Insurance State Licensing Exam
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1. which of the following products replaces lost in- disability insurance - covers
come when one is unable to work due to a con- replaces lost income
dition for which therapeutic and rehabilitative care
services is often necessary?
2. which of the following is false with regard to cover- coverage for a newborn child
age for newborn children? begins 31 days after birth -
starts on date of birth and
continues 31 days after birth
3. which of the following covers the greatest percent- platinum - 90%
age of the benefit cost of the plan under the afford-
able care act?
4. coverage for the following are optional in a medical mental illness and substance
expense plan, except: abuse
5. a partial disability is defined as an individual: Unable to perform one or
more duties of his/her occu-
pation
6. all of the following groups are exempt from the those who must pay less
affordable care act's requirement to purchase cov- than 9.5% of their income for
erage, except health insurance - those who
must pay more than 9.5%,
even after subsidies are ex-
empt
7. a basic hospital expense policy provides coverage confined to the hospital - cov-
for the insured while ers expenses as an inpatient
8. which optional disability income insurance rider hospital confinement
waives the elimination period if the insured is hos-
, Insurance State Licensing Exam
Study online at https://quizlet.com/_8jomba
pitalized and pays only when the insured is being
treated as an inpatient
9. the act of appointment represents the insurer's cer- suitable, competent and fi-
tification that the appointed agent is nancially responsible
10. the transfer of some or all of the financial risk of loss reinsurance - used to reduce
from one insurer to another insurer or insurers is their direct loss exposure for
best described as: certain risks
11. all of the following plans allow participants to roll FSAs
over or retain benefit amounts remaining at the end
of the plan year, except:
12. which statement is incorrect regarding HMOs HMOs must provide basic
health care services includ-
ing hospitalization, laborato-
ry services, optical services,
physical therapy, dental care,
and preventive services
13. veronica is a producer appointed as agent to ABC annual on July 1
insurance company. when will Veronica's appoint-
ment automatically renew?
14. the principal objectives of a HMO include all of the providing only inpatient
following, except: medical care
15. in disability income underwriting, the single most occupation
important rating factor from an underwriting stand-
point is the applicant's:
16. stop-loss
, Insurance State Licensing Exam
Study online at https://quizlet.com/_8jomba
once to out of pocket limit has been reached, the
_________ provision kicks in and the policy will cover
100% of covered losses for the balance of the year
17. a disability income policy has a period of deductibil- elimination period
ity immediately following a disability during which
time benefits are not payable. this period is called
an
18. regarding group health insurance, which is true The plan sponsor is issued
the Master Policy
19. is insurance provided by an employer to cover in- workers' comp
juries that occur on the job only
20. which statement is false concerning credit disability the benefit may exceed the
insurance? total amount of debt or the
amount of monthly payment
21. when it comes to health insurance underwriting insurers can refuse to issue a
and HIV/AIDS, which statement is true policy based on HIV test re-
sults
22. Group disability income is usually offered only work related injuries are nor-
on a nonoccupational basis, which will not cover mally covered under workers'
work-related disabilities because: comp
23. a client requests a medical expense policy several attending physician's state-
months after you suggested to policy. the under- ment
writer will most likely order which of the following
24. as part of the law's requirement that the super- insurers, directors, officers,
intendent periodically examine insurers, which of agents and employees may
be examined under oath
Study online at https://quizlet.com/_8jomba
1. which of the following products replaces lost in- disability insurance - covers
come when one is unable to work due to a con- replaces lost income
dition for which therapeutic and rehabilitative care
services is often necessary?
2. which of the following is false with regard to cover- coverage for a newborn child
age for newborn children? begins 31 days after birth -
starts on date of birth and
continues 31 days after birth
3. which of the following covers the greatest percent- platinum - 90%
age of the benefit cost of the plan under the afford-
able care act?
4. coverage for the following are optional in a medical mental illness and substance
expense plan, except: abuse
5. a partial disability is defined as an individual: Unable to perform one or
more duties of his/her occu-
pation
6. all of the following groups are exempt from the those who must pay less
affordable care act's requirement to purchase cov- than 9.5% of their income for
erage, except health insurance - those who
must pay more than 9.5%,
even after subsidies are ex-
empt
7. a basic hospital expense policy provides coverage confined to the hospital - cov-
for the insured while ers expenses as an inpatient
8. which optional disability income insurance rider hospital confinement
waives the elimination period if the insured is hos-
, Insurance State Licensing Exam
Study online at https://quizlet.com/_8jomba
pitalized and pays only when the insured is being
treated as an inpatient
9. the act of appointment represents the insurer's cer- suitable, competent and fi-
tification that the appointed agent is nancially responsible
10. the transfer of some or all of the financial risk of loss reinsurance - used to reduce
from one insurer to another insurer or insurers is their direct loss exposure for
best described as: certain risks
11. all of the following plans allow participants to roll FSAs
over or retain benefit amounts remaining at the end
of the plan year, except:
12. which statement is incorrect regarding HMOs HMOs must provide basic
health care services includ-
ing hospitalization, laborato-
ry services, optical services,
physical therapy, dental care,
and preventive services
13. veronica is a producer appointed as agent to ABC annual on July 1
insurance company. when will Veronica's appoint-
ment automatically renew?
14. the principal objectives of a HMO include all of the providing only inpatient
following, except: medical care
15. in disability income underwriting, the single most occupation
important rating factor from an underwriting stand-
point is the applicant's:
16. stop-loss
, Insurance State Licensing Exam
Study online at https://quizlet.com/_8jomba
once to out of pocket limit has been reached, the
_________ provision kicks in and the policy will cover
100% of covered losses for the balance of the year
17. a disability income policy has a period of deductibil- elimination period
ity immediately following a disability during which
time benefits are not payable. this period is called
an
18. regarding group health insurance, which is true The plan sponsor is issued
the Master Policy
19. is insurance provided by an employer to cover in- workers' comp
juries that occur on the job only
20. which statement is false concerning credit disability the benefit may exceed the
insurance? total amount of debt or the
amount of monthly payment
21. when it comes to health insurance underwriting insurers can refuse to issue a
and HIV/AIDS, which statement is true policy based on HIV test re-
sults
22. Group disability income is usually offered only work related injuries are nor-
on a nonoccupational basis, which will not cover mally covered under workers'
work-related disabilities because: comp
23. a client requests a medical expense policy several attending physician's state-
months after you suggested to policy. the under- ment
writer will most likely order which of the following
24. as part of the law's requirement that the super- insurers, directors, officers,
intendent periodically examine insurers, which of agents and employees may
be examined under oath
