible for? - ✔✔Determined by the terms of the policy
  5. Major Medical policies typically: - ✔✔contain a deductible and coinsurance
  6. Medicare Part A and Part B do NOT pay for - ✔✔dental work
  7. Medicare Part B does NOT cover - ✔✔inpatient hospital services
  1. Medicare Part C is: - ✔✔available to those who are enrolled in Medicare Part A and Part B
  2. N is a 40-year old applicant who would like to retire at age 70. He is looking to buy a life insurance policy with level premiums, permanent protection, and be paid-up at retirement. Which of these should N purchase? - ✔✔30 Pay Life
  3. N is a student pilot with a large life insurance policy. Which of these features would limit the insurer's obligation in the event N was killed while flying as a student pilot? - ✔✔Exclusion
  4. On a life insurance policy, who is qualified to change the beneficiary designation? - ✔✔policyowner
  5. One becomes eligible for Social Security disability benefits after having been disabled for - ✔✔5 Months
  6. P is a producer who notices 5 questions on a life application were not answered. What actions should P take? - ✔✔Set up a meeting with the applicant to answer the remaining questions.
  7. P is the insured on a participating life policy. Which statement is true if P's premiums are waived due to a disability? - ✔✔P will still receive declared dividends
  1. T purchased a $100,000 single premium, Straight Life annuity 5 years ago. He has received monthly payments since the inception of the annuity. If T dies, the insurance company - ✔✔does NOT have to make any further payments
  2. T, age 70, withdraws cash from a profit-sharing plan and purchases a Straight Life Annuity. What will this transaction provide?
    • ✔✔Income that cannot be outlived by the owner
  3. The amount of coverage on a group credit life policy is limited to:
    • ✔✔The insured's total loan value
  4. The consideration clause in a life insurance policy indicates that a policy owner's consideration consists of a completed application and
    • ✔✔The initial premium
  5. The consideration clause of an insurance contract includes - ✔✔the schedule and amount of premium payments
  6. The most important factor to consider when determining whether to convert term insurance at the insured's attained age or the insured's original age is: - ✔✔The Cost
  1. The phrase "transacting business" includes - ✔✔collecting premiums
  2. The provision that defines to whom the insurer will pay benefits to is called: - ✔✔Payment of Claims
  3. The reason for backdating a policy is - ✔✔to obtain a premium rate based on an earlier age
  4. The sections of an insurance contract which limit coverage are called - ✔✔exclusions
  5. Three law partners form a Cross-Purchase Buy and Sell agreement. This agreement is funded with individual life insurance. How many total life policies are needed for this agreement? - ✔✔ 6
  6. To terminate an agent's appointment, an insurance company must - ✔✔send termination notice to the Texas Department of Insurance
  7. Tom has a qualified retirement plan with his employer that is currently considered to be 80% "vested". How can this be interpreted? - ✔✔If Tom's employment is terminated, 20% of the funds would be forfeited
  1. What is required for an agent whose license has been revoked? - ✔✔Wait at least five years before applying for a new license.
  2. What is the basic function of an annuity? - ✔✔The systematic liquidation of accumulated funds
  3. What is the MINIMUM benefit period that must be offered by a Long-Term Care policy? - ✔✔12 months
  4. What kind of Accidental Death and Dismemberment (AD&D) insurance beneficiary requires his/her consent when a change of beneficiary is made? - ✔✔Irrevocable beneficiary
  5. What kind of life insurance product covers children under their parent's policy? - ✔✔A term rider
  6. What type of life policy covers two people and pays upon the death of the last insured? - ✔✔Survivorship
  7. What type of rider would be added to an Accident and Health policy if the policyowner wants to ensure the policy will continue if he/she ever becomes totally disabled? - ✔✔Waiver of Premium Loan
  1. When a policy pays dividends to its policyholders, it is said to be - ✔✔participating
  2. When an insurance company sends a policy to the insured with an attached application, the element that makes the application part of the contract between the insured and the insurer is called the: - ✔✔Entire Contract Provision
  3. When an insured has the same disability within a specified time period and the insurance company provides the same benefits without a new waiting period, the second disability is covered under which of the following benefits? - ✔✔Recurrent disability
  4. When determining the monthly benefit amount for a disability amount for a disability Income policy, the factor that limits the amount a prospective insured may purchase is: - ✔✔Income
  5. When must insurable interest exist for a life insurance contract to be valid? - ✔✔Inception of the contract
  6. When third-party ownership is involved, applicants who also happen to be the stated primary beneficiary are required to have - ✔✔insurable interest in the proposed insured
  1. Which of the following consists of an offer, acceptance, and consideration? - ✔✔Contract
  2. Which of the following correctly explains the actions an agent should take if a customer wants to apply for an insurance policy? - ✔✔Complete the application and review the information with the customer prior to obtaining the customer's signature, then send the application off to the insurance company
  3. Which of the following does Social Security NOT provide benefits for? - ✔✔Dismemberment
  4. Which of the following is a requirement for obtaining a Texas insurance agent's license? - ✔✔Be honest, trustworthy, and reliable
  5. Which of the following is NOT a reason for a business to buy key person life insurance? - ✔✔A pension deficiency is the key employee dies
  6. Which of the following is the MOST important factor when deciding how much Disability Income coverage an applicant should purchase? - ✔✔Applicant's monthly income
  7. Which of the following is TRUE is the owner of an IRA names their spouse as beneficiary, but then dies before any distributions are

made? - ✔✔The account can be rolled into the surviving spouse's IRA

  1. Which of the following policy provisions prohibits an insurance company from incorporating external documents into an insurance policy? - ✔✔Entire Contract
  2. Which of the following statements about a Guaranteed Renewable Health Insurance policy is CORRECT? - ✔✔Premiums normally increase at the time of renewal
  3. Which of the following statements about health coverage for newborns is NOT true? - ✔✔Coverage is limited to only congenital defects
  4. Which of the following statements BEST describes the intent of a Coinsurance clause in a Major Medical policy? - ✔✔Discourages overutilzation the insurance coverage
  5. Which of the following types of care is typically not covered in a Long-Term Care policy? - ✔✔Acupuncture
  6. Which of the following types of organizations are prepaid group health plans, where members pay in advance for the services of