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An overview of the key insurance laws and regulations in the state of texas. It covers a wide range of topics related to the insurance industry, including the requirements for obtaining a certificate of authority, licensing and appointment of insurance agents, policy provisions and requirements, prohibited trade practices, and the duties and responsibilities of the texas department of insurance and the insurance commissioner. Structured in a question-and-answer format, addressing common questions and scenarios that insurance professionals may encounter in their practice. By studying this document, one can gain a comprehensive understanding of the regulatory framework governing the insurance industry in texas, which is essential for anyone working in or interacting with the insurance sector in the state.
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A. A Certificate of Authority is issued to an insurer for which of the following reasons? - ✔✔It certifies the insurer is authorized to transact insurance in this state B. A license may be suspended or revoked for which of the following? - ✔✔An agent is actively engaged in soliciting insurance only to family members C. A licensed agent is required to obtain which of the following before transacting insurance in Texas? - ✔✔An appointment from an insurer D. A licensed life insurance agent in Texas can share commissions with which of the following? - ✔✔Another licensed life insurance agent in Texas who assisted with the sale E. A long-term care policy issued in Texas must, at a minimum, be offered as: - ✔✔Guaranteed renewable F. A small employer health insurer may not offer coverage to an eligible employee unless the employee has: - ✔✔Satisfied the applicable waiting period
G. According to the Texas Insurance Code, an insurance company incorporated in New Mexico is a(n): - ✔✔Foreign insurer H. All Medicare supplement policies must offer coverage for all of the following, except: - ✔✔Disability income I. All of the following are required to be included in a life insurance illustration, except: - ✔✔Company specific mortality tables J. All of the following regarding Evidence of coverage are correct, except: - ✔✔The evidence of coverage must be delivered in writing K. All of the following statements about life insurance policy provisions are correct, except: - ✔✔If a policy lapses due to unpaid premiums, it may only be reinstated up to 2 years after lapse L. An agent's appointment: - ✔✔Remains in force until terminated or withdrawn M.An enrollee may have coverage cancelled or nonrenewed by an HMO (Health Maintenance Organization) for which of the following? - ✔✔Nonpayment of premium
U. Holding which of the following professional designations will exempt a person from taking the life licensing examination? - ✔✔Chartered Life Underwriter (CLU) V. If an insurer requires an individual to be tested for the AIDS virus, all of the following are required, if applicable, except: - ✔✔Gather statistical information that identifies the applicant to share with other insurers W. Publishing or circulating information that is maliciously derogatory to the financial condition of an insurance company with the intent to injure is known as: - ✔✔Defamation X. The commissioner is authorized to perform all of the following duties, except: - ✔✔Suspend insurance licenses for up to 5 years Y. The commissioner may examine the records of an insurance company for the purpose of: - ✔✔Determining solvency Z. The Texas Department of Insurance requires all licensees to: - ✔✔Be honest, trustworthy, and reliable AA. To terminate an agent's appointment, the insurer must: - ✔✔Notify the Texas Department of Insurance of the termination of appointment
BB. Under Nonforfeiture Law, a cash surrender payment may be deferred up to: - ✔✔6 months CC. Under the ACA (Affordable Care Act), a catastrophic plan may be purchased by any of the following, except an individual: - ✔✔Enrolled in Medicaid DD. What prohibited trade practice is committed if an agent provides misleading information regarding guaranteed dividends, terms, advantages, or disadvantages of a policy? - ✔✔Misrepresentation EE. When taking an application for Medicare supplement policy, an agent must provide the applicant with a(n): - ✔✔Outline of Coverage FF. Which of the following does not describe an eligible group for group life insurance? - ✔✔A group consisting exclusively of persons related by marriage or blood GG. Which of the following is a method used by an HMO to compensate a physician or provider for providing a defined set of health care services and is based on a predetermined payment per enrollee: - ✔✔Capitation
OO. Who is NOT eligible for an agent license in this state? - ✔✔A 17- year old who passed the licensing exam 6 months ago PP. With respect to advertising requirements, all of the following are allowable unless the insurer: - ✔✔Includes the terms investment, savings plan, or profit sharing