New Mexico Life, Health, Accident Study Guide 200 Questions And Answers Set 01
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Terms in this set
200
The agreement in which hospitals and physician groups in a specific area contract with an insurance company to provide medical care at predetermined costs is:
Preferred Provider Organization (PPO)
An example of an unfair claims settlement practice is
turning down a claim without providing the basis of denial
An example of misrepresentation is
making an untrue or incomplete statement in the course of an insurance transaction
The _______ is the individual responsible for payment to an HMO.
Subscriber
Which of these is NOT a characteristic of a Fraternal Benefit Society?
Exists For profit
Which of these is NOT an Unfair Claims Settlement Practice?
Settling a claim by Arbitration
An insurance consultant is BEST defined as a(n)
A person who charges fees for insurance advice
An insurer must send a notice of appointment for an agent within __ days from the date of an executed agency contract or after submitting the first application to the insurer.
15 Days
15 Days = Filing
20 Day = Legal, Disciplinary action
15 Days = Filing
20 Day = Legal, Disciplinary action
To be classified as a small employer in New Mexico, an employer must employ
2-50 employees
An insurer would be committing Unfair Discrimination if coverage was denied based upon
Marital Status