Louisiana Life and Health Insurance Exam Questions and Answers Already Passed
All of the following are correct about the required provisions of a health insurance policy
EXCEPT
- The entire contract clause means the signed application, policy, endorsements, and
attachments constitute the entire contract.
- A reinstated policy provides immediate coverage for an illness.
- Policies become incontestable after being in force for 3 years.
- A grace period of 31 days is found in an annual pay policy. ✔✔B. A reinstated policy
provides immediate coverage for an illness.
Accidental injury is covered immediately, but to protect the insurer against adverse selection, losses resulting from sickness are covered only if the sickness occurs at least 10 days after the reinstatement date. 1 / 4
An insured pays a monthly premium of $100 for health insurance. What would be the duration of the grace period under the policy?
- 15 days
- 30 days
- 60 days
- 7 days ✔✔B. 30 days
The grace period is 30 days for all health insurance policies in Louisiana.
Question 11 of 15 An applicant for an individual health policy failed to complete the application properly. Before being able to complete the application and pay the initial premium, she is confined to a hospital.This will not be covered by insurance because she has not met the conditions specified in the
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- Insuring Clause.
- Pre-existing Conditions Clause.
- Eligibility Clause.
- Consideration Clause. ✔✔D. Consideration Clause.
The consideration clause specifies that both parties to the contract must give some valuable consideration. The payment of the premium is the consideration given by the applicant. Because the applicant had not paid an initial premium, she is not covered by insurance.
Question 12 of 15 Under the mandatory uniform provision Notice of Claim, the first notice of injury or sickness covered under an accident and health policy must contain
- An estimate of the total amount of medical and hospital expense for the loss.
- A complete physician's statement. 3 / 4
- A statement that is sufficiently clear to identify the insured and the nature of the claim.
- A statement from the insured's employer showing that the insured was unable to work. ✔✔C.
A statement that is sufficiently clear to identify the insured and the nature of the claim.
The Insurance Code requires that each policy must include, "Written notice of claim must be given to the insurer within 20 days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible".
Question 13 of 15 The expense for an autopsy covered under the physical exam and autopsy provision is paid by
- The estate of the insured.
- The insurer.
- The state's autopsy fund.
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