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PRACTICE EXAM OF TEXAS LIFE & HEALTH INSURANCE. _TEXAS HMO LAW
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PRACTICE EXAM OF TEXAS LIFE & HEALTH INSURANCE. _TEXAS HMO LAW
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PRACTICE EXAM OF TEXAS LIFE &HEALTH INSURANCE. "TEXAS HMO
LAW''
1) For cancellation of an HMO contract due to fraud or intentional misrepresentation of a
material fact, how many days' advance written notice is required?
A- 15
B- 30
C- 20
D- 10
A- 15
Persons covered by an HMO (Health Maintenance Organization) are known as:
A- Participants
B- Beneficiaries
C- Insureds
D- Subscribers
D- Subscribers
1) Individuals enrolled in a health care plan offered by an HMO, including covered
dependents, are commonly referred to as:
A- Insureds
B- Enrollees
C- Participants
D- Insurers
B- Enrollees
1) All HMOs must include coverage for newborn children from the moment of birth. The
HMO may require that the subscriber notify the HMO within ____ days of the birth of the
child and pay any additional premium required to continue coverage for the newborn child.
A- 30
B- 31
C- 10
D-15
B- 31
1) If a material misstatement was made regarding a subscriber's health on an enrollment
application, the HMO may adjust the premium so long as the contract holder is given ____
days' prior written notice.
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