CA PSI-LIFE, ACCIDENT, AND HEALTH
OR SICKNESS PRACTICE EXAM
Which of the following is TRUE of a point of service plan ...ANSWER...A patient's care
is coordinated by an in-network primary care physician.
In a Level term life policy, which always remains constant ? ...ANSWER...death benefit
which part of an insurance contract contains the promise to pay losses covered by the
policy in exchange for the insureds premium and compliance with policy
terms ? ...ANSWER...insuring clause
In a home healthcare benefit, all of the following are eligible expenses
EXCEPT ...ANSWER...blood transfusions
in noncontributory plans, which percentage of eligible members must
participate? ...ANSWER...1
How are issues of ambiguity usually resolved because insurance contracts are
contracts of adhesion? ...ANSWER...In favor of the insured because the insurance
company drafts the language in the contract.
Why is the accidental death benefit referred to as double indemnity? ...ANSWER...It
provides twice the face value in the policy for death due to accident.
which types of rider reimburses health and social service expenses incurred in a
convalescent or nursing home facility ...ANSWER...long term care rider
All life insurance and health insurance contracts contain all of the following
EXCEPT ...ANSWER...representations
all of the following are requirements to qualify for social security disability benefits
except when ...ANSWER...unable to work in occupation in which the worker was trained
or educated.
what is the order in which beneficiaries receive proceeds from a life insurance
policy ? ...ANSWER...succession of beneficiaries
, If a company provides group disability insurance to its employees, which of the following
may be tax-deductible? ...ANSWER...the premiums paid by the company as a business
expense
Which annuity settlement option provides a stated monthly amount to the annuitant and
upon the annuitant's death the same or a lesser amount paid for the lifetime of the
survivor? ...ANSWER...Joint and survivorship option
which of the following policy types is considered double
indemnity ...ANSWER...accidental death
How long after being entitled to disability benefits will an individual be eligible to receive
Medicare benefits? ...ANSWER...2 years
which of the following is an example of a hospital indemnity plan ...ANSWER...pays a
fixed amount per day to the insured for each day the insured is hospitalized
According to the time of payment of claims provisions, the insurer must make the
payment immediately after receiving proof of loss EXCEPT ...ANSWER...For claims
involving periodic payments
Which one of the following is particularly important to an insurance producer to explain
to a client upon delivery of a life insurance policy ? ...ANSWER...Any exclusions
When would dependent children's benefits for social security disability payments be
scaled back ? ...ANSWER...when they cause the family benefit to exceed the maximum
benefit amount
In a case where an individual's health is insured by both their own policy and their
spouse's policy, which policy pays in the event of an illness? ...ANSWER...The
individual's policy pays first, the spouse's policy pays the remaining up to coverage
amount.
What is the waiver of premium provision? ...ANSWER...In a long term care contract, the
premium is waived after the insured has been confined for a specific period of time.
what is it called when an insurance company tries to recover from a different insurance
policy all part of its losses results from a claim ...ANSWER...subrogation
all of the following are features of the spendthrift clause EXCEPT ...ANSWER...the
beneficiary may encumber the proceeds
which of the following is common in an increasing term life policy ? ...ANSWER...It
begins with little or no insurance protection.
OR SICKNESS PRACTICE EXAM
Which of the following is TRUE of a point of service plan ...ANSWER...A patient's care
is coordinated by an in-network primary care physician.
In a Level term life policy, which always remains constant ? ...ANSWER...death benefit
which part of an insurance contract contains the promise to pay losses covered by the
policy in exchange for the insureds premium and compliance with policy
terms ? ...ANSWER...insuring clause
In a home healthcare benefit, all of the following are eligible expenses
EXCEPT ...ANSWER...blood transfusions
in noncontributory plans, which percentage of eligible members must
participate? ...ANSWER...1
How are issues of ambiguity usually resolved because insurance contracts are
contracts of adhesion? ...ANSWER...In favor of the insured because the insurance
company drafts the language in the contract.
Why is the accidental death benefit referred to as double indemnity? ...ANSWER...It
provides twice the face value in the policy for death due to accident.
which types of rider reimburses health and social service expenses incurred in a
convalescent or nursing home facility ...ANSWER...long term care rider
All life insurance and health insurance contracts contain all of the following
EXCEPT ...ANSWER...representations
all of the following are requirements to qualify for social security disability benefits
except when ...ANSWER...unable to work in occupation in which the worker was trained
or educated.
what is the order in which beneficiaries receive proceeds from a life insurance
policy ? ...ANSWER...succession of beneficiaries
, If a company provides group disability insurance to its employees, which of the following
may be tax-deductible? ...ANSWER...the premiums paid by the company as a business
expense
Which annuity settlement option provides a stated monthly amount to the annuitant and
upon the annuitant's death the same or a lesser amount paid for the lifetime of the
survivor? ...ANSWER...Joint and survivorship option
which of the following policy types is considered double
indemnity ...ANSWER...accidental death
How long after being entitled to disability benefits will an individual be eligible to receive
Medicare benefits? ...ANSWER...2 years
which of the following is an example of a hospital indemnity plan ...ANSWER...pays a
fixed amount per day to the insured for each day the insured is hospitalized
According to the time of payment of claims provisions, the insurer must make the
payment immediately after receiving proof of loss EXCEPT ...ANSWER...For claims
involving periodic payments
Which one of the following is particularly important to an insurance producer to explain
to a client upon delivery of a life insurance policy ? ...ANSWER...Any exclusions
When would dependent children's benefits for social security disability payments be
scaled back ? ...ANSWER...when they cause the family benefit to exceed the maximum
benefit amount
In a case where an individual's health is insured by both their own policy and their
spouse's policy, which policy pays in the event of an illness? ...ANSWER...The
individual's policy pays first, the spouse's policy pays the remaining up to coverage
amount.
What is the waiver of premium provision? ...ANSWER...In a long term care contract, the
premium is waived after the insured has been confined for a specific period of time.
what is it called when an insurance company tries to recover from a different insurance
policy all part of its losses results from a claim ...ANSWER...subrogation
all of the following are features of the spendthrift clause EXCEPT ...ANSWER...the
beneficiary may encumber the proceeds
which of the following is common in an increasing term life policy ? ...ANSWER...It
begins with little or no insurance protection.
