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ACCIDENT & HEALTH PT 1 QUESTIONS WITH COMPLETE ANSWERS

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ACCIDENT & HEALTH PT 1 QUESTIONS WITH COMPLETE ANSWERS

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  • December 21, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Excel crash
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ACCIDENT & HEALTH PT 1 QUESTIONS
WITH COMPLETE ANSWERS

when the principle gives the agent authority in writing, it's referred to as - ANS-express
authority

The Federal Employees Benefit Program consists of two types of health plans for
federal civilian employees. The two plans are fee-for-service and - ANS-prepaid

States that have "no loss no gain" laws require a replacing policy to - ANS-pay for
ongoing claims under the policy replaces

low-frequency diseases can be exclusively covered by what kind of health insurance
policies? - ANS-limited policies

how often must an insurance producer's license in nj be renewed? - ANS-every two
years

once an accident and health insurance policy has been in force for __ year(s), the policy
may NOT be contested by the insurer - ANS-2

Which of the following statements is TRUE about Medicaid? - ANS-It is funded by
federal, state, and local taxes

David submits a $500 claim for medical expenses. There is a past-due amount owed for
insurance premiums of $200. As a result, the insurer only pays $300 for the claim. This
deduction came as a result of which provision? - ANS-unpaid provision

The purpose of the Coordination of Benefits provision in group accident and health
plans is to? - ANS-avoid overpayment of claims

Richard owns an insurance policy that is renewable only at the option of the insurance
company. His policy is considered to be - ANS-optionally renewable

Which of the following decisions would a Health Savings Account (HSA) owner NOT be
able to make? - ANS-The amount contributed by the employer

, All of the following factors would affect a health insurance policy's premium rate
EXCEPT? - ANS-Residential address of the insured

w/in how many days must a producer notify the dobi of a change in address? - ANS-30
days

a Medicare supplement policy is - ANS-designed to fill in the gaps of Part A and Part B
Medicare

what are an applicant's statements concerning occupation, hobbies, and personal
health history regarded as? - ANS-representation

the policyholder for a group health benefit plan is considered to be the - ANS-employer

__ is NOT an element of a valid contract - ANS-countersignature

what is considered to be the primary reason for buying life insurance? - ANS-provide
death benefits

who is responsible for assembling the policy forms for insureds? - ANS-insurance
carriers

the factor used most often when underwriting a disability income policy is - ANS-annual
earnings

premium mode is a term used to describe the - ANS-frequency of the premium payment

a medicare supplement policy can be canceled by the insurer of - ANS-nonpayment

medicare part a covers - ANS-inpatient hospital stay

according to HIPAA, when an insured individual leaves an employer and immediately
begins working for a new company that offers group health insurance, the individual -
ANS-is eligible for coverage upon hire

what is the contract called that is issued to an employer for a group medical insurance
plan? - ANS-master policy

which of these may not be used in a health insurance advertisement? - ANS-an
insurance company's trademark instead of the company's actual name

which of the following is the purpose of medical cost management? - ANS-to control
health claims expense

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