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LIFE insurance Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed
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Which health insurance contract provision addresses the problem of over insurance? -:- Coordination of Benefits Which health provision protects an insured from the expense of a catastrophic illness? -:- Stop-Loss Which of the following statements concerning the usual coordination of benefits ...

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  • September 6, 2024
  • Unknown
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • life insurance questions 100 correct answers
  • which health insurance contract provision addresse

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  • Life Insurance
  • Life Insurance

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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



LIFE insurance Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
Which health insurance contract provision addresses the problem of over insurance?


✓ -:- Coordination of Benefits




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


✓ -:- Stop-Loss




Which of the following statements concerning the usual coordination of benefits provision

is correct?


✓ -:- 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?


✓ -:- 80%




The most common type of specified disease insurance policy is


✓ -:- cancer




1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

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

insurance policies held by the insured EXCEPT


✓ -:- medical expense




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

insurance sales are considered unnecessary EXCEPT


✓ -:- 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?


✓ -:- 80%




With Medicare coverage


✓ -:- 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


✓ -:- 20 employees




2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

Benefits under Social Security are available only for workers who are


✓ -:- fully insured




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

long-term care policy?


✓ -:- Deafness




What is covered by Part A Medicare


✓ -:- Hospitalization




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

themselves?


✓ -:- Medi-Cal




What is the purpose of social insurance?


✓ -:- To protect certain vulnerable segments of the population




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


✓ -:- Traveling with a spouse who has been transferred overseas




3|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

An example of a third-party administrator is an


✓ -:- 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?


✓ -:- Deductible




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

coverage is called


✓ -:- a Health Maintenance Organization




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


✓ -:- 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


✓ -:- lasik




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


4|Page | Grade A+| 2024/2025

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