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PSI PRACTICE HEALTH AND ACCIDENT EXAM/46 QUESTIONS AND ANSWERS (A+)
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- PSI PRACTICE HEALTH AND ACCIDENT EXAM
PSI PRACTICE HEALTH AND ACCIDENT EXAM/46 QUESTIONS AND ANSWERS (A+)
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PSI PRACTICE HEALTH ANDACCIDENT EXAM/46 QUESTIONS
AND ANSWERS (A+)
which oft he following is a characteristic of preferred
provider org (PPO)
A: prearranged costs for services rendered
B: providers receive a flat montlyh amount for each user
C: ability to receive care at the same cost from any
provider
D: emergency treatment is restricted to pre-select
hospitals - √Answer :A: prearranged costs for services
rendered
Quiz :how do most disability policies handle the case of
a recurrent disability at least 90 days after the first claim:
A: it is handled as a continuation of existing claim
B: it is excluded from coverage because the benefits
have already been paid out
C: it must be handled as a new claim for a new period of
disability, requiring a new elimination period
D: it must be handles as a new claim for a new period of
disability, without requiring a new elimination period. -
√Answer :D: it must be handles as a new claim for a
new period of disability, without requiring a new
elimination period.
Quiz :how are issues of amigity usually resolved
because insurance contracts are contracts of adhesion:
A: in favor of the insured because the insurance
company drafts language in the contract
,B: in favor of the insured bec insurance companies often
do not adhere to the more specific contract principles
C: in favor of the insurer because most issues arise
from misrepresentation on the part of the insured
D: in favor of the insurer bec the insured frequently does
not adhere to the requirements of the contract -
√Answer :C: in favor of the insurer because most issues
arise from misrepresentation on the part of the insured
Quiz :what is the difference between copayment and
coinsurance:
A: a copayment is a set percentage, while coin
insurance is a set dollar amount
B: a copayment is a set dollar amount, while
coininsurance is a percentage
C: a copayment is an amount of money that must be
paid up front anually before benefits begin
D: coin insurance is an amount of money that must be
paid up front anually before benefits begin - √Answer :B:
a copayment is a set dollar amount, while coininsurance
is a percentage
Quiz :which policy provision permits the policyowner to
take a specified number of days to examine the
contract, and all the cancellation and a full refund if the
policyowner rejects the terms or costs:
A: exclusions
B: free look
C: grace period
D: insuring clause - √Answer :B: free look
, Quiz :According to the time of payment of claims
provision, the insurer must make the payment
immediately after receiving proof of loss EXCEPT:
A: for claims involving periodic payments
B: if the death is a suicide or due to pre existing
conditions
C: when the policy is in the incontestability period
D: if the insured is able to eventually return to work -
√Answer :C: when the policy is in the incontestability
period
Quiz :A group conversion option may be used in all the
following instances EXCEPT
1. the termination of the master policy
2. loss of coverage due to loss of employment.
3. loss of eligibility on the part of a class of insureds.
4. a life-changing event, such as marriage, divorce, or
childbirth. - √Answer :1. the termination of the master
policy
Quiz :How do warranties differ from representations?
1. a warranty is guaranteed to be true, a representation
is believed to be true to the best of one's knowledge.
2. a representation is guaranteed to be true, a waranty
is believed to be true to the best of one's knowledge.
3. a warranty is issued by the insurer, a representation
is a statement provided by the applicant.
4. an incorrect representation automatically voids a
contract, whereas an incorrect waranty must be proven.
- √Answer :1. a warranty is guaranteed to be true, a
representation is believed to be true to the best of one's
knowledge.
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