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Examen

Nebraska Life and Health License Exam ACCURATE TESTED VERSIONS OF THE EXAM FROM 2025 TO 2025 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS

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Subido en
14-02-2025
Escrito en
2024/2025

1. Which organization offers health insurance to Nebraska residents who are denied health insurance and unable to obtain coverage from private companies due to pre-existing medical conditions? o A) Nebraska Health Insurance Exchange o B) Nebraska Comprehensive Health Insurance Pool o C) Nebraska Health Care Assistance Program o D) Nebraska Insurance Solutions o Correct answer: B) Nebraska Comprehensive Health Insurance Pool Rationale: The Nebraska Comprehensive Health Insurance Pool (NCHIP) provides coverage for residents with pre-existing conditions who are unable to obtain health insurance from private insurers. 2. Newborn children are automatically covered under an insured's individual health insurance policy for how long? o A) From birth to 15 days o B) From birth to 31 days o C) From birth to 90 days o D) From birth to 60 days o Correct answer: B) From birth to 31 days Rationale: Newborns are typically covered for the first 31 days under their parent's individual health insurance policy. 3. As beneficiary of her husband's life insurance, Beth chooses to receive payments for life. However, she is guaranteed that the payments will be made for ten years. Beth has chosen which of the following? o A) Life income with period certain o B) Straight life income o C) Fixed-period option o D) Joint and survivor annuity o Correct answer: A) Life income with period certain Rationale: This option guarantees payments for life, but if the beneficiary dies within the first 10 years, the remaining payments are made to the beneficiary's estate or another person. 4. Which method of determining the benefit amount is most common in individual disability income policies? o A) Flat amount o B) Percentage of income o C) Income replacement o D) Needs-based calculation o Correct answer: A) Flat amount Rationale: Individual disability income policies typically use a flat amount to determine the benefit, offering a set payment regardless of the insured’s income. 5. Which statement describes the "pool of money" approach to benefits under a long-term care insurance policy? o A) Benefits are paid based on a daily rate until the policy limit is reached. o B) Benefits are defined as a total sum of money from which money can be drawn in any amount for as long as the money lasts. o C) Benefits are paid in lump sum for the first year of care. o D) Benefits are distributed on a monthly basis regardless of care costs. o Correct answer: B) Benefits are defined as a total sum of money from which money can be drawn in any amount for as long as the money lasts. Rationale : The "pool of money" approach gives the insured a set total amount, which they can use as needed until the pool is exhausted. 6. Which statement best describes the restrictions an insurer must operate under when using information from the MIB? o A) Insurers can rate or decline based solely on MIB information. o B) Insurers must consider MIB information in combination with other sources. o C) Insurers can only use MIB information for underwriting life insurance. o D) Insurers cannot rate or decline a life insurance applicant based solely on MIB information. o Correct answer: D) Insurers cannot rate or decline a life insurance applicant based solely on MIB information. Rationale: The MIB is used to supplement other underwriting tools, but insurers cannot base their decisions entirely on MIB data. 7. Which of the following must HMO members use to receive covered care? o A) Any provider within the network o B) HMO's network of providers and caregivers o C) Any healthcare provider within the state o D) Any healthcare provider with contractual agreements with the HMO o Correct answer: B) HMO's network of providers and caregivers Rationale: HMO members must use the network of providers specified by the HMO to receive covered care. 8. Which statement is correct about a buy-up option in a disability income insurance policy for professionals? o A) It allows the insured to increase coverage without further evidence of insurability. o B) It provides a lump sum payment for increased coverage. o C) It allows the insurer to adjust coverage annually. o D) It lets the insured extend coverage until retirement. o Correct answer: A) It allows the insured to increase coverage without further evidence of insurability. Rationale: The buy-up option provides the insured with the ability to increase coverage in the future without needing to provide additional health information. 9. Bill believes he has a cause of action against his health insurer for its refusal to pay benefits on a claim. He filed written proof of loss on April 1. Not having received a response by May 1, he decides to take legal action. What will his attorney probably do? o A) Advise him to wait o B) File an immediate lawsuit o C) Advise him to contact the insurer again o D) File a complaint with the Department of Insurance o Correct answer: A) Advise him to wait Rationale: Health insurers often have specific timelines to respond to claims, and it is typically advisable to wait until the full claims process has elapsed before taking legal action. 