Exam (elaborations)
Health Insurance – Questions & Detailed Answers
- Course
- Institution
Health Insurance – Questions & Detailed Answers
[Show more]
Seller
Follow
LeCrae
Reviews received
Content preview
Health Insurance – Questions & Detailed AnswersWhich of the following incidents would NOT be covered by an Accidental
Death and Dismemberment policy? Correct Ans - Suicide
Which of the following statements BEST describes the HIPAA portability
rules for an individual who changes from one group medical plan to
another? Correct Ans - Reduces or eliminates any pre-existing
conditions excluded under the new plan
What type of group plan is excluded from HIPAA statutes? Correct Ans
- Disability income
Which of the following statements BEST describes disability buy-sell
insurance policies? Correct Ans - Policy proceeds are typically
received tax-free
Kate received a group accident and health termination notice. How many
days does she have to apply for a converted policy? Correct Ans -
31
How many employees must an employer have for the Consolidated
Omnibus Budget Reconciliation Act of 1985 (COBRA) to apply? Correct
Ans - 20 or more
Which parties are directly involved in a group accident and health
insurance contract? Correct Ans - Employer and insurer
Trade association groups that are eligible for group medical benefits
normally are Correct Ans - in the same industry
In regards to health insurance, employees age 65 or older are typically
required to Correct Ans - be offered the same group health benefits
offered to the younger employees
ABC Partnership is a business with a limited number of partners. Which
disability buy-sell agreement is best suited for this business? Correct
Ans - Cross purchase agreement
, How are benefit payments from individually-owned medical expense
policies treated for tax purposes? Correct Ans - Exempt from
income taxes
In which of the following situations can an insurance company offer group
Health insurance? Correct Ans - The sponsoring group provides an
employer-employee relationship
If group Health benefit levels are too high, what could be the end result?
Correct Ans - Overutilization of the plan
Group accident and health insurance may be offered by an insurer when
the sponsoring group Correct Ans - provides an employer-
employee relationship
Steve has a group disability income policy where the premiums are paid by
his employer. He elected to pay for additional residual disability coverage.
Which of the following statements is true? Correct Ans - Steve will
pay taxes on the disability benefit received from his employer, but will
receive any residual disability benefits tax-free
A characteristic of a Preferred Provider Organizations (PPO) is Correct
Ans - If service is obtained outside the PPO, benefits are reduced and
costs increase
The agreement in which hospitals and physician groups in a specific area
contract with an insurance company to provide medical care at
predetermined costs is Correct Ans - Preferred Provider
Organization (PPO)
Inpatient psychiatric care is covered under Part A Medicare for 190 days
per Correct Ans - lifetime
Medicare can be described as Correct Ans - a federal health
insurance program for individuals over the age of 65 or permanently
disabled
At what age do most people become eligible for Medicare? Correct Ans
- 65
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now