Florida 2 – 40 Health License Exam Questions With Complete Solution
0 view 0 purchase
Course
214 Florida
Institution
214 Florida
owners rights –ANS- if an individual health insurance policy provides a death benefit,
the policy owner will be able to designate a beneficiary and, unless the beneficiary
designation is irrevocable, to change the beneficiary. the power to change the
beneficiary is provided in the change of...
Florida 2 – 40 Health License Exam Questions
With Complete Solution
owners rights –ANS- if an individual health insurance policy provides a death benefit,
the policy owner will be able to designate a beneficiary and, unless the beneficiary
designation is irrevocable, to change the beneficiary. the power to change the
beneficiary is provided in the change of beneficiary provision. the policyowner also
has the right to make any other change without the consent of the beneficiaries.
Dependent children benefits - ANS- 1 1 1 1
the group coverage may be extended to cover the insureds dependents. eligible depe
1 1 1 1 1 1 1 1 1 1 1 1 1
ndents include the insureds children, spouse, dependent parents, and anyone else up
1 1 1 1 1 1 1 1 1 1 1
on which dependency can be proven.
1 1 1 1 1
Every policy providing coverage for a dependent child until a specified age will not te
1 1 1 1 1 1 1 1 1 1 1 1 1 1
rminate that coverage if the child is dependent upon the insured and is incapable of s
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
elf support because of physical or mental handicaps. proof of the dependency is requi
1 1 1 1 1 1 1 1 1 1 1 1 1
red within 31 days of the child attaining the maximum age. upon request, proof of dep
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
endency is required annually after a 2 year period following attainment of maximum
1 1 1 1 1 1 1 1 1 1 1 1 1
age
modes of premium payment - ANS- 1 1 1 1 1
higher frequency of payments = higher premium payments
11 1 1 1 1 1 1 1
nonduplication and coordination of benefits - ANS- 1 1 1 1 1 1
11the purpose of the coordination of benefits (COB) provision, found only in group heal
1 1 1 1 1 1 1 1 1 1 1 1 1
th plans, is to avoid duplication of benefit payments and overinsurance when an indiv
1 1 1 1 1 1 1 1 1 1 1 1 1
idual is covered under multiple group health insurance plans. the provision limits the
1 1 1 1 1 1 1 1 1 1 1 1
1total amount of claims paid from all insurers covering the patient to no more than th
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
e total allowable medical expenses
1 1 1 1
primary plan - ANS- 1 1 1
the plan that is responsible for providing the full benefit amounts as it specifies.
1 1 1 1 1 1 1 1 1 1 1 1 1 1
secondary or excess plan - ANS- 1 1 1 1 1
once the primary plan has paid its full promised benefit, the insured submits the clai
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
m to the secondary provider for any additional benefits payable (including deductibl
1 1 1 1 1 1 1 1 1 1 1
es and coinsurance). in no case will the total amount the insured receives exceed the c
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
osts incurred or the total maximum benefits available under all plans.
1 1 1 1 1 1 1 1 1 1
loss - ANS- amount covered by primary plan = amount covered by secondary plan
1 1 1 1 1 1 1 1 1 1 1 1 1
, occupational coverage - 1 1
provides benefits for illness, injury or disability resulting from accidents that occur o
1 1 1 1 1 1 1 1 1 1 1 1 1
n or off the job
1 1 1 1
nonoccupational coverage - ANS- 1 1 1
only covers claims that result from accidents or sickness occurring off the job
11 1 1 1 1 1 1 1 1 1 1 1 1
received by an employee that are attributable to employer contributions are fully tax
1 1 1 1 1 1 1 1 1 1 1 1 1
able to the employee as income 1 1 1 1 1
When the employer and employee share in premium contributions, the employees co
1 1 1 1 1 1 1 1 1 1 1
ntribution is not deductible; however, benefits received by the employee are attribui
1 1 1 1 1 1 1 1 1 1 1
ble to their portion of the contribution are not taxable as income. the taxation of inco
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
me received by the employee would depend on the type of a group plan:
1 1 1 1 1 1 1 1 1 1 1 1 1
- ANS- noncontributory-
1 1 1
meaning the employer pays the entire cost, so the income benefits are included in the
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
employees gross income and taxed as ordinary income
1 1 1 1 1 1 1 1
- fully contributory-
1 1 1
meaning that the employee pays the entire cost, so the income benefits are received i
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ncome tax free by the employee 1 1 1 1 1
- partially contributory - ANS-
1 1 1 1 1
meaning that the cost is paid partially by the employee and by the employer. in this c
11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ase the portion paid by the employee is received income tax free and the portion paid
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
by the employer is included in the employees gross income taxed as ordinary income
1 1 1 1 1 1 1 1 1 1 1 1 1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller VANFuturenurses02. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
