How many eligible employees must be included in a contributory health insurance plan? -
ANS50%
A man works for Company A and his wife works for Company B. The spouses are covered by
health plans through their respective companies that also cover the other spouse. If the
husband files a claim, - ANSThe insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - ANS36
months
Twenty-five days after a health insurance policy is delivered, the policyowner decides that she
would like to return the policy and receive a refund of premium. Which of the following is true? -
ANSThe policyowner will not receive a refund because the free-look period is over.
An insured is involved in a car accident. In addition to general, less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness improves
a month later. To what extent will he receive Presumptive Disability benefits? - ANSNo benefits
For the purpose of insurance, risk is defined as - ANSThe uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? - ANSThe trust that a client
places in the producer in regard to handling premiums.
Which of the following is NOT true of basic medical expense plans? - ANSCoverage for
catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? - ANSThe insurer may
terminate the contract only at renewal for certain conditions.
What is the best way to change an application? - ANSStart over with a fresh application
On a major medical insurance policy, the amount that an insured must pay on a claim before the
insurer will pay is known as - ANSDeductible.
Which of the following is correct about a group health insurance policy issued in New York? -
ANSIt cannot exclude newborn children from coverage.
Which of the following is NOT a characteristic of a group long-term disability plan? - ANSThe
benefit can be up to 50% of one's yearly income.
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