WEBCE FINAL EXAM LATEST 2024/2025 QUESTIONS
AND ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
Which helped Medicare subscribers fill the gaps in Medicare coverage? -
...(ANSWERS)....The insurance industry created Medicare supplement policies.
A totally disabled person must pass a waiting period of how long before Social
Security disability benefits are paid? - ...(ANSWERS)....Five months.
Under a joint life insurance policy, when does the insurer pay the death benefit? -
...(ANSWERS)....Upon the death of the insured who dies first.
Replacement occurs if a life insurance policy is purchased and, in conjunction, any
of the following happen EXCEPT: - ...(ANSWERS)....The existing policy's
beneficiary designation is changed.
Juan went to the emergency room in the middle of the night because he was
having a heart attack. If a non-network physician provides emergency care, then
Juan's HMO - ...(ANSWERS)....Must pay for the care at its usual and customary
rate or at an agreed rate, regardless of whether the physician is in the network or
not.
Which of the following best describes insurable interest? - ...(ANSWERS)....It
refers to the financial relationship between the policyowner and the insured
person or property.
,XYZ Insurance has been charged with unfairly discriminating among insureds.
Which of the following practices is unfair discrimination? - ...(ANSWERS)....XYZ
charged two individual insureds of the same class and risk different premiums for
life insurance policies based on where they lived and their ethnicities.
Adam is a Medicare beneficiary and enrolled in his state's Medicaid program.
When he submits a claim for covered services to both, how will Medicare and
Medicaid pay the claim? - ...(ANSWERS)....Medicare will be the primary insurer,
and Medicaid will be the secondary insurer.
Which of the following must HMO members use to receive covered care? -
...(ANSWERS)....HMO's network of providers and caregivers.
What are policies that do NOT meet the IRS's definition of life insurance generally
called? - ...(ANSWERS)....Modified endowment contracts (MECs)
Ethel is at full retirement age with Part B coverage. She incurs $1,000 in Medicare-
approved health care charges. What must she pay? - ...(ANSWERS)....The
deductible plus 20 percent of the expenses.
In Texas, new enrollees to an HMO who do not choose a primary care physician
within an established period of time can have their coverage cancelled how many
days following written notice by the HMO? - ...(ANSWERS)....30 days.
A long-term care insurance policy must cover: - ...(ANSWERS)....Alzheimer's
disease.
, Which plan reimburses the insured for the cost of covered medical care received?
- ...(ANSWERS)....Indemnity plan.
With respect to adjustable life insurance, which of the following statements is
correct? - ...(ANSWERS)....Premiums can increase or decrease to suit the
policyowner's changing needs.
Ginny's medical plan provides coverage for the newborn children from their date
of birth. She adopts a 5-year-old child on July 1. What benefits is she entitled to -
...(ANSWERS)....Automatic coverage for the first 31 days following adoption, after
which Jenny must pay a premium.
John is an agent and has just learned that Debbie, a prospect for Medicare
supplement coverage, already has a Medicare supplement policy. In this case,
John must: - ...(ANSWERS)....Not sell a policy to Debbie.
A dental plan that categorizes covered treatments into 3 categories will typically
place diagnostic and preventative care in: - ...(ANSWERS)....Category 1.
Which statement about credit life insurance is most correct? -
...(ANSWERS)....State laws typically set a maximum coverage limit that creditors
can offer to borrowers.
AND ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
Which helped Medicare subscribers fill the gaps in Medicare coverage? -
...(ANSWERS)....The insurance industry created Medicare supplement policies.
A totally disabled person must pass a waiting period of how long before Social
Security disability benefits are paid? - ...(ANSWERS)....Five months.
Under a joint life insurance policy, when does the insurer pay the death benefit? -
...(ANSWERS)....Upon the death of the insured who dies first.
Replacement occurs if a life insurance policy is purchased and, in conjunction, any
of the following happen EXCEPT: - ...(ANSWERS)....The existing policy's
beneficiary designation is changed.
Juan went to the emergency room in the middle of the night because he was
having a heart attack. If a non-network physician provides emergency care, then
Juan's HMO - ...(ANSWERS)....Must pay for the care at its usual and customary
rate or at an agreed rate, regardless of whether the physician is in the network or
not.
Which of the following best describes insurable interest? - ...(ANSWERS)....It
refers to the financial relationship between the policyowner and the insured
person or property.
,XYZ Insurance has been charged with unfairly discriminating among insureds.
Which of the following practices is unfair discrimination? - ...(ANSWERS)....XYZ
charged two individual insureds of the same class and risk different premiums for
life insurance policies based on where they lived and their ethnicities.
Adam is a Medicare beneficiary and enrolled in his state's Medicaid program.
When he submits a claim for covered services to both, how will Medicare and
Medicaid pay the claim? - ...(ANSWERS)....Medicare will be the primary insurer,
and Medicaid will be the secondary insurer.
Which of the following must HMO members use to receive covered care? -
...(ANSWERS)....HMO's network of providers and caregivers.
What are policies that do NOT meet the IRS's definition of life insurance generally
called? - ...(ANSWERS)....Modified endowment contracts (MECs)
Ethel is at full retirement age with Part B coverage. She incurs $1,000 in Medicare-
approved health care charges. What must she pay? - ...(ANSWERS)....The
deductible plus 20 percent of the expenses.
In Texas, new enrollees to an HMO who do not choose a primary care physician
within an established period of time can have their coverage cancelled how many
days following written notice by the HMO? - ...(ANSWERS)....30 days.
A long-term care insurance policy must cover: - ...(ANSWERS)....Alzheimer's
disease.
, Which plan reimburses the insured for the cost of covered medical care received?
- ...(ANSWERS)....Indemnity plan.
With respect to adjustable life insurance, which of the following statements is
correct? - ...(ANSWERS)....Premiums can increase or decrease to suit the
policyowner's changing needs.
Ginny's medical plan provides coverage for the newborn children from their date
of birth. She adopts a 5-year-old child on July 1. What benefits is she entitled to -
...(ANSWERS)....Automatic coverage for the first 31 days following adoption, after
which Jenny must pay a premium.
John is an agent and has just learned that Debbie, a prospect for Medicare
supplement coverage, already has a Medicare supplement policy. In this case,
John must: - ...(ANSWERS)....Not sell a policy to Debbie.
A dental plan that categorizes covered treatments into 3 categories will typically
place diagnostic and preventative care in: - ...(ANSWERS)....Category 1.
Which statement about credit life insurance is most correct? -
...(ANSWERS)....State laws typically set a maximum coverage limit that creditors
can offer to borrowers.
