Free Individual Accident and Health Provisions Practice Questions

Pennsylvania Life, Accident & Health exam (series 16-03) — 28 practice questions.

Subtopics: Grace period, Time limit on defenses, Required provisions, Reinstatement, Notice of claim, Claim forms, Proof of loss, Time of payment of claims, Payment of claims, Physical exam and autopsy, Legal actions, Change of beneficiary, Entire contract, Time limit on certain defenses, Optional provisions, Guaranteed renewable, Noncancelable, Optionally renewable, Conditionally renewable, Pre-existing condition, Free-look provision, Insuring clause, Change of occupation, Misstatement of age, Relation of earnings to insurance, Intoxicants and narcotics, Coordination of benefits

Read the Individual Accident and Health Provisions study guide

Sample questions & answers

1. For an individual health policy with monthly premiums, the required grace period is generally:

10 days

Grace periods vary by mode: 7 days weekly, 10 days monthly, and 31 days for other modes.

2. Under the individual health time limit on certain defenses provision the insurer eventually cannot:

Contest the policy for misstatements except fraud

After the stated period, the insurer cannot void the policy or deny a claim for prior misstatements absent fraud.

3. The standardized provisions that must appear in individual health insurance policies come from the:

Uniform Individual Accident and Sickness Policy Provisions Law

The Uniform Individual Accident and Sickness Policy Provisions Law sets the required and optional provisions adopted by states.

4. When a lapsed health policy is reinstated, coverage for a sickness generally begins:

After 10 days

A reinstated health policy covers accidents immediately but sickness only after 10 days, to deter adverse selection.

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Practice: Individual Accident and Health Provisions

Take a randomized, timed-style practice test. Answer choices are shuffled and your results are scored instantly with an explanation for every question.

Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.