Life, Accident and Health Exam Questions and Answers

Life, Accident and Health Exam Questions and Answers Annuity - Correct Answer️️ --A contract between a person and an insurance company that requires the insurer to make payments to you. -You buy an annuity by making either a single payment or a series of payments -Annuity Death benefits are NOT tax deductible or taxfree Dividends - Correct Answer️️ --Declared by the board of directors and cannot be guaranteed -A sum of money paid regularly by a company to its shareholders out of its profits Stock Insurers - Correct Answer️️ --Owned by the stockholders who elect the board of directors. -Profits are paid to the stockholders. Frequency - Correct Answer️️ --When the pricing principle is defined in a disability policy by a financial loss in a certain group occuring over a certain period of time. Beneficiary - Correct Answer️️ -One who receives benefits Medi-Cal - Correct Answer️️ -health care program for the poor Medicare - Correct Answer️️ -A - provides coverage for hospital services, free to those who reach 65) B - provides coverage for doctor services (optional)Smart PDF C - does NOT cover prescription drugs D - Prescription Drugs Utmost Good Faith - Correct Answer️️ --Allows each party to rely on the representation made by other party Patient Protection & Affordable Care Act (PPACA) - Correct Answer️️ -This is the health care reform law. Focuses on reform of the private health insurance market; providing better coverage for those with pre-existing conditions; improving prescription drug coverage in Medicare. Period - Correct Answer️️ -Probationary- Elimination- the waiting period included in disability income policies Grace- Waiting (deductible)- The period of time the insured is not eligible for benefits once they become disabled (30, 60, 90days) Coinsurance - Correct Answer️️ --Feature of Major Medical insurance -Defined as sharing the loss after the deductible has been satisfied -Usually expressed as percentage sharing of the loss between the insurer and the insured -Insurer pays the larger percentage, such as 90/10 Gatekeeper - Correct Answer️️ --Primary Care Physician -Cannot be a specialist, must be a general practice doctor. COBRA - Correct Answer️️ --Consolidated Omnibus Budget Reconciliation Act -A law that allows people who leave employment to continue their health insurance under the company plan for a limited period of timeSmart PDF HIPCAP - Correct Answer️️ --Free counseling Coordination of Benefits - Correct Answer️️ --Provision that applies in group insurance when an insured has coverage under multiple plans at one time. -Coordination of benefits is included in all group health insurance policie