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Health Insurance - Questions With Solutions
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Health Insurance - Questions With Solutions
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Health Insurance - Questions With Solutionsan insured recieves an annual life insurance dividend check. what term best
describes this arrangement? Correct Ans - cash option
which of the following would be deducted from the death benefit paid to a
beneficiary, if a partial accelerated death benefit had been paid while the
insured was still alive? Correct Ans - amount paid with the
accelerated benefit, plus the earnings lost by the insurance company in
interest income from the accelerated benefit
under which nonforfeiture option does the company pay the surrender
value and have no further obligations to the policyowner? Correct Ans
- cash surrender
which of the following health care plans would most likely provide the
insured/subscriber with comprehensive health care coverage? Correct
Ans - health maintenance organization plan
a medical expense policy that establishes the amount of benefit paid based
upon the prevailing charges which fall within the standard range of fees
normally charged for a specific procedure by a doctor of similar training
and experience in that geographic area is known as Correct Ans -
usual, customary and reasonable
an insured is receiving hospice care. his insurer will pay for painkillers but
not for an operation to reduce the size of a tumor. what term best fits this
arrangement? Correct Ans - cost containment
,what are the 2 types of flexible spending accounts? Correct Ans -
health care accounts and dependent care accounts
an insured is admitted to the hospital for surgery on a herniated disk. the
insurance company monitors the treatment and progress in order to make
sure that everything proceeds according to the insurers schedule. this is
called Correct Ans - concurrent review
which of the following answers does NOT describe the principal goal of a
PPO(preffered provider organization) Correct Ans - provide
medical services only from physicians in the network
to be eligible under HIPAA regulations, for how long should an individual
converting to an individual health plan have been covered under the
previous group plan? Correct Ans - 18 monthes
which of the following are responsible for making premium payments in an
HMO plan? Correct Ans - subscribers
according to the PPACA rules, what percentage of health care costs will be
covered under a bronze plan? Correct Ans - 60%
the affordable care act requires all US citizens and legal residents to have
qualifiying health care coverage. this is known as Correct Ans -
individual mandate
,under which of the following employer-provided plans are the benefits
taxable to an employee in proportion to the amount of premium paid by the
employer? Correct Ans - disability income
which of the following describes taxation of individual disability income
insurance premiums and benefits? Correct Ans - premiums are not
tax deductible, and benefits are not taxable
what is the maximum amount that can be contributed to an MSA of the high
deductible plan for individuals? Correct Ans - 65%
an insured had $500 left in his health reimbursement account when he quit
his job. what happens to that money? Correct Ans - the insured can
have access to the $500 at his previous employer's discretion
the maximum amount that can be contributed to an MSA is what
percentage of the family deductible for those with family coverage?
Correct Ans - 75%
a health insurance plan that covers all accidents and sicknesses that are not
specifically excluded from the policy is referred to as a Correct Ans -
comprehensive plan
a policy which covers medical costs related to a specific condition is called
a Correct Ans - dread disease policy
, an insured loses her left arm i an accident that is covered by her accidental
death and dismemberment policy. what kind of benefit will she most likely
receive from this policy? Correct Ans - the capital amount in a lump
sum
if a insurer makes a statement that its policies are guaranteed by the
existence of the life and health guaranty association, which of the following
is true? Correct Ans - it would be considered an unfair trade
practice
health insurance underwriting is best defined as Correct Ans -
selection, classification, and rating of risks
which of the following information regarding an insured is NOT included in
an investigative consumer report, which is requested by an underwriter?
Correct Ans - medical history
an insured makes regular contributions to his health savings account. how
are those contributions treated in regards to taxation? Correct Ans -
they are tax deductible
what is the maximum age for qualifying for a catastrophic plan?
Correct Ans - 30
an insured is receiving hospice care. his insurer will pay for painkiller but
not for an operation to reduce the size of a tumor. what term best fits this
arrangement? Correct Ans - cost containment
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