Shared Flashcard Set

Details

Missouri Life/Health Insurance
Chapter 10- Provisions
11
Other
Professional
01/09/2011

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Cards

Term
The time limit for certain defenses is 2 years for all conditions and statements including fraudulent statements. (T or F)
Definition
-False
Term
The notice of claim is the insured's responsibility and must be received by the insurer within ____ ___ of the loss.
Definition
-20 days
Term
Claim forms must be in the insured's hands within 15 days after notice of claim. (T or F)
Definition
-True
Term
Regarding the time payment of claims, all claims must be paid immediately upon receipt of written proof of loss. (T or F)
Definition
-True
Term
Changing to a more hazardous occupation will result in an adjustmet of ____ to meet premiums paid.
Definition
-Benefits
Term
A policy might be in effect and not cover some or all medical expenses for a stated period of time. This time period is referred to as the ___
Definition
-Probationary Period
Term
Group health insurance has the provision of Coordination of Benefits. What provision is used in individual health plans as the coordination of benefits? Insurance with ____ ____
Definition
-Other Insurers
Term
Other Insurance with This Insurer is a provision to protect the insurer from the overpayment of claims. (T or F)
Definition
-True
Term
If a health policy is in a grace period at the time of a claim, the insurer may not deduct the coinsurance payment, deductible or the unpaid premiums to arrive at the insurance company's obligation (T or F)
Definition
-False
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