FL Health Insurance License
Questions 240 Study Guide Questions
and Actual Answers 2025-2026
Updated.
Which of the following statements regarding the tax treatment of medical expense insurance
premiums and benefits is correct?
- premiums are not deductible and benefits are taxable
- premiums are not deductible and benefits are not taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are not
taxable - Answer premiums may be deductible as an unreimbursed medical expense and
benefits are not taxable
To control health care costs, HMOs stress the importance of what kind of health care among
their members?
- cosmetic care
- hospital care
- surgical care
- preventive care - Answer preventive care
A guaranteed insurability rider guarantees an individual disability income policyowner's right to
buy additional coverage even if:
- the insured has duplicate coverage from another health insurance provider
- the insured cannot provide satisfactory evidence of insurability
- the insured cannot afford the additional premium charged
- state law prohibits the same coverage to be sold under a separate policy - Answer the
insured cannot provide satisfactory evidence of insurability
What was the forerunner to the health savings account (HSA)?
,- medical savings account (MSA)
- provider sponsored organization (PSO) - Answer medical savings account (MSA)
Which coverage does a person who is eligible for Medicare buy from a private insurer?
- Medicare Part A
- Medicare Part B
- Medicare Advantage
- Medicaid - Answer Medicare Advantage
For purposes of group health insurance, a small employer is defined in Florida as any person or
entity that employs no more than how many employees?
- 100
- 50
- 20
- 2 - Answer 50
Which of the following optional health insurance policy provisions applies specifically to
disability income insurance policies?
- the relation of earnings to insurance provision
- the unpaid premium provision
- the cancellation provision
- the conformity with state statutes provision - Answer the relation of earnings to insurance
provision
Gracie has a Medicare Advantage policy and needs emergency care while traveling. However,
there are no network providers nearby. What should she do?
- delay treatment until she locates a provider within the network
- see any suitable provider even if outside the network
, Which is NOT considered an activity of daily living (ADL) for purposes of qualifying for long-term
care insurance benefits?
- eating
- dressing
- bathing
- driving - Answer driving
HMOs operate within geographic areas that are called:
- provider networks
- service areas
- covered areas
- managed care areas - Answer service areas
HIPAA guarantees the availability of health insurance coverage in the individual market for
eligible individuals who have had at least how many months of aggregate creditable coverage?
-6
- 12
- 18
- 24 - Answer 18
What kind of policy only covers cancer, stroke, heart attack, and Parkinson's disease?
- medical surgical expense policy
- catastrophic medical policy
-limited disability policy
- specified disease policy - Answer specified disease policy
Eddie bought a Medicare supplement policy five years ago and now suffers from dementia.
What can the insurer do in light of Eddie's current health status?
Questions 240 Study Guide Questions
and Actual Answers 2025-2026
Updated.
Which of the following statements regarding the tax treatment of medical expense insurance
premiums and benefits is correct?
- premiums are not deductible and benefits are taxable
- premiums are not deductible and benefits are not taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are not
taxable - Answer premiums may be deductible as an unreimbursed medical expense and
benefits are not taxable
To control health care costs, HMOs stress the importance of what kind of health care among
their members?
- cosmetic care
- hospital care
- surgical care
- preventive care - Answer preventive care
A guaranteed insurability rider guarantees an individual disability income policyowner's right to
buy additional coverage even if:
- the insured has duplicate coverage from another health insurance provider
- the insured cannot provide satisfactory evidence of insurability
- the insured cannot afford the additional premium charged
- state law prohibits the same coverage to be sold under a separate policy - Answer the
insured cannot provide satisfactory evidence of insurability
What was the forerunner to the health savings account (HSA)?
,- medical savings account (MSA)
- provider sponsored organization (PSO) - Answer medical savings account (MSA)
Which coverage does a person who is eligible for Medicare buy from a private insurer?
- Medicare Part A
- Medicare Part B
- Medicare Advantage
- Medicaid - Answer Medicare Advantage
For purposes of group health insurance, a small employer is defined in Florida as any person or
entity that employs no more than how many employees?
- 100
- 50
- 20
- 2 - Answer 50
Which of the following optional health insurance policy provisions applies specifically to
disability income insurance policies?
- the relation of earnings to insurance provision
- the unpaid premium provision
- the cancellation provision
- the conformity with state statutes provision - Answer the relation of earnings to insurance
provision
Gracie has a Medicare Advantage policy and needs emergency care while traveling. However,
there are no network providers nearby. What should she do?
- delay treatment until she locates a provider within the network
- see any suitable provider even if outside the network
, Which is NOT considered an activity of daily living (ADL) for purposes of qualifying for long-term
care insurance benefits?
- eating
- dressing
- bathing
- driving - Answer driving
HMOs operate within geographic areas that are called:
- provider networks
- service areas
- covered areas
- managed care areas - Answer service areas
HIPAA guarantees the availability of health insurance coverage in the individual market for
eligible individuals who have had at least how many months of aggregate creditable coverage?
-6
- 12
- 18
- 24 - Answer 18
What kind of policy only covers cancer, stroke, heart attack, and Parkinson's disease?
- medical surgical expense policy
- catastrophic medical policy
-limited disability policy
- specified disease policy - Answer specified disease policy
Eddie bought a Medicare supplement policy five years ago and now suffers from dementia.
What can the insurer do in light of Eddie's current health status?
