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LIFE insurance Exam Practice Questions and Answers | 100% Pass Which health insurance contract provision addresses the problem of over insurance? - Answer️️ -Coordination of Benefits Which health provision protects an insured from the expense of a catastrophic illness? - Answer️️ -Stop...

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  • September 1, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
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  • life insurance exam practice questions and answers

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  • Life insurance
  • Life insurance

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©SOPHIABENNETT
2024/2025 ACADEMIC YEAR




©SOPHIABENNETT 9/1/24 2024/2025

,LIFE insurance Exam Practice
Questions and Answers | 100% Pass


Which health insurance contract provision addresses the problem of over insurance? -

Answer✔️✔️-Coordination of Benefits


Which health provision protects an insured from the expense of a catastrophic illness? -

Answer✔️✔️-Stop-Loss

Which of the following statements concerning the usual coordination of benefits

provision is correct? - Answer✔️✔️-When two plans both have provision, coverage as an

employee is primary to coverage as a dependent.

After the deductible is satisfied, what percentage of a reasonable charge does Medicare

Part B pay? - Answer✔️✔️-80%

The most common type of specified disease insurance policy is - Answer✔️✔️-cancer

All of the following types of insurance pay benefits in addition to those paid by other

insurance policies held by the insured EXCEPT - Answer✔️✔️-medical expense

According to the California Insurance Code, all the following Long-Term Care (LTC)

insurance sales are considered unnecessary EXCEPT - Answer✔️✔️-a replacement LTC

policy with equal benefits for a lower premium.

A health insurance issuer offering coverage in the individual market must provide

premium rebates if its medical loss ratio (MLR) is less than what percentage? -

Answer✔️✔️-80%

Page 1 of 32

,With Medicare coverage - Answer✔️✔️-Part B provides benefits for diagnostic tests and

X-rays performed on an outpatient basis.

Group health plans obligated by the Consolidated Omnibus Budget Reconciliation Act

(COBRA) cover groups of at least - Answer✔️✔️-20 employees

Benefits under Social Security are available only for workers who are - Answer✔️✔️-fully

insured

Which of the conditions would NOT be included among the chronic illness triggers of a

long-term care policy? - Answer✔️✔️-Deafness

What is covered by Part A Medicare - Answer✔️✔️-Hospitalization

Which program pays the cost of nursing home care for people who cannot afford it

themselves? - Answer✔️✔️-Medi-Cal

What is the purpose of social insurance? - Answer✔️✔️-To protect certain vulnerable

segments of the population

The Family and Medical Leave Act (FMLA) covers all of the following EXCEPT -

Answer✔️✔️-Traveling with a spouse who has been transferred overseas

An example of a third-party administrator is an - Answer✔️✔️-Outside organization that

processes claims for an employer's self-funded group plan

In medical expense insurance, what serves the same purpose as the elimination period

in disability income insurance? - Answer✔️✔️-Deductible

The type of health care provider that provides both the health care services and health

care coverage is called - Answer✔️✔️-a Health Maintenance Organization



Page 2 of 32

, Which plan covers the medical expenses that are NOT covered by Medicare? -

Answer✔️✔️-Medicare supplement

Providers of coverage for all of the following types of care are subject to the jurisdiction

of the California Department of Insurance (CDI) EXCEPT - Answer✔️✔️-lasik

The premium of proposed disability income policy could be lowered by increasing the -

Answer✔️✔️-elimination period

Members of the Medical Information Bureau are required to report: - Answer✔️✔️-

medical impairments found during the underwriting process

A worker dies who is credited with 6 quarters of coverage during the last 13-quarter

period. What status does the worker have under Social Security? - Answer✔️✔️-Currently

insured

What is the cost of service from the Health Insurance Counseling Advocacy Program

(HICAP)? - Answer✔️✔️-No charge

Which program pays the cost of nursing home care for people who cannot afford it

themselves? - Answer✔️✔️-Medi-Cal

The frequency and severity of certain illnesses and accidents is known as - Answer✔️✔️-

morbidity

A Long-Term Care Insurance rider can include coverage for all of the following EXCEPT

- Answer✔️✔️-hospital acute care

A terminating employee who wants to exercise the conversion privilege must meet all of

the following requirements EXCEPT - Answer✔️✔️-supply evidence of insurability




Page 3 of 32

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