NY Series 17-52 questions and answers
Which of the following statements regarding Business Overhead Expense policies is NOT true?
✔✔Benefits are usually limited to six months.
At what point must an Outline of Coverage be delivered? ✔✔At the time of application or upon
delivery of the policy
A medical insurance plan in which the health care provider is paid a regular fixed amount for
providing care to the insured and does not receive additional amounts of compensation
dependent upon the procedure performed is called ✔✔Prepaid plan.
Medicaid provides all of the following benefits EXCEPT ✔✔Income assistance for work-related
injury.
What would a physician utilize if he/she wanted to know if a treatment is covered under an
insured's plan and at what rate it will be paid? ✔✔Prospective review
Which of the following programs expands individual public assistance programs for people with
insufficient income and resources? ✔✔Medicaid
When the policy premium wasn't submitted with the application, what should the agent obtain
from the insured upon policy delivery? ✔✔A statement of good health
, The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT
✔✔Individual tax deduction for premiums paid.
Pertaining to insurance, what is the definition of a fiduciary responsibility? ✔✔Promptly
forwarding premiums to the insurance company
Which of the following persons would qualify for Medicare Part A? ✔✔Anyone who has
permanent kidney failure
A rating method in which the premium is the same for all covered persons, regardless of age, sex,
or health status is referred to as ✔✔Community rating
What is the purpose of Medigap policies? ✔✔To cover expenses for Medicare deductibles and
coinsurance
Under which of the following circumstances may the uniform individual accident and sickness
policy provisions be changed? ✔✔If the change is more favorable to the policyholder
In an HMO policy, one of the main responsibilities of the primary care physician (PCP) as a
gatekeeper is to do which of the following? ✔✔Help control costs
Which of the following statements regarding Business Overhead Expense policies is NOT true?
✔✔Benefits are usually limited to six months.
At what point must an Outline of Coverage be delivered? ✔✔At the time of application or upon
delivery of the policy
A medical insurance plan in which the health care provider is paid a regular fixed amount for
providing care to the insured and does not receive additional amounts of compensation
dependent upon the procedure performed is called ✔✔Prepaid plan.
Medicaid provides all of the following benefits EXCEPT ✔✔Income assistance for work-related
injury.
What would a physician utilize if he/she wanted to know if a treatment is covered under an
insured's plan and at what rate it will be paid? ✔✔Prospective review
Which of the following programs expands individual public assistance programs for people with
insufficient income and resources? ✔✔Medicaid
When the policy premium wasn't submitted with the application, what should the agent obtain
from the insured upon policy delivery? ✔✔A statement of good health
, The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT
✔✔Individual tax deduction for premiums paid.
Pertaining to insurance, what is the definition of a fiduciary responsibility? ✔✔Promptly
forwarding premiums to the insurance company
Which of the following persons would qualify for Medicare Part A? ✔✔Anyone who has
permanent kidney failure
A rating method in which the premium is the same for all covered persons, regardless of age, sex,
or health status is referred to as ✔✔Community rating
What is the purpose of Medigap policies? ✔✔To cover expenses for Medicare deductibles and
coinsurance
Under which of the following circumstances may the uniform individual accident and sickness
policy provisions be changed? ✔✔If the change is more favorable to the policyholder
In an HMO policy, one of the main responsibilities of the primary care physician (PCP) as a
gatekeeper is to do which of the following? ✔✔Help control costs
