CO Health Insurance
Comprehensive Resource To Help You Ace Exams Includes
Frequently Tested Questions With ELABORATED 100%
Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. What document describes an insured's medical history, including
diagnoses and treatment?
A. Individual Medical Summary
B. Comprehensive Medical History
C. Attending Physician's Statement
D. Physician's Review - CORRECT ANSWER C
2. Which of the following best describes the Medical Information Bureau
(MIB)?
A. It is a rating organization for health insurance
B. It is a nonprofit organization that maintains underwriting
information on applicants for life and health insurance
C. It is a government agency that collects medical information on
the insured from the insurance companies
D. It is a member organization that protects insured against
insolvent insurers - CORRECT ANSWER B
3. The Medical Information Bureau (MIB) was created to protect
A. Insurance departments from lawsuits by policyowners.
B Insureds from unreasonable underwriting requirements by the
insurance companies.
C Medical examiners that perform insurance physical examinations.
D Insurance companies from adverse selection by high risk persons.
- CORRECT ANSWER D
4. Which of the following would provide an underwriter with information
concerning an applicant's health history?
A A medical examination
B The agent's report
C The inspection report
, D The Medical Information Bureau - CORRECT ANSWER D
5. In comparison to consumer reports, which of the following describes
a unique characteristic of investigative consumer reports?
A The customer has no knowledge of this action.
B The customer's associates, friends, and neighbors provide the
report's data.
C They provide additional information from an outside source about a
particular risk.
D They provide information about a customer's character and
reputation. - CORRECT ANSWER B
6. The proposed insured makes the premium payment on a new
insurance policy. If the insured should die, the insurer will pay the
death benefit to the beneficiary if the policy is approved. This is an
example of what kind of contract?
A Adhesion
B Personal
C Unilateral
D Conditional - CORRECT ANSWER D
7. Before a customer's agent delivers his policy, the insurer makes a
last-minute change to the policy. The agent informs the customer of
this change, and he accepts it. What must the agent do now?
A The agent should ask the customer to sign a statement
acknowledging that he is aware of the change.
B Nothing. After the explanation, the agent is not legally bound to do
anything else.
C The agent must notify the beneficiary of the change in policy.
D If the change would affect the premium, the agent must have the
customer sign a statement acknowledging the change. - CORRECT
ANSWER A
8. 5Who makes up the Medical Information Bureau?
A Former insured
B Physicians and paramedics
C Insurers
D Hospitals - CORRECT ANSWER C
,9. Occasional visits by which of the following medical professionals will
NOT be covered under LTC's home health care?
A Community-based organization professionals
B Attending physician
C Registered nurses
D Licensed practical nurses - CORRECT ANSWER B
10. How does a member of an HMO see a specialist?
A The member is allowed to choose his or her own specialist.
B The primary care physician refers the member.
C The insurer chooses the specialist.
D HMOs do not cover specialists. - CORRECT ANSWER B
11. Which of the following is considered a qualifying event under
COBRA?
A Divorce
B Marriage
C Relocation
D Promotion - CORRECT ANSWER A
12. All of the following long-term care coverages would allow an
insured to receive care at home EXCEPT
A Skilled care.
B Custodial care in insured's house.
C Respite care.
D Home health care. - CORRECT ANSWER A
13. Which of the following is true regarding inpatient hospital care
for HMO members?
A Care can only be provided in the service area.
B Services for treatment of mental disorders are unlimited.
C Inpatient hospital care is not part of HMO services.
D Care can be provided outside of the service area. - CORRECT
ANSWER D
14. Which of the following is NOT covered under a long-term care
policy?
A Adult day care
B Hospice care
C Home health care
, D Acute care in a hospital - CORRECT ANSWER D
15. An employee insured under a group health plan has been
paying $25 monthly premium for his group health coverage. The
employer has been contributing $75, for the total monthly cost of
$100. If the employee leaves the company, what would be his
maximum monthly premium for COBRA coverage?
A $100
B $102
C $25
D $25.50 - CORRECT ANSWER B
16. Which of the following would NOT be considered a limited
coverage policy?
A Accident insurance
B Cancer insurance
C Credit insurance
D Major medical expense insurance - CORRECT ANSWER D
17. Which statement accurately describes group disability income
insurance?
A. Short-term plans provide benefits for up to 1 year.
B The extent of benefits is determined by the insured's income.
C In long-term plans, monthly benefits are limited to 75% of the
insured's income.
D There are no participation requirements for employees. - CORRECT
ANSWER B
18. Which type of a hospital policy pays a fixed amount each day
that the insured is in a hospital?
A Surgical
B Blanket
C Medigap
D Indemnity - CORRECT ANSWER D
19. Which of the following would be an example of a limited
accident and health insurance policy?
