Every number on the Texas Life & Health, with its source

36 exact values pulled out of the study guides and put in one place, each one carrying the statute, rule or standard it comes from. These are the figures the exam turns on and the ones people lose points to — the difference between 14 days and 21 days is a whole question.

36 values

Health Policy Provisions, Clauses and Riders

Grace period7 / 10 / 31 days (TIC 1201.209)
Time limit on defenses2 years (TIC 1201.208)
Reinstatement approvalDay 45 if no notice (TIC 1201.210)
Sickness after reinstatementCovered if it begins after 10 days
Notice of claim20 days (TIC 1201.211)
Claim forms15 days (TIC 1201.212)
Proof of loss90 days, 1-year outer limit (TIC 1201.213)
Legal actionsAfter 60 days, within 3 years (TIC 1201.217)
Insurer cancellation notice5 days (TIC 1201.224)

Texas Licensing and Marketing Law

Commissioner's term2 years, appointed by the governor (TIC 31.022)
Maximum administrative penalty$25,000 per violation (TIC 84.022)
Longest suspension1 year (TIC 82.052)
Temporary license180 days, no exam (TIC 4001.152, .155)
Continuing education24 hours, 3 ethics, 50% classroom (TIC 4004)
Promotional gift limit$25 (TIC 541.058)
Claim acknowledgment15 days (TIC 542.055)
Accept or reject15 business days (TIC 542.056)
Fraud reportWithin 30 days, in writing (TIC 701.051)
Guaranty: life death benefit$300,000 (TIC 463.204)

Texas Health Insurance and HMO Law

Newborn coverageFrom birth, congenital defects included (TIC 1367.003)
Dependent child ageUnder 25, or any age if disabled (TIC 1501.002)
Medicare supplement free look30 days
HIV adverse decision2 ELISA + Western Blot (28 TAC 21.705)
LTC renewabilityAt least guaranteed renewable (28 TAC 3.3822)
Eligible employeeFull time, usually 30+ hours (TIC 1501.002)
HMO cancellationNonpayment or reason in rule (TIC 843.208)
Capitation startWithin 60 days of PCP selection (TIC 843.315)

Texas Life Insurance Law

Grace period (individual)At least 1 month (TIC 1101.005)
Incontestability2 years (TIC 1101.006)
Policy loansAfter 3 full years of premiums (TIC 1101.009)
Death claim settlement2 months (TIC 1101.011)
Backdating limit6 months (TIC 1101.054)
Reinstatement3 years (28 TAC 4.611)
Group life grace and conversion31 days each (TIC 1131.103, .110)
Replacement notice to existing insurer5 business days (TIC 1114.053)
Annuity free look without buyer's guide15 days (28 TAC 4.2311)
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