Answers/ 2024-2025.
In long-term care insurance, what type of care is provided with intermediate care?
- Answer: Occasional nursing or rehabilitative care
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.
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, c) By law, the new, individual policy must provide the same benefits as the group
insurance policy.
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
L has a major medical policy with a $500 deductible and 80/20 coinsurance. Lis
hospitalized and sustains a $2.500 loss.
What is the maximum amount that L will have to pay? - Answer: $900 L would
first pay the $500 deductible; out of the remaining $2,000, the insurer will pay
80% ($1,600) and the insured will pay 20% ($400).
Which of the following entities has the authority to make changes to an insurance
policy?
a) Department of Insurance
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