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When an individual needs to file a health ins. claim, what are his responsibilities?
- notice is required within 20 days
- -proof of loss must be submitted within 90 days
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What are the grace periods for an individual (health) policy?
- -7 days for weekly pay
- -10 days for monthly pay
- -31 days for all others
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how much time does an insurer have to acknowledge receipt of a claim
10 working days
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Changes of address (agent),...
must be reported to commissioner within 30 days
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legal actions against ins company by insured
- not before 60 days after proof of loss
- not after 3 years after proof of loss
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if a consumer requests addl info regarding an Investgative Consumer Report, how long does the insurer or reporting agency have to comply?
5 days
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max time limit for reinstatement of a policy
3 yrs
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re: reinstatement - back payments may not exceed:
- -110% of increase of cash.sur.valu. resulting from reinstatement
- -the sum of overdue premiums + max interest of 8%
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policy is incontestable by insurer after it's been in force for how long
- 2 yrs
- *except in case of misstatement of age, sex or identity
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how many days noticed is required by insurer when a policy is going to lapse because of an outstanding loan
30 days
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policy loan request may be deferred for how long
6 months
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tax status of insurance dividends
dividends not taxable, interest on them is
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Living Needs Rider requires that death is expected within..
2 yrs
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a complete decision regarding payment of a claim must be made within
30 days
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insurer must pay claim within how many days of decision
5 days
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investigative consumer report cannot be made unless consumer is advised in writing about the report within how many days of request
3 days
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if consumer requests add'l informaton about the invest. cons. report, insurer or reporting agency has how long to provide?
5 days
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# days to file notice of appointment w/ commisioner
15
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# days to notify of appointment termination
15
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# days to send copy of termination to producer
15
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# days to reinstate laped license w/o taking examination
24 mos.
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#days to report change of address (producer)
30
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# days to report admin action or criminal prosecution of producer
30
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license renewal period
2 yrs
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annual renewal date for certs. of authority
JUn 14
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$ fine for violation of air credit reporting act
$5000
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$ fine for violation of insurance code
$2500
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how mny hrs of continuing education per renwal period must be on ethics
min of 3, max of 10
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# hrs of approved continued education course work that must be completed per renwal period
24
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how long before lincesne expiration date must continuing education be completed
60 days before
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waiting period for coverage for sickness after reinstatement
10 days
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waiting period for coverage for accidents after reinstatement
0
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