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Texas Insurance Regulations Practice Questions — Page 6 of 8

400 free Texas-specific insurance regulation questions for the Texas Life & Health exam — page 6.

  1. 251.A Texas HMO enrollee schedules non-emergency surgery with an out-of-network specialist without contacting t…
    Difficulty 2/5TX specific
  2. 252.A Texas resident with no insurance license collects renewal premiums from her neighbors and forwards the mo…
    Difficulty 2/5TX specific
  3. 253.A Texas insurer assigns an unlicensed employee to handle policyholder service calls. Under TIC 4002.003, wh…
    Difficulty 3/5TX specific
  4. 254.A Texas life agent tells a prospect, 'Buy this policy from me and I'll give you back part of my commission.…
    Difficulty 2/5TX specific
  5. 255.A Texas policyowner wants continued coverage that keeps a cash value and matures at the end of the policy p…
    Difficulty 3/5TX specific
  6. 256.In Texas HMO terminology, which term describes the physician, hospital or other person or institution that …
    Difficulty 1/5TX specific
  7. 257.Mid-year, a Texas HMO decides to reduce a covered benefit. What must the HMO do before the reduction takes …
    Difficulty 2/5TX specific
  8. 258.A Texas agent refers a client to a licensed agent at another agency, and the two agents agree to split the …
    Difficulty 1/5TX specific
  9. 259.A Texas insured borrows money and signs a collateral assignment of his group life coverage to the lender pu…
    Difficulty 2/5TX specific
  10. 260.An agent moves to Texas from another state and applies for a Texas general lines license. Under TIC 4002.00…
    Difficulty 1/5TX specific
  11. 261.A Texas agent who also holds licenses elsewhere has the Louisiana license suspended by Louisiana regulators…
    Difficulty 3/5TX specific
  12. 262.After a department examination of a Texas insurer uncovers information showing violations of the Insurance …
    Difficulty 3/5TX specific
  13. 263.Marcus, who holds no Texas license, introduces friends to an agent, discusses the benefits of a particular …
    Difficulty 2/5TX specific
  14. 264.Which of the following must an Outline of Coverage contain when a long-term care insurance policy is delive…
    Difficulty 1/5TX specific
  15. 265.Under 28 TAC 11.501, which of the following is considered part of the evidence of coverage and must therefo…
    Difficulty 2/5TX specific
  16. 266.A Texas insurer's mailer carries a large headline promising guaranteed lifetime coverage, but places the po…
    Difficulty 2/5TX specific
  17. 267.Under TIC 84.022, how is the amount of an administrative penalty for a violation of the Insurance Code dete…
    Difficulty 3/5TX specific
  18. 268.Under the Texas Medicare supplement rule governing cancellation, which of the following is a permissible gr…
    Difficulty 1/5TX specific
  19. 269.A Medicare supplement policy issued in Texas contains a provision permitting the issuer to refuse renewal b…
    Difficulty 2/5TX specific
  20. 270.What does the Texas standard nonforfeiture law guarantee to a policyowner whose life policy lapses after a …
    Difficulty 1/5TX specific
  21. 271.A Texas small employer plan covers a newly enrolled employee who is later diagnosed with a chronic illness.…
    Difficulty 2/5TX specific
  22. 272.For purposes of the Texas chemical dependency coverage requirement, "chemical dependency" refers to:
    Difficulty 1/5TX specific
  23. 273.A Texas employee covered under a group life policy terminates employment, ending eligibility under the grou…
    Difficulty 2/5TX specific
  24. 274.Before a Texas HMO issues or delivers an evidence of coverage to enrollees, what must it do?
    Difficulty 1/5TX specific
  25. 275.Under the federal Affordable Care Act Exchange provisions, the Health Insurance Marketplace (Exchange) avai…
    Difficulty 1/5TX specific
  26. 276.Under the Texas minimum standards for Medicare supplement policies adopted by TDI, before a Medicare supple…
    Difficulty 1/5TX specific
  27. 277.A Texas health benefit plan provides coverage for the insured only and does not provide coverage for any fa…
    Difficulty 3/5TX specific
  28. 278.With respect to the replacement notice used in a Texas life insurance replacement, what is the agent's own …
    Difficulty 3/5TX specific
  29. 279.A Texas insurer issues a group health benefit plan that covers chemical dependency treatment but caps the a…
    Difficulty 3/5TX specific
  30. 280.Under ACA Section 1302, how must a non-grandfathered individual health plan treat mental health and substan…
    Difficulty 1/5TX specific
  31. 281.In setting the amount of an administrative penalty under TIC 84.022(b), which of the following is NOT among…
    Difficulty 1/5TX specific
  32. 282.A Texas general lines agent must complete 24 hours of continuing education during each 2-year license term.…
    Difficulty 1/5TX specific
  33. 283.Under TIC 843.208, a Texas health maintenance organization may cancel or refuse to renew the coverage of an…
    Difficulty 1/5TX specific
  34. 284.A Texas mutual life insurer finishes the year with surplus earnings. How are those earnings typically used?
    Difficulty 2/5TX specific
  35. 285.Under TIC 1153.004, what limit applies to the amount of credit life insurance that may be written in connec…
    Difficulty 2/5TX specific
  36. 286.TDI audits a Texas life and health agent and determines that the agent renewed the license with a continuin…
    Difficulty 1/5TX specific
  37. 287.An insured under a Texas individual life policy dies, and the insurer receives proof of death and proof of …
    Difficulty 3/5TX specific
  38. 288.A Texas agent falsely tells a policyholder that her existing life policy is being discontinued by the insur…
    Difficulty 2/5TX specific
  39. 289.Which statement correctly describes a stock insurance company organized under the Texas Insurance Code?
    Difficulty 2/5TX specific
  40. 290.TDI opens an examination of a Texas-licensed agent's business. Under TIC 4001.254-255, what is the agent's …
    Difficulty 2/5TX specific
  41. 291.A Texas agent holds a General Lines - Life, Accident and Health license. Under TIC 4001.104-.106, which of …
    Difficulty 1/5TX specific
  42. 292.Under TIC 4001.201-.206, by when must an insurer file an agent's appointment with the department?
    Difficulty 1/5TX specific
  43. 293.A Texas HMO enrollee is treated for an emergency at a hospital that is not in the HMO's delivery network. U…
    Difficulty 1/5TX specific
  44. 294.Under the Texas small employer health benefit plan eligibility rules, which factor may NOT be used to deter…
    Difficulty 1/5TX specific
  45. 295.Which statement best describes the purpose of the Texas Standard Nonforfeiture Law, TIC Chapter 1105?
    Difficulty 3/5TX specific
  46. 296.An employee who receives the Marketplace notice from a Texas employer chooses to buy coverage through the M…
    Difficulty 2/5TX specific
  47. 297.In Texas HMO law, the term "basic health care services" refers to which of the following?
    Difficulty 2/5TX specific
  48. 298.Under 28 TAC 11.506(3), what must a Texas HMO's group, individual, and conversion agreements and group cert…
    Difficulty 2/5TX specific
  49. 299.A Texas health benefit plan subject to the required newborn coverage provision denies a claim for surgery t…
    Difficulty 2/5TX specific
  50. 300.Under 28 TAC 3.3306(b)(1)(E)(ii), for which of the following reasons may a Texas issuer cancel a Medicare s…
    Difficulty 1/5TX specific