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LLQP Life Insurance · Component 1.2 · 35% of the exam

An employer group plan has a non-evidence maximum. This means:

  • AThe plan has no maximum, so every member can obtain whatever amount the salary formula produces
  • BEvidence of insurability is required for every member, whatever the amount of coverage applied for
  • CNo member can be covered above that amount under any circumstances, since it is the ceiling of the plan
  • Coverage up to that amount is issued without medical evidence; amounts above it require evidence

Correct answer: D) Coverage up to that amount is issued without medical evidence; amounts above it require evidence

Group underwriting relies on the group as a whole, so coverage up to the non-evidence maximum is automatic. Higher amounts (for example, a high multiple of a large salary) are individually underwritten. A member who was declined above the maximum has a gap the agent should note.

Why the other options are wrong

  • AThe non-evidence maximum is a threshold, not the plan's overall maximum.
  • BEvidence is required only above the maximum.
  • CMembers can be covered above it by providing evidence.

Exam tip

The non-evidence maximum is where group underwriting stops being automatic. A member declined above it has a real gap.

Common mistake

Reading 'non-evidence maximum' as the ceiling of the plan.

What this tests

CISRO competency component 1.2 — Assess the client's needs and situation — which is weighted at 35% of the Life Insurance module. Written against the published curriculum.

More from component 1

Practice the whole Life Insurance module

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