10. For tax purposes, a self-employed person includes all of the following, EXCEPT: • A) A sole proprietor • B) A limited liability company (LLC) member • C) A self-employed independent contractor • D) An incorporated business owner • Correct answer: D) An incorporated business owner Rationale: An incorporated business owner is considered a separate entity for tax purposes and is typically treated differently than other forms of self-employment. 11. The Director of Insurance can examine the business transactions, accounts, and records of insurers as often as necessary, but must do so at least once in how many years? • A) Three • B) Five • C) Seven • D) Ten • Correct answer: B) Five Rationale: The Director of Insurance must examine the records of insurers at least once every five years to ensure compliance with regulations. 12. An insured has a comprehensive major medical insurance policy with a $1,000 deductible and 80/20 coinsurance. She incurs a bill of $11,000. What will she pay in total? • A) $2,000 • B) $3,000 • C) $4,000 • D) $5,000 • Correct answer: B) $3,000 Rationale: The insured first pays the $1,000 deductible, leaving $10,000. With 80/20 coinsurance, the insured pays 20% of $10,000, which is $2,000. The total payment is $1,000 + $2,000 = $3,000. 13. Adam owns an individual long-term care policy that was issued in Nebraska. Which of the following conditions must the policy cover? • A) Cancer • B) Alzheimer's disease • C) Heart disease • D) Diabetes • Correct answer: B) Alzheimer's disease Rationale: In Nebraska, long-term care policies must cover Alzheimer's disease, which is a common condition requiring long-term care. 14. Tax law considers any limited payment life insurance policy that is paid-up in seven years or less to be which of the following? • A) A Modified Endowment Contract • B) A Whole Life Policy • C) A Term Life Policy • D) A Universal Life Policy • Correct answer: A) A Modified Endowment Contract Rationale: A policy paid-up in seven years or less is classified as a Modified Endowment Contract (MEC), which has different tax implications than other life insurance policies. 15. Eric fails to pay the annual premium on his major medical insurance policy. The grace period provision allows him to pay the premium within how many days after the due date? • A) 15 • B) 21 • C) 31 • D) 60 • Correct answer: C) 31 Rationale: Most major medical insurance policies include a 31-day grace period during which the insured can pay the premium without losing coverage. 16. When can the owner of a deferred annuity select a settlement option? • A) At any time prior to annuitization • B) Only after the accumulation phase • C) After the annuity has matured • D) At the time of purchase • Correct answer: A) At any time prior to annuitization Rationale: The owner of a deferred annuity can choose a settlement option anytime before the annuity enters the payout phase, or annuitization. 17. When completing an application for life insurance, Andrew states that he is 39 years old, though he is actually 45. When the insurer discovers this, what will it probably do? • A) Adjust the benefits • B) Decline the application • C) Increase the premiums • D) Void the policy • Correct answer: A) Adjust the benefits Rationale: The insurer will likely adjust the policy’s benefits or premiums based on the correct age since age is a significant factor in determining life insurance rates. 18. When underwriting a group life insurance policy, which of the following does the underwriter look at? • A) The group as a whole • B) Each individual in the group • C) The financial stability of each member • D) The personal health history of each member • Correct answer: A) The group as a whole Rationale: Group life insurance underwriting focuses on the group as a whole rather than on individual health histories, making it different from individual underwriting. 19. Alana let her life insurance policy lapse two years ago and now wants to reinstate the policy. Which action is she NOT required to take to reinstate the policy? • A) Provide evidence of insurability • B) Pay the next year’s premium in advance • C) Submit a new application • D) Pay back premiums with interest • Correct answer: B) Pay the next year’s premium in advance Rationale: While the policyholder may need to provide evidence of insurability and pay past-due premiums, paying the next year's premium in advance is not a standard requirement for reinstating a lapsed policy. 20. A long-term care insurance policy issued in Nebraska cannot exclude coverage or limit benefits for which of the following? • A) Pre-existing conditions • B) Alzheimer's disease • C) Psychiatric conditions • D) Mental illnesses • Correct answer: B) Alzheimer's disease Rationale: Nebraska long-term care insurance policies must cover Alzheimer’s disease, which is often a condition that requires long-term care.

