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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. Which of the following gives the policyowner access to the cash value that accumulates inside the policy without having to terminate the policy?

A) Reduced Paid-up Insurance.
B) Fixed-period Installments.
C) Spendthrift Clause.
D) Policy Loans.

2. Returning part of the commission or giving anything of value to the insured for purchasing a policy is

A) refunding.
B) coercion.
C) twisting.
D) rebating.

3. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Out-of-pocket expenses are limited as long as the network is utilized.
B) Members receive care from providers in the HMO network.
C) Members pay fixed monthly fees to the HMO.
D) Members pay higher monthly fees when out-of-network providers are utilized.

4. An insured submits a $300 claim for medical expenses. The insurer notes that the insured has a past due premium of $100, and as a result, the insurer only pays $200. * Which of the following General Policy Provisions covers this situation?

A) payment actions
B) renewability
C) unpaid premium
D) payment of claims

5. After the hearing, if the Insurance Commissioner has determined a licensee has committed a violation of Pennsylvania Insurance Laws, what can the Insurance Commissioner do?

A) sentence the licensee up to 30 days in jail
B) immediately terminate insurer appointments
C) suspend the licensee's premium accounts
D) impose an administrative penalty

Solutions: