Pearson Vue National Health Insurance Practice Test
Pearson Vue National Health Insurance
Practice Test Questions and Answers
Question 1
An insurer must provide claim forms to an insured within a MAXIMUM of how many
days after receiving notice of an Accident & Health claim?
A. Five
B. Fifteen
C. Twenty
D. Thirty
Correct Answer
b
Question 2
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
A. length of employment
B. gender
C. salary grade
D. job category
Correct Answer
b
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, Pearson Vue National Health Insurance Practice Test
Question 3
Which of the following statements is CORRECT about a Waiver of Premium provision
in a Disability Income policy?
A. It allows the insurer to deduct premiums due from the disabled insured's benefit
payments.
B. It allows the insurer to increase the amount of premium during the insured's time
of disability.
C. It allows the insured to extend the length of the Grace Period while disabled.
D. It allows the insured to maintain a policy in force while disabled and unable to pay
premiums.
Correct Answer
d
Question 4
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the
following policy features?
A. Extensions of coverage
B. Benefits clause
C. Riders
D. Exclusions
Correct Answer
d
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, Pearson Vue National Health Insurance Practice Test
Question 5
An insured becomes disabled three years after his Disability Income policy is issued.
The disability is caused by a condition that existed prior to the policy issue date but
was not specifically excluded from coverage. In this situation, the insurer will most
likely take which of the following actions?
A. Pay the full claim
B. Pay the claim for a maximum of six months only
C. Deny the claim on the basis of misrepresentation
D. Deny the claim because it involves a pre-existing condition
Correct Answer
a
Question 6
A health care plan that reimburses a flat fee for medical care it provides at a clinic it
owns and operates is referred to as:
A. Health Maintenance Organization
B. Medicaid
C. Medicare
D. Multiple Employer Trust (MET)
Correct Answer
a
Page 3 of 26
Pearson Vue National Health Insurance
Practice Test Questions and Answers
Question 1
An insurer must provide claim forms to an insured within a MAXIMUM of how many
days after receiving notice of an Accident & Health claim?
A. Five
B. Fifteen
C. Twenty
D. Thirty
Correct Answer
b
Question 2
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
A. length of employment
B. gender
C. salary grade
D. job category
Correct Answer
b
Page 1 of 26
, Pearson Vue National Health Insurance Practice Test
Question 3
Which of the following statements is CORRECT about a Waiver of Premium provision
in a Disability Income policy?
A. It allows the insurer to deduct premiums due from the disabled insured's benefit
payments.
B. It allows the insurer to increase the amount of premium during the insured's time
of disability.
C. It allows the insured to extend the length of the Grace Period while disabled.
D. It allows the insured to maintain a policy in force while disabled and unable to pay
premiums.
Correct Answer
d
Question 4
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the
following policy features?
A. Extensions of coverage
B. Benefits clause
C. Riders
D. Exclusions
Correct Answer
d
Page 2 of 26
, Pearson Vue National Health Insurance Practice Test
Question 5
An insured becomes disabled three years after his Disability Income policy is issued.
The disability is caused by a condition that existed prior to the policy issue date but
was not specifically excluded from coverage. In this situation, the insurer will most
likely take which of the following actions?
A. Pay the full claim
B. Pay the claim for a maximum of six months only
C. Deny the claim on the basis of misrepresentation
D. Deny the claim because it involves a pre-existing condition
Correct Answer
a
Question 6
A health care plan that reimburses a flat fee for medical care it provides at a clinic it
owns and operates is referred to as:
A. Health Maintenance Organization
B. Medicaid
C. Medicare
D. Multiple Employer Trust (MET)
Correct Answer
a
Page 3 of 26
