North Carolina Health Insurance State Final Exam And Answers Already Passed 2024.
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Course
NC Life Insurance
Institution
NC Life Insurance
Insured Contingent Beneficiary - Answer If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the uniform Simultaneous Death Act?
Reimbursement - Answer Which type of policy pa...
North Carolina Health Insurance State Final Exam And Answers Already Passed 2024.
Insured Contingent Beneficiary - Answer If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the uniform Simultaneous Death Act?
Reimbursement - Answer Which type of policy pays benefits to a policyholder covered under a Hospital Expense policy?
$25,000 - Answer J has an Accidental Death and Dismemberment policy with a principal sum of $50,000. While trimming the hedges, J cuts off one of his fingers. What is the MAXIMUM J will receive from his policy?
payable to the company or another shareholder - Answer The benefits under a Disability Buy-Out policy
are:
off-the -job accident - Answer An accident policy will most likely pay a benefit for a(n)
indemnity - Answer a payment for damage or loss
continue group health benefits - Answer The COBRA gives workers whose employment has been terminated the right to
Social Security Disability Income - Answer The percentage of as individual's Primary Insurance Amount determines the benefits paid in which of the following programs.
100% of the insured's Primary Insurance Amount (PIA) - Answer What is the maximum Social Security Disability benefit amount an insured can receive? PPO's are NOT a type of managed care system - Answer Which of these statements is INCORRECT regarding a PPO?
Part A covers hospitalization; Part B covers doctor's services - Answer What does Medicare Parts A and B cover?
PPO - Answer Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured?
closed panel - Answer The situation in which a group of physicians are salaried employees and conduct business in an HMO facility is called a(n)
Her group health plan (if the employer has more than 20 employees, the group health plan generally pays first) - Answer A 66 year-old is covered under a group health plan while employed with a business that has 40 employees. If she injures herself while walking in the park, what coverage would be considered primary?
Commercial Insurers - Answer Which of the following reimburses its insureds for covered medical expenses?
If the employee paid for qualified medical expenses, the reimbursements may be tax-free - Answer Which of the following statements about Health Reimbursement Arrangements (HRA) is CORRECT?
Restoration of used benefit - Answer Which provision allows a portion of any used medical benefits to be restored following a particular amount of benefit has been used, or after the policy has been in effect for a particular period of time?
Common Accident Deductible - Answer If several family members are injured in the same accident, only
one deductible is applied.
$1,600 - Answer M has a Major Medical Insurance policy with a $200 flat deductible and an 80% Coinsurance clause. If M incurs a $2,200 claim for an eligible medical expense, how much will M receive in payment for this claim?
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