accident and health insurance agent exam questions and answers 20222023 | 100 correct verified answers
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Accident And Health Insurance Agent Exam Questions and Answers
1. H has suffered a covered disability away from her job and will shortly
begin collecting benefits. The insurer sends a letter to H stating that she
will not receive any benefit amounts greater than her income. This clause
is known as:
A: Over-insurance
clause B: free look
C: relation of earning to insurance
D: relation of economic value: Answer- C: relation of earning to insurance
2. The insured should be aware of the issue date upon delivery a policy
and the date should be listed on:
A: the policy summary
B: the first page of the
contract C: the delivery receipt
D: upon conditional receipt: Answer- B: the first page of the contract
3. The policy has all of the following rights EXCEPT:
A: Right to solely renew a guaranteed renewable
policy. B: Right to terminate a policy
C: Unilateral right to renew an Optionally renewable policy
D: Right to assign a contract: Answer- C: Unilateral right to renew an
Optionally renewable policy
,4. The part of a contract that specifies which expenses may or may not
be covered is known as the:
A: Exclusion
B: Eligible Expense
provision C: Insuring
Agreement
D: Consideration Clause: Answer- B: Eligible Expense provision
5. Which of the following is considered to be a mandatory provision
in a health policy?
A: Time Limit on Certain Defenses
B: Change of Occupation
C: Illegal Occupation
D: Intoxicant/Narcotic Usage: Answer- A: Time Limit on Certain Defenses
6. Which of the following may be considered an eligible expense found
in a health policy?
A: Cosmetic Surgery
B: Premium
payment C: cold
cream
,D: Bus fare to receive treatment for a covered loss: Answer- D: Bus
fare to receive treatment for a covered loss
7. K has a policy that covers doctors visits but limits the number of visits
per calendar year and pays a limited indemnification limit per visit. K has:
A: Basic Medical Expense
B: Physician Nonsurgical
Coverage C: Basic Surgical Policy
D: Basic Hospital Coverage: Answer- B: Physician Nonsurgical Coverage
8. All of the following are CORRECT about Medicare EXCEPT:
A: An insured who is age 30 but collecting Social Security disability for the
last two years is eligible for Medicare.
B: An insured who is age 60 and is at the end stage of renal failure is
eligible for Medicare.
C: An insured who turns age 65 and is still employed is eligible for
Medicare. D: An insured who has Medicare Part A is eligible to enroll for
Medigap policies within six months of enrolling in Part A.: Answer- D: An
insured who has Medicare Part A is eligible to enroll for Medigap
policies within six months of enrolling in Part A.
9. Under the Claim Forms provision in an Accident and Health policy, an
insurance company must supply an insured with claim forms within a
MAX- IMUM of how many days after receiving notice of the loss?
A: 10
B: 15
C: 20
, D: 30: Answer- B: 15
10. The purpose of the Fair Credit Reporting Act is to:
A: protect the consumer from having an adverse action against them
based of obsolete credit information
B: to ensure that credit information used in underwriting is accurate and
updated
C: make sure that any financial institution handles an individual's credit in
a correct, proper manner
D: All of the Above: D: All of the Above
11. Most Accident and Health policies require that claims must be paid
upon written proof of loss.
A: 30 days
B: Immediately
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