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COLORADO ACCIDENT AND HEALTH GENERAL
STATE SIMULATOR EXAM|| ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND FULLY COVERED
UPDATE 2024-2025 WITH WELL EXPLAINED
ANSWERS|| ASSURED PASS!!!
Which of the following is not a limited benefit plan? - ANSWER> life insurance
policy
P received Disability income benefits for 3 months then returns to work. She is
able to work one month before her condition returns, leaving her disabled once
again. What would the insurance company most likely regard this second period of
disability as? - ANSWER> A recurrent disability
A prospective insured completes and signs an application for health insurance but
intentionally conceals information about a pre-existing heart condition. The
company issues the policy. Two months later, the insured suffers a heart attack and
submits a claim. While processing the claim, the company discovers the pre-
existing condition. In this situation, the company will - ANSWER> continue
coverage but exclude the heart condition
Medicare Part C is - ANSWER> available to those who are enrolled in Medicare
Part A and Part B
which of these arrangements allows one to bypass insurable interest laws? -
ANSWER> investor-originated life insurance sometimes called stranger originated
life insurance is used to circumvent state insurable interest statutes.
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all of the following are considered to be typical characteristics describing nature of
an insurance contract except - ANSWER> bilateral (unilateral, aleatory, and
adhesion are all characteristics of insurance contract)
surgeon's fees are not - ANSWER> covered under hospitalization expense policy
after an insured gives notice of loss what must be done if the insurer does not
furnish forms? - ANSWER> file written proof of loss
The frist portion of a covered Major Medical insurance expense that the insured is
required to pay is called the - ANSWER> initial deductible
How long must a replacing insurer maintain the records of a replacement
transaction? - ANSWER> 5 years
In regards to maternity care, which of the following is not required to be covered in
the State of Colorado? - ANSWER> standard newborn circumcision
Why is an applicant's signature required on a life insurance application? -
ANSWER> to attest that the statements on the application are accurate to the best
of the applicants knowledge
Which statement is true regarding a group accident and health policy issued to an
employer? - ANSWER> The employer receives the policy and each employee is
issued a certificate
Which of the following is the reinbursement of benefits for the treatment of a
beneficiary's injuries cuased by a third party? - ANSWER> Subrogation
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What type of renewability guarantes premium rates and renewability? -
ANSWER> Noncancellable
M purchased an Accidental Death and Dismemberment (AD&D) policy and
named his son as beneficiary. M has the right to change the beneficiary designation
at anytime. What type of beneficiary is his son? - ANSWER> Revocable
K failed to pay a renewal premium within the time granted by the insurer. K then
sends in a payment which the insurer subsequently accepts. Which policy
provision specifies that coverage may be restored in this situation? - ANSWER>
Reinstatement
Which of the following characteristics is associated with a large group disability
income policy? - ANSWER> No medical underwriting
medicare is interned for all of the following groups except - ANSWER> those
enrolled as full-time students
disability income policy the ___ acts as a deductible clause - ANSWER>
deductible period
the elimination period serves as the deductible - ANSWER> in a disability income
policy
a characteristic of preferred provider organizations (PPOs) - ANSWER>
discounted fees for the patient. feed are discounted in return for using listed
providers
the primary difference between the Colorado partnership LTC policy and the other
LTC policies are - ANSWER> medicaid assest protection
COLORADO ACCIDENT AND HEALTH GENERAL
STATE SIMULATOR EXAM|| ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND FULLY COVERED
UPDATE 2024-2025 WITH WELL EXPLAINED
ANSWERS|| ASSURED PASS!!!
Which of the following is not a limited benefit plan? - ANSWER> life insurance
policy
P received Disability income benefits for 3 months then returns to work. She is
able to work one month before her condition returns, leaving her disabled once
again. What would the insurance company most likely regard this second period of
disability as? - ANSWER> A recurrent disability
A prospective insured completes and signs an application for health insurance but
intentionally conceals information about a pre-existing heart condition. The
company issues the policy. Two months later, the insured suffers a heart attack and
submits a claim. While processing the claim, the company discovers the pre-
existing condition. In this situation, the company will - ANSWER> continue
coverage but exclude the heart condition
Medicare Part C is - ANSWER> available to those who are enrolled in Medicare
Part A and Part B
which of these arrangements allows one to bypass insurable interest laws? -
ANSWER> investor-originated life insurance sometimes called stranger originated
life insurance is used to circumvent state insurable interest statutes.
, P a g e |2
all of the following are considered to be typical characteristics describing nature of
an insurance contract except - ANSWER> bilateral (unilateral, aleatory, and
adhesion are all characteristics of insurance contract)
surgeon's fees are not - ANSWER> covered under hospitalization expense policy
after an insured gives notice of loss what must be done if the insurer does not
furnish forms? - ANSWER> file written proof of loss
The frist portion of a covered Major Medical insurance expense that the insured is
required to pay is called the - ANSWER> initial deductible
How long must a replacing insurer maintain the records of a replacement
transaction? - ANSWER> 5 years
In regards to maternity care, which of the following is not required to be covered in
the State of Colorado? - ANSWER> standard newborn circumcision
Why is an applicant's signature required on a life insurance application? -
ANSWER> to attest that the statements on the application are accurate to the best
of the applicants knowledge
Which statement is true regarding a group accident and health policy issued to an
employer? - ANSWER> The employer receives the policy and each employee is
issued a certificate
Which of the following is the reinbursement of benefits for the treatment of a
beneficiary's injuries cuased by a third party? - ANSWER> Subrogation
, P a g e |3
What type of renewability guarantes premium rates and renewability? -
ANSWER> Noncancellable
M purchased an Accidental Death and Dismemberment (AD&D) policy and
named his son as beneficiary. M has the right to change the beneficiary designation
at anytime. What type of beneficiary is his son? - ANSWER> Revocable
K failed to pay a renewal premium within the time granted by the insurer. K then
sends in a payment which the insurer subsequently accepts. Which policy
provision specifies that coverage may be restored in this situation? - ANSWER>
Reinstatement
Which of the following characteristics is associated with a large group disability
income policy? - ANSWER> No medical underwriting
medicare is interned for all of the following groups except - ANSWER> those
enrolled as full-time students
disability income policy the ___ acts as a deductible clause - ANSWER>
deductible period
the elimination period serves as the deductible - ANSWER> in a disability income
policy
a characteristic of preferred provider organizations (PPOs) - ANSWER>
discounted fees for the patient. feed are discounted in return for using listed
providers
the primary difference between the Colorado partnership LTC policy and the other
LTC policies are - ANSWER> medicaid assest protection
