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Texas Insurance Regulations Practice Questions

400 free Texas-specific insurance regulation questions — licensing rules, replacement regulations, unfair practices, and TX insurance code duties tested on the Texas Life & Health exam. Nationally applicable material lives in the other domains.

  1. 1.Under TIC 843.002, what is an "evidence of coverage" issued by a Texas health maintenance organization?
    Difficulty 1/5TX specific
  2. 2.Which of the following best describes the scope of the Texas small employer health benefit plan statute?
    Difficulty 2/5TX specific
  3. 3.Under TIC 101.051, which of the following is an act that constitutes transacting the business of insurance …
    Difficulty 1/5TX specific
  4. 4.A Texas-licensed agent pleads guilty to a felony that has nothing to do with insurance. What is required of…
    Difficulty 1/5TX specific
  5. 5.Under TIC 843.002, the term "health maintenance organization" refers to which of the following?
    Difficulty 1/5TX specific
  6. 6.Under TIC 31.001-.002 and 31.021-.022, what authority does the Commissioner of Insurance hold?
    Difficulty 1/5TX specific
  7. 7.Which statement correctly describes the cancellation rights of the parties to a Medicare supplement policy …
    Difficulty 3/5TX specific
  8. 8.An insurer names a newly licensed Texas life agent to solicit its policies, and the agent plans to start ta…
    Difficulty 1/5TX specific
  9. 9.How does a Texas health maintenance organization differ from a traditional indemnity insurer in what it pro…
    Difficulty 3/5TX specific
  10. 10.Under TIC 86.001, on what ground may the Commissioner of Insurance revoke or modify an insurance carrier's …
    Difficulty 1/5TX specific
  11. 11.What is the difference between the premium tax credit provision and the cost-sharing reduction provision of…
    Difficulty 3/5TX specific
  12. 12.A Houston agency owner ends an agent's appointment with one insurer after that agent stops writing the insu…
    Difficulty 2/5TX specific
  13. 13.A Texas agent holds a current general lines license and takes applications for an insurer that has never fi…
    Difficulty 2/5TX specific
  14. 14.Under TIC 843.315, what information must a Texas HMO give an enrollee about a primary care physician or pro…
    Difficulty 1/5TX specific
  15. 15.Under the Texas policy loan statute, which condition must be met before a Texas life insurer is required to…
    Difficulty 2/5TX specific
  16. 16.When a Texas HMO cancels or refuses to renew an enrollee's evidence of coverage, what must it provide to th…
    Difficulty 1/5TX specific
  17. 17.A Texas agent cannot produce the transaction records the department asks for during an examination. Under T…
    Difficulty 2/5TX specific
  18. 18.TDI issues an order suspending a Texas agent's license instead of revoking it. What is the difference betwe…
    Difficulty 2/5TX specific
  19. 19.Before an insurer in Texas may subject an applicant to an AIDS-related test for underwriting purposes, what…
    Difficulty 1/5TX specific
  20. 20.A Texas HMO enrollee needs a covered, medically necessary service that no provider in the HMO's delivery ne…
    Difficulty 2/5TX specific
  21. 21.Under TIC 4005.101-.102, which of the following is a ground on which TDI may deny an application for a Texa…
    Difficulty 1/5TX specific
  22. 22.Under the Texas Buyer's Guide and policy summary rule, when must a Texas producer provide the Buyer's Guide…
    Difficulty 1/5TX specific
  23. 23.Under TIC 1131.053, which of the following is a condition a group must meet before group life insurance may…
    Difficulty 2/5TX specific
  24. 24.What is the maximum administrative penalty that may be assessed for a single violation under TIC 84.022?
    Difficulty 1/5TX specific
  25. 25.A Texas policyowner has not paid the premium due on an individual life policy, but dies while the policy is…
    Difficulty 2/5TX specific
  26. 26.A Houston employer buys group HMO coverage for its staff and the HMO delivers only the group contract to th…
    Difficulty 2/5TX specific
  27. 27.Which statement best describes the authority of a licensed agent in the Texas HMO enrollment process?
    Difficulty 2/5TX specific
  28. 28.During a TDI examination, an examiner asks a manager for the insurer's books and papers relating to its bus…
    Difficulty 2/5TX specific
  29. 29.Texas has not elected to establish a state-based health insurance exchange. What is the consequence for Tex…
    Difficulty 2/5TX specific
  30. 30.A Texas employee's group life coverage ends when she leaves her employer. What must she do to obtain the in…
    Difficulty 2/5TX specific
  31. 31.When a Texas HMO assigns a primary care physician to an enrollee who did not select one, which location req…
    Difficulty 2/5TX specific
  32. 32.Under TIC 4003.001, how does the renewal process operate for a Texas agent's general lines license?
    Difficulty 1/5TX specific
  33. 33.A Texas life insurance agent posts a short video on social media that names a specific insurer's product an…
    Difficulty 2/5TX specific
  34. 34.A Texas agent's marketing flyer tells prospects that their benefits are 'fully protected by the Texas Life …
    Difficulty 2/5TX specific
  35. 35.Where are the minimum standards that Medicare supplement policies must meet in Texas found?
    Difficulty 1/5TX specific
  36. 36.Before requiring an applicant for a Texas health insurance policy to undergo an HIV-related test, an insure…
    Difficulty 1/5TX specific
  37. 37.A Texas HMO is preparing a new evidence of coverage. Which of the following must the document contain?
    Difficulty 2/5TX specific
  38. 38.A Texas resident who was a resident on the date of liquidation holds both a major medical policy and a Medi…
    Difficulty 3/5TX specific
  39. 39.Under the exchange provision of the federal health care reform law, what happens when a state such as Texas…
    Difficulty 1/5TX specific
  40. 40.A Texas debtor pays off an installment loan early and the credit life coverage on the loan is terminated. W…
    Difficulty 1/5TX specific
  41. 41.A life insurance company is organized under the laws of Texas. Under TIC 841.001, how is this insurer class…
    Difficulty 1/5TX specific
  42. 42.A company organized under the laws of Canada maintains its United States home office in Dallas and markets …
    Difficulty 2/5TX specific
  43. 43.When a Texas group life insured converts to an individual policy under the group life conversion statute, w…
    Difficulty 2/5TX specific
  44. 44.Which of the following is a characteristic of a Texas mutual insurer but NOT of a Texas stock insurer?
    Difficulty 3/5TX specific
  45. 45.Which of the following activities is performed by the insurance company offering a qualified health plan ra…
    Difficulty 2/5TX specific
  46. 46.After notice and a hearing, the department finds that a licensed Texas agency violated the Insurance Code b…
    Difficulty 2/5TX specific
  47. 47.A San Antonio enrollee is diagnosed with a serious illness and uses hospital services heavily. At renewal t…
    Difficulty 2/5TX specific
  48. 48.Which Texas licensees satisfy their continuing education obligation with 10 hours rather than the standard …
    Difficulty 3/5TX specific
  49. 49.Under TIC 1131.006, which of the following is true about assignment of group life insurance coverage in Texas?
    Difficulty 2/5TX specific
  50. 50.Under TIC 1114.051-.057, which of the following duties belongs to the replacing insurance company rather th…
    Difficulty 2/5TX specific