Florida Health Insurance Exam
Questions with Verified Answers
Accident - ✔✔An unplanned, unforeseen event which occurs suddenly and at an unspecified
place
Accident Insurance - ✔✔A type of insurance that protects the insured against loss due to
accidental bodily injury
Accidental Bodily Injury - ✔✔Unplanned, unforeseen traumatic injury to the body
Accidental Death and Dismemberment - ✔✔An insurance policy which pays a specified amount
or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or loses
two limbs due to an accident
Accidental Death Benefits - ✔✔A policy rider that states that the cause of death will be
analyzed to determine if it complies with the policy description of accidental death
Activities of Daily Living - ✔✔Activities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
Actual Charge - ✔✔The amount a physician or supplier actually bills for a particular service or
supply
Adhesion - ✔✔A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the
insured's only option is to accept or reject the contract. Any ambiguities in the contract will be
settled in favor of the insured
, Admitted (Authorized) Insurer - ✔✔An insurance company authorized and licensed to transact
insurance in a particular state
Adult Day Care - ✔✔A program for impaired adults that attempts to meet their health, social,
and functional needs in a setting away from their homes
Adverse Selection - ✔✔The tendency of risks with higher probability of loss to purchase and
maintain insurance more often than the risks who present lower probability
Agent - ✔✔An individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
Aleatory - ✔✔A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal to the amount
the insurer will pay in the event of a loss
Alien Insurer - ✔✔An insurance company that is incorporated outside the USA
Apparent Authority - ✔✔The appearance or the assumption of authority based on the actions,
words, or deeds of the principal or because of circumstances the principal created
Approved Amount - ✔✔The amount Medicare determines to be reasonable for a service that is
covered under Part B of Medicare
Assignment - ✔✔A claim to a provider or medical supplier to receive payments directly from
Medicare
Attained Age - ✔✔The age of the insured at a determined date
Questions with Verified Answers
Accident - ✔✔An unplanned, unforeseen event which occurs suddenly and at an unspecified
place
Accident Insurance - ✔✔A type of insurance that protects the insured against loss due to
accidental bodily injury
Accidental Bodily Injury - ✔✔Unplanned, unforeseen traumatic injury to the body
Accidental Death and Dismemberment - ✔✔An insurance policy which pays a specified amount
or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or loses
two limbs due to an accident
Accidental Death Benefits - ✔✔A policy rider that states that the cause of death will be
analyzed to determine if it complies with the policy description of accidental death
Activities of Daily Living - ✔✔Activities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
Actual Charge - ✔✔The amount a physician or supplier actually bills for a particular service or
supply
Adhesion - ✔✔A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the
insured's only option is to accept or reject the contract. Any ambiguities in the contract will be
settled in favor of the insured
, Admitted (Authorized) Insurer - ✔✔An insurance company authorized and licensed to transact
insurance in a particular state
Adult Day Care - ✔✔A program for impaired adults that attempts to meet their health, social,
and functional needs in a setting away from their homes
Adverse Selection - ✔✔The tendency of risks with higher probability of loss to purchase and
maintain insurance more often than the risks who present lower probability
Agent - ✔✔An individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
Aleatory - ✔✔A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal to the amount
the insurer will pay in the event of a loss
Alien Insurer - ✔✔An insurance company that is incorporated outside the USA
Apparent Authority - ✔✔The appearance or the assumption of authority based on the actions,
words, or deeds of the principal or because of circumstances the principal created
Approved Amount - ✔✔The amount Medicare determines to be reasonable for a service that is
covered under Part B of Medicare
Assignment - ✔✔A claim to a provider or medical supplier to receive payments directly from
Medicare
Attained Age - ✔✔The age of the insured at a determined date
