ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS WITH CORRECT ANSWERS GRADED

ACCIDENT AND HEALTH INSURANCE EXAM




Hdhasdsuffereddadcoveredddisabilitydawaydfromdherdjobdanddwilldshortlydbegindcollectingdbenefits.dT
hedinsurerdsendsdadletterdtodHdstatingdthatdshedwilldnotdreceivedanydbenefitdamountsdgreaterdthand
herdincome.dThisdclausedisdknowndas:

A:dOver-insurancedclause

B:dfreedlook

C:drelationdofdearningdtodinsurance

D:drelationdofdeconomicdvalued-ddCORRECTdANSWERSC:drelationdofdearningdtodinsurance



Thedinsureddshoulddbedawaredofdthedissueddateduponddeliverydadpolicydanddtheddatedshoulddbedlist
eddon:

A:dthedpolicydsummary

B:dthedfirstdpagedofdthedcontract

C:dtheddeliverydreceipt

D:dupondconditionaldreceiptd-ddCORRECTdANSWERSB:dthedfirstdpagedofdthedcontract



ThedpolicydhasdalldofdthedfollowingdrightsdEXCEPT:

A:dRightdtodsolelydrenewdadguaranteeddrenewabledpolicy.

B:dRightdtodterminatedadpolicy



UnilateraldrightdtodrenewdandOptionallydrenewabledpolicy
d



D:dRightdtodassigndadcontractd-
ddCORRECTdANSWERSC:dUnilateraldrightdtodrenewdandOptionallydrenewabledpolicy

,Thedpartdofdadcontractdthatdspecifiesdwhichdexpensesdmaydordmaydnotdbedcovereddisdknowndasdthe:

A:dExclusion

B:dEligibledExpensedprovision

C:dInsuringdAgreement

D:dConsiderationdClaused-ddCORRECTdANSWERSB:dEligibledExpensedprovision



Whichdofdthedfollowingdisdconsidereddtodbedadmandatorydprovisiondindadhealthdpolicy?

A:dTimedLimitdondCertaindDefenses

B:dChangedofdOccupation

C:dIllegaldOccupation

D:dIntoxicant/NarcoticdUsaged-ddCORRECTdANSWERSA:dTimedLimitdondCertaindDefenses



Whichdofdthedfollowingdmaydbedconsidereddandeligibledexpensedfounddindadhealthdpolicy?d

A:dCosmeticdSurgery

B:dPremiumdpayment

C:dcolddcream

D:dBusdfaredtodreceivedtreatmentdfordadcovereddlossd-
ddCORRECTdANSWERSD:dBusdfaredtodreceivedtreatmentdfordadcovereddloss




Kdhasdadpolicydthatdcoversddoctorsdvisitsdbutdlimitsdthednumberdofdvisitsdperdcalendardyeardanddpay
sdadlimiteddindemnificationdlimitdperdvisit.dKdhas:

A:dBasicdMedicaldExpense

B:dPhysiciandNonsurgicaldCoverage

C:dBasicdSurgicaldPolicy

D:dBasicdHospitaldCoveraged-ddCORRECTdANSWERSB:dPhysiciandNonsurgicaldCoverage

,AlldofdthedfollowingdaredCORRECTdaboutdMedicaredEXCEPT:

A:dAndinsureddwhodisdaged30dbutdcollectingdSocialdSecurityddisabilitydfordthedlastdtwodyearsdisdeligibl
edfordMedicare.

B:dAndinsureddwhodisdaged60danddisdatdthedenddstagedofdrenaldfailuredisdeligibledfordMedicare.

C:dAndinsureddwhodturnsdaged65danddisdstilldemployeddisdeligibledfordMedicare.

D:dAndinsureddwhodhasdMedicaredPartdAdisdeligibledtodenrolldfordMedigapdpoliciesdwithindsixdmonth
sdofdenrollingdindPartdA.d-
ddCORRECTdANSWERSD:dAndinsureddwhodhasdMedicaredPartdAdisdeligibledtodenrolldfordMedigapdpoli


ciesdwithindsixdmonthsdofdenrollingdindPartdA.



UnderdthedClaimdFormsdprovisiondindandAccidentdanddHealthdpolicy,dandinsurancedcompanydmustds
upplydandinsureddwithdclaimdformsdwithindadMAXIMUMdofdhowdmanyddaysdafterdreceivingdnoticed
ofdthedloss?

A:d10

B:d15

C:d20

D:d30d-ddCORRECTdANSWERSB:d15



ThedpurposedofdthedFairdCreditdReportingdActdisdto:

A:dprotectdthedconsumerdfromdhavingdandadversedactiondagainstdthemdbaseddofdobsoletedcreditdinf
ormation

B:dtodensuredthatdcreditdinformationduseddindunderwritingdisdaccuratedanddupdated

C:dmakedsuredthatdanydfinancialdinstitutiondhandlesdandindividual'sdcreditdindadcorrect,dproperdman
ner

D:dAlldofdthedAboved-ddCORRECTdANSWERSD:dAlldofdthedAbove



MostdAccidentdanddHealthdpoliciesdrequiredthatdclaimsdmustdbedpaidd_________dupondwrittendpro
ofdofdloss.d

A:d30ddays

, B:dImmediately

C:d60ddays

D:d90ddaysd-ddCORRECTdANSWERSB:dImmediately



AdLTCdpolicydthatdwilldonlydpaydfordADLdgivendoccasionallydbydadlicenseddprofessionaldis:

A:dSkilleddCare

B:dIntermediatedCare

C:dCustodialdCare

D:dNonedofdthedAboved-ddCORRECTdANSWERSC:dCustodialdCare



Whichdofdthedfollowingdpolicydprovisionsdaredoptionaldindadindividualdhealthdpolicy?

A:dEntiredContract

B:dChangedofdOccupation

C:dEntiredContract

D:dReinstatementd-ddCORRECTdANSWERSB:dChangedofdOccupation



Whichdofdthedfollowingdelementsdisdpartdofdthedentiredcontractdclause?

A:dThedexchangedofdvaluedbetweendthedparties

B:dThedagreementdbetweendthedpolicyholderdanddinsurer

C:dThedamountdofdtimedthedinsureddhasdtodsenddadpolicydbackdfordadfulldrefund

D:dNonedofdthedAboved-ddCORRECTdANSWERSD:dNonedofdthedAbove



AlldofdthedfollowingdaredtruedregardingdSocialdSecurityddisabilitydEXCEPT:

A:dAdinsureddmustdwaitd5dmonthsdbeforedcollectingdbenefits

B:dTodqualifydandinsureddmustdbedunabledtoddodanydjobdindthedAmericandeconomy

C:dTodqualifydandinsureddmustdbeddisableddfordadyeardordlongerdorddiedwithindadtwodyeardperiod.