JACKLINE
Texas Health Insurance Exam 2023 With Questions And 100% SURE ANSWERS
Terms in this set (121)
Accident An unplanned, unforeseen event which occurs suddenly and at an unspecified place.
Accident Insurance A type of insurance that protects the insured against loss due to accidental bodily injury.
Accidental Bodily Injury Unplanned, unforeseen traumatic injury to the body.
An insurance policy which pays a specified amount or a specified multiple of the insured's
Accidental Death and Dismemberment
benefit if the insured dies, loses his/her sight, or loses two limbs due to an accident.
A policy rider that states that the cause of death will be analyzed to determine if it complies
Accidental Death Benefits
with the policy description of accidental death.
Texas Health Insurance Exam 2023
1/14
, Activities individuals must do every day such as moving about, getting dressed, eating,
Activities of Daily Living
bathing, etc.
Actual Charge The amount a physician or supplier actually bills for a particular service or supply.
A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only
Adhesion option is to accept or reject the contract. Any ambiguities in the contract will be settled in
favor of the insured.
Admitted (Authorized) Insurer An insurance company authorized and licensed to transact business in a particular state.
A program for impaired adults that attempts to meet their health, social, and functional needs
Adult Day Care
in a setting away from their homes.
The tendency of risks with higher probability of loss to purchase and maintain insurance more
Adverse Selection
often than the risks who present lower probability.
An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an
Agent
insurer.
A contract in which participating parties exchange unequal amounts. Insurance contracts are
Aleatory aleatory 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 An insurance company that is incorporated outside the United States.
A disease that causes the victim to become dysfunctional due to degeneration of brain cells
Alzheimer's disease
and severe memory loss.
The appearance or the assumption of authority based on the actions, words, or deeds of the
Apparent Authority
principal or because of circumstances the principal created.
The amount Medicare determines to be reasonable for a service that is covered under part B
Approved Amount
of Medicare.
Assignment A claim to a provider or medical supplier to receive payments directly from Medicare.
Attained Age The age of the insured at a determined date.
Texas Health Insurance Exam 2023
2/14
Texas Health Insurance Exam 2023 With Questions And 100% SURE ANSWERS
Terms in this set (121)
Accident An unplanned, unforeseen event which occurs suddenly and at an unspecified place.
Accident Insurance A type of insurance that protects the insured against loss due to accidental bodily injury.
Accidental Bodily Injury Unplanned, unforeseen traumatic injury to the body.
An insurance policy which pays a specified amount or a specified multiple of the insured's
Accidental Death and Dismemberment
benefit if the insured dies, loses his/her sight, or loses two limbs due to an accident.
A policy rider that states that the cause of death will be analyzed to determine if it complies
Accidental Death Benefits
with the policy description of accidental death.
Texas Health Insurance Exam 2023
1/14
, Activities individuals must do every day such as moving about, getting dressed, eating,
Activities of Daily Living
bathing, etc.
Actual Charge The amount a physician or supplier actually bills for a particular service or supply.
A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only
Adhesion option is to accept or reject the contract. Any ambiguities in the contract will be settled in
favor of the insured.
Admitted (Authorized) Insurer An insurance company authorized and licensed to transact business in a particular state.
A program for impaired adults that attempts to meet their health, social, and functional needs
Adult Day Care
in a setting away from their homes.
The tendency of risks with higher probability of loss to purchase and maintain insurance more
Adverse Selection
often than the risks who present lower probability.
An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an
Agent
insurer.
A contract in which participating parties exchange unequal amounts. Insurance contracts are
Aleatory aleatory 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 An insurance company that is incorporated outside the United States.
A disease that causes the victim to become dysfunctional due to degeneration of brain cells
Alzheimer's disease
and severe memory loss.
The appearance or the assumption of authority based on the actions, words, or deeds of the
Apparent Authority
principal or because of circumstances the principal created.
The amount Medicare determines to be reasonable for a service that is covered under part B
Approved Amount
of Medicare.
Assignment A claim to a provider or medical supplier to receive payments directly from Medicare.
Attained Age The age of the insured at a determined date.
Texas Health Insurance Exam 2023
2/14
