Colorado Life & Health Insurance
Exam questions answers well
verified answers 2026
utilization review - ANSWERS💫✔️-a set of formal techniques to monitor the use or clinical necessity of
health care, determining the application of exclusions, and the medical necessity of treatment.
30 days for electronic; 45 days for paper - ANSWERS💫✔️-With a clean claim, the insured has ? days for
paying or denying electronic and ? days for paper claims.
Enforces - ANSWERS💫✔️-The Commissioner ______ laws and does not create them.
5 years - ANSWERS💫✔️-Every ____ years, a licensed insurer must be examined by the state
commissioner.
Adverse selection - ANSWERS💫✔️-What is a major concern for Underwriters, especially during the open
enrollment period?
Conversion privilege - ANSWERS💫✔️-Allows individual policy conversion upon plan group termination
Non-taxable - ANSWERS💫✔️-Benefits are taxable or non-taxable (?) to employees.
20 - ANSWERS💫✔️-Employers with ___ + employees are required to offer COBRA for up to 18 months
after an employee is terminated.
Master policy - ANSWERS💫✔️-In group health insurance a ______ type of policy is issued to the group
sponsor.
, Impairment rider - ANSWERS💫✔️-Temporary or permanent rider added to a policy that includes specific
conditions which would normally cause a policy to be declined.
Free Look Period - ANSWERS💫✔️-The period of time for the insured to look over a policy after it is
issued (10 days for health insurance, 15 for life)
Class - ANSWERS💫✔️-The guaranteed renewable provision states that premiums can only be increased
by _________.
Legal Actions Provision - ANSWERS💫✔️-The ___________ states that one has 60 days after proof of loss
with a 2-year limit on certain defenses.
Insurers - ANSWERS💫✔️-The insuring clause includes ____________'s promise to pay benefits.
Proof of loss provision - ANSWERS💫✔️-This provision states that the insured must provide proof of loss
within 90 days, up to a 1-year maximum.
elimination period - ANSWERS💫✔️-waiting period after a loss occurs before benefit period begins (30,
90 days, up to 1 year)
Part C - ANSWERS💫✔️-Medicare Advantage plan, substitution for original benefits (A & B)
Medicare Part A - ANSWERS💫✔️-Hospital insurance, covers inpatient and hospice
Medicare Part B - ANSWERS💫✔️-Outpatient treatment, ER treatment, preventive care is looped under
Part ___
Supplement Part A - ANSWERS💫✔️-Also known as Medigap, this part covers core benefits, including
hospice care; premiums vary.
Exam questions answers well
verified answers 2026
utilization review - ANSWERS💫✔️-a set of formal techniques to monitor the use or clinical necessity of
health care, determining the application of exclusions, and the medical necessity of treatment.
30 days for electronic; 45 days for paper - ANSWERS💫✔️-With a clean claim, the insured has ? days for
paying or denying electronic and ? days for paper claims.
Enforces - ANSWERS💫✔️-The Commissioner ______ laws and does not create them.
5 years - ANSWERS💫✔️-Every ____ years, a licensed insurer must be examined by the state
commissioner.
Adverse selection - ANSWERS💫✔️-What is a major concern for Underwriters, especially during the open
enrollment period?
Conversion privilege - ANSWERS💫✔️-Allows individual policy conversion upon plan group termination
Non-taxable - ANSWERS💫✔️-Benefits are taxable or non-taxable (?) to employees.
20 - ANSWERS💫✔️-Employers with ___ + employees are required to offer COBRA for up to 18 months
after an employee is terminated.
Master policy - ANSWERS💫✔️-In group health insurance a ______ type of policy is issued to the group
sponsor.
, Impairment rider - ANSWERS💫✔️-Temporary or permanent rider added to a policy that includes specific
conditions which would normally cause a policy to be declined.
Free Look Period - ANSWERS💫✔️-The period of time for the insured to look over a policy after it is
issued (10 days for health insurance, 15 for life)
Class - ANSWERS💫✔️-The guaranteed renewable provision states that premiums can only be increased
by _________.
Legal Actions Provision - ANSWERS💫✔️-The ___________ states that one has 60 days after proof of loss
with a 2-year limit on certain defenses.
Insurers - ANSWERS💫✔️-The insuring clause includes ____________'s promise to pay benefits.
Proof of loss provision - ANSWERS💫✔️-This provision states that the insured must provide proof of loss
within 90 days, up to a 1-year maximum.
elimination period - ANSWERS💫✔️-waiting period after a loss occurs before benefit period begins (30,
90 days, up to 1 year)
Part C - ANSWERS💫✔️-Medicare Advantage plan, substitution for original benefits (A & B)
Medicare Part A - ANSWERS💫✔️-Hospital insurance, covers inpatient and hospice
Medicare Part B - ANSWERS💫✔️-Outpatient treatment, ER treatment, preventive care is looped under
Part ___
Supplement Part A - ANSWERS💫✔️-Also known as Medigap, this part covers core benefits, including
hospice care; premiums vary.
