1. Facultative reinsurance

2. Consideration

3. What does the term "advertisements" not include?

4. What determines if someone is considered competent enough to enter into a contract?

5. K and l - approved hospital costs for the copayments for days 61 through 90 in any medicare benefit period - approved hospital costs for the copayments for lifetime reserve days 91 through 150 - approved hospital costs for an additional 365 days after all medicare benefits are used - 50% of charges for the first 3 pints of blood in plan k - 75% of charges for the first 3 pints of blood in plan l - 50% of hospice cost-sharing and respite care expenses for part a in plan k - 75% of hospice cost sharing and respite care expenses for part a in plan l

6. Why would an applicant be rated substandard?

7. Open panel

8. What is given in the relationship between the agent/producer and the insurer?

9. If a non-member physician is utilized under the __________ - then the attending physician will be paid a fee for service - but the member patient will have to pay a higher coinsurance amount or percentage for the privilege.

10. Notification of the birth of a newborn child and payment of the required premium must be furnished to the insurance company within ___________ after the date of birth in order to have coverage continue beyond that period.

11. The renewability - eligibility - and benefit requirements for the individual health insurance market do not apply to the following limited lines coverages and are considered __________ under all circumstances: accident only coverage - disability income insurance and credit-only insurance.

12. Additional monthly benefit (amb)

13. Reinstatement provision

14. Domestic insurer

15. Core benefits - medicare part a deductible - skilled nursing facility coinsurance - medicare part b deductible - 100% of medicare part b excess charges - and the foreign travel benefit

16. Emergency medical condition

17. Diagnostic/preventive services

18. Final internal adverse benefit determination

19. In order to discontinue coverage in all markets - the insurer must provide notice in writing to the applicable state authority and all insured's at least __________ before the date of discontinuation.

20. Medical insurance; financed from monthly premiums paid by insureds and from the general revenues of the federal government

21. Residual disability benefit

22. Return of premium rider

23. Insurance is the most common method of __________ risk from an individual or group to an insurance company. Though the purchasing of insuranc will not eliminate the risk of death or illness - it relieves the insured of the financial losses these risks bring.

24. What are the prime considerations when underwriting health insurance policies?

25. Medically necessary outpatient physical and occupational therapy or speech pathology services prescribed by a doctor