Health Insurance – Q&A – Correct And Verified
In what type of HMO are all the doctors employed directly by the HMO and
housed in the same building?
a. Independent Practice Association (IPA)
b. A closed network of physicians
c. A closed panel association (CPA)
d. A staff model HMO - ✔️ The correct answer is: A staff model
HMO
What must a producer give to a buyer who is replacing their life insurance
from another company?
Select one:
a. A comparison of the two policies
b. A Notice Regarding Replacement of Life Insurance
c. A copy of the state law regarding replacement insurance
d. A policy summary - ✔️ The correct answer is: A Notice
Regarding Replacement of Life Insurance
For an insurance contract to be complete, it must comply with which of the
following?
Select one:
a. All the papers, including the application must be on file with the agent
for the policyholder to examine.
b. A copy of the contract, all attached riders and a copy of the application
must be give to the insured.
c. All the specifics of the company's filing with the insurance commissioner
must be on file for public view.
d. The policy delivered to the insured is a brief summary of what is on file
with the Insurance Commissioner and will contain an abridged summary of
benefits available. - ✔️ The correct answer is: A copy of the
contract, all attached riders and a copy of the application must be give to
the insured.
Providing different levels of benefits for various levels of employees may be
done for any of the following classifications, EXCEPT:
,Select one:
a. Type of payroll (salaried or hourly, etc.)
b. Job classification (Foreman, Supervisor, Manager, etc.)
c. Length of service
d. Age brackets of employees - ✔️ The correct answer is: Age
brackets of employees
Every health insurance policy that provides maternity benefits must
provide coverage for a minimum of how many hours of inpatient care
following Caesarean delivery?
Select one:
a. 48 hours
b. 72 hours
c. 96 hours
d. 120 hours - ✔️ The correct answer is: 96 hours
A pianist, lost two fingers on her right hand. Though unable to support
herself as a pianist, she started teaching piano and now has many students.
Her disability would likely be reclassified as:
Select one:
a. Any occupation
b. Own occupation
c. Presumptive disability
d. Temporary disability - ✔️ The correct answer is: Any
occupation
A benefit that is a percentage of the total disability benefit for a period of
disability is called:
Select one:
a. Recurrent disability
b. Limited disability
c. Residual disability
d. Presumptive disability - ✔️ The correct answer is: Residual
disability
Which of the following is not part of the Medicare Part B coverage?
Select one:
a. Nursing home
b. Doctor's services
,c. Outpatient medical services
d. Home health care (if not covered under Part A) - ✔️ The
correct answer is: Nursing home
A temporary insurance producer license can be issued for a maximum of
how many days?
Select one:
a. 45 days
b. 60 days
c. 90 days
d. 180 days - ✔️ The correct answer is: 180 days
Which of the following is not part of the consideration element of an
insurance contract?
Select one:
a. The applicant's statements on the application
b. The initial premium paid by the applicant
c. The insurer's promise to pay a covered loss
d. The applicant's promises - ✔️ The correct answer is: The
applicant's promises
All of the following are limited type policies, EXCEPT:
Select one:
a. Accident only
b. Specified disease
c. Physician expense
d. Basic hospital expense - ✔️ The correct answer is: Physician
expense
How much time does a licensee have to notify the department of a change
in address?
Select one:
a. 15 days
b. 21 days
c. 30 days
d. 31 days - ✔️ The correct answer is: 30 days
, For a new hire signing up during the open enrollment period, the longest
pre-existing period for conditions that occurred prior to employment
under HIPPA is:
Select one:
a. 6 months
b. 12 months
c. 18 months
d. 24 months - ✔️ The correct answer is: 12 months
The insuring clause in a health policy includes all of the following, EXCEPT:
Select one:
a. The insurer's promise to pay benefits for defined losses
b. A definition of losses not covered by the policy
c. Specifies that benefits are subject to policy provisions
d. Identifies the insurance company and the insured - ✔️ The
correct answer is: A definition of losses not covered by the policy
Which policy provision deals with a misstatement of age when a claim is
submitted?
Select one:
a. Time limit for certain defenses
b. The insuring clause
c. The misstatement of age or sex clause
d. Waiver of premium clause - ✔️ The correct answer is: The
misstatement of age or sex clause
All Medicare Supplement plans may provide benefits for all of the
following, EXCEPT:
Select one:
a. Deductible for Part B
b. The 20% Part B coinsurance
c. Coverage for blood deductible
d. Approved hospital cost after all Medicare benefits have been exhausted
- ✔️ The correct answer is: Deductible for Part B
What is the typical partial disability benefit?
Select one:
a. 50% of insured's previous earnings
b. 50% of the monthly indemnity for total disability.
