Florida Health Insurance Exam
Questions with Verified Answers
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
-Uniform Provisions Law.
-Freedom of Information Act.
-Medical Information Bureau Disclosure Act
-Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) - ✔✔Fair Credit
Reporting Act (Insurance Information and Privacy Protection Act)
Group health insurance specifies that what percentage of eligible individuals MUST be offered
coverage under a noncontributory plan?
-25
-50
-75
-100 - ✔✔100
Under an Accidental Death and Dismemberment (AD&D) policy, insurable interest must exist at
which of the following times?
-When a change of beneficiary is requested
-At the inception of the policy
-When a beneficiary other than a relative is named
-At the time a claim is submitted - ✔✔At the inception of the policy
When periodic claim payments are required under a long-term disability income policy, an
insurer MUST make payments to an insured at least once every:
-month
,-three months
-six months
-year - ✔✔month
M and N own a small interior design studio that employs six people. The owners are concerned
about the financial continuation of the business if either of them should become permanently
disabled. In this situation, a producer would MOST likely recommend which of the following
types of contracts?
-Basic Hospital
-Disability Buy-Out
-Comprehensive Major Medical
-Short-Term Disability Income - ✔✔Disability Buy-Out
Which of the following health policies requires a beneficiary designation?
-Travel Accident
-Medicare Supplement
-Blanket
-Long Term Care - ✔✔Travel Accident
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the following
policy features?
-Extensions of coverage
-Benefits clause
-Riders
-Exclusions - ✔✔Exclusions
An insured whose Disability Income policy contains a Change of Occupation clause takes a new
job in a more hazardous occupation and fails to notify the insurer of the change. One year later,
the insured becomes disabled. The insurer will most likely take which of the following actions?
, -Cancel the policy and refund one year's premiums
-Settle the claim according to what the premiums would have purchased under the more
hazardous occupation
-Pay the claim in full and then cancel the policy
-Pay the claim after deducting an extra one-year premium payment - ✔✔Settle the claim
according to what the premiums would have purchased under the more hazardous occupation
Which of the following definitions of disability would cover a permanent partial disability?
-Own occupation
-Any occupation
-Residual disability
-Presumptive disability - ✔✔Residual disability
When delivering a policy to a client, a producer should take all of the following actions EXCEPT:
-Collect any premiums due
-fully explain all exclusions and/or riders
-keep the policy in the producer's office for safe-keeping on behalf of the client
-review all benefits provided by the policy - ✔✔keep the policy in the producer's office for safe-
keeping on behalf of the client
The Social Security program provides all of the following benefits EXCEPT:
-Retirement
-survivor
-disability
-workers compensation - ✔✔workers compensation
Which of the following definitions MOST accurately describes the Probationary Period?
-The period of time from the date of the loss until the benefits begin
Questions with Verified Answers
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
-Uniform Provisions Law.
-Freedom of Information Act.
-Medical Information Bureau Disclosure Act
-Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) - ✔✔Fair Credit
Reporting Act (Insurance Information and Privacy Protection Act)
Group health insurance specifies that what percentage of eligible individuals MUST be offered
coverage under a noncontributory plan?
-25
-50
-75
-100 - ✔✔100
Under an Accidental Death and Dismemberment (AD&D) policy, insurable interest must exist at
which of the following times?
-When a change of beneficiary is requested
-At the inception of the policy
-When a beneficiary other than a relative is named
-At the time a claim is submitted - ✔✔At the inception of the policy
When periodic claim payments are required under a long-term disability income policy, an
insurer MUST make payments to an insured at least once every:
-month
,-three months
-six months
-year - ✔✔month
M and N own a small interior design studio that employs six people. The owners are concerned
about the financial continuation of the business if either of them should become permanently
disabled. In this situation, a producer would MOST likely recommend which of the following
types of contracts?
-Basic Hospital
-Disability Buy-Out
-Comprehensive Major Medical
-Short-Term Disability Income - ✔✔Disability Buy-Out
Which of the following health policies requires a beneficiary designation?
-Travel Accident
-Medicare Supplement
-Blanket
-Long Term Care - ✔✔Travel Accident
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the following
policy features?
-Extensions of coverage
-Benefits clause
-Riders
-Exclusions - ✔✔Exclusions
An insured whose Disability Income policy contains a Change of Occupation clause takes a new
job in a more hazardous occupation and fails to notify the insurer of the change. One year later,
the insured becomes disabled. The insurer will most likely take which of the following actions?
, -Cancel the policy and refund one year's premiums
-Settle the claim according to what the premiums would have purchased under the more
hazardous occupation
-Pay the claim in full and then cancel the policy
-Pay the claim after deducting an extra one-year premium payment - ✔✔Settle the claim
according to what the premiums would have purchased under the more hazardous occupation
Which of the following definitions of disability would cover a permanent partial disability?
-Own occupation
-Any occupation
-Residual disability
-Presumptive disability - ✔✔Residual disability
When delivering a policy to a client, a producer should take all of the following actions EXCEPT:
-Collect any premiums due
-fully explain all exclusions and/or riders
-keep the policy in the producer's office for safe-keeping on behalf of the client
-review all benefits provided by the policy - ✔✔keep the policy in the producer's office for safe-
keeping on behalf of the client
The Social Security program provides all of the following benefits EXCEPT:
-Retirement
-survivor
-disability
-workers compensation - ✔✔workers compensation
Which of the following definitions MOST accurately describes the Probationary Period?
-The period of time from the date of the loss until the benefits begin
