TEXAS LIFE HEALTH INSURANCE Actual Exam 2024-2025
Latest Version With 100 + Questions and Correct
Answers
All of the following are methods of determining the extra rate
for a substandard class or risk EXCEPT
a.) variable additional premium
b.) tabular rating
c.) rated-up age
d.) flat additional premium - ANSWER>> A
Medical expense insurance is commonly referred to as -
ANSWER>> Hospitalization insurance
A form of group insurance that may include students, campers,
passengers of a common carrier, volunteer groups, and sports
teams is known as - ANSWER>> Blanket insurance
In a limited policy, to ensure that the insured has sufficient
notice that the coverage is limited, every policy that provides
limited coverage must, by law, state plainly on the first page of
the policy, - ANSWER>> "THIS IS A LIMITED POLICY"
Which of the following cares for patients who do not require
acute hospital nursing care but who need impatient supervision
by a registered nurse?
1
a.) managed care
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, b.) skilled nursing facilities
c.) home health care
d.) urgent care - ANSWER>> B
Which of the following allows an employer to combine a high-
deductible health plan with a spending or reimbursement
account?
a.) health reimbursement accounts (HRA)
b.) multiple employer trusts (MET)
c.) health savings account (HSA)
d.) consumer-driven health plans (CDHP) - ANSWER>> D
An arrangement that allows very small groups to have some of
the benefits of group insurance, especially at a lower cost, is
called - ANSWER>> Franchise insurance
All of the following statements about franchise insurance are
true EXCEPT
a.) there is a master policy
b.) plans may be contributory
c.) one premium is paid for the entire group
d.) plans may be noncontributory - ANSWER>> A
Social security pays all of the following except
a.) workers comp
2
b.) retirement benefits to workers
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, c.) medicare benefits
d.) disability income benefits to workers - ANSWER>> A
All of the following are examples of managed care plans EXCEPT
a.) health maintenance organizations
b.) point-of-service plans
c.) indemnity arrangements
d.) preferred provider organizations - ANSWER>> C
A method of payment in which a provider is paid a specific fee
monthly for each subscriber is known as - ANSWER>>
Capitation
Best cleaners has a high-deductible health plan (HDHP). What
account may the employees also have to pay for qualified
medical expenses throughout the year on a tax-free basis? -
ANSWER>> A health savings account
Julia has a policy that will pay any expenses that she incurs due
to in-hospital medical treatment, as well as some of the
expenses she incurs on an outpatient basis. Julia probably has a
- ANSWER>> medical expense insurance policy
George has a policy that will provide him an income if he is
disabled from illness or injury and recuperating at home.
George probably has a - ANSWER>> Disability income policy
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, The Hoosier HMO contracts with an independent medical group
that specializes in a variety of medical services to provide those
services to HMO subscribers. The Hoosier HMO is structured -
ANSWER>> group model HMO
Ally pays for her health insurance monthly. Her identical twin
Georgia has the same policy, but pays annually. Which of them
probably pays more for the policy? - ANSWER>> Ally probably
pays more
Health insurance coverage never applies until - ANSWER>> the
insured has paid for the policy
No loss/no gain legislation requires a replacing policy to -
ANSWER>> continue to pay claims ongoing under the policy it
replaces
A statement that ensures benefits provided under the old
policy will continue under the new policy is - ANSWER>> A
transfer of benefits statement
Kim's policy is issued with wording that decreases the benefits
payable for a given condition. That wording is known as -
ANSWER>> A reduction
An optionally renewable policy is - ANSWER>> Cancelable by
the insurer only at the end of the policy term
4
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Latest Version With 100 + Questions and Correct
Answers
All of the following are methods of determining the extra rate
for a substandard class or risk EXCEPT
a.) variable additional premium
b.) tabular rating
c.) rated-up age
d.) flat additional premium - ANSWER>> A
Medical expense insurance is commonly referred to as -
ANSWER>> Hospitalization insurance
A form of group insurance that may include students, campers,
passengers of a common carrier, volunteer groups, and sports
teams is known as - ANSWER>> Blanket insurance
In a limited policy, to ensure that the insured has sufficient
notice that the coverage is limited, every policy that provides
limited coverage must, by law, state plainly on the first page of
the policy, - ANSWER>> "THIS IS A LIMITED POLICY"
Which of the following cares for patients who do not require
acute hospital nursing care but who need impatient supervision
by a registered nurse?
1
a.) managed care
Page
, b.) skilled nursing facilities
c.) home health care
d.) urgent care - ANSWER>> B
Which of the following allows an employer to combine a high-
deductible health plan with a spending or reimbursement
account?
a.) health reimbursement accounts (HRA)
b.) multiple employer trusts (MET)
c.) health savings account (HSA)
d.) consumer-driven health plans (CDHP) - ANSWER>> D
An arrangement that allows very small groups to have some of
the benefits of group insurance, especially at a lower cost, is
called - ANSWER>> Franchise insurance
All of the following statements about franchise insurance are
true EXCEPT
a.) there is a master policy
b.) plans may be contributory
c.) one premium is paid for the entire group
d.) plans may be noncontributory - ANSWER>> A
Social security pays all of the following except
a.) workers comp
2
b.) retirement benefits to workers
Page
, c.) medicare benefits
d.) disability income benefits to workers - ANSWER>> A
All of the following are examples of managed care plans EXCEPT
a.) health maintenance organizations
b.) point-of-service plans
c.) indemnity arrangements
d.) preferred provider organizations - ANSWER>> C
A method of payment in which a provider is paid a specific fee
monthly for each subscriber is known as - ANSWER>>
Capitation
Best cleaners has a high-deductible health plan (HDHP). What
account may the employees also have to pay for qualified
medical expenses throughout the year on a tax-free basis? -
ANSWER>> A health savings account
Julia has a policy that will pay any expenses that she incurs due
to in-hospital medical treatment, as well as some of the
expenses she incurs on an outpatient basis. Julia probably has a
- ANSWER>> medical expense insurance policy
George has a policy that will provide him an income if he is
disabled from illness or injury and recuperating at home.
George probably has a - ANSWER>> Disability income policy
3
Page
, The Hoosier HMO contracts with an independent medical group
that specializes in a variety of medical services to provide those
services to HMO subscribers. The Hoosier HMO is structured -
ANSWER>> group model HMO
Ally pays for her health insurance monthly. Her identical twin
Georgia has the same policy, but pays annually. Which of them
probably pays more for the policy? - ANSWER>> Ally probably
pays more
Health insurance coverage never applies until - ANSWER>> the
insured has paid for the policy
No loss/no gain legislation requires a replacing policy to -
ANSWER>> continue to pay claims ongoing under the policy it
replaces
A statement that ensures benefits provided under the old
policy will continue under the new policy is - ANSWER>> A
transfer of benefits statement
Kim's policy is issued with wording that decreases the benefits
payable for a given condition. That wording is known as -
ANSWER>> A reduction
An optionally renewable policy is - ANSWER>> Cancelable by
the insurer only at the end of the policy term
4
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