OHIO HEALTH AND LIFE 2025 QUESTIONS WITH ANSWERS
GUARANTEE A+
✔✔Which of the following is NOT considered when determining the premium cost of a
LTC policy - ✔✔Personal Income
✔✔Which type of health insurance plan requires a high deductible for individuals -
✔✔Consumer Driven Health Plans
✔✔Xander has a covered claim for $1,600, his policy has a $100 deductible and a
80/20 coinsurance. How much does the insured owe in this claim - ✔✔$400
✔✔What percentage of a sole proprietors insurance premiums may be deducted -
✔✔100%
✔✔Generally when an application is submitted without a prepaid premium, coverage
will begin - ✔✔At the time the policy is delivered to the insured
✔✔Which type of beneficiary would a policyowner NOT be able to change on a policy -
✔✔Irrevocable
✔✔All of the following are duties of an agent except - ✔✔Represent the insured
✔✔If Carl works for XYZ Corp and pays $100 in premiums to cover their 20%
contributory requirement, but his employer pays $300 in premiums to cover the
employers 80% contributory requirement, how much premium would be taxed as normal
income - ✔✔$100, only employees pay taxes for payroll deducted premiums
✔✔Who typically has the authority to authorize treatment from a specialist in a
managed healthcare system - ✔✔Gatekeeper
✔✔What would only increase the chance of a covered peril happening - ✔✔Hazard
✔✔When a insurance company advertises an accident and health insurance product in
an Ohio newspaper mention dollar amount benefits, what must the advertisement also
disclose - ✔✔Any applicable benefit reduction
✔✔What distinguishes PPOs from HICs in terms of provider options - ✔✔Insureds have
the greatest number of providers to choose from
✔✔Which of the following is a duty of the agent - ✔✔Fill out applications and collect
premiums
, ✔✔Refrigerator loses power and food spoils. What is the food spoilage -
✔✔Consequential
✔✔If a policy states that the insurer will pay all costs after the insured has paid the
maximum out of pocket costs this is known as what type of plan - ✔✔Stop-loss plan
✔✔What is an agents authority best described as when an applicant observes the agent
quote and solicit policies - ✔✔Apparent
✔✔Suppose an employer and an employee are sharing a $5,000 medical claim. The
employer covers 70% while the employee covers the remaining 30%. Which of the
following statements is true regarding an employers premium contribution for
employees health insurance - ✔✔The employer premium contribution is tax-deductible
as a business expense
✔✔Newly married spouses may be added to health plans in how many day - ✔✔15
✔✔The right to reinstatement provision in a contract is considered - ✔✔Mandatory
✔✔India has a small stroke and requires help with her tasks. Which policy would India
utilize. - ✔✔LTC
✔✔Small employer group plans could include pre-existing conditions under HIPAA for
how many years - ✔✔1 year
2 years for individuals
✔✔Likner is purchasing ab insurance policy, when is the offer made - ✔✔When the
insurer approves the application
✔✔Original Medicare recipients who wish to have prescription drug plan may decide -
✔✔To purchase a stand alone prescription plan
✔✔An employee who has divorced from their spouse, may have their spouse included
on their policy for how long - ✔✔36 months
3D's (Divorce, Death, Disability)
✔✔Which of the following is NOT considered marketing in insurance - ✔✔Issuing a
policy that has been applied for
✔✔A Medicare plan CANNOT include - ✔✔Medicare Advantage
✔✔Which if the following options does not classify as a Medicare Advantage Plan -
✔✔Social Security Disability Income (SSDI)
GUARANTEE A+
✔✔Which of the following is NOT considered when determining the premium cost of a
LTC policy - ✔✔Personal Income
✔✔Which type of health insurance plan requires a high deductible for individuals -
✔✔Consumer Driven Health Plans
✔✔Xander has a covered claim for $1,600, his policy has a $100 deductible and a
80/20 coinsurance. How much does the insured owe in this claim - ✔✔$400
✔✔What percentage of a sole proprietors insurance premiums may be deducted -
✔✔100%
✔✔Generally when an application is submitted without a prepaid premium, coverage
will begin - ✔✔At the time the policy is delivered to the insured
✔✔Which type of beneficiary would a policyowner NOT be able to change on a policy -
✔✔Irrevocable
✔✔All of the following are duties of an agent except - ✔✔Represent the insured
✔✔If Carl works for XYZ Corp and pays $100 in premiums to cover their 20%
contributory requirement, but his employer pays $300 in premiums to cover the
employers 80% contributory requirement, how much premium would be taxed as normal
income - ✔✔$100, only employees pay taxes for payroll deducted premiums
✔✔Who typically has the authority to authorize treatment from a specialist in a
managed healthcare system - ✔✔Gatekeeper
✔✔What would only increase the chance of a covered peril happening - ✔✔Hazard
✔✔When a insurance company advertises an accident and health insurance product in
an Ohio newspaper mention dollar amount benefits, what must the advertisement also
disclose - ✔✔Any applicable benefit reduction
✔✔What distinguishes PPOs from HICs in terms of provider options - ✔✔Insureds have
the greatest number of providers to choose from
✔✔Which of the following is a duty of the agent - ✔✔Fill out applications and collect
premiums
, ✔✔Refrigerator loses power and food spoils. What is the food spoilage -
✔✔Consequential
✔✔If a policy states that the insurer will pay all costs after the insured has paid the
maximum out of pocket costs this is known as what type of plan - ✔✔Stop-loss plan
✔✔What is an agents authority best described as when an applicant observes the agent
quote and solicit policies - ✔✔Apparent
✔✔Suppose an employer and an employee are sharing a $5,000 medical claim. The
employer covers 70% while the employee covers the remaining 30%. Which of the
following statements is true regarding an employers premium contribution for
employees health insurance - ✔✔The employer premium contribution is tax-deductible
as a business expense
✔✔Newly married spouses may be added to health plans in how many day - ✔✔15
✔✔The right to reinstatement provision in a contract is considered - ✔✔Mandatory
✔✔India has a small stroke and requires help with her tasks. Which policy would India
utilize. - ✔✔LTC
✔✔Small employer group plans could include pre-existing conditions under HIPAA for
how many years - ✔✔1 year
2 years for individuals
✔✔Likner is purchasing ab insurance policy, when is the offer made - ✔✔When the
insurer approves the application
✔✔Original Medicare recipients who wish to have prescription drug plan may decide -
✔✔To purchase a stand alone prescription plan
✔✔An employee who has divorced from their spouse, may have their spouse included
on their policy for how long - ✔✔36 months
3D's (Divorce, Death, Disability)
✔✔Which of the following is NOT considered marketing in insurance - ✔✔Issuing a
policy that has been applied for
✔✔A Medicare plan CANNOT include - ✔✔Medicare Advantage
✔✔Which if the following options does not classify as a Medicare Advantage Plan -
✔✔Social Security Disability Income (SSDI)
