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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. An insured has a stop-loss limit of $10,000, a deductible of $500, and an 80%'20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much I will the insured have to pay?

A) $10,000
B) $10,600
C) $10,400
D) $500

2. (EXCEPT for fraud, what is the time limit after issue for an insurer to deny an individual health insurance claim based on material misrepresentation in the application for the insurance?

A) 1 year
B) 180 days
C) 5 years
D) 3 years

3. The MAJOR factor in determining the benefit amount paid under a disability income policy Is

A) gender.
B) wages.
C) age.
D) occupation.

4. Which of the following circumstances may be grounds for suspending an insurance license?

A) conviction of a felony
B) failure to maintain records for 5 years
C) conviction of a summary offense
D) failure to follow insurer's underwriting rules

5. When an insurer has the right to terminate a health insurance policy for specific reasons other than the insured's health, the plan is described as

A) guaranteed renewable.
B) flexibly renewable.
C) conditionally renewable.
D) condition dependent.

Solutions: