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How many eligible employees must be included in a contributory health insurance
plan?
-
Answer-50%
A man works for Company A and his wife works for Company B. The spouses are
covered by health plans through their respective companies that also cover the
other spouse. If the husband files a claim, -
Answer-The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under
COBRA? -
Answer-36 months
Twenty-five days after a health insurance policy is delivered, the policyowner
decides that she would like to return the policy and receive a refund of premium.
Which of the following is true? -
Answer-The policyowner will not receive a refund because the free- look period is over.
An insured is involved in a car accident. In addition to general, less serious
injuries, he permanently loses the use of his leg and is rendered completely blind.
The blindness improves a month later. To what extent will he receive Presumptive
Disability benefits? -
Answer-No benefits
For the purpose of insurance, risk is defined as -
Answer-The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? -
Answer-The trust that a client places in the producer in regard to handling premiums.
Which of the following is NOT true of basic medical expense plans? -
Answer-Coverage for catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? -
Answer-The insurer may terminate the contract only at renewal for certain conditions.
What is the best way to change an application? -
Answer-Start over with a fresh application
On a major medical insurance policy, the amount that an insured must pay on a
claim before the insurer will pay is known as -
Answer-Deductible.
, Which of the following is correct about a group health insurance policy issued in
New York? -
Answer-It cannot exclude newborn children from coverage.