Florida Health Insurance Exam/ 110 Questions
with Certified Solutions
Accident - Answer: An unplanned, unforeseen event which occurs suddenly and at
an unspecified place
Accident Insurance - Answer: A type of insurance that protects the insured against
loss due to accidental bodily injury
Accidental Bodily Injury - Answer: Unplanned, unforeseen traumatic injury to the
body
Accidental Death and Dismemberment - Answer: An insurance policy which pays a
specified amount or a specified multiple of the insured's benefit if the insured
dies, loses his/her sight, or loses two limbs due to an accident
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,Accidental Death Benefits - Answer: A policy rider that states that the cause of
death will be analyzed to determine if it complies with the policy description of
accidental death
Activities of Daily Living - Answer: Activities individuals must do every day such as
moving about, getting dressed, eating, bathing, etc.
Actual Charge - Answer: The amount a physician or supplier actually bills for a
particular service or supply
Adhesion - Answer: A contract offered on a "take-it-or-leave-it" basis by an
insurer, in which the insured's only option is to accept or reject the contract. Any
ambiguities in the contract will be settled in favor of the insured
Admitted (Authorized) Insurer - Answer: An insurance company authorized and
licensed to transact insurance in a particular state
Adult Day Care - Answer: A program for impaired adults that attempts to meet
their health, social, and functional needs in a setting away from their homes
Adverse Selection - Answer: The tendency of risks with higher probability of loss
to purchase and maintain insurance more often than the risks who present lower
probability
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, Agent - Answer: An individual who is licensed to sell, negotiate, or effect
insurance contracts on behalf of the insurer
Aleatory - Answer: A contract in which participating parties exchange unequal
amounts. Insurance contracts are this in that the amount the insured will pay in
premiums is unequal to the amount the insurer will pay in the event of a loss
Alien Insurer - Answer: An insurance company that is incorporated outside the
USA
Apparent Authority - Answer: The appearance or the assumption of authority
based on the actions, words, or deeds of the principal or because of
circumstances the principal created
Approved Amount - Answer: The amount Medicare determines to be reasonable
for a service that is covered under Part B of Medicare
Assignment - Answer: A claim to a provider or medical supplier to receive
payments directly from Medicare
Attained Age - Answer: The age of the insured at a determined date
Attending Physician's Statement (APS) - Answer: A statement usually obtained
from the applicant's doctor
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with Certified Solutions
Accident - Answer: An unplanned, unforeseen event which occurs suddenly and at
an unspecified place
Accident Insurance - Answer: A type of insurance that protects the insured against
loss due to accidental bodily injury
Accidental Bodily Injury - Answer: Unplanned, unforeseen traumatic injury to the
body
Accidental Death and Dismemberment - Answer: An insurance policy which pays a
specified amount or a specified multiple of the insured's benefit if the insured
dies, loses his/her sight, or loses two limbs due to an accident
Page 1 of 16
,Accidental Death Benefits - Answer: A policy rider that states that the cause of
death will be analyzed to determine if it complies with the policy description of
accidental death
Activities of Daily Living - Answer: Activities individuals must do every day such as
moving about, getting dressed, eating, bathing, etc.
Actual Charge - Answer: The amount a physician or supplier actually bills for a
particular service or supply
Adhesion - Answer: A contract offered on a "take-it-or-leave-it" basis by an
insurer, in which the insured's only option is to accept or reject the contract. Any
ambiguities in the contract will be settled in favor of the insured
Admitted (Authorized) Insurer - Answer: An insurance company authorized and
licensed to transact insurance in a particular state
Adult Day Care - Answer: A program for impaired adults that attempts to meet
their health, social, and functional needs in a setting away from their homes
Adverse Selection - Answer: The tendency of risks with higher probability of loss
to purchase and maintain insurance more often than the risks who present lower
probability
Page 2 of 16
, Agent - Answer: An individual who is licensed to sell, negotiate, or effect
insurance contracts on behalf of the insurer
Aleatory - Answer: A contract in which participating parties exchange unequal
amounts. Insurance contracts are this in that the amount the insured will pay in
premiums is unequal to the amount the insurer will pay in the event of a loss
Alien Insurer - Answer: An insurance company that is incorporated outside the
USA
Apparent Authority - Answer: The appearance or the assumption of authority
based on the actions, words, or deeds of the principal or because of
circumstances the principal created
Approved Amount - Answer: The amount Medicare determines to be reasonable
for a service that is covered under Part B of Medicare
Assignment - Answer: A claim to a provider or medical supplier to receive
payments directly from Medicare
Attained Age - Answer: The age of the insured at a determined date
Attending Physician's Statement (APS) - Answer: A statement usually obtained
from the applicant's doctor
Page 3 of 16
