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Exam (elaborations)

Idaho Life and Health Final Exam Questions and Correct Answers

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Idaho Life and Health Final Exam Questions and Correct Answers

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Idaho Life and Health Final Exam Questions
and Correct Answers
Question 1
An applicant's character and personal habits can be obtained for underwriting
purposes from which source?
Correct Answer
Investigative consumer report.



Question 2
An insurer must furnish to a claimant forms for filing proof of loss within ___ days
upon receiving a notice of claim.
Correct Answer
15.



Question 3
Which of the following would be considered a possible applicant and contract policy
holder for group health benefits?
Correct Answer
Employer.



Question 4
The waiting period for a disability insurance policy
Correct Answer
Excluded payments for a short-term illness or injury; The waiting (elimination)
period is to exclude payments for a short-term illness or injury.




Page 1 of 26

,Question 5
Sole proprietors are permitted tax deductions for health costs paid from their
earnings in the amount of
Correct Answer
Costs that exceed 7 1/2 % of AGI.



Question 6
Which of the following nursing home options would best suit an individual who needs
some nursing care and supervision but not full-time care?

Correct Answer
Assisted living facilities.



Question 7
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss.
Correct Answer
20 Days.



Question 8
Over the course of a year, which premium payment mode is most expensive?
Correct Answer
Monthly.



Question 9
Which of the following does Coordination of Benefits allow?
Correct Answer
Allows the secondary payor to reduce their benefit payments so no more than 100%
of the claim is paid.




Page 2 of 26

, Question 10
A fee for service health insurance plan will normally cover
Correct Answer
A disease.



Question 11
A disability policy owner is injured and becomes totally disabled. The benefits pay for
2 years, starting from the date of the injury. What is this time period called?
Correct Answer
Benefit period.



Question 12
Which of the following statements is TRUE regarding life policy replacement?
Correct Answer
Patterns of improper replacement may subject an insurer to disciplinary action.



Question 13
Which of the following would be a valid reason why a policy premium would be
higher than the standard premium?
Correct Answer
The insured does not meet established underwriting requirements.



Question 14
A closed network plan offers a primary physical copay of $25. If a subscriber chooses
a primary care physician outside of the network, the subscriber will likely pay
Correct Answer
100% of the allowed amount.




Page 3 of 26

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