Florida 240 Practice Exam/ Questions and
Answers/ 2024-2025.
After a person's employment is terminated, it is possible to obtain individual
health insurance after losing the group health coverage provided by the employer.
Which of the following is NOT true?
a) The employee can convert from group to individual insurance within 31 days of
termination.
b) The premium of the individual health insurance policy can be higher than the
original policy.
c) By law, the new, individual policy must provide the same benefits as the group
insurance policy.
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, d) Continuation of group coverage need not include dental, vision, or prescription
drug benefits. - Answer: c) By law, the new, individual policy must provide the
same benefits as the group insurance policy.
An insured has endured multiple surgeries and hospitalizations for an illness
during the last few months. Her insurer no longer bills her for medical expenses.
Which of the following allows for that?
a) Waiver of premium
b) Maximum loss
c) Stop-loss limit
d) Grace period - Answer: c) Stop-loss limit
A medical expense policy that establishes the amount of benefit paid based upon
the prevailing charges which fall within the standard range of fees normally
charged for a specific procedure by a doctor of similar training and experience in
that geographic area is known as - Answer: Usual, customary and reasonable
What provision would prevent an insurance company from paying a
reimbursement claim to someone other than the policyowner? - Answer:
Payment of Claims
All of the following are true about group disability Income insurance EXCEPT
a) The longer the waiting period, the lower the premium.
b) Coverage applies both on and off the job.
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Answers/ 2024-2025.
After a person's employment is terminated, it is possible to obtain individual
health insurance after losing the group health coverage provided by the employer.
Which of the following is NOT true?
a) The employee can convert from group to individual insurance within 31 days of
termination.
b) The premium of the individual health insurance policy can be higher than the
original policy.
c) By law, the new, individual policy must provide the same benefits as the group
insurance policy.
Page 1 of 15
, d) Continuation of group coverage need not include dental, vision, or prescription
drug benefits. - Answer: c) By law, the new, individual policy must provide the
same benefits as the group insurance policy.
An insured has endured multiple surgeries and hospitalizations for an illness
during the last few months. Her insurer no longer bills her for medical expenses.
Which of the following allows for that?
a) Waiver of premium
b) Maximum loss
c) Stop-loss limit
d) Grace period - Answer: c) Stop-loss limit
A medical expense policy that establishes the amount of benefit paid based upon
the prevailing charges which fall within the standard range of fees normally
charged for a specific procedure by a doctor of similar training and experience in
that geographic area is known as - Answer: Usual, customary and reasonable
What provision would prevent an insurance company from paying a
reimbursement claim to someone other than the policyowner? - Answer:
Payment of Claims
All of the following are true about group disability Income insurance EXCEPT
a) The longer the waiting period, the lower the premium.
b) Coverage applies both on and off the job.
Page 2 of 15
