página 2/28 SECTION 19.1: Financial Services Regulation   19.1.1. Department of Financial Services The Department of Financial Services is headed by the Chief Financial Officer and the Commissioner of Insurance,…

página 3/28 The Office, within existing resources, can spend the funds for professional development of its employees, including, but not limited to, professional fees for employees who are required to…

página 4/28 What role does the Office of Insurance Regulation [OIR]? OIR is responsible for all activities of the Financial Services Commission relating to the regulation of insurance companies and…

página 5/28 19.1.3. Office of Financial Regulation In addition to other powers conferred by Florida Statutes, the Office of Financial Regulations provides: [Sec. 655.012]   General Supervisory Powers; Rulemaking:  …

página 6/28 19.1.4. The State Legislature The State Legislature establishes and maintains the legal framework of state laws on insurance (Insurance Code / The Insurance Code). The legislature established the…

página 7/28 Leeway or “Basket” Provision The Insurance Code contains this provision detailing the terms that allow domestic insurers the right to invest in a certain percentage of its total…

página 8/28 Using the status or licensed as a licensed insurance agent and in any form in connection with placing business with an entity authorized does not include, but are…

página 9/28 A registered agency is not subject to mandatory or discretionary denial, suspension or revocation, however, if any of the directors of the agency registered commits a violation of…

página 10/28 Agents are required to maintain documentation of transactions for three years if the transaction involves the payment of premiums. Florida law requires an agent written report to the…

página 11/28 The insurance agent has the responsibility to provide the public, customers and potential customers the best policies to suit the needs of the individual and the prospect or…

página 12/28 Churning Churning is defined as the practice by which the values of the policy in a life insurance contract or existing annuity is used to buy another policy…

página 13/28 Section 19.4: Code of Ethics The National Association of Life Underwriters (The National Association of Life Underwriters) works for the best interest of policyholders and development opportunities of…

página 14/28 How do you approach the Code of Ethics defamation? Knowingly making, publishing, broadcasting or circulating, directly or indirectly, or assisting, incitement, or encourage manufacturing, publishing, broadcasting or circulating…

página 15/28 For the purposes of this section, the term “individual health insurance” coverage health insurance as described in s. 627.6561 (5) (a) 2., is offered to a person in…

página 16/28 19.5.4. Mental and Nervous Disorders Florida Statutes require all health insurers must provide an optional group in the policy coverage for mental and nervous disorders. This does not…

página 17/28 19.05.13. Bones and Joints of the Jaw and Facial Region Under Florida law, if coverage for diagnostic procedures, including the bones and joints of the skeleton is included;…

página 18/28 Required and optional coverage The word “primary care physician” or “doctor” (“physician” or “medical doctor”) when used in any insurance policy health service plan health care, or other…

página 19/28   This subsection shall not be construed as may affect any other coverage under this part or restrict the scope of coverage of any policy, plan or contract.…

página 20/28 Section 19.7: Group Life Insurance / Group Life Insurance The life insurance group is the same as health insurance or coverage for medical expenses, as to the basics.…

página 21/28 Section 19.9: Retirement Plans Florida law does not regulate retirement plans. ERISA supersedes any state law. ERISA administers standards for funding, participation and vesting, termination of insurance, disclosure,…

página 22/28 Section 19.11: Types of Health Plans an insurance policy of group health issued is required or provided outside the State of Florida to cover a Florida resident to…

página 23/28 19.12.1. Modified Community Rating Community property classification means that all small groups enjoy the same prices for everyone in the same category or class. It must be identical…

página 24/28 Anyone who is a resident of Florida are eligible for coverage under the plan, if the person has been denied coverage for health insurance for at least two…

página 25/28 Guaranteed-Issue Basis: It means an insurance policy to be offered to an employer, employee or dependent of the employee, regardless of their health status, preexisting conditions, or claims…

página 26/28 Disclosure requirements In connection with the offering of a health benefit plan for a small business, a carrier small employer:   You must make a reasonable disclosure and…

página 27/28 Fair Marketing Standards Each carrier employer small (small employer carrier) must actively market the plan coverage health benefits, including standard health benefit basic plans and including any later…

página 28/28 Benefit Plans Offered A carrier Small Employer shall submit to the office, in a format and manner prescribed by the committee, a plan standard health a high deductible…

página 1/9   LESSON 20 AGENT LICENSING. DEFINITIONS SUBJECT Licensing Maintaining a License Unfair Trade Practices Unfair Claims Settlement Practices Definitions  ——————————————————————————————————————————- LECCIÓN 20 AGENTES LICENCIADOS. DEFINICIONES SUBJECT / TEMAS…

página 2/9 Section 20.1: Licensing The Florida statutes provide that no person may be, act as, or advertising or advertise himself as an insurance agent, insurance adjuster or customer representative…

página 3/9 Licensing Requirements The applicant for an insurance license must submit a written application, complete under oath and signed by him, where the required conditions are met and pay…

página 4/9 Cada licenciado, excepto un agente de seguros de título, debe completar un curso de actualización de 5 horas cada 2 años, que es específico para la licencia en…

página 5/9 Acciones Penales y Administrativas / Criminal and Administrative Actions)   Administrativa / Administrative Dentro de 30 días después de la disposición final de una acción administrativa tomada en…

página 6/9 SECCIÓN 20.3: PRACTICAS DESLEALES DE COMERCIO / UNFAIR TRADE PRACTICES   Las sanciones en Florida por violar la Ley de Prácticas Comerciales Desleales son libertad condicional, suspensión o…

página 7/9 20.3.5. DISCRIMINACIÓN INJUSTA / UNFAIR DISCRIMINATION   A las aseguradoras se les prohíbe mostrar ningún tipo de parcialidad hacia las personas en lo que respecta a sus primas…

página 8/9   SECCIÓN 20.5: DEFINICIONES / DEFINITIONS   Transacción de Seguros / Insurance Transaction. Las disposiciones del Código de Seguros definen el término transacciones de seguros como:   solicitud…

página 9/9   Certificado de Autoridad / Certificate of Authority Antes de que cualquier entidad puede operar como una aseguradora en este estado, debe obtener un certificado de autoridad de…

página 1/   PL _ SEGUROS DE VIDA Y ANUALIDADES (INCLUYENDO CONTRATOS VARIABLES)   DOLPHY INSURANCE SCHOOL   Esto no es una muestra del examen oficial de licencia estatal de…