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NC Accident and Health Final Exam Prep Questions and Answers Rated A+
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NC Accident and Health Final Exam PrepWhich of these statements concerning an individual Disability Income policy is TRUE? -
answer Normally includes an Elimination period
Which health policy clause stipulates that an insurance company must attach a copy of
the application to the policy to ensure that it is part of the contract? - answer Entire
contract
M is insured under a basic Hospital/Surgical Expense policy. A physician performs
surgery on M. What determines the claim M is eligible for? - answer Determined by the
terms of the policy
An insurance broker in North Carolina is a representative of the - answer Insured
A vacancy that occurs during the North Carolina Commissioner of Insurance's term of
office MUST be filled by the - answer Governor
A person is required to be AT LEAST how old before he or she is licensed as an agent
in North Carolina? - answer18
Which of the following claims are typically excluded from Medical expense policies? -
answerIntentionally self-inflicted injuries
The provision in a health insurance policy that suspends premiums being paid to the
insurer while the insured is disabled is called the: - answerWaiver of Premium
Which of the following reimburses its insureds for covered medical expenses? -
answerCommercial insurers
When an insured changes to a more hazardous occupation, which disability policy
provision allows an insurer to adjust policy benefits and rates? - answerChange of
occupation provision
For which of the following expenses does a Basic Hospital policy pay? - answerHospital
room and board
Which of these terms accurately defines an underwriter's assessment of information on
a health insurance application? - answerRisk classification
Which of the following are NOT managed care organizations? - answerMedical
Information Bureau (MIB)
, Which of the following statements about a Guaranteed Renewable Health Insurance
policy is CORRECT? - answerPremiums normally increase at time of renewal
The policyholder has how many days to return an Accident/Health Insurance Policy and
receive a full refund on premiums? - answer10
After an insured gives notice of loss, what must he/she do if the insurer does not furnish
forms? - answerFile written proof of loss
All of the following statements regarding group health insurance is true, EXCEPT: -
answerAn individual policy is given to each member
Which parts of a health insurance policy are guaranteed to be true? - answerWarranty
The fund that assures policyholders payment of death benefits on Life Policies, if the
company is insolvent at the time of the claim, is called the - answerLife and Health
Insurance Guaranty Association
M completes an application for health insurance but does not pay the initial premium. All
of these actions must occur before M's policy goes into effect, EXCEPT: - answerfree-
look period has expired
An example of rebating would be - answeroffering a client something of value not stated
in the contract in exchange for their business
A medical care provider which typically delivers health services at its own local medical
facility is known as a: - answerHealth Maintenance Organization
Which statement is TRUE regarding a group accident & health policy issued to an
employer? - answerThe employer receives the policy and each employee is issued a
certificate
Information obtained from a phone conversation to the proposed insured can be found
in which of these reports? - answerInspection report
When L applies for a Health Insurance Policy, L unintentionally fails to list a previous
visit to a cardiologist. If the insurance company contests the policy, it MUST do so within
2 years - answerfrom the date of issue
J purchased a Disability Income Policy that ONLY J can terminate and on which the
rates will never increase above those illustrated in the policy. Which of the following
types of policies did J purchase? - answerNoncancelable
What does Medicare Parts A and B cover? - answerPart A covers hospitalization; Part B
covers doctor's services
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