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HEALTH insurance Questions and Answers 100% Correct
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Exam of 10 pages for the course North Carolina accident and health insurance at North Carolina accident and health insurance (HEALTH insurance)
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HEALTH insuranceAccidental Death coverage is provided to commercial airline passengers in which of the
following types of policies? - answer Blanket Accident policy
Which of the following is the reimbursement of benefits for the treatment of a
beneficiary's injuries caused by a third party? - answer Subrogation
Which type of policy pays benefits to a policyholder covered under a Hospital Expense
policy? - answer Reimbursement-
When benefits are paid to a policyowner covered under a Hospital Expense policy, the
policy is known as reimbursement.
How would a contingent beneficiary receive the policy proceeds in an Accidental Death
and Dismemberment (AD&D) policy? - answerif the primary beneficiary dies before the
insured
T is covered by an Accidental Death and Dismemberment (AD&D) policy that has an
irrevocable beneficiary. What action will the insurance company take if T requests a
change of beneficiary? - answerRequest of the change will be refused
The difference between group insurance and blanket health policies is - answerBlanket
health policies do not issue certificates
G is an accountant who has ten employees and is concerned about how the business
would survive financially if G became disabled. The type of policy which BEST
addresses this concern is - answerbusiness overhead expense
A Business Overhead Expense policy would cover which of the following if a business
owner becomes disabled? - answerUtilities and office rent
P is a new employee and will be obtaining non-contributory group Major Medical
insurance from her employer. Which of the following actions must she take during the
open enrollment period? - answerSign an enrollment card
What is issued to each employee of an employer health plan? - answerCertificate
If the insured and primary beneficiary are both killed in the same accident and it cannot
be determined who died first, where are the death proceeds to be directed under the
Uniform Simultaneous Death Act? - answerInsured's contingent beneficiary
, Under the Uniform Simultaneous Death Act, if both insured and primary beneficiary are
killed in the same accident and there is insufficient evidence to show who died first,
policy proceeds will be paid as if the insured died last. In other words, the proceeds will
be paid to the secondary or contingent beneficiary.
K has an Accidental Death and Dismemberment (AD&D) insurance policy where her
husband is beneficiary and her daughter is contingent beneficiary. Under the Common
Disaster clause, if K and her husband are both killed in an automobile accident, where
would the death proceeds be directed? - answerdaughter
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers (and
their families) whose employment has been terminated the right to - answercontinue
group health benefits
J has an Accidental Death and Dismemberment policy with a principal sum of $50,000.
While trimming the hedges, J cuts off one of his fingers. What is the MAXIMUM J will
receive from his policy? - answer$25,000
Which of the following statements is correct regarding an employer/employee group
health plan? - answerthe employer receives a master policy and the employees receive
certificates
A Business Disability Buyout plan policy is designed - answerto pay benefits to the
Corporation or other shareholders
Which of the following characteristics is associated with a large group disability income
policy? - answerno medical underwriting
An accident policy will most likely pay a benefit for a(n) - answeroff-the-job accident
How does group insurance differ from individual insurance? - answerlower premiums
XYZ Company pays the entire premium for its group health plan. The MINIMUM
percentage of eligible employees that must be covered is - answer100%
Most noncontributory group health plans require 100% participation by eligible
employees.
ch2: A medical care provider which typically delivers health services at its own local
medical facility is known as a - answerHealth Maintenance Organization
Which type of provider is known for stressing preventative medical care? - answerThe
health provider that stresses preventive medical care is known as a Health Maintenance
Organization.
Medicare is intended for all of the following groups EXCEPT - answerThose enrolled as
a full-time student
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