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Accident and Health Insurance Final Exam/75 Q’s and A’s
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Accident and Health Insurance FinalExam/75 Q’s and A’s
Your license will be considered to be inactive when you: - -No longer have
any appointments
-On a "participating" health insurance policy issued by a mutual insurance
company, dividends paid to policy holders are: - -Not taxable since the IRS
treats them as a refund of a portion of the premium paid
-All of the following are true regarding a non-contributory employer group
medical expense insurance policy EXCEPT: - -Premiums must be paid
entirely by the employees
-Which two of the following are considered to be activities of daily living in
most long-term care policies: - -Eating and dressing
-The Employee Retirement Income Security Act (ERISA) requires that
employee benefit plans be managed for the benefit of: - -Participants and
beneficiaries
-Which of the following must be printed on every licensee's business cards,
written price quotations and printed advertisements: - -Their insurance
license number
-At age 65, an individual would be eligible for which of the following at no
charge - -Part A of Medicare
-Under the California Insurance Code (CIC), neither party to a contract of
insurance is bound to communicate any of the following EXCEPT: - -
Information known to be material
-The enrollee pays what percentage of the premium for Medicare Part B? - -
100%
-When an insurer voids an insurance contract due to an intentionally
fraudulent omission by the insured of a material fact, it is known as: - -
Rescission
-When can a representation be altered or withdrawn? - -Before the
insurance is effected, but not afterwards
-Under the Patient Protection and Affordable Care Act (PPACA), health plans
cannot limit or deny benefits or deny coverage for a child younger than age
, ____ because the child has a pre-existing condition that developed before the
child applied to join the plan: - -19
-Which of the following is not covered in a long-term care policy? - -Acute
care in the hospital
-The uncertainty about loss that exists whenever more than one outcome is
possible is called: - -Risk
-The hospice benefit under a long-term care policy will cover all of the
following EXCEPT: - -Rehabilitation expenses
-On disability income insurance, another name for the "waiting" period is the
_______ period: - -Elimination
-Which of the following parts of Medicare is known as the "managed care"
option - -Part C - Medicare Advantage
-The Patient Protection and Affordable Care Act (PPACA) requires health
plans to provide rebates to consumers for the amount of the premiums spent
on clinical services and quality that is less than ____% for plans in the
individual market place: - -80
-Medical expense insurance policies often contain a provision which states
that during the first 12 months after the policy's effective date, there is no
coverage for a pre-existing sickness that recurs. This provision is known as: -
-A probationary period
-An applicant for health insurance completes an application, indicating that
they have been treated for various medical conditions in the past. If the
underwriter needs more information regarding these past treatments, they
will most likely order a(n): - -Attending physicians statement
-Which of the following is true regarding the taxation of individual disability
income policies? - -The premiums are not deductible and the benefits are
tax free.
-HMOs try to contain costs by stressing: - -Preventive care
-Although a "fully insured" worker is entitled to retirement benefits under
social security as early as age 62, they must be at least age ____ to
automatically become eligible for Medicare: - -65
-An example of a fiduciary duty is: - -The trust that your client places in you
in regard to handling premiums
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