SDLAHP - South Dakota Life Accident and Health Producer

Question 21: A replacing insurer receives a completed application indicating the sale will replace an existing life insurance policy from another company. Which of the following correctly states the deadline by which the replacing insurer must notify the existing insurer of the proposed replacement?

within ten calendar days

within thirty days of issuance

within five business days

there is no notification deadline

Question 22: An existing life insurer receives notice from a replacing insurer that its policyowner intends to replace the current policy with new coverage. Which of the following correctly states the deadline for the existing insurer to send the owner a letter regarding the proposed replacement?

within twenty days of notice

within thirty business days of notice

no deadline; a reasonable time applies

within five business days of notice

Question 23: An insurer weighing how long to keep replacement notifications on file must apply South Dakota's recordkeeping rule for replacement transactions, which sets a specific retention standard rather than a single flat number of years. Which of the following correctly states that standard?

five years, or next exam if later

a flat three years from termination

five years with no exam exception

until the policy itself expires

Question 24: An agent sells a nonconvertible, nonrenewable term life policy with a stated duration short enough to fall under an exemption in South Dakota's replacement rule. Which of the following correctly states the maximum policy duration that qualifies this type of term sale for the exemption?

ten years or less

five years or less

one year or less

any duration, if nonrenewable

Question 25: A new policyowner receives an individual life insurance policy in the mail and, three days after opening the envelope, decides not to keep it and wants a full refund. Which of the following correctly states when the clock on the free look period actually begins running?

the date the insurer mails it

the date of application

actual receipt of the policy

the effective date printed in the policy

Question 26: A consumer purchases an individual fixed annuity contract for delivery in South Dakota and wants to know how the free look period for this non-variable annuity compares to the free look period for an individual life insurance policy. Which of the following correctly describes that comparison?

the annuity period is shorter, five days

the annuity period is longer, thirty days

annuities receive no free look at all

both periods are the same ten days

Question 27: A policyholder accepted the offered alcoholism treatment coverage years ago, and the insured has since used a total of eighty days of inpatient treatment under the same continuous contract. If the insured needs additional inpatient days, which limit governs how many more days remain available under that contract?

ten more days under this contract

thirty more days, a new six-month period

no more days remain, lifetime maximum reached

ninety more days under a new contract

Question 28: A group member has been on South Dakota continuation coverage for twenty months and receives a premium bill from the group plan. Which statement correctly describes the maximum premium the insurer may charge at this point in the continuation period?

up to one hundred two percent

up to one hundred fifty percent

up to one hundred twenty-five percent

no more than the group rate

Question 29: A South Dakota insurer files a Medicare supplement product that requires insureds to use a defined network of providers in order to receive full policy benefits. Which term correctly identifies this restricted-network form of Medicare supplement coverage under state rule?

a Medicare Advantage plan

a health maintenance organization plan

a Medicare SELECT policy

an association group health plan

Question 30: An agent sells a Medicare supplement policy to a prospective applicant. Under South Dakota rule, at what point in the transaction must the agent deliver the required buyer's guide, and what must the agent obtain from the applicant at that time?

at policy delivery, with no acknowledgment required

before the first premium payment, verbally confirmed

thirty days after the policy issues

at application, with signed acknowledgment of receipt

Question 31: An insurance producer needs to determine whether a particular business qualifies for guaranteed issue under South Dakota's small employer health insurance chapter, before quoting any plan. Which section of that chapter states the employee-count range that anchors eligibility for the entire chapter?

the chapter's definition of small employer

the guaranteed issue section itself

the uniform eligibility application section

the prohibited activities section

Question 32: A family health policy requires payment of an additional premium to keep a newborn covered beyond the child's first weeks of life. Which combination of actions must the policyholder complete within thirty-one days of the birth so the newborn's coverage continues without interruption?

give notice only, premium comes later

give notice and pay the premium

pay the premium only, notice unneeded

notify the state insurance regulator directly

Question 33: A newly diagnosed insured wants to know how much diabetes self-management education and follow-up care a South Dakota health policy must make available under the state's mandated diabetes benefit. Which combination correctly states those two figures, one for education and one for yearly follow-up visits?

one lifetime program and four yearly visits

two yearly programs and eight lifetime visits

two lifetime programs and eight yearly visits

unlimited programs and unlimited yearly visits

Question 34: An applicant exercises the free-look right and mails back a newly issued Medicare supplement policy well within the return period. Once the issuer actually receives that returned policy, which statement correctly describes how, and by when, the premium must then be refunded to the applicant under South Dakota law?

paid to the producer within thirty days

paid to the applicant within twenty days

credited toward the applicant's next premium

directly to the applicant within thirty days

Question 35: An insurer wants to medically underwrite a policyholder's newborn before adding the child to the family health policy, and also wants to apply a preexisting condition waiting period before benefits begin. Which statement correctly describes whether South Dakota law permits either step?

neither step is legally permitted

both steps are permitted before enrollment

underwriting is required, waiting periods are not

waiting periods are required, underwriting is not

Question 36: An agent is preparing to solicit a long-term care sale in South Dakota and must deliver both a shopper's guide and, later, an outline of coverage. Which statement correctly distinguishes when each of these two documents must reach the prospective applicant?

both documents are due at once

guide comes first, outline follows at application

outline comes first, guide follows later

both are due only at delivery

Question 37: A Medicare supplement policy's basic hospitalization benefit works alongside the federal Medicare Part A hospital benefit rather than duplicating it. Which statement correctly describes what the basic benefit adds once the insured's Medicare Part A hospital days are used up?

a second complete Part A benefit

coverage only for outpatient physician visits

Part A coinsurance plus additional hospital days

a cash payment replacing the hospital stay

Question 38: A small employer carrier applies stricter eligibility standards to one qualifying small employer than it applies to other similarly situated small employers seeking the same plan. Which principle of South Dakota's small employer chapter does that practice most directly violate?

the guaranteed issue mandate alone

the definition of small employer

the prohibited activities provision alone

uniform application of eligibility requirements

Question 39: A South Dakota employer group health policy covers a workforce well below the size threshold at which federal COBRA continuation rights apply. Which body of South Dakota law nonetheless requires the insurer to provide continuation of benefits without evidence of insurability for that smaller group?

the state's own group continuation statute

federal COBRA, extended down in scope

the small employer guaranteed issue chapter

the medicare supplement replacement statute

Question 40: A policyholder replaces an in-force Medicare supplement policy with a new one from a different issuer, and a waiting period from the old policy had not yet fully run. Which statement correctly describes how the new policy must treat that remaining waiting period?

a brand new full waiting period applies

only the unexpired remainder carries over

the new insurer may double the period

the waiting period resets to the maximum

SDLAHP South Dakota Life Accident and Health Producer - Set 1 - Part 2