LLQP Ethics & Professional Practice · Component 1.6 · 60% of the exam
The insurer's right to 'examine' a claimant under an A&S contract means:
- AThe claimant must pay for the examinations, since they are part of the proof of loss the claimant must furnish
- The insurer may require examination by its own physician, at its expense, as often as reasonably necessary
- COnly one examination is ever allowed, after which the insurer must accept the attending physician's opinion
- DNothing in practice, since the statutory conditions give the insurer no right to examine a claimant
Correct answer: B) The insurer may require examination by its own physician, at its expense, as often as reasonably necessary
Statutory conditions give insurers verification rights; refusal can suspend benefits.
Why the other options are wrong
- AExaminations are at the insurer's expense.
- CExaminations may be required as often as reasonably necessary.
- DThe insurer's right to examine exists under the statutory conditions.
Exam tip
Insurer may examine at its cost; cooperation is required.
Common mistake
Advising a claimant to refuse an independent medical exam.
What this tests
CISRO competency component 1.6 — Integrate into practice the legal aspects of insurance and annuity contracts — which is weighted at 60% of the Ethics & Professional Practice module. Written against the published curriculum.
More from component 1
- An 'assignee' of a life insurance policy is:
- A corporation as policyowner and beneficiary of a policy on a key employee:
- A 'trustee' named to receive proceeds on behalf of a beneficiary:
- The 'automatic premium loan' (APL) provision:
- A life insurance contract 'matures' when:
- The 'assignment' provision typically states that:
Practice the whole Ethics & Professional Practice module
Timed sets weighted like the exam, and review of every question you miss. Free to start.