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COLORADO HEALTH INSURANCE VERSION 1 AND 2 EXAMS LATEST
2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Which of the following terms describes the specified dollar
amount beyond which the insured no longer participates in the
sharing of expenses?
AOut-of-pocket limit
BFirst-dollar coverage
CCorridor deductible
DStop-loss limit - ANSWER-D
When Linda suffered a broken hip, she notified her agent, in
writing, within 12 days of the loss. However, her agent did not
notify the insurance company until 60 days after the loss. Which
of the following statements correctly explains how this claim
would be handled?
AThe insurer may delay the payment of this claim for up to 6
months.
BThe insurer may settle this claim for less than it otherwise would
have had the notification been provided in a timely manner.
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CThe insurer may deny the claim since it was not notified within
the required 20-day time frame.
DThe insurer is considered to be notified since the notification to
agent equals notification to the insurer. - ANSWER-D
Which of the following is NOT a feature of a guaranteed
renewable provision?
AThe insured has a unilateral right to renew the policy for the life
of the contract.
BCoverage is not renewable beyond the insured's age 65.
CThe insured's benefits cannot be reduced.
DThe insurer can increase the policy premium on an individual
basis. - ANSWER-D
The provision in a health insurance policy that ensures that the
insurer cannot refer to any document that is not contained in the
contract is the
ATime limit on certain defenses clause.
BIncontestability clause.
CLegal action against us clause.
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DEntire contract clause. - ANSWER-D
Which of the following entities has the authority to make changes
to an insurance policy?
AProducer
BInsurer's executive officer
CDepartment of Insurance
DBroker - ANSWER-B
In a group health policy, a probationary period is intended for
people
AWho want lower premiums.
BWho joined the group after the effective date.
CWho had a pre-existing condition at the time they joined the
group.
DWho have additional coverage through a spouse. - ANSWER-B
Under the uniform required provisions, proof of loss under a
health insurance policy normally should be filed within
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A90 days of a loss.
B20 days of a loss.
C30 days of a loss.
D60 days of a loss. - ANSWER-A
A waiver of premium provision may be included with which kind of
health insurance policy?
ADisability income
BBasic medical
CHospital indemnity
DDread disease - ANSWER-A
The expense for an autopsy covered under the physical exam
and autopsy provision is paid by
AThe insurer.
BThe state's autopsy fund.
CThe limits of coverage under the health insurance policy.
DThe estate of the insured. - ANSWER-A
COLORADO HEALTH INSURANCE VERSION 1 AND 2 EXAMS LATEST
2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Which of the following terms describes the specified dollar
amount beyond which the insured no longer participates in the
sharing of expenses?
AOut-of-pocket limit
BFirst-dollar coverage
CCorridor deductible
DStop-loss limit - ANSWER-D
When Linda suffered a broken hip, she notified her agent, in
writing, within 12 days of the loss. However, her agent did not
notify the insurance company until 60 days after the loss. Which
of the following statements correctly explains how this claim
would be handled?
AThe insurer may delay the payment of this claim for up to 6
months.
BThe insurer may settle this claim for less than it otherwise would
have had the notification been provided in a timely manner.
,2|Page
CThe insurer may deny the claim since it was not notified within
the required 20-day time frame.
DThe insurer is considered to be notified since the notification to
agent equals notification to the insurer. - ANSWER-D
Which of the following is NOT a feature of a guaranteed
renewable provision?
AThe insured has a unilateral right to renew the policy for the life
of the contract.
BCoverage is not renewable beyond the insured's age 65.
CThe insured's benefits cannot be reduced.
DThe insurer can increase the policy premium on an individual
basis. - ANSWER-D
The provision in a health insurance policy that ensures that the
insurer cannot refer to any document that is not contained in the
contract is the
ATime limit on certain defenses clause.
BIncontestability clause.
CLegal action against us clause.
,3|Page
DEntire contract clause. - ANSWER-D
Which of the following entities has the authority to make changes
to an insurance policy?
AProducer
BInsurer's executive officer
CDepartment of Insurance
DBroker - ANSWER-B
In a group health policy, a probationary period is intended for
people
AWho want lower premiums.
BWho joined the group after the effective date.
CWho had a pre-existing condition at the time they joined the
group.
DWho have additional coverage through a spouse. - ANSWER-B
Under the uniform required provisions, proof of loss under a
health insurance policy normally should be filed within
, 4|Page
A90 days of a loss.
B20 days of a loss.
C30 days of a loss.
D60 days of a loss. - ANSWER-A
A waiver of premium provision may be included with which kind of
health insurance policy?
ADisability income
BBasic medical
CHospital indemnity
DDread disease - ANSWER-A
The expense for an autopsy covered under the physical exam
and autopsy provision is paid by
AThe insurer.
BThe state's autopsy fund.
CThe limits of coverage under the health insurance policy.
DThe estate of the insured. - ANSWER-A
