Florida Statutes, Rules, and Regulations
Pertinent to Health Insurance. Exam
Questions And Answers Updated 2024/2025
2: Shortly after a replacement transaction on a Medicare supplement policy, the insured
decided to cancel the policy, but is unsure whether the free-look provision applies. The insured
could find that information in the
A Policy application.
B Buyer's Guide.
C Certificate of Coverage.
D Notice Regarding Replacement. - answer✔D
3: Which of the following is true regarding Medicare supplement policies?
A They must be available to those aged 60 and over.
B They must be guaranteed renewable.
C They must have a 15-day free-look period.
D They must contain a minimum of Plans A and B. - answer✔B
7: A long-term care insurance shopper's guide must be provided in the format developed by
which of the following?
A Office of Insurance Regulation
B Director
C Medical Information Bureau
D NAIC - answer✔D
12: Which of the following is NOT specifically prohibited by state law as an unfair trade
practice?
ALL RIGHTS RESERVED.
A Reducing the premiums paid by employers for group insurance based on loss experience
B Using misleading representations to induce uncalled-for action by the insured
C Using incomplete comparisons of policies to induce uncalled-for action by the insured
D Failing to disclose that the solicitations of an insurance contract are the result of a marketing
method - answer✔A
14: When does Medicare cover nursing home care?
A Medicare covers all nursing home care for eligible policyholders
B Only if it is part of treatment for a covered illness or injury
C Only if the deductible has been met
D Only for those age 80 and older - answer✔B
1: Which of the following does NOT have to be disclosed in a long-term care (LTC) policy?
A The aggregate amount of premiums due
B The meaning of the terms "reasonable" and "customary"
C Any limitations or conditions of eligibility for LTC benefits
D Any riders or endorsements - answer✔A
2: The Florida Employee Health Care Access Act serves which of the following purposes?
A It mandates minimal health insurance provisions to employees of companies with 10 or fewer
employees.
B It regulates group health insurance provisions provided by insurers or HMOs to small
employers.
C It encourages limited group health insurance provisions provided by HMOs.
D It requires employers to purchase insurance that covers all pre-existing conditions of covered
employees without limitation. - answer✔B
4: The inflation protection feature in long-term care policies issued in this state must provide
protection for inflation at what percent annually?
A 2%
B 5%
C 6%
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