INSURANCE 215 EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWER) LATEST 2025/2026
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Terms in this set (243)
Typically, Long-Term Social Security
Disability benefits are
coordinated with which
benefit plan?
The focus of major medical and hospitalization expenses
medical insurance is
providing coverage for
An insured under a Major $200
Medical expense plan
with a zero deductible and because this policy has a zero deductible, the insures
80/20 coinsurance is only responsible for the 20% coinsurance on this
provision files a $1,000 claim, or $200
claim. How much of this
claim is the insured
responsible for?
,An insured has a stop-loss $5,000
limit of $5,000 and an
80/20 coinsurance. The
insured incurs $25,000 of
covered losses. How
much will the insured pay?
Which type of plan would Medicare supplement Plan F
be the most appropriate
for an individual on
Medicare and concerned
that Medicare will NOT
pay for charges exceeding
the approved amount?
When can a group health when contribution or participation rules have been
policy renewal be denied violated
according to the Health
Insurance Portability and
Accountability Act
(HIPAA)?
What does the word the face amount
"level: in Level Term
describe?
adverse selection
A non-contributory health
because all eligible employees are usually covered,
insurance plan helps the
non-contributory plans are desirable from an
insurer avoid
underwriting standpoint because adverse selection is
minimized.
To qualify for a resident must complete the required pre-licensing education
producer license in the within 12 months of license application
state of Michigan, an
individual
, Under an expense- 12 months
incurred individual health
policy, what is the pre-existing conditions may be excluded for a
MAXIMUM length of time maximum of 12 months from the date of enrollment.
after issuance of the
policy that an insurer can
exclude coverage for a
pre-existing condition?
An insured has a health benefit schedule
plan that pays established
amounts in accordance benefits schedule set predetermined limits or
with a list of injuries, maximums on how much money and insured can be
surgical procedures, or reimbursed for a covered loss.
other losses. This list is
called a
Who is the individual paid Provider
on a fee-for-service basis?
Giving the insured an article of merchandise printed
Which of the following is with the producer's name costing $5
NOT an illegal
inducement? $5 or less of tokens or merchandise to applicants is
allowed.
Making a statement that is defamation
false or maliciously critical
of the financial condition
of an insurer is known as
Which of the following is change of occupation
NOT a required provision
in an accident and health the change of occupation provision is considered an
insurance policy? OPTIONAL provision
Funded by federal, sate, and local taxes
Which of these statements
about Medicaid is
Medicaid is funded by federal, state, and local taxes
CORRECT?
but is administered by each state.