WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Which of these is required for an injury to be covered under health insurance policies with an
"accidental bodily injury" definition of injury?
The injury must be accidental, but the cause need not be.
The insured must prove reasonable care.
The insured must be treated in an emergency room.
External signs of the injury must be visible upon examination. - CORRECT ANSWERS
The injury must be accidental, but the cause need not be.
Long-term care policies may require all of the following before paying benefits EXCEPT:
A prior hospitalization
A physician's certification of need
A functional assessment
An elimination period - CORRECT ANSWERS A prior hospitalization
Which is required for Medicare coverage of skilled nursing facility care?
The care must be medically necessary for at least one year.
The insured must elect it as a benefit in lieu of regular Medicare benefits.
The facility must agree to continue care after Medicare benefits end.
The facility must be approved by Medicare. - CORRECT ANSWERS The facility must be
approved by Medicare.
Ambulatory services under case management provisions try to monitor:
,WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Length of stay in a hospital
Response time by the ambulance service
The cost-effectiveness of outpatient services
The driving distance to the nearest hospital - CORRECT ANSWERS The cost-
effectiveness of outpatient services
For groups with high prior claims experience, an insurer would be likely to:
Charge a reduced first year premium
Seek higher benefit levels
Expect high future claims experience
Reduce the required participation percentage - CORRECT ANSWERS Expect high future
claims experience
Medicaid is funded by state governments and by:
Commercial insurers
The federal government
Blue Cross/Blue Shield organizations
Various charitable organizations - CORRECT ANSWERS The federal government
Which type of health insurance should be purchased by a person who wants coverage for
hospital bills in the event of accidental injury?
Disability income
Medical expense
,WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Accidental dismemberment
Workers compensation - CORRECT ANSWERS Medical expense
If a life insurance policy is transferred to another person in exchange for valuable consideration,
then the death proceeds may:
Lose their income tax exempt status
Be reduced by the amount of the consideration
Be taxed as capital gains
Become subject to probate - CORRECT ANSWERS Lose their income tax exempt status
Risk ____ is the process of analyzing exposures that create risk and designing programs to
handle them.
Acceptance
Management
Administration
Transfer - CORRECT ANSWERS Management
which of these statements is NOT a characteristic of the law of large numbers?
Individual losses can be predicted based on past experience.
Group losses can be predicted based on past experience.
Losses can be predicted in large groups with a higher degree of accuracy.
Rates can be calculated to compensate for losses. - CORRECT ANSWERS Rates can be
calculated to compensate for losses.
, WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
what type of risk involves the potential for loss And the possibility for gain?
Homogeneous
Adverse
Pure
Speculative - CORRECT ANSWERS Speculative
For insurance purposes, similar objects which are exposed to the same group of perils are
referred to as
Homogeneous perils
Similar exposure units
Homogeneous exposure units
Common hazards - CORRECT ANSWERS Homogeneous exposure units
what type of risk involves the potential for loss with no possibility for gain?
Speculative risk
Pure risk
Adverse risk
Morale risk - CORRECT ANSWERS Pure risk
According to the law of large numbers, how would losses be affected if the number of similar
insured units increases?
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Which of these is required for an injury to be covered under health insurance policies with an
"accidental bodily injury" definition of injury?
The injury must be accidental, but the cause need not be.
The insured must prove reasonable care.
The insured must be treated in an emergency room.
External signs of the injury must be visible upon examination. - CORRECT ANSWERS
The injury must be accidental, but the cause need not be.
Long-term care policies may require all of the following before paying benefits EXCEPT:
A prior hospitalization
A physician's certification of need
A functional assessment
An elimination period - CORRECT ANSWERS A prior hospitalization
Which is required for Medicare coverage of skilled nursing facility care?
The care must be medically necessary for at least one year.
The insured must elect it as a benefit in lieu of regular Medicare benefits.
The facility must agree to continue care after Medicare benefits end.
The facility must be approved by Medicare. - CORRECT ANSWERS The facility must be
approved by Medicare.
Ambulatory services under case management provisions try to monitor:
,WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Length of stay in a hospital
Response time by the ambulance service
The cost-effectiveness of outpatient services
The driving distance to the nearest hospital - CORRECT ANSWERS The cost-
effectiveness of outpatient services
For groups with high prior claims experience, an insurer would be likely to:
Charge a reduced first year premium
Seek higher benefit levels
Expect high future claims experience
Reduce the required participation percentage - CORRECT ANSWERS Expect high future
claims experience
Medicaid is funded by state governments and by:
Commercial insurers
The federal government
Blue Cross/Blue Shield organizations
Various charitable organizations - CORRECT ANSWERS The federal government
Which type of health insurance should be purchased by a person who wants coverage for
hospital bills in the event of accidental injury?
Disability income
Medical expense
,WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
Accidental dismemberment
Workers compensation - CORRECT ANSWERS Medical expense
If a life insurance policy is transferred to another person in exchange for valuable consideration,
then the death proceeds may:
Lose their income tax exempt status
Be reduced by the amount of the consideration
Be taxed as capital gains
Become subject to probate - CORRECT ANSWERS Lose their income tax exempt status
Risk ____ is the process of analyzing exposures that create risk and designing programs to
handle them.
Acceptance
Management
Administration
Transfer - CORRECT ANSWERS Management
which of these statements is NOT a characteristic of the law of large numbers?
Individual losses can be predicted based on past experience.
Group losses can be predicted based on past experience.
Losses can be predicted in large groups with a higher degree of accuracy.
Rates can be calculated to compensate for losses. - CORRECT ANSWERS Rates can be
calculated to compensate for losses.
, WISCONSIN ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS
AND ANSWERS UPDATED 2025/2026 A COMPLETE SOLUTION WITH
100% ACCURATE ANSWERS BEST GRADED A+ FOR SUCCESS
what type of risk involves the potential for loss And the possibility for gain?
Homogeneous
Adverse
Pure
Speculative - CORRECT ANSWERS Speculative
For insurance purposes, similar objects which are exposed to the same group of perils are
referred to as
Homogeneous perils
Similar exposure units
Homogeneous exposure units
Common hazards - CORRECT ANSWERS Homogeneous exposure units
what type of risk involves the potential for loss with no possibility for gain?
Speculative risk
Pure risk
Adverse risk
Morale risk - CORRECT ANSWERS Pure risk
According to the law of large numbers, how would losses be affected if the number of similar
insured units increases?
