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NC Health Insurance - Other Accident & Health Topics - Chapter Quiz Questions and Answers 2024
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NC Health Insurance - Other Accident & Health Topics - Chapter Quiz
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NC Health Insurance - Other Accident &Health Topics - Chapter Quiz
In the event of a divorce, which of the following would allow a divorcee to continue
receiving group health coverage under an insured spouse's plan for an additional 36
months?
A. COBRA
B. MSA
C. HIPAA
D. Social Security - answerA. COBRA
Dependents of employees are eligible to receive group health insurance under the
employee's plan. If the employee and the dependent become legally separated or
divorced, or if the employee dies, the dependent will be eligible for COBRA benefits for
up to 36 months
An insured is covered under 2 group health plans-under his own and his spouse's. He
had suffered a lose of $2,000. After the insured paid the total of $500 in deductible and
coinsurance, the primary insurer covered $1,500 of medical expenses. What amount, if
any, would be paid by the secondary insurer?
A. $0
B. $1,000
C. $2,000
D. $500 - answerD. $500
Once the primary insurer has paid the full available benefit, the secondary insurer will
cover what the first company will not pay, such as deductibles and coinsurance. The
insured will, then, be reimbursed for out-of-pocket costs.
Group health insurance is characterized by all of the following EXCEPT?
A. Conversion privilege
B. Adverse selection
C. A master contract
D. Lower administrative costs - answerB. Adverse selection
If an insurer issues a group health insurance policy, they must cover everyone in the
group under the master contract. Group underwriting process is designed to avoid
adverse selection
, An agent is ready to deliver a policy to an applicant but has not yet received payment.
Upon delivery, the agent collects the applicant's premium check, answers any questions
the applicant may have, and then leaves - what did he forget to do?
A. Offer her a secondary policy
B. Ask the applicant to sign a statement that acknowledges that the policy had been
delivered
C. Collect a late payment fee
D. Ask her to sign a statement of good health - answerD. Ask her to sign a statement of
good health
If the premium is not collected until the policy is delivered, the agent must receive a
statement of good health, which acknowledges that the insured's health status has not
changed since the policy was approved.
An insured becomes disabled at age 22 and can no longer work. She meets the
definition of total disability under Social Security. What other requirement must the
insured have met to receive Social Security disability benefits?
A. Have accumulated 20 work credits in the past 10 years
B. Have accumulated 40 work credits
C. Have reached the age of 25
D. Have accumulated 6 work credits in the past 3 years - answerD. Have accumulated 6
work credits in the past 3 years
To qualify for disability benefits under the Social Security, the disabled person must
have earned a certain amount of work credits. A maximum of 4 work credits can be
earned each year. The amount of credits required varies by age. Persons disabled
before the age of 24 can quality for Social Security Benefits with only 6 work credits
earned in the 3 years prior to the start of the disability.
Most policies will pay the accident death benefits as long as the death is caused by the
accident and occurs within
A. 30 days
B. 60 days
C. 90 days
D. 120 days - answerC. 90 days
Most policies will pay the accidental death benefits as long as the death is caused by
the accident and occurs within 90 days.
Once the person meets the stringent requirements for disability benefits under Social
Security, how long is the waiting period before any benefits will be paid?
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