Texas Life and Health Insurance Exam Cheat Sheet Latest Version Updated 2023 -
2024/ Texas Health and Life Insurance License Exam which provision states that the insurance company must pay claims immediately? a) Time of payment of claims b) payment of claims c) legal actions d) relation of earnings to insurance --------- Correct Answer 0--------- Answer: A Time of payment of claims fraudulent misstatements on a health policy causes claims to be denied because of which of these? a) entire contract b) pa yment of claims c) reinstatement d) Time limit on certain defenses --------- Correct Answer 0--------- Answer: D Time limit on certain defenses In order for a claimant to be eligible for _______ benefits, they must qualify based upon income and medical n eed. a) medicare supplement b) medicaid c) long -term care d) medicare --------- Correct Answer 0--------- Answer: B Medicaid Every Long -Term Care policy must provide a ______ -day free look period from the date the policy is delivered. a) 45 b) 20 c) 10 d) 30 --------- Correct Answer 0--------- Answer: D 30 You are the producer selling Medicare supplements, you must introduce yourself as an employee of ______? a) insurer b) insured c) social security d) federal government --------- Correct Answer 0--------- Answer: A Insurer According to the Affordable Care Act all of these would be eligible for a catastrophic health plan, EXCEPT? a) those with a hardship exemption b) people who can't qualify for medicaid c) people under 30 d) those who can't afford insurance --------- Correct Answer 0--------- Answer: D Those who can't afford insurance Medicare A and B pays for? a) A the doctor, B the hospital b) A the hospital, B prescription drugs c) A the physical exam, B the hospital d) A the hospital, B physicians service --------- Correct Answer 0--------- Answer: D A the hospital, B physicians service Of the following listed choices, which is true as it pertains to Medicare Part A? a) all recipients pay a monthly premium b) it is prepaid through FI CA taxes c) it covers all prescription drugs d) provides coverage for outpatient services --------- Correct Answer 0--------- Answer: B It is prepaid through FICA taxes All of the following are prohibited provisions in a long term care policy, except? a) limits or denies benefits to a policy holder who is diagnosed with any destructive brain tissue disease with will result in loss of brain function b) provides coverage for only skilled nursing care instead of lower levels of care c) canceling a polic y due to nonpayment of premium d) cancels, non -renews, or terminates the policy on the grounds of age or deterioration of the mental or physical health of the insured --------- Correct Answer 0--------- Answer: C Canceling a policy due to nonpayment or pr emium The OASDHI Old Age, Disability, and Health Insurance is also known as? a) medicaid b) medicare c) social security d) worker's compensation --------- Correct Answer 0--------- Answer: C Social security What part of medicare pays for prescription drugs? a) part a b) part d c) part b d) part c --------- Correct Answer 0--------- Answer: B Part D Long term care policies pay for all of these, EXCEPT? a) skilled nurses b) rehabilitation c) substance abuse d) home health care --------- Correct Answer 0--------- Answer: C Substance abuse In order to have Medicare part C the individual must have? a) A, B and D b) A only c) A and B d) B only --------- Correct Answer 0--------- Answer: C A and B P is 65 years old, he has medical coverage that pays his doctors visits and his hospital bills. he most likely has? a) major medical b) medicare A and B c) Long term care d) cancer policy --------- Correct Answer 0--------- Answer: B Medicare A and B Medicare A and B pays for? a) A the hospital, B physicians service b) A the doctor, B the hospital c) A the physical exam, B the hospital d) A the hospital, B prescription drugs --------- Correct Answer 0--------- Answer: A A the hospital, B physicians service Which policy provides the most protecti on for the least amount of money? a) term life b) universal life c) equity indexed whole life d) adjustable life --------- Correct Answer 0--------- Answer: A Term life Which policy is a 2nd or last to die policy? a) joint life b) variable life c) modified whole life d) joint survivor life --------- Correct Answer 0--------- Answer: D Joint life survivor
2024/ Texas Health and Life Insurance License Exam which provision states that the insurance company must pay claims immediately? a) Time of payment of claims b) payment of claims c) legal actions d) relation of earnings to insurance --------- Correct Answer 0--------- Answer: A Time of payment of claims fraudulent misstatements on a health policy causes claims to be denied because of which of these? a) entire contract b) pa yment of claims c) reinstatement d) Time limit on certain defenses --------- Correct Answer 0--------- Answer: D Time limit on certain defenses In order for a claimant to be eligible for _______ benefits, they must qualify based upon income and medical n eed. a) medicare supplement b) medicaid c) long -term care d) medicare --------- Correct Answer 0--------- Answer: B Medicaid Every Long -Term Care policy must provide a ______ -day free look period from the date the policy is delivered. a) 45 b) 20 c) 10 d) 30 --------- Correct Answer 0--------- Answer: D 30 You are the producer selling Medicare supplements, you must introduce yourself as an employee of ______? a) insurer b) insured c) social security d) federal government --------- Correct Answer 0--------- Answer: A Insurer According to the Affordable Care Act all of these would be eligible for a catastrophic health plan, EXCEPT? a) those with a hardship exemption b) people who can't qualify for medicaid c) people under 30 d) those who can't afford insurance --------- Correct Answer 0--------- Answer: D Those who can't afford insurance Medicare A and B pays for? a) A the doctor, B the hospital b) A the hospital, B prescription drugs c) A the physical exam, B the hospital d) A the hospital, B physicians service --------- Correct Answer 0--------- Answer: D A the hospital, B physicians service Of the following listed choices, which is true as it pertains to Medicare Part A? a) all recipients pay a monthly premium b) it is prepaid through FI CA taxes c) it covers all prescription drugs d) provides coverage for outpatient services --------- Correct Answer 0--------- Answer: B It is prepaid through FICA taxes All of the following are prohibited provisions in a long term care policy, except? a) limits or denies benefits to a policy holder who is diagnosed with any destructive brain tissue disease with will result in loss of brain function b) provides coverage for only skilled nursing care instead of lower levels of care c) canceling a polic y due to nonpayment of premium d) cancels, non -renews, or terminates the policy on the grounds of age or deterioration of the mental or physical health of the insured --------- Correct Answer 0--------- Answer: C Canceling a policy due to nonpayment or pr emium The OASDHI Old Age, Disability, and Health Insurance is also known as? a) medicaid b) medicare c) social security d) worker's compensation --------- Correct Answer 0--------- Answer: C Social security What part of medicare pays for prescription drugs? a) part a b) part d c) part b d) part c --------- Correct Answer 0--------- Answer: B Part D Long term care policies pay for all of these, EXCEPT? a) skilled nurses b) rehabilitation c) substance abuse d) home health care --------- Correct Answer 0--------- Answer: C Substance abuse In order to have Medicare part C the individual must have? a) A, B and D b) A only c) A and B d) B only --------- Correct Answer 0--------- Answer: C A and B P is 65 years old, he has medical coverage that pays his doctors visits and his hospital bills. he most likely has? a) major medical b) medicare A and B c) Long term care d) cancer policy --------- Correct Answer 0--------- Answer: B Medicare A and B Medicare A and B pays for? a) A the hospital, B physicians service b) A the doctor, B the hospital c) A the physical exam, B the hospital d) A the hospital, B prescription drugs --------- Correct Answer 0--------- Answer: A A the hospital, B physicians service Which policy provides the most protecti on for the least amount of money? a) term life b) universal life c) equity indexed whole life d) adjustable life --------- Correct Answer 0--------- Answer: A Term life Which policy is a 2nd or last to die policy? a) joint life b) variable life c) modified whole life d) joint survivor life --------- Correct Answer 0--------- Answer: D Joint life survivor