In what type of HMO are all the doctors employed directly by the HMO and
housed in the same building?
a. Independent Practice Association (IPA)
b. A closed network of physicians
c. A closed panel association (CPA)
d. A staff model HMO - ✔️ The correct answer is: A staff model
HMO
What must a producer give to a buyer who is replacing their life insurance
from another company?
Select one:
a. A comparison of the two policies
b. A Notice Regarding Replacement of Life Insurance
c. A copy of the state law regarding replacement insurance
d. A policy summary - ✔️ The correct answer is: A Notice
Regarding Replacement of Life Insurance
For an insurance contract to be complete, it must comply with which of the
following?
Select one:
a. All the papers, including the application must be on file with the agent
for the policyholder to examine.
b. A copy of the contract, all attached riders and a copy of the application
must be give to the insured.
c. All the specifics of the company's filing with the insurance commissioner
must be on file for public view.
d. The policy delivered to the insured is a brief summary of what is on file
with the Insurance Commissioner and will contain an abridged summary of
benefits available. - ✔️ The correct answer is: A copy of the
contract, all attached riders and a copy of the application must be give to
the insured.
Providing different levels of benefits for various levels of employees may be
done for any of the following classifications, EXCEPT:
,Select one:
a. Type of payroll (salaried or hourly, etc.)
b. Job classification (Foreman, Supervisor, Manager, etc.)
c. Length of service
d. Age brackets of employees - ✔️ The correct answer is: Age
brackets of employees
Every health insurance policy that provides maternity benefits must
provide coverage for a minimum of how many hours of inpatient care
following Caesarean delivery?
Select one:
a. 48 hours
b. 72 hours
c. 96 hours
d. 120 hours - ✔️ The correct answer is: 96 hours
A pianist, lost two fingers on her right hand. Though unable to support
herself as a pianist, she started teaching piano and now has many students.
Her disability would likely be reclassified as:
Select one:
a. Any occupation
b. Own occupation
c. Presumptive disability
d. Temporary disability - ✔️ The correct answer is: Any
occupation
A benefit that is a percentage of the total disability benefit for a period of
disability is called:
Select one:
a. Recurrent disability
b. Limited disability
c. Residual disability
d. Presumptive disability - ✔️ The correct answer is: Residual
disability
Which of the following is not part of the Medicare Part B coverage?
Select one:
a. Nursing home
b. Doctor's services
,c. Outpatient medical services
d. Home health care (if not covered under Part A) - ✔️ The
correct answer is: Nursing home
A temporary insurance producer license can be issued for a maximum of
how many days?
Select one:
a. 45 days
b. 60 days
c. 90 days
d. 180 days - ✔️ The correct answer is: 180 days
Which of the following is not part of the consideration element of an
insurance contract?
Select one:
a. The applicant's statements on the application
b. The initial premium paid by the applicant
c. The insurer's promise to pay a covered loss
d. The applicant's promises - ✔️ The correct answer is: The
applicant's promises
All of the following are limited type policies, EXCEPT:
Select one:
a. Accident only
b. Specified disease
c. Physician expense
d. Basic hospital expense - ✔️ The correct answer is: Physician
expense
How much time does a licensee have to notify the department of a change
in address?
Select one:
a. 15 days
b. 21 days
c. 30 days
d. 31 days - ✔️ The correct answer is: 30 days
, For a new hire signing up during the open enrollment period, the longest
pre-existing period for conditions that occurred prior to employment
under HIPPA is:
Select one:
a. 6 months
b. 12 months
c. 18 months
d. 24 months - ✔️ The correct answer is: 12 months
The insuring clause in a health policy includes all of the following, EXCEPT:
Select one:
a. The insurer's promise to pay benefits for defined losses
b. A definition of losses not covered by the policy
c. Specifies that benefits are subject to policy provisions
d. Identifies the insurance company and the insured - ✔️ The
correct answer is: A definition of losses not covered by the policy
Which policy provision deals with a misstatement of age when a claim is
submitted?
Select one:
a. Time limit for certain defenses
b. The insuring clause
c. The misstatement of age or sex clause
d. Waiver of premium clause - ✔️ The correct answer is: The
misstatement of age or sex clause
All Medicare Supplement plans may provide benefits for all of the
following, EXCEPT:
Select one:
a. Deductible for Part B
b. The 20% Part B coinsurance
c. Coverage for blood deductible
d. Approved hospital cost after all Medicare benefits have been exhausted
- ✔️ The correct answer is: Deductible for Part B
What is the typical partial disability benefit?
Select one:
a. 50% of insured's previous earnings
b. 50% of the monthly indemnity for total disability.
