AETNA INDIVIDUAL CORE CERTIFICATION
MASTERY TEST ACTUAL EXAM PAPER 2026
QUESTIONS WITH 100% CORRECT
ANSWERS GRADED A+
⩥ Purpose of health insurance is. Answer: to protect a insured against
the risk of financial loss he/she cannot individually afford caused by
illness, injury, or diability
⩥ Indeminity. Answer: Reimbursement
⩥ Coordination of Benefits provision. Answer: is in some health
insurance policies; allows insurance companies to reduce benefits so that
the insured will be paid no more that his/her actual loss. prevents the
insured from collecting under multiple policies more than his/her actual
loss
⩥ Coordination policy. Answer: is a policy that includes a coordination
of benefits provision
⩥ Non-coordinating policy. Answer: is a policy that does not include a
coordination of benefits provision
,⩥ Accepted questions on application to base premiums. Answer: age,
family composition, geographic region of residency, tobacco use
⩥ unacceptable question on application to base premiums. Answer: past
medical history, gender, occupation, ethnicity
⩥ Attending Physician Statement. Answer: the underwriter contacts
physician who has treated the applicant in the past for an evaluation; it's
purpose is to confirm information on the medical report
⩥ Errors and Changes on the Application. Answer: if error on
application, underwriter may require it be corrected and changes must be
approved and initialed by the applicant
⩥ Medical information bureau (MIB) report. Answer: it is a clearing
house for medical information for insurance companies that belong to it
⩥ Credit Report. Answer: Determines if total benefits are reasonable
compared to applicant's income so as to avoid disincentive
⩥ Inspection report. Answer: to verify that the producer completed the
application accurately and completely is the first purpose of an
inspection report
, ⩥ Incontestability Clause. Answer: after the policy has been in effect
two years the insurance company cannot contest a policy doe to any
misstatement or concealment unless it can prove fraud
⩥ (tax) premiums on ind. hospital/medical expense policies. Answer:
can sometimes be tax deducted; depends on whether an ind is self-
employed and if ind. itemizes on tax returm
⩥ (tax) premiums paid by an ind. on ind. diability income policies.
Answer: usually cannot be tax deducted (non qualified)
⩥ (tax) ind. expense policies, ind disability income policies, are usually.
Answer: tax free and have no tax on the benefits
⩥ (tax) premiums paid by employer usually. Answer: can be tax
deducted by the employer (tax qualified)
⩥ (tax) group expense coverage is usually. Answer: no tax on benefits
(tax free)
⩥ Private Health Insurance Companies were originally established to.
Answer: issue risk indeminity policies
⩥ Private Health Insurance Companies have the _____ restrictions to
where the insured can go for service. Answer: fewest
MASTERY TEST ACTUAL EXAM PAPER 2026
QUESTIONS WITH 100% CORRECT
ANSWERS GRADED A+
⩥ Purpose of health insurance is. Answer: to protect a insured against
the risk of financial loss he/she cannot individually afford caused by
illness, injury, or diability
⩥ Indeminity. Answer: Reimbursement
⩥ Coordination of Benefits provision. Answer: is in some health
insurance policies; allows insurance companies to reduce benefits so that
the insured will be paid no more that his/her actual loss. prevents the
insured from collecting under multiple policies more than his/her actual
loss
⩥ Coordination policy. Answer: is a policy that includes a coordination
of benefits provision
⩥ Non-coordinating policy. Answer: is a policy that does not include a
coordination of benefits provision
,⩥ Accepted questions on application to base premiums. Answer: age,
family composition, geographic region of residency, tobacco use
⩥ unacceptable question on application to base premiums. Answer: past
medical history, gender, occupation, ethnicity
⩥ Attending Physician Statement. Answer: the underwriter contacts
physician who has treated the applicant in the past for an evaluation; it's
purpose is to confirm information on the medical report
⩥ Errors and Changes on the Application. Answer: if error on
application, underwriter may require it be corrected and changes must be
approved and initialed by the applicant
⩥ Medical information bureau (MIB) report. Answer: it is a clearing
house for medical information for insurance companies that belong to it
⩥ Credit Report. Answer: Determines if total benefits are reasonable
compared to applicant's income so as to avoid disincentive
⩥ Inspection report. Answer: to verify that the producer completed the
application accurately and completely is the first purpose of an
inspection report
, ⩥ Incontestability Clause. Answer: after the policy has been in effect
two years the insurance company cannot contest a policy doe to any
misstatement or concealment unless it can prove fraud
⩥ (tax) premiums on ind. hospital/medical expense policies. Answer:
can sometimes be tax deducted; depends on whether an ind is self-
employed and if ind. itemizes on tax returm
⩥ (tax) premiums paid by an ind. on ind. diability income policies.
Answer: usually cannot be tax deducted (non qualified)
⩥ (tax) ind. expense policies, ind disability income policies, are usually.
Answer: tax free and have no tax on the benefits
⩥ (tax) premiums paid by employer usually. Answer: can be tax
deducted by the employer (tax qualified)
⩥ (tax) group expense coverage is usually. Answer: no tax on benefits
(tax free)
⩥ Private Health Insurance Companies were originally established to.
Answer: issue risk indeminity policies
⩥ Private Health Insurance Companies have the _____ restrictions to
where the insured can go for service. Answer: fewest
