HEALTH INSURANCE EXAM QUESTIONS AND
ANSWERS
Which of the following statements is CORRECT about coinsurance?
A: It applies to deductibles as well as to claim payments.
B: It helps control overutilization of benefits.
C: It if effective for the first claim payment and waived for future claims.
D: Insurance companies may adjust the coinsurance ratio after issuing this policy. -
Answers- B: It helps control overutilization of benefits.
Which of the following health policies requires a beneficiary designation?
A: Travel Accident
B: Medicare Supplement
C: Blanket
D: Long Term Care - Answers- A: Travel Accident
The PRIMARY purpose of Medicaid is to:
A: pay for expenses not covered by Medicare
B: provide Disability Income benefits to people on Medicare
C: provide Medical Expense coverage to persons meeting certain minimum income
requirements
D: provide funds for people injured in natural disasters - Answers- C: provide Medical
Expense coverage to persons meeting certain minimum income requirements
Which of the following types of provisions guarantees renewability to a specified date or
age unless certain specified events occur?
A: Noncancellable
B: Optionally Renewable
C: Guaranteed Renewable
D: Conditionally Renewable - Answers- D: Conditionally Renewable
Which of the following reports may include information obtained by a telephone call to
the proposed insured?
A: Medical Information Bureau (MIB) report
B: Attending physician's report
C: Inspection report
D: Precertification Review - Answers- C: Inspection report
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
A: Uniform Provisions Law
B: Freedom of Information Act
C: Medical Information Bureau Disclosure Act
, D: Fair Credit Reporting Act (Insurance Information and Privacy Protection Act -
Answers- D: Fair Credit Reporting Act (Insurance Information and Privacy Protection Act
The Social Security program provides all of the following benefits EXCEPT:
A: retirement
B: survivor
C: disability
D: workers compensation - Answers- D: workers compensation
The individual who has had a heart murmur since birth is likely to be issued an
individual health policy that includes:
A: a Guaranteed Insurability rider
B: an Exclusionary/ Impairment rider
C: a Waiver of Premium rider
D: a Double Indemnity rider - Answers- B: an Exclusionary/ Impairment rider
The insurance policy clause that identifies the contracting parties and defines the scope
and limits of coverage is called the:
A: Insuring clause
B: Benefit clause
C: Consideration clause
D: Renewal clause - Answers- A: Insuring clause
An Eligible Expenses provision in a comprehensive major medical policy commonly
identifies all of the following types of covered health care services EXCEPT:
A: professional services of doctors and other medical practitioners
B: hospital charges for semi-private room and board
C: experimental and investigative services
D: pre-approved home health care - Answers- C: experimental and investigative
services
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
A: length of employment
B: gender
C: salary grade
D: job category - Answers- B: gender
Which of the following provisions explains that a producer does not have the authority to
waive the provisions of an insurance contract?
A: Legal actions
B: Reinstatement
C: Time limit on certain defenses
D: Entire Contract - Answers- D: Entire Contract
Medicare Part A covers which of the following expenses?
ANSWERS
Which of the following statements is CORRECT about coinsurance?
A: It applies to deductibles as well as to claim payments.
B: It helps control overutilization of benefits.
C: It if effective for the first claim payment and waived for future claims.
D: Insurance companies may adjust the coinsurance ratio after issuing this policy. -
Answers- B: It helps control overutilization of benefits.
Which of the following health policies requires a beneficiary designation?
A: Travel Accident
B: Medicare Supplement
C: Blanket
D: Long Term Care - Answers- A: Travel Accident
The PRIMARY purpose of Medicaid is to:
A: pay for expenses not covered by Medicare
B: provide Disability Income benefits to people on Medicare
C: provide Medical Expense coverage to persons meeting certain minimum income
requirements
D: provide funds for people injured in natural disasters - Answers- C: provide Medical
Expense coverage to persons meeting certain minimum income requirements
Which of the following types of provisions guarantees renewability to a specified date or
age unless certain specified events occur?
A: Noncancellable
B: Optionally Renewable
C: Guaranteed Renewable
D: Conditionally Renewable - Answers- D: Conditionally Renewable
Which of the following reports may include information obtained by a telephone call to
the proposed insured?
A: Medical Information Bureau (MIB) report
B: Attending physician's report
C: Inspection report
D: Precertification Review - Answers- C: Inspection report
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
A: Uniform Provisions Law
B: Freedom of Information Act
C: Medical Information Bureau Disclosure Act
, D: Fair Credit Reporting Act (Insurance Information and Privacy Protection Act -
Answers- D: Fair Credit Reporting Act (Insurance Information and Privacy Protection Act
The Social Security program provides all of the following benefits EXCEPT:
A: retirement
B: survivor
C: disability
D: workers compensation - Answers- D: workers compensation
The individual who has had a heart murmur since birth is likely to be issued an
individual health policy that includes:
A: a Guaranteed Insurability rider
B: an Exclusionary/ Impairment rider
C: a Waiver of Premium rider
D: a Double Indemnity rider - Answers- B: an Exclusionary/ Impairment rider
The insurance policy clause that identifies the contracting parties and defines the scope
and limits of coverage is called the:
A: Insuring clause
B: Benefit clause
C: Consideration clause
D: Renewal clause - Answers- A: Insuring clause
An Eligible Expenses provision in a comprehensive major medical policy commonly
identifies all of the following types of covered health care services EXCEPT:
A: professional services of doctors and other medical practitioners
B: hospital charges for semi-private room and board
C: experimental and investigative services
D: pre-approved home health care - Answers- C: experimental and investigative
services
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
A: length of employment
B: gender
C: salary grade
D: job category - Answers- B: gender
Which of the following provisions explains that a producer does not have the authority to
waive the provisions of an insurance contract?
A: Legal actions
B: Reinstatement
C: Time limit on certain defenses
D: Entire Contract - Answers- D: Entire Contract
Medicare Part A covers which of the following expenses?
