Florida Insurance Exam (2-15) Questions And Answers

Florida Insurance Exam (2-15) Questions And Answers A Supplementary Medical Expense policy combines the benefits of what two types of plans? - ANS Basic Medical and Major Medical Which of the following is not correct concerning Health Maintenance Organizations? - ANS They mandate enrollment for groups of 25 or more. Which is not true concerning a Hospital Fixed-Rate plan? - ANS Benefits are paid directly to the hospital When benefits are paid to a policyowner covered under a Hospital Expense policy, the policy is considered to be which of the following? - ANS Fixed-Rate plan Which of the following about Health Reimbursement Accounts HRA's is/are correct? - ANS HRA's are established by the employer Which of the following statements is true about Basic Hospital, Medical, and Surgical Expense Policies? - ANS They usually have a stated limit for specific expenses. Which of the following plans used with High Deductible Health Plans is employee owned? - ANS Health Savings Accounts (HSAs) 6. Which of the following service providers allows for a primary care physician as well as out-of-network care? - ANS Point of Service Plan (POS) Which of the following is true about coinsurance? - ANS It helps control overutilization of benefits. In a Basic Surgical policy, which of the following pays per point? - ANS Relative Value The type of health care provider that provides both the health care services and the health care financing is a: - ANS Health Maintenance Organization Which of the following non-insurance entities are NOT involved with self-insured plans? - ANS Actuaries Which of the following policies would cover a student pilot taking flying lessons? - ANS Special Risk An applicant for insurance may pay the initial premium and receive a document from the agent indicating that if the policy is issued as requested coverage begins on the date of the documents. What is this document called? - ANS Conditional receipt How does a basic medical plan avoid small claims and keep the cost of premiums down? - ANS by imposing benefit limits A limited risk policy will pay for dread diseases : - ANS such as cancer Stagmite purchases a major medical policy with a $100 annual deductible, 80/20 co-insurance and a maximum out-of-pocket of $5000. If Stagmite were to incur covered expenses of $10,100, how much would Stag be out of pocket? - ANS $2100 If all or part of a $500 deductible is offset by a Basic Medical policy, what type of deductible applies? - ANS Integrated In a Basic Hospital Expense policy, the miscellaneous expense limits are a multiple of what factor? - ANS Daily room and board What is the agreement between an HMO and subscriber or group? - ANS Health maintenance contract HMOs are a distinct form of health provider because: - ANS They provide financing for the health care plus the health care itself Which of the following is the most common type of co-insurance in a major medical policy? - ANS 20-25% Which statement concerning commercial companies is not true? - ANS They are not debit companies Another term used for Home Service insurers is: - ANS Debit insurers Basic Medical expense policies do not generally provide coverage for: - ANS Lost income