| Acknowledgments |
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ix | |
| Introduction |
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xi | |
| How to Use the License Exam Manual |
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xiii | |
| Part One: Principles of Life and Health Insurance |
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1 | (60) |
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Purpose of Life and Health Insurance |
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3 | (16) |
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4 | (1) |
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4 | (2) |
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6 | (2) |
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8 | (3) |
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Elements of Insurable Risk |
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11 | (1) |
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Economic Basis of Life and Health Insurance |
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12 | (1) |
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12 | (1) |
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13 | (6) |
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19 | (22) |
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20 | (4) |
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24 | (3) |
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Regulation of the Insurance Industry |
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27 | (9) |
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36 | (1) |
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36 | (5) |
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Law and the Insurance Contract |
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41 | (20) |
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41 | (3) |
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Special Features of Insurance Contracts |
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44 | (7) |
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51 | (3) |
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54 | (2) |
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56 | (1) |
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56 | (5) |
| Part Two: Principles of Life Insurance |
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61 | (244) |
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63 | (40) |
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Categories of Life Insurance |
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64 | (1) |
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65 | (5) |
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70 | (7) |
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77 | (4) |
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81 | (4) |
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Nontraditional Life Policies |
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85 | (9) |
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94 | (1) |
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95 | (8) |
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Life Insurance Policy Provisions, Options and Riders |
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103 | (30) |
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Rights of Policy Ownership |
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103 | (1) |
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Standard Policy Provisions |
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104 | (9) |
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113 | (1) |
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Nonforfeiture Values and Options |
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114 | (3) |
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117 | (3) |
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120 | (5) |
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125 | (1) |
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126 | (7) |
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Life Insurance Beneficiaries |
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133 | (18) |
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Who Can Be a Beneficiary? |
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134 | (2) |
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Types of Beneficiary Designations |
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136 | (5) |
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141 | (3) |
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144 | (1) |
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144 | (7) |
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Life Insurance Premiums and Proceeds |
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151 | (28) |
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152 | (1) |
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Primary Factors in Premium Calculations |
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152 | (6) |
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158 | (5) |
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Life Insurance Policy Proceeds |
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163 | (5) |
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Tax Treatment of Proceeds |
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168 | (3) |
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171 | (1) |
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172 | (7) |
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Life Insurance Underwriting and Policy Issue |
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179 | (24) |
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The Purpose of Underwriting |
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179 | (2) |
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181 | (7) |
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Field Underwriting Procedures |
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188 | (7) |
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Policy Issue and Delivery |
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195 | (3) |
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198 | (1) |
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198 | (5) |
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203 | (16) |
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Principles of Group Insurance |
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204 | (1) |
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Features of Group Insurance |
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204 | (1) |
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205 | (2) |
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207 | (4) |
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Other Forms of Group Life Coverage |
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211 | (3) |
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214 | (1) |
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214 | (5) |
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219 | (22) |
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Purpose and Function of Annuities |
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220 | (2) |
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222 | (1) |
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Structure and Design of Annuities |
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222 | (11) |
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Income Taxation of Annuity Benefits |
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233 | (1) |
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234 | (2) |
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236 | (1) |
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236 | (5) |
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241 | (16) |
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Purpose of Social Security |
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241 | (1) |
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242 | (2) |
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How Social Security Benefits Are Determined |
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244 | (3) |
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247 | (5) |
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252 | (1) |
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252 | (5) |
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257 | (26) |
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Qualified vs. Nonqualified Plans |
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258 | (1) |
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Qualified Employer Retirement Plans |
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259 | (7) |
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Qualified Plans for the Small Employer |
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266 | (2) |
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Individual Retirement Plans |
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268 | (9) |
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277 | (1) |
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277 | (6) |
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283 | (22) |
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Determining Proper Insurance Amounts |
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283 | (4) |
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Individual Uses for Life Insurance |
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287 | (3) |
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Business Uses for Life Insurance |
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290 | (9) |
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299 | (1) |
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300 | (5) |
| Part Three: Principles of Health Insurance |
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305 | (192) |
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Introduction to Health Insurance |
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307 | (12) |
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Basic Forms of Health Insurance Coverage |
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308 | (1) |
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How Health Insurance Is Purchased |
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309 | (1) |
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Characteristics of Health Insurance |
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310 | (3) |
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313 | (1) |
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313 | (6) |
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Health Insurance Providers |
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319 | (14) |
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Commercial Insurance Providers |
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320 | (1) |
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320 | (3) |
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Government Insurance Programs |
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323 | (2) |
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Alternative Methods of Providing Health Insurance |
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325 | (2) |
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327 | (1) |
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328 | (5) |
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Medical Expense Insurance |
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333 | (18) |
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Purpose of Medical Expense Insurance |
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333 | (1) |
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Basic Medical Expense Plans |
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334 | (4) |
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Major Medical Expense Plans |
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338 | (7) |
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Other Types of Medical Expense Coverage |
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345 | (1) |
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346 | (1) |
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346 | (5) |
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Disability Income Insurance |
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351 | (16) |
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Purpose of Disability Income Insurance |
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352 | (1) |
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Disability Income Benefits |
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352 | (5) |
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Disability Income Policy Provisions |
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357 | (3) |
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Disability Income Policy Riders |
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360 | (1) |
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361 | (1) |
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362 | (5) |
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Accidental Death and Dismemberment Insurance |
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367 | (10) |
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367 | (1) |
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368 | (1) |
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369 | (1) |
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370 | (1) |
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371 | (6) |
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Government Health Insurance Programs |
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377 | (12) |
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378 | (2) |
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380 | (2) |
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382 | (1) |
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State Workers' Compensation Programs |
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383 | (1) |
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384 | (1) |
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384 | (5) |
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Private Insurance Plans for Seniors |
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389 | (16) |
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Medicare Supplement Policies |
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390 | (2) |
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392 | (4) |
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LTC Policy Provisions and Limits |
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396 | (3) |
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399 | (1) |
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400 | (5) |
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Health Insurance Policy Provisions |
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405 | (20) |
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NAIC Model Health Insurance Policy Provisions |
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406 | (7) |
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Common Exclusions or Restrictions |
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413 | (2) |
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415 | (1) |
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416 | (1) |
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417 | (8) |
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Health Insurance Underwriting and Premiums |
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425 | (18) |
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Risk Factors in Health Insurance |
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426 | (3) |
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Health Insurance Premium Factors |
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429 | (2) |
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Tax Treatment of Health Insurance Premiums and Benefits |
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431 | (4) |
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435 | (2) |
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437 | (1) |
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437 | (6) |
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443 | (18) |
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Nature of Group Health Insurance |
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444 | (3) |
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Group Health Insurance Coverages |
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447 | (7) |
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Tax Treatment of Group Health Plans |
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454 | (1) |
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455 | (1) |
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456 | (5) |
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461 | (12) |
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A Proper Health Insurance Program |
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462 | (1) |
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Individual Needs for Health Insurance |
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462 | (2) |
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Business Needs for Health Insurance |
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464 | (3) |
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467 | (1) |
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467 | (6) |
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473 | (24) |
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474 | (3) |
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Principles of Life Insurance |
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477 | (6) |
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Principles of Health Insurance |
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483 | (6) |
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General Principles Answers & Rationale |
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489 | (2) |
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Principles of Life Insurance Answers & Rationale |
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491 | (3) |
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Principles of Health Insurance Answers & Rationale |
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494 | (3) |
| Glossary |
|
497 | (22) |
| Appendix |
|
519 | (36) |
| Index |
|
555 | |