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Xcel Final Exam Questions and Answers 100% Solved | Rated A+ Typically, Long-Term Disability benefits are coordinated with which benefit plan? - Social Security The focus of major medical insurance is providing coverage for - medical and hospitalization expenses An insured under a Major Medic...

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  • October 25, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Xcel
  • Xcel

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Xcel Final Exam Questions and Answers

100% Solved | Rated A+


Typically, Long-Term Disability benefits are coordinated with which benefit

plan? - ✔✔Social Security

The focus of major medical insurance is providing coverage for -

✔✔medical and hospitalization expenses

An insured under a Major Medical expense plan with a zero deductible and

80/20 coinsurance provision files a $1,000 claim. How much of this claim is

the insured responsible for? - ✔✔$200



because this policy has a zero deductible, the insures is only responsible

for the 20% coinsurance on this claim, or $200

An insured has a stop-loss limit of $5,000 and an 80/20 coinsurance. The

insured incurs $25,000 of covered losses. How much will the insured pay? -

✔✔$5,000

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Which type of plan would be the most appropriate for an individual on

Medicare and concerned that Medicare will NOT pay for charges exceeding

the approved amount? - ✔✔Medicare supplement Plan F

When can a group health policy renewal be denied according to the Health

Insurance Portability and Accountability Act (HIPAA)? - ✔✔when

contribution or participation rules have been violated

What does the word "level: in Level Term describe? - ✔✔the face amount

A non-contributory health insurance plan helps the insurer avoid -

✔✔adverse selection



because all eligible employees are usually covered, non-contributory plans

are desirable from an underwriting standpoint because adverse selection is

minimized.

To qualify for a resident producer license in the state of Michigan, an

individual - ✔✔must complete the required pre-licensing education within

12 months of license application

Under an expense-incurred individual health policy, what is the MAXIMUM

length of time after issuance of the policy that an insurer can exclude

coverage for a pre-existing condition? - ✔✔12 months

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

pre-existing conditions may be excluded for a maximum of 12 months from

the date of enrollment.

An insured has a health plan that pays established amounts in accordance

with a list of injuries, surgical procedures, or other losses. This list is called

a - ✔✔benefit schedule



benefits schedule set predetermined limits or maximums on how much

money and insured can be reimbursed for a covered loss.

Who is the individual paid on a fee-for-service basis? - ✔✔Provider

Which of the following is NOT an illegal inducement? - ✔✔Giving the

insured an article of merchandise printed with the producer's name costing

$5



$5 or less of tokens or merchandise to applicants is allowed.

Making a statement that is false or maliciously critical of the financial

condition of an insurer is known as - ✔✔defamation

Which of the following is NOT a required provision in an accident and

health insurance policy? - ✔✔change of occupation

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

the change of occupation provision is considered an OPTIONAL provision

Which of these statements about Medicaid is CORRECT? - ✔✔Funded by

federal, sate, and local taxes



Medicaid is funded by federal, state, and local taxes but is administered by

each state.

All of these are considered key factors in underwriting life insurance

EXCEPT - ✔✔Marital Status



Correct: tobacco use, health history, age

The time limit for filing claim disputes is addressed in which provision of an

accident and health policy? - ✔✔legal actions

All of the following plans allow for employee contributions to be taken on a

pre-tax basis EXCEPT - ✔✔Health reimbursement Arrangement plan



employers contribute to health reimbursement Arrangement planz (HRA's),

not employees.

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