LLQP Accident & Sickness · Component 3.3 · 25% of the exam
For a group plan, the 'plan document' or 'booklet' given to employees:
- AIs optional, since the master policy is available for inspection by any employee who asks to see it
- Summarizes the coverage; the master policy governs and resolves any discrepancy
- CSets the premiums each employee pays, since it records the cost-sharing arrangement agreed with the sponsor
- DIs the contract itself, so any benefit described in the booklet must be paid exactly as it is written
Correct answer: B) Summarizes the coverage; the master policy governs and resolves any discrepancy
The master policy is the contract. Booklets are summaries; inaccurate booklets create disputes and possible liability for the sponsor.
Why the other options are wrong
- AEmployees must be informed of their coverage.
- CPremiums are in the policy and rate schedule.
- DThe master policy is the contract.
Exam tip
Master policy governs; booklet summarizes.
Common mistake
Advising an employee on coverage from an outdated booklet.
What this tests
CISRO competency component 3.3 — Implement a recommendation adapted to the client's needs and situation — which is weighted at 25% of the Accident & Sickness module. Written against the published curriculum.
More from component 3
- An underwriter assigns a disability applicant to occupational class 2 rather than class 4. The practical effect is that:
- A disability applicant discloses a back condition that resolved four years ago with no recurrence. The likely underwriting outcome is:
- Financial underwriting for an individual disability application exists to:
- A critical illness applicant's mother and sister both had breast cancer before fifty. The underwriter is likely to:
- An applicant for long-term care coverage is seventy-two. The insurer is most likely to require:
- Group long-term disability coverage within the non-evidence maximum is issued without individual medical questions because:
Practice the whole Accident & Sickness module
Timed sets weighted like the exam, and review of every question you miss. Free to start.