11/7/2024 12:35 PM
FL Health Insurance License Exam
Questions With Correct Answers
Which of the following statements regarding the tax treatment of medical expense insurance
premiums and benefits is correct?
- premiums are not deductible and benefits are taxable
- premiums are not deductible and benefits are not taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are not
taxable - answer✔premiums may be deductible as an unreimbursed medical expense and
benefits are not taxable
To control health care costs, HMOs stress the importance of what kind of health care among
their members?
- cosmetic care
- hospital care
- surgical care
- preventive care - answer✔preventive care
A guaranteed insurability rider guarantees an individual disability income policyowner's right to
buy additional coverage even if:
- the insured has duplicate coverage from another health insurance provider
- the insured cannot provide satisfactory evidence of insurability
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11/7/2024 12:35 PM
- the insured cannot afford the additional premium charged
- state law prohibits the same coverage to be sold under a separate policy - answer✔the
insured cannot provide satisfactory evidence of insurability
What was the forerunner to the health savings account (HSA)?
- health maintenance organization (HMO)
- preferred provider organization (PPO)
- medical savings account (MSA)
- provider sponsored organization (PSO) - answer✔medical savings account (MSA)
Which coverage does a person who is eligible for Medicare buy from a private insurer?
- Medicare Part A
- Medicare Part B
- Medicare Advantage
- Medicaid - answer✔Medicare Advantage
For purposes of group health insurance, a small employer is defined in Florida as any person or
entity that employs no more than how many employees?
- 100
- 50
- 20
- 2 - answer✔50
Which of the following optional health insurance policy provisions applies specifically to
disability income insurance policies?
- the relation of earnings to insurance provision
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11/7/2024 12:35 PM
- the unpaid premium provision
- the cancellation provision
- the conformity with state statutes provision - answer✔the relation of earnings to insurance
provision
Gracie has a Medicare Advantage policy and needs emergency care while traveling. However,
there are no network providers nearby. What should she do?
- delay treatment until she locates a provider within the network
- see any suitable provider even if outside the network
- seek a provider in another network
- submit her expenses to her insurer for reimbursement - answer✔see any suitable provider
even if outside the network
Which is NOT considered an activity of daily living (ADL) for purposes of qualifying for long-term
care insurance benefits?
- eating
- dressing
- bathing
- driving - answer✔driving
HMOs operate within geographic areas that are called:
- provider networks
- service areas
- covered areas
- managed care areas - answer✔service areas
HIPAA guarantees the availability of health insurance coverage in the individual market for
eligible individuals who have had at least how many months of aggregate creditable coverage?