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