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GEORGIA LIFE AND HEALTH INSURANCE|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

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GEORGIA LIFE AND HEALTH INSURANCE|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

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  • August 10, 2023
  • 24
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • GEORGIA LIFE AND HEALTH INSURANCE
  • GEORGIA LIFE AND HEALTH INSURANCE
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GEORGIA LIFE AND HEALTH INSURANCE
Accident - correct answer An unplanned unforseen event which occurs suddenly at an unspecified place
Accident insurance - correct answer A type of insurance that protects the insured against loss due to an accidental bodily injury
Accidental bodily injury - correct answer Unplanned unforseen traumatic injury to
the body
Accidental Death and Dismemberment - correct answer An insurance policy which pays a specified number or specified multiple of the insurer's benefit if the insured dies, loses his/her sight, or loses two limbs due to an accident.
Acquired Immunodeficiency Symdrome - correct answer An infectious and incurable disease caused by the human immunodeficiency virus (hiv)
Activities of daily living - correct answer Activities individuals must do every day such as moving about, getting dressed, eating, bathing, etc.
Actual charge - correct answer The amount a physician or supplier actually bills for a particular service or supply.
Adhesion - correct answer A contract offered on a "take it or leave it" basis by an insured, in which the insured's only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor of the imsured.
Admitted (Authorized) Insurer - correct answer An insurance company authorized
and licensed to transact business in a particular state. Adult Day Care - correct answer A program for impaired adults that attempts to meet their health, social, and functional needs in a setting away from their homes.
Adverse Selection - correct answer The tendency of risks witha higher probability
of loss to purchase and maintain insurance more often than the risks who present lower probability
Agent - correct answer An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an insurer.
Aleatory - correct answer A contract in which participating parties exchange unequal amounts. Insurance contracts are aleatory in that the amount the insured
will pay in premiums is unequal to the amount the insurer will pay in the event of a loss.
Alien Insurer - correct answer An insurance company that is incorporated outside
the United States.
Alzheimer's Disease - correct answer A disease that causes the victim to become dysfunctional due to degeneration of brain cells and severe memory loss.
Ancillary - correct answer Additional, miscellaneous services provided by a hospital, such as x-rays, anesthesia, and lab work, but not hospital room and board expenses.
Apparent Authority - correct answer The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created.
Approved Amount - correct answer The amount Medicare determines to be reasonable for a service that is covered under part B of Medicare. Assignment - correct answer A claim to a provider or medical supplier to receive payments directly from Medicare.
Attained Age - correct answer The age of the insured at a determined date.
Attending Physician Statement (APS) - correct answer A statement usually obtained from the applicant's doctor.
Avoidance - correct answer A method of dealing with risk (e.g. if a person wanted to avoid the risk of being killed in an airplane crash, he/she might choose never to fly in a plane).
Basic Hospital Expense Insurance - correct answer Coverage that provides benefits for room, board and miscellaneous hospital expenses for a certain number of days during a hospital stay.
Basic Medical Expense Insurance - correct answer Coverage for doctor visits, x-
rays, lab tests, and emergency room visits; benefits, however, are limited to specified dollar amounts.
Beneficiary - correct answer The person who receives the proceeds from the policy when the insured dies.
Benefit Period - correct answer The length of time over which the insurance benefits will be paid for each illness, disability, or hospital stay
Birthday Rule - correct answer The method of determining primary coverage for a
dependent child, under which the plan of the parent whose birthday occurs first in the calendar year is designated as primary.
Boycott - correct answer An unfair trade practice in which one person refuses to do business with another until he or she agrees to certain comditioms.

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