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Exam (elaborations)

ExamFX, Michigan Health Only Questions and Answers

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  • Course
  • Michigan State Insurance Law
  • Institution
  • Michigan State Insurance Law

ExamFX, Michigan Health Only Questions and Answers

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  • September 3, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Michigan State Insurance Law
  • Michigan State Insurance Law
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mereka
ExamFX, Michigan Health Only
Questions and Answers
No, the group must be formed for a purpose other than obtaining group insurance -
Answer -Can a group that is formed the sole purpose of obtaining group insurance
qualify for group coverage?

Group coverage must be extended for terminated employees up to a certain period of
time at the former employee's expense - Answer -As it pertains to group health
insurance, COBRA stipulates that

By law, the new individual policy must provide the same benefits as the group policy -
Answer -After a person's employment is terminated, it is possible to obtain individual
health insurance after losing the group health coverage provided by the employer.
Which of the following is NOT true?

When the employer choose to renew the plan - Answer -All of the following cases show
when a Small Employer Medical plan cannot be renewable EXCEPT

Conversion - Answer -If an employee terminates her employment, which of the following
provisions would allow her to continue health coverage under an ind policy, if requested
within a specified period of time

# of house worked per week - Answer -A 55yo employee has worked PT for his new
employer for 3 months now, but has not been offered health insurance. What factor has
limited the employees eligibility

A group that changes insurance annually - Answer -Which of the following groups
seeking group health insurance would represent a bad risk for underwriters?

A joining together by employers to provide health benefits for employee - Answer -
Which statements best defines a MEWA?

It requires all employers, regardless of the number or age of employees, to provide
extended group health coverage - Answer -Which of the following statements is NOT
correct concerning the COBRA act of 1985?

, Medicare coverage was not available until the month of his 65th birthday - Answer -
Doug decided to retire at age 62. When he applied for SS Retirement Benefits, he
discovered...

Medicare
A - Hospital Insurance, paid by FICA
B - Medical Insurance, monthly premiums paid by insureds
C-
D - prescription drugs - Answer -Which of the following programs is made up of 4 parts,
where the first part is paid for by FICA, and the second part is financed by premiums
and payroll taxes?

Home Health Care - Answer -Which of the following types of LTC is not provided in an
institutional setting?

Medicare Advantage must be provided through HMOs - Answer -Which of the following
statements is NOT correct?

Physician's and surgeon's services - Answer -All of the following are covered by Part A
of Medicare EXCEPT

NAIC - Answer -A long-term care insurance shopper's guide must be provided in the
format developed by which of the following

Medicaid - Answer -which of the following programs expands individual public
assistance programs for people with insufficient income and resources

The insurer will return a percentage of the premium paid - Answer -regarding the return
of premium option for LTC policies, what happens to the premium if the policy lapses?

It consists of 3 parts
(True answers include: it is a state program, it is funded by state and federal taxes, it is
intended to provide medical assistance for certain categories of people who are needy)
- Answer -Which of the following is NOT true concerning Medicaid?

To provide a continuation of coverage for terminated employees - Answer -What is the
purpose of COBRA?

The benefits will be coordinated - Answer -A husband and wife are insured under group
health insurance plans at their own places of employment, and as dependents under
their spouse's coverage. If one of them incurs hospital expenses, how will those
expenses likely be paid?

A person who has been entitled to SS disability benefits for the last 6 months - Answer -
Which of the following persons is NOT eligible for Medicare?

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