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NC Accident and Health Final Exam Prep
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NC Accident and Health Final Exam Prep
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NC Accident and Health FinalExam Prep
Which of these statements concerning an individual Disability Income policy
is TRUE? - -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? - -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? - -
Determined by the terms of the policy
-An insurance broker in North Carolina is a representative of the - -Insured
-A vacancy that occurs during the North Carolina Commissioner of
Insurance's term of office MUST be filled by the - -Governor
-A person is required to be AT LEAST how old before he or she is licensed as
an agent in North Carolina? - -18
-Which of the following claims are typically excluded from Medical expense
policies? - -Intentionally 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: - -Waiver of
Premium
-Which of the following reimburses its insureds for covered medical
expenses? - -Commercial insurers
-When an insured changes to a more hazardous occupation, which disability
policy provision allows an insurer to adjust policy benefits and rates? - -
Change of occupation provision
-For which of the following expenses does a Basic Hospital policy pay? - -
Hospital room and board
-Which of these terms accurately defines an underwriter's assessment of
information on a health insurance application? - -Risk classification
-Which of the following are NOT managed care organizations? - -Medical
Information Bureau (MIB)
, -Which of the following statements about a Guaranteed Renewable Health
Insurance policy is CORRECT? - -Premiums 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? - -10
-After an insured gives notice of loss, what must he/she do if the insurer
does not furnish forms? - -File written proof of loss
-All of the following statements regarding group health insurance is true,
EXCEPT: - -An individual policy is given to each member
-Which parts of a health insurance policy are guaranteed to be true? - -
Warranty
-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 - -
Life 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: - -free-look period has expired
-An example of rebating would be - -offering 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: - -Health Maintenance Organization
-Which statement is TRUE regarding a group accident & health policy issued
to an employer? - -The 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? - -Inspection 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 - -from 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? - -Noncancelable
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