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Exam (elaborations)

Florida Health Insurance Exam Questions with Verified Answers

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Florida Health Insurance Exam Questions with Verified Answers

Institution
FLORIDA HEALTH AND LIFE
Course
FLORIDA HEALTH AND LIFE









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Institution
FLORIDA HEALTH AND LIFE
Course
FLORIDA HEALTH AND LIFE

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Uploaded on
November 6, 2025
Number of pages
14
Written in
2025/2026
Type
Exam (elaborations)
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Florida Health Insurance Exam
Questions with Verified Answers
Health insurance benefits NOT covered due to an act of war are: - ✔✔excluded by the insurer in
the contract provisions


Which type of renewability best describes a Disability Income policy that covers an individual
until the age of 65, but the insurer has the right to change the premium rate for the overall risk
class? - ✔✔Guaranteed Renewable


Which of the following statements about a Guaranteed Renewable Health Insurance policy is
CORRECT? - ✔✔Premiums normally increase at time of renewal



Which mode of payment is NOT used by health insurance policies? - ✔✔Single premium



Who owns a stock company? - ✔✔its stockholders


According to Florida law, when must an agent deliver the Outline of Coverage to a Medicare
Supplement applicant? - ✔✔At the time of application


Within how many days after policy delivery can a Medicare Supplement policy be returned for a
100% premium refund? - ✔✔30


P is a producer who notices 5 questions on a health application were not answered. What
actions should P take? - ✔✔Set up a meeting with the applicant to answer the remaining
questions


Group/voluntary long-term care policy premiums are typically deducted from the employee's
income and, - ✔✔are less costly as compared to individual long term care coverage

, The Florida Employee Health Care Access Act was established to make - ✔✔group health
insurance available to employers with up to 50 employees



What does Medicare Parts A and B cover? - ✔✔Part A covers hospitalization; Part B covers
doctor's services


Q is hospitalized for 3 days and receives a bill for $10,100. Q has a Major Medical policy with a
$100 deductible and 80/20 coinsurance. How much will Q be responsible for paying on this
claim? - ✔✔$2,100


Which of the following health insurance policy provisions specifies the health care services a
policy will provide? - ✔✔Insuring clause


G is involved in an automobile accident as a result of driving while intoxicated and suffers
numerous injuries. According to the Intoxicants and Narcotics exclusion in G's policy, who is
responsible for paying the medical bills? - ✔✔The insured


A Multiple Employer Welfare Arrangement (MEWA) provides what type of benefits? -
✔✔Insurance


An insured owns an individual Disability Income policy with a 30-day Elimination Period for
sickness and accidents and a monthly indemnity benefit of $500. If the insured is disabled for 3
1/2 months, what is the MAXIMUM amount he would receive for an approved claim? -
✔✔$1,250


M's insurance company denied a reinstatement application for her lapsed health insurance
policy. The company did not notify M of this denial. How many days from the reinstatement
application date does the insurance company have to notify M of the denial before the policy
will be automatically placed back in force? - ✔✔45 days

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