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Institución
Nebraska Life and Health License
Grado
Nebraska Life and Health License

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Subido en
14 de febrero de 2025
Número de páginas
31
Escrito en
2024/2025
Tipo
Examen
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Nebraska Life and Health License Exam
ACCURATE TESTED VERSIONS OF THE
EXAM FROM 2025 TO 2025 | ACCURATE
AND VERIFIED ANSWERS | NEXT GEN
FORMAT | GUARANTEED PASS
1. Which organization offers health insurance to Nebraska residents who are denied
health insurance and unable to obtain coverage from private companies due to pre-
existing medical conditions?

o A) Nebraska Health Insurance Exchange

o B) Nebraska Comprehensive Health Insurance Pool

o C) Nebraska Health Care Assistance Program

o D) Nebraska Insurance Solutions

o Correct answer: B) Nebraska Comprehensive Health Insurance Pool
Rationale: The Nebraska Comprehensive Health Insurance Pool (NCHIP) provides
coverage for residents with pre-existing conditions who are unable to obtain
health insurance from private insurers.

2. Newborn children are automatically covered under an insured's individual health
insurance policy for how long?

o A) From birth to 15 days

o B) From birth to 31 days

o C) From birth to 90 days

o D) From birth to 60 days

o Correct answer: B) From birth to 31 days
Rationale: Newborns are typically covered for the first 31 days under their
parent's individual health insurance policy.

,3. As beneficiary of her husband's life insurance, Beth chooses to receive payments for
life. However, she is guaranteed that the payments will be made for ten years. Beth
has chosen which of the following?

o A) Life income with period certain

o B) Straight life income

o C) Fixed-period option

o D) Joint and survivor annuity

o Correct answer: A) Life income with period certain
Rationale: This option guarantees payments for life, but if the beneficiary dies
within the first 10 years, the remaining payments are made to the beneficiary's
estate or another person.

4. Which method of determining the benefit amount is most common in individual
disability income policies?

o A) Flat amount

o B) Percentage of income

o C) Income replacement

o D) Needs-based calculation

o Correct answer: A) Flat amount
Rationale: Individual disability income policies typically use a flat amount to
determine the benefit, offering a set payment regardless of the insured’s income.

5. Which statement describes the "pool of money" approach to benefits under a long-
term care insurance policy?

o A) Benefits are paid based on a daily rate until the policy limit is reached.

o B) Benefits are defined as a total sum of money from which money can be drawn
in any amount for as long as the money lasts.

o C) Benefits are paid in lump sum for the first year of care.

o D) Benefits are distributed on a monthly basis regardless of care costs.

o Correct answer: B) Benefits are defined as a total sum of money from which
money can be drawn in any amount for as long as the money lasts.

, Rationale: The "pool of money" approach gives the insured a set total amount,
which they can use as needed until the pool is exhausted.

6. Which statement best describes the restrictions an insurer must operate under when
using information from the MIB?

o A) Insurers can rate or decline based solely on MIB information.

o B) Insurers must consider MIB information in combination with other sources.

o C) Insurers can only use MIB information for underwriting life insurance.

o D) Insurers cannot rate or decline a life insurance applicant based solely on MIB
information.

o Correct answer: D) Insurers cannot rate or decline a life insurance applicant
based solely on MIB information.
Rationale: The MIB is used to supplement other underwriting tools, but insurers
cannot base their decisions entirely on MIB data.

7. Which of the following must HMO members use to receive covered care?

o A) Any provider within the network

o B) HMO's network of providers and caregivers

o C) Any healthcare provider within the state

o D) Any healthcare provider with contractual agreements with the HMO

o Correct answer: B) HMO's network of providers and caregivers
Rationale: HMO members must use the network of providers specified by the
HMO to receive covered care.

8. Which statement is correct about a buy-up option in a disability income insurance
policy for professionals?

o A) It allows the insured to increase coverage without further evidence of
insurability.

o B) It provides a lump sum payment for increased coverage.

o C) It allows the insurer to adjust coverage annually.

o D) It lets the insured extend coverage until retirement.

, o Correct answer: A) It allows the insured to increase coverage without further
evidence of insurability.
Rationale: The buy-up option provides the insured with the ability to increase
coverage in the future without needing to provide additional health information.

9. Bill believes he has a cause of action against his health insurer for its refusal to pay
benefits on a claim. He filed written proof of loss on April 1. Not having received a
response by May 1, he decides to take legal action. What will his attorney probably
do?

o A) Advise him to wait

o B) File an immediate lawsuit

o C) Advise him to contact the insurer again

o D) File a complaint with the Department of Insurance

o Correct answer: A) Advise him to wait
Rationale: Health insurers often have specific timelines to respond to claims, and
it is typically advisable to wait until the full claims process has elapsed before
taking legal action.

10. For tax purposes, a self-employed person includes all of the following, EXCEPT:

• A) A sole proprietor

• B) A limited liability company (LLC) member

• C) A self-employed independent contractor

• D) An incorporated business owner

• Correct answer: D) An incorporated business owner
Rationale: An incorporated business owner is considered a separate entity for tax
purposes and is typically treated differently than other forms of self-employment.

11. The Director of Insurance can examine the business transactions, accounts, and
records of insurers as often as necessary, but must do so at least once in how many
years?

• A) Three

• B) Five

• C) Seven
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