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Match the subplan's with its qualifications

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Match the text
Subplan A
Subplan B
Subplan C
Subplan D

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all insureds not eligible for the others
for employers performing "high risk" operations.
•employers w/ an experience modification factor •up to 15 employees •for-profit entity •more than 50% of funding from gifts, grants, or public contracts
•Annual Premium doesn't exceed $2,500 •No loss-of-time claims •Medical-only claims cannot exceed 50% of premiums

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What is the difference between sublimit and smooth limit?

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Match the text
Sublimit
Smooth limit

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a limit of liability offered as a combined single limit of coverage for all BI to passengers and nonpassengers, and PD
a reduced or limited amount of coverages thats able to pay claims resulting from passenger BI. (excluding combined single limit)

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What endorsement can be added to a dwelling policy to increase the amount of insurance by an annual percentage to offset the effects of inflation?

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inflation gaurd

automatic increase gaurd

automatic increase in insurance

inflation insurance

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whats the difference between an experience rating and a community rating?

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Experience Rating
Community rating

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AKA Pool Rating, where the premium is based upon the overall claims experience of the insurance company in individual policies.
A method of determining the premium based on the insured's own past loss experience for group health insurance.

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What is the difference between stackable and nonstackable?

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Stacking
Nonstacking

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the limit multipled by the number of vehicles on the policy
One limit

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What is the difference between these terms?

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Provider Contract
Certificate of Coverage
Group Contract
Group Health Insurance

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The individuals covered under the insurance contract are issued one of these. It tells what's covered in the policy; how to file a claim, how long coverage will last, and how to convert the policy to an individual policy.
This contract is between the insurance company and the employer, union, trust.
AKA a master policy. It is issued to the policyowner, which could be the employer, an association, a union. or a trust.
an agreement with a provision relating to reimbursement for health care services provided to an individual under a plan

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What is the Difference between a PPO ,HMO and an EPO?

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Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)

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must stay in network, must select a PCP, must get referral to see a specalist.
not required to stay in network, doesnt select PCP, no refferal necessary
Must stay in network, doesnt select PCP, no refferal neccessary

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What is the difference between any occupation and own occupation?

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Any Occupation Provision
Own Occupation Provision

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will only provide benefits when the insured is unable to perform any job for which they're suited for by reason of education, training, or experience.
it will provide benefits when the insured, because of sickness or accident, is unable to perform their job

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How long is the grace period after a premium due date in which premiums may still be paid before the policy lapses for nonpayment of premium?

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7 days for all weekly pay policies, 10 days for monthly pay policies, and 31 days for all other modes.

10 days for all weekly pay policies, 20 days for monthly pay policies, and 30 days for all other modes.

7 days for all weekly pay policies, and 31 days for all other modes.

7 days for all weekly pay policies, 15 days for monthly pay policies, and 31 days for all other modes.

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What does boiler and machinery coverage cover?

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amonia contamination damage

Hazardous substance cleanup, or repair or replacement of contaminated property

Water Damage

Expediting expenses

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Boiler and machinery will cover up to how much per accident ?

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up to $20,000

up to $250,000

up to $200,000

up to $25,000

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How many days advanced notice is required if the policy is canceled for any reason if within the first 60 days of coverage?

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45

20

10

30

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What perils are covered on DP2?

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Match the HO policy type to what they insure.

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HO2
HO3
HO4
HO5
HO6
HO8

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Special Form: Homes on open peril basis
Modified : Historic Homes
Broad form: Homes on named peril basis
Contents Broad From: Tenants
Condo unit owners
Comprehensive: Someone renting out a room or someone who is renting out a home for a short amount of time thats fully furnished.

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What perils are covered on a DP1?

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