NY state insurance license practice
exam questions/answers
*A health plan presented by way of private insurance corporations is
1. Social Security
2. Medicaid
three. Medicare
4. A Medicare Supplement - ANS-four. A Medicare Supplement
*A hold-harmless clause is an example of chance
1. Avoidance
2. Retention
three. Transfer
four. Sharing - ANS-three. Switch
(keep-harmless: not chargeable for injuries or damages brought about to the man or woman
signing the agreement)
*A main scientific expense policy generally does NOT
1. Incorporate a deductible
2. Have a excessive restriction of insurance
3. Incorporate a coinsurance provision
four. Pay surgeon expenses on a first-dollar foundation - ANS-4. Pay health care
professional expenses on a first-dollar foundation
*According to HIPAA policies, which of the subsequent may reduce a scientific plan's
pre-present conditions exclusion?
1. An development in fitness over the previous 3 months
2. Any duration of earlier coverage
,3. Any period of remedy within the 12 months prior to enrollment
four. Passing a physical exam - ANS-2. Any period of earlier coverage
*All of the subsequent are unfair claims settlement practices EXCEPT
1. Misrepresentation of policy provisions to an insured
2. An unreasonable postpone inside the fee of a declare
3. An try to settle a claim by arbitration
4. Failure to provide a reasonable reason for denying a declare - ANS-three. An try and
settle a declare by using arbitration
*All of these statements effectively describe an aleatory contract EXCEPT
1. A legal bet is taken into consideration an aleatory contract
2. Potential unequal trade of fee for both events
three. Only one party makes any sort of legally enforceable offer
4. Element of danger is worried - ANS-3. Only one party makes any form of legally
enforceable offer
( Insurance contracts are aleatory, which means that there's an unequal exchange. The
charges paid by using the applicant are small in terms of the amount that will be paid
through the insurance organization within the event of a loss.)
*An twist of fate and health plan that normally covers most effective the offerings of approved
providers is known as a(n)
1. HMO plan
2. POS plan
3. PPO plan
four. Major scientific plan - ANS-1. HMO plan
(An HMO plan commonly covers ONLY the services of authorised providers.)
*An insured is entitled to insurance underneath a coverage that a prudent individual could
anticipate it to offer. This principle is known as
,Adhesion
Reasonable sensibility
Reasonable expectancies
Insurable interest - ANS-Reasonable expectations
*An insured may be required to sign which document at coverage transport to ensure there
has now not been any negative medical conditions since the time of the utility?
1. Binding receipt
2. Good health declaration
three. Agent's document
four. MIB disclosure - ANS-2. Good health assertion
*Christine is receiving blessings furnished from her disability earnings insurance. As in
comparison to her preceding earnings, the disability benefits need to be
1. The identical
2. Less than 50%
three. Relatively less
4. Extremely extra - ANS-3. Rather less
*Claims agreement practices of insurers are regulated by using
1. Claims adjusters
2. State insurance departments
3. The Internal Revenue Service
4. The National Association of Insurance Commissioners - ANS-2. State insurance
departments
*Emergency health care insurance for Medicare enrollees touring abroad is
1. Excluded from a Medicare Supplement
2. A core advantage beneath a Medicare Supplement
three. A Medicare Supplement additional benefit
, four. A Medicare Part D gain - ANS-three. A Medicare Supplement extra benefit
*For coverage purposes, similar gadgets which are exposed to the same group of perils are
known as
1. Homogenous perils
2. Similar publicity devices
three. Homogeneous publicity gadgets
four. Common hazards - ANS-3. Homogeneous exposure gadgets
*In order to make a contribution to a Health Savings Account (HSA),
1. The applicant need to have no illness & coincidence coverage
2. The applicant have to be enrolled in a High Deductible Health Plan (HDHP)
3. The applicant need to be at least fifty five years of age
4. The applicant have to be as a minimum 65 years of age - ANS-2. The applicant have to
be enrolled in a High Deductible Health Plan (HDHP)
(n order to contribute to a Health Savings Account (HSA), the applicant must be enrolled in a
High Deductible Health Plan (HDHP).
*Kate received a collection coincidence and health termination be aware. How many days
does she have to follow for a transformed policy?
30
31
60
90 - ANS-31
*Larry is set to document an twist of fate and medical insurance claim. Which of the
subsequent could make claim coping with extra handy for him?
