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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. An illness or disease which is first diagnosed and treated while the policy is in force is considered

A) a preexisting condition.
B) an accidental injury.
C) a sickness.
D) an exclusion.

2. A producer who knowingly submits a FALSE statement in support of a claim may be found guilty of

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

3. Statements made on an application that the insured guarantees to be true are

A) warranties.
B) material facts.
C) waivers.
D) estoppel.

4. Which of the following factors is NOT used to determine if an injury qualifies for Workers' Compensation coverage?

A) Time of occurrence.
B) Place of occurrence.
C) Severity of injury.
D) Circumstances of injury.

5. (EXCEPT for fraud, what is the time limit after issue for an insurer to deny an individual health insurance claim based on material misrepresentation in the application for the insurance?

A) 3 years
B) 180 days
C) 1 year
D) 5 years

Solutions: