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Exam (elaborations)

Florida Health Insurance Exam rated A Correct answers

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Florida Health Insurance Exam rated A Correct answers

Institution
Florida Health Insuranc
Module
Florida Health Insuranc










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Institution
Florida Health Insuranc
Module
Florida Health Insuranc

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Uploaded on
August 7, 2024
Number of pages
19
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

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Florida Health Insurance Exam rated A
Correct answers
Accident - An unplanned, unforeseen event which occurs suddenly and at an
unspecified place



Accident Insurance - A type of insurance that protects the insured against loss due
to accidental bodily injury



Accidental Bodily Injury - Unplanned, unforeseen traumatic injury to the body



Accidental Death and Dismemberment - An insurance policy which pays a
specified amount or a specified multiple of the insured's benefit if the insured
dies, loses his/her sight, or loses two limbs due to an accident



Accidental Death Benefits - A policy rider that states that the cause of death will
be analyzed to determine if it complies with the policy description of accidental
death



Activities of Daily Living - Activities individuals must do every day such as moving
about, getting dressed, eating, bathing, etc.

,Florida Health Insurance Exam rated A
Correct answers
Actual Charge - The amount a physician or supplier actually bills for a particular
service or supply



Adhesion - A contract offered on a "take-it-or-leave-it" basis by an insurer, in
which the insured's only option is to accept or reject the contract. Any ambiguities
in the contract will be settled in favor of the insured



Admitted (Authorized) Insurer - An insurance company authorized and licensed to
transact insurance in a particular state



Adult Day Care - A program for impaired adults that attempts to meet their health,
social, and functional needs in a setting away from their homes



Adverse Selection - The tendency of risks with higher probability of loss to
purchase and maintain insurance more often than the risks who present lower
probability



Agent - An individual who is licensed to sell, negotiate, or effect insurance
contracts on behalf of the insurer

, Florida Health Insurance Exam rated A
Correct answers
Aleatory - A contract in which participating parties exchange unequal amounts.
Insurance contracts are this in that the amount the insured will pay in premiums is
unequal to the amount the insurer will pay in the event of a loss



Alien Insurer - An insurance company that is incorporated outside the USA



Apparent Authority - The appearance or the assumption of authority based on the
actions, words, or deeds of the principal or because of circumstances the principal
created



Approved Amount - The amount Medicare determines to be reasonable for a
service that is covered under Part B of Medicare



Assignment - A claim to a provider or medical supplier to receive payments
directly from Medicare



Attained Age - The age of the insured at a determined date



Attending Physician's Statement (APS) - A statement usually obtained from the
applicant's doctor

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