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ILLINOIS HEALTH INSURANCE EXAM ACTUAL
PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE
WITH VERIFIED SOLUTIONS – ASSURES PASS
Under the Affordable Care Act, which classification applies to health plans based
on the amount of covered costs?
Metal level classification.
Other than conditions stipulated by the Director, what is a permissible reason for
an HMO to cancel or not renew an enrollee's contract?
Failure to pay monthly premiums.
According to the PPACA rules, what percentage of health care costs will be
covered under a bronze plan?
60%
Which of the following offers limited health care plans, in which some of the risk
of cost is assumed by the plan's providers?
Limited Health Service Organization (LHSO)
In the event a discontinued policy is replaced by another group policy, what costs
will the prior insurer be NOT liable to pay?
A small percentage of basic medical expenses after the switch has been made.
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According to the Recurrent Disability Provision, disability coverages cannot be
separated by more than...
6 months.
How many accounts must the Illinois Life and Health Insurance Guaranty
Association maintain?
2 accounts: life insurance and health insurance.
Which type of long-term care policy is designed to prevent people from
impoverishing themselves in order for Medicaid to take over their nursing home
expenses?
Partnership Policy.
J has a health insurance policy that terminates when she is 12 weeks pregnant.
Which of the following will most likely happen?
Pregnancy benefits will be extended.
Which of the following would a Traditional LTC plan NOT cover?
Intensive care unit essential costs.
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An insured under a long-term care policy and has just been diagnosed with
Multiple Sclerosis (MS). What alteration will most likely be made to the policy?
No changes will be made to the insured's coverage.
Which of the following is generally NOT a limited health service included under
an LHSO?
Surgical services.
If a Medicare benefit is increased, a signed statement is required from the
policyholder...
Only if the premium increases in response.
The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT...
Individual tax deduction for premiums paid.
A woman obtains health coverage through the Marketplace on October 1. Two
weeks later she finds out that she is 3 months pregnant. Which of the following is
true about coverage for pregnancy?
Pregnancy will be covered immediately.
What is the maximum age for qualifying for a catastrophic plan?
ILLINOIS HEALTH INSURANCE EXAM ACTUAL
PREP QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE UPDATE
WITH VERIFIED SOLUTIONS – ASSURES PASS
Under the Affordable Care Act, which classification applies to health plans based
on the amount of covered costs?
Metal level classification.
Other than conditions stipulated by the Director, what is a permissible reason for
an HMO to cancel or not renew an enrollee's contract?
Failure to pay monthly premiums.
According to the PPACA rules, what percentage of health care costs will be
covered under a bronze plan?
60%
Which of the following offers limited health care plans, in which some of the risk
of cost is assumed by the plan's providers?
Limited Health Service Organization (LHSO)
In the event a discontinued policy is replaced by another group policy, what costs
will the prior insurer be NOT liable to pay?
A small percentage of basic medical expenses after the switch has been made.
,2|Page
According to the Recurrent Disability Provision, disability coverages cannot be
separated by more than...
6 months.
How many accounts must the Illinois Life and Health Insurance Guaranty
Association maintain?
2 accounts: life insurance and health insurance.
Which type of long-term care policy is designed to prevent people from
impoverishing themselves in order for Medicaid to take over their nursing home
expenses?
Partnership Policy.
J has a health insurance policy that terminates when she is 12 weeks pregnant.
Which of the following will most likely happen?
Pregnancy benefits will be extended.
Which of the following would a Traditional LTC plan NOT cover?
Intensive care unit essential costs.
, 3|Page
An insured under a long-term care policy and has just been diagnosed with
Multiple Sclerosis (MS). What alteration will most likely be made to the policy?
No changes will be made to the insured's coverage.
Which of the following is generally NOT a limited health service included under
an LHSO?
Surgical services.
If a Medicare benefit is increased, a signed statement is required from the
policyholder...
Only if the premium increases in response.
The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT...
Individual tax deduction for premiums paid.
A woman obtains health coverage through the Marketplace on October 1. Two
weeks later she finds out that she is 3 months pregnant. Which of the following is
true about coverage for pregnancy?
Pregnancy will be covered immediately.
What is the maximum age for qualifying for a catastrophic plan?