A An accidental death and dismemberment policy
B A Medicare policy
C A long-term care policy
Comprehensive Resource To Help You Ace Exams Includes
Frequently Tested Questions With ELABORATED 100%
Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. What document describes an insured's medical history, including
diagnoses and treatment?
A. Individual Medical Summary
B. Comprehensive Medical History
C. Attending Physician's Statement
D. Physician's Review - CORRECT ANSWER C
2. Which of the following best describes the Medical Information Bureau
(MIB)?
A. It is a rating organization for health insurance
B. It is a nonprofit organization that maintains underwriting
information on applicants for life and health insurance
C. It is a government agency that collects medical information on
the insured from the insurance companies
D. It is a member organization that protects insured against
insolvent insurers - CORRECT ANSWER B
3. The Medical Information Bureau (MIB) was created to protect
A. Insurance departments from lawsuits by policyowners.
B Insureds from unreasonable underwriting requirements by the
insurance companies.
C Medical examiners that perform insurance physical examinations.
D Insurance companies from adverse selection by high risk persons.
- CORRECT ANSWER D
4. Which of the following would provide an underwriter with information
concerning an applicant's health history?
A A medical examination
B The agent's report
C The inspection report
, D The Medical Information Bureau - CORRECT ANSWER D
5. In comparison to consumer reports, which of the following describes
a unique characteristic of investigative consumer reports?
A The customer has no knowledge of this action.
B The customer's associates, friends, and neighbors provide the
report's data.
C They provide additional information from an outside source about a
particular risk.
D They provide information about a customer's character and
reputation. - CORRECT ANSWER B
6. The proposed insured makes the premium payment on a new
insurance policy. If the insured should die, the insurer will pay the
death benefit to the beneficiary if the policy is approved. This is an
example of what kind of contract?
A Adhesion
B Personal
C Unilateral
D Conditional - CORRECT ANSWER D
7. Before a customer's agent delivers his policy, the insurer makes a
last-minute change to the policy. The agent informs the customer of
this change, and he accepts it. What must the agent do now?
A The agent should ask the customer to sign a statement
acknowledging that he is aware of the change.
B Nothing. After the explanation, the agent is not legally bound to do
anything else.
C The agent must notify the beneficiary of the change in policy.
D If the change would affect the premium, the agent must have the
customer sign a statement acknowledging the change. - CORRECT
ANSWER A
8. 5Who makes up the Medical Information Bureau?
A Former insured
B Physicians and paramedics
C Insurers
D Hospitals - CORRECT ANSWER C
,9. Occasional visits by which of the following medical professionals will
NOT be covered under LTC's home health care?
A Community-based organization professionals
B Attending physician
C Registered nurses
D Licensed practical nurses - CORRECT ANSWER B
10. How does a member of an HMO see a specialist?
A The member is allowed to choose his or her own specialist.
B The primary care physician refers the member.
C The insurer chooses the specialist.
D HMOs do not cover specialists. - CORRECT ANSWER B
11. Which of the following is considered a qualifying event under
COBRA?
A Divorce
B Marriage
C Relocation
D Promotion - CORRECT ANSWER A
12. All of the following long-term care coverages would allow an
insured to receive care at home EXCEPT
A Skilled care.
B Custodial care in insured's house.
C Respite care.
D Home health care. - CORRECT ANSWER A
13. Which of the following is true regarding inpatient hospital care
for HMO members?
A Care can only be provided in the service area.
B Services for treatment of mental disorders are unlimited.
C Inpatient hospital care is not part of HMO services.
D Care can be provided outside of the service area. - CORRECT
ANSWER D
14. Which of the following is NOT covered under a long-term care
policy?
A Adult day care
B Hospice care
C Home health care
, D Acute care in a hospital - CORRECT ANSWER D
15. An employee insured under a group health plan has been
paying $25 monthly premium for his group health coverage. The
employer has been contributing $75, for the total monthly cost of
$100. If the employee leaves the company, what would be his
maximum monthly premium for COBRA coverage?
A $100
B $102
C $25
D $25.50 - CORRECT ANSWER B
16. Which of the following would NOT be considered a limited
coverage policy?
A Accident insurance
B Cancer insurance
C Credit insurance
D Major medical expense insurance - CORRECT ANSWER D
17. Which statement accurately describes group disability income
insurance?
A. Short-term plans provide benefits for up to 1 year.
B The extent of benefits is determined by the insured's income.
C In long-term plans, monthly benefits are limited to 75% of the
insured's income.
D There are no participation requirements for employees. - CORRECT
ANSWER B
18. Which type of a hospital policy pays a fixed amount each day
that the insured is in a hospital?
A Surgical
B Blanket
C Medigap
D Indemnity - CORRECT ANSWER D
19. Which of the following would be an example of a limited
accident and health insurance policy?
A An accidental death and dismemberment policy
B A Medicare policy
C A long-term care policy
