and Answers 100% Pass
John's health plan benefits of 90% for in-network providers and 70% for out-of-netword
providers. What kind of plan is this. - ✔✔PPO - Preferred Provider Organization
MRMIP is a - ✔✔State program that offers health coverage to California residents who
are not able to obtain coverage due to pre- existing conditions.
When intentional concealment is involved, what course of action is the injured party
entitled to? - ✔✔Rescission of the Contract
In a renewable term life insurance policy , the contract will usually - ✔✔require a higher
premium payable at each renewal
What area of group health insurance is regulated under the Employee Retirement
Security Act of 1974 (ERISA)? - ✔✔Disclosure and reporting
At what age is a surviving spouse without dependents eligible for social security
survivor benefits ? - ✔✔60
A life insurance policy where the insured can choose where the cash value can be
invested is called - ✔✔Variable life
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,Cindy buys a 10-year certain annuity with an installment refund. After receiving
monthly payments for 5 years, Cindy dies. How many remaining payments will the
insurer make to her beneficiary? - ✔✔60 payments
potential for loss - ✔✔loss exposure
Major medical expense plans typically use a cost containment measure for emergency
hospital care. This is referred to as a(n) - ✔✔deductible
where must you specifically reside to qualify for MRMIP? - ✔✔California
statement is NOT true regarding Social Security benefits ? - ✔✔Benefits are designed to
replace the entire amount of the workers earnings
Medicare Part A covers what type of care? - ✔✔Skilled nursing facility care
Christine has a health insurance policy that has been in force beyond the incontestable
period. The insurer has discovered that a fraudulent statement was made on the
application. What would the insurer have to pay on a claim, assuming this wasn't a
guaranteed renewable policy? - ✔✔Nothing will be paid because of fraud
Which type of worker has Social Security benefits available to them? - ✔✔Fully insured
An insurance policy written after 1988 that fails to pass the seven-pay test is know as -
✔✔a modified endowment contract
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, Not a valid reason to replace an existing long-term care policy? - ✔✔New policy has
higher premium with fewer benefits
statement that is true about Medicare - ✔✔Benefits for diagnostic tests and X-rays
performed on an outpatient basis are provided by part B
In California , an insurer organized under the state laws of Oregon is Called a(n) -
✔✔foreign insurer
The conditions, times, and circumstances under which an insured is NOT covered by a
health policy are called? - ✔✔Exclusions
Which of the following does the California insurance code Not require an insurance
policy to specify? - ✔✔Insurer's financial rating
Which of the following services are health maintenance organizations (HMO's) Not
required to provide? - ✔✔Prescription Drugs
Not covered under vision care insurance - ✔✔eye surgery
How does a conditional receipt differ from a binding receipt? - ✔✔Binding receipts
always provide insurance which starts from the date of receipt
John owns an insurance policy that gives him the right to share in the insurer's surplus.
What kind of policy is this? - ✔✔Participating policy , gives rights to share the insurers
surplus
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