AD Banker Comprehensive Exam 2025/2026 QUESTIONS AND
ANSWERS GUARANTEE A+
All of the following are correct regarding the coverage of a cancer policy, except:
Coverage under this policy will pay for losses before primary medical expense policiesr to
prevent an insured from reaching annual or lifetime policy limits
B
Benefits are provided for losses associated with a cancer diagnosis
C
Coverage for experimental treatments is usually provided
D
The policy will only provide benefits for losses covered on an underlying medical expense policy
- The policy will only provide benefits for losses covered on an underlying medical expense
policy
After K completed an application for health insurance, a paramedical scheduled an appointment
to check height, weight, blood pressure, and collect blood and urine samples. This is an example
of which source of underwriting? - Medical exam
Under the Legal Actions Mandatory Uniform Provision, an insured must wait at least _____ days
after providing proof of loss before he or she can take legal action against the insurer. - 60 days
When underwriting group life, the underwriter treats the group as if it were: - One individual
If an employer purchases a Key Person disability policy on an employee, when would the
disability benefit be received income tax free? - It is by definition tax-free since the employer
buys it for his or her own benefit
,Upon joining an HMO, the plan will require the subscriber to select a: - Primary Care Physician
What is an impairment rider? - It excludes specific conditions that normally would cause the
entire policy to be declined
An individual is eligible for a Medicare Supplement as early as age: - 65
It is the _________ who issues a Certificate of Authority enabling an insurer to conduct
insurance business within a particular state. - State insurance Commissioner or Director
PPO plans pay providers based on a: - Discounted fee for service negotiated in advance
If an individual has limited assets and low income, which of the following would most likely
cover the cost of long-term care? - Medicaid
A Long-Term Care plan may deny coverage for preexisting conditions for no more than how
many months after the effective date of coverage? - 6
In the event there is a policy issued and there are questions on the insurance application that went
unanswered: - It will be assumed that the insurer waived their right to have answers to those
questions
Monte has a health care plan that provides benefits as an HMO if he stays within the network and
provides benefits like an indemnity plan if he goes outside the network. Monte is covered under
a: - Point-of-Service Plan
The Legal Actions provision preserves the insured's right to bring suit against his/her own
insurer, but the insured must wait at least _____ days after filing a proof of loss before pursuing
this action. - 60
, The main purpose of requiring a Gatekeeper is to: - Reduce costs within the plan
Accident and health insurance policy exclusions typically include all of the following, except: -
Nonoccupational injuries
All health insurance policies covering dependents of the insured must provide coverage for
newborns: - From the moment of birth
All of the following are exclusions under an LTC policy, except: - Chemical dependency on one's
own prescription drugs
A program designed to provide increased assistance to those who are unable to pay for their
medical needs is known as: - Medicaid
Which of the following exclusions applies to Long-Term Care coverage?
Home care
B
Adult day care
C
Respite care
D
Rest Cures - Rest Cures
HIPAA ensures which of the following?
A
Notice of information practices when received by a third party
ANSWERS GUARANTEE A+
All of the following are correct regarding the coverage of a cancer policy, except:
Coverage under this policy will pay for losses before primary medical expense policiesr to
prevent an insured from reaching annual or lifetime policy limits
B
Benefits are provided for losses associated with a cancer diagnosis
C
Coverage for experimental treatments is usually provided
D
The policy will only provide benefits for losses covered on an underlying medical expense policy
- The policy will only provide benefits for losses covered on an underlying medical expense
policy
After K completed an application for health insurance, a paramedical scheduled an appointment
to check height, weight, blood pressure, and collect blood and urine samples. This is an example
of which source of underwriting? - Medical exam
Under the Legal Actions Mandatory Uniform Provision, an insured must wait at least _____ days
after providing proof of loss before he or she can take legal action against the insurer. - 60 days
When underwriting group life, the underwriter treats the group as if it were: - One individual
If an employer purchases a Key Person disability policy on an employee, when would the
disability benefit be received income tax free? - It is by definition tax-free since the employer
buys it for his or her own benefit
,Upon joining an HMO, the plan will require the subscriber to select a: - Primary Care Physician
What is an impairment rider? - It excludes specific conditions that normally would cause the
entire policy to be declined
An individual is eligible for a Medicare Supplement as early as age: - 65
It is the _________ who issues a Certificate of Authority enabling an insurer to conduct
insurance business within a particular state. - State insurance Commissioner or Director
PPO plans pay providers based on a: - Discounted fee for service negotiated in advance
If an individual has limited assets and low income, which of the following would most likely
cover the cost of long-term care? - Medicaid
A Long-Term Care plan may deny coverage for preexisting conditions for no more than how
many months after the effective date of coverage? - 6
In the event there is a policy issued and there are questions on the insurance application that went
unanswered: - It will be assumed that the insurer waived their right to have answers to those
questions
Monte has a health care plan that provides benefits as an HMO if he stays within the network and
provides benefits like an indemnity plan if he goes outside the network. Monte is covered under
a: - Point-of-Service Plan
The Legal Actions provision preserves the insured's right to bring suit against his/her own
insurer, but the insured must wait at least _____ days after filing a proof of loss before pursuing
this action. - 60
, The main purpose of requiring a Gatekeeper is to: - Reduce costs within the plan
Accident and health insurance policy exclusions typically include all of the following, except: -
Nonoccupational injuries
All health insurance policies covering dependents of the insured must provide coverage for
newborns: - From the moment of birth
All of the following are exclusions under an LTC policy, except: - Chemical dependency on one's
own prescription drugs
A program designed to provide increased assistance to those who are unable to pay for their
medical needs is known as: - Medicaid
Which of the following exclusions applies to Long-Term Care coverage?
Home care
B
Adult day care
C
Respite care
D
Rest Cures - Rest Cures
HIPAA ensures which of the following?
A
Notice of information practices when received by a third party
