LLQP Accident & Sickness · Component 4.1 · 10% of the exam
A client on claim asks whether she must keep paying premiums. The accurate answer depends on:
- AWhether the insurer has approved the claim within thirty days of receiving the proof of loss
- BWhether the client's occupational class permits premiums to be suspended during a disability
- Whether the policy includes a waiver of premium provision and whether the qualifying period has passed
- DWhether the client has made a previous claim under the same policy within the last five years of coverage
Correct answer: C) Whether the policy includes a waiver of premium provision and whether the qualifying period has passed
Waiver is a contract feature with its own qualifying period, so premiums usually continue until the claim is approved and the period has run, after which many insurers refund them.
Why the other options are wrong
- AThe claim decision timing does not govern the waiver provision.
- BOccupational class does not control the waiver of premium.
- DPrior claims do not determine whether waiver applies.
Exam tip
Waiver follows the approved claim and its qualifying period.
Common mistake
Telling a claimant to stop paying as soon as they stop working.
What this tests
CISRO competency component 4.1 — Provide customer service during the validity period of the coverage — which is weighted at 10% of the Accident & Sickness module. Written against the published curriculum.
More from component 4
- The agent's role in the claims process is to:
- A client with a non-cancellable DI policy stops paying premiums after a dispute with the insurer about a claim. The agent should warn that:
- When a client moves to another province, the agent should:
- A client asks to reduce the waiting period on his in-force disability policy. The agent should explain that the change:
- A client's disability policy lapsed six weeks ago for non-payment. The agent should:
- A client's non-cancellable disability policy reaches the expiry age stated in the contract. At that point:
Practice the whole Accident & Sickness module
Timed sets weighted like the exam, and review of every question you miss. Free to start.