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Exam (elaborations)

Florida Health Insurance Exam/ 110 Questions with Certified Solutions

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  • Florida Health Insurance

Florida Health Insurance Exam/ 110 Questions with Certified Solutions. Terms like: Accident - Answer: An unplanned, unforeseen event which occurs suddenly and at an unspecified place Accident Insurance - Answer: A type of insurance that protects the insured against loss due to accidental bod...

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  • September 29, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Florida Health Insurance
  • Florida Health Insurance
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Pronurse1
Florida Health Insurance Exam/ 110 Questions
with Certified Solutions
Accident - Answer: An unplanned, unforeseen event which occurs suddenly and at
an unspecified place


Accident Insurance - Answer: A type of insurance that protects the insured against
loss due to accidental bodily injury


Accidental Bodily Injury - Answer: Unplanned, unforeseen traumatic injury to the
body


Accidental Death and Dismemberment - Answer: An insurance policy which pays a
specified amount or a specified multiple of the insured's benefit if the insured
dies, loses his/her sight, or loses two limbs due to an accident



Page 1 of 16

,Accidental Death Benefits - Answer: A policy rider that states that the cause of
death will be analyzed to determine if it complies with the policy description of
accidental death


Activities of Daily Living - Answer: Activities individuals must do every day such as
moving about, getting dressed, eating, bathing, etc.


Actual Charge - Answer: The amount a physician or supplier actually bills for a
particular service or supply


Adhesion - Answer: A contract offered on a "take-it-or-leave-it" basis by an
insurer, in which the insured's only option is to accept or reject the contract. Any
ambiguities in the contract will be settled in favor of the insured


Admitted (Authorized) Insurer - Answer: An insurance company authorized and
licensed to transact insurance in a particular state


Adult Day Care - Answer: A program for impaired adults that attempts to meet
their health, social, and functional needs in a setting away from their homes


Adverse Selection - Answer: The tendency of risks with higher probability of loss
to purchase and maintain insurance more often than the risks who present lower
probability




Page 2 of 16

, Agent - Answer: An individual who is licensed to sell, negotiate, or effect
insurance contracts on behalf of the insurer


Aleatory - Answer: A contract in which participating parties exchange unequal
amounts. Insurance contracts are this in that the amount the insured will pay in
premiums is unequal to the amount the insurer will pay in the event of a loss


Alien Insurer - Answer: An insurance company that is incorporated outside the
USA


Apparent Authority - Answer: The appearance or the assumption of authority
based on the actions, words, or deeds of the principal or because of
circumstances the principal created


Approved Amount - Answer: The amount Medicare determines to be reasonable
for a service that is covered under Part B of Medicare


Assignment - Answer: A claim to a provider or medical supplier to receive
payments directly from Medicare


Attained Age - Answer: The age of the insured at a determined date


Attending Physician's Statement (APS) - Answer: A statement usually obtained
from the applicant's doctor



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