Course of Study Content Requirements | Time Distribution Requirements | |||
I. | Types of policies and coverages | 30% | ||
A. | Disability income | |||
B. | Accidental death and dismemberment and other indemnity plans | |||
C. | Medical expense insurance | |||
D. | Medicare and Medicare supplements | |||
E. | Medicaid | |||
F. | Limited coverage plans ( cancer plans and travel accident) | |||
II. | Policy provisions, options and benefits | 30% | ||
A. | Entire contract | |||
B. | Insuring clause | |||
C. | Free look (ten day, twenty day) | |||
D. | Consideration clause | |||
E. | Owner's rights | |||
F. | Change of beneficiaries | |||
G. | Grace period | |||
H. | Probationary (waiting) period | |||
I. | Reinstatement | |||
J. | Time limit on certain defenses | |||
K. | Misstatement of age | |||
L. | Waiver of premiums | |||
M. | Exclusions | |||
N. | Payment of claims | |||
O. | Notice of claims | |||
P. | Claim forms | |||
Q. | Proof of loss | |||
R. | Legal actions | |||
S. | Time of payment of claims | |||
T. | Physical examinations and autopsy | |||
U. | Change of occupation | |||
V. | Illegal occupation | |||
W. | Nonduplication and coordination of benefits (e.g., primary vs. excess benefits) | |||
X. | Group conversions | |||
III. | Completing the application and delivering the policy | 10% | ||
A. | Completing the application and obtaining necessary signatures | |||
B. | Warranties and Representations | |||
C. | Complying with provision of Fair Credit Reporting Act and Illinois Insurance Privacy Act | |||
D. | Explaining the effect of the application with money | |||
E. | Explaining the effect of the application without money | |||
F. | The underwriting process | |||
G. | Delivery and explanation of the policy | |||
IV. | Group insurance, taxation, and other insurance concepts | 16% | ||
A. | Group insurance | |||
B. | Occupational vs. nonoccupational coverage | |||
C. | Total vs. partial disability | |||
D. | Social Security benefits and taxes | |||
E. | Service organizations (e.g., Blue Cross/Blue Shield, HMO) | |||
F. | Tax treatment of premiums and proceeds of insurance contracts (e.g., disability and medical expense) | |||
V. | Other provisions affecting insurance benefits | 14% | ||
A. | Deductibles | |||
B. | Elimination (waiting) period | |||
C. | Coinsurance | |||
D. | Preexisting conditions | |||
E. | Renewability provisions (e.g., noncancellable, guaranteed renewable, conditionally renewable, optionally renewable) | |||
F. | Covered medical expenses |
Ill. Admin. Code tit. 50, pt. 3119, exh. F