1. Inspection reviews
2. Attending medical doctor statements
3. Medical Information Bureau (MIB) statements
exam questions/answers
*A health plan presented by way of private insurance corporations is
1. Social Security
2. Medicaid
three. Medicare
4. A Medicare Supplement - ANS-four. A Medicare Supplement
*A hold-harmless clause is an example of chance
1. Avoidance
2. Retention
three. Transfer
four. Sharing - ANS-three. Switch
(keep-harmless: not chargeable for injuries or damages brought about to the man or woman
signing the agreement)
*A main scientific expense policy generally does NOT
1. Incorporate a deductible
2. Have a excessive restriction of insurance
3. Incorporate a coinsurance provision
four. Pay surgeon expenses on a first-dollar foundation - ANS-4. Pay health care
professional expenses on a first-dollar foundation
*According to HIPAA policies, which of the subsequent may reduce a scientific plan's
pre-present conditions exclusion?
1. An development in fitness over the previous 3 months
2. Any duration of earlier coverage
,3. Any period of remedy within the 12 months prior to enrollment
four. Passing a physical exam - ANS-2. Any period of earlier coverage
*All of the subsequent are unfair claims settlement practices EXCEPT
1. Misrepresentation of policy provisions to an insured
2. An unreasonable postpone inside the fee of a declare
3. An try to settle a claim by arbitration
4. Failure to provide a reasonable reason for denying a declare - ANS-three. An try and
settle a declare by using arbitration
*All of these statements effectively describe an aleatory contract EXCEPT
1. A legal bet is taken into consideration an aleatory contract
2. Potential unequal trade of fee for both events
three. Only one party makes any sort of legally enforceable offer
4. Element of danger is worried - ANS-3. Only one party makes any form of legally
enforceable offer
( Insurance contracts are aleatory, which means that there's an unequal exchange. The
charges paid by using the applicant are small in terms of the amount that will be paid
through the insurance organization within the event of a loss.)
*An twist of fate and health plan that normally covers most effective the offerings of approved
providers is known as a(n)
1. HMO plan
2. POS plan
3. PPO plan
four. Major scientific plan - ANS-1. HMO plan
(An HMO plan commonly covers ONLY the services of authorised providers.)
*An insured is entitled to insurance underneath a coverage that a prudent individual could
anticipate it to offer. This principle is known as
,Adhesion
Reasonable sensibility
Reasonable expectancies
Insurable interest - ANS-Reasonable expectations
*An insured may be required to sign which document at coverage transport to ensure there
has now not been any negative medical conditions since the time of the utility?
1. Binding receipt
2. Good health declaration
three. Agent's document
four. MIB disclosure - ANS-2. Good health assertion
*Christine is receiving blessings furnished from her disability earnings insurance. As in
comparison to her preceding earnings, the disability benefits need to be
1. The identical
2. Less than 50%
three. Relatively less
4. Extremely extra - ANS-3. Rather less
*Claims agreement practices of insurers are regulated by using
1. Claims adjusters
2. State insurance departments
3. The Internal Revenue Service
4. The National Association of Insurance Commissioners - ANS-2. State insurance
departments
*Emergency health care insurance for Medicare enrollees touring abroad is
1. Excluded from a Medicare Supplement
2. A core advantage beneath a Medicare Supplement
three. A Medicare Supplement additional benefit
, four. A Medicare Part D gain - ANS-three. A Medicare Supplement extra benefit
*For coverage purposes, similar gadgets which are exposed to the same group of perils are
known as
1. Homogenous perils
2. Similar publicity devices
three. Homogeneous publicity gadgets
four. Common hazards - ANS-3. Homogeneous exposure gadgets
*In order to make a contribution to a Health Savings Account (HSA),
1. The applicant need to have no illness & coincidence coverage
2. The applicant have to be enrolled in a High Deductible Health Plan (HDHP)
3. The applicant need to be at least fifty five years of age
4. The applicant have to be as a minimum 65 years of age - ANS-2. The applicant have to
be enrolled in a High Deductible Health Plan (HDHP)
(n order to contribute to a Health Savings Account (HSA), the applicant must be enrolled in a
High Deductible Health Plan (HDHP).
*Kate received a collection coincidence and health termination be aware. How many days
does she have to follow for a transformed policy?
30
31
60
90 - ANS-31
*Larry is set to document an twist of fate and medical insurance claim. Which of the
subsequent could make claim coping with extra handy for him?
1. Inspection reviews
2. Attending medical doctor statements
3. Medical Information Bureau (MIB) statements
