FLORIDA 2-40 HEALTH INSURANCE EXAM |
2026/2027 ACTUAL EXAM –VERIFIED
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | FLORIDA HEALTH INSURANCE
AGENT LICENSE
The insurer has a maximum of how many days after receiving notice of a
claim to provide claims forms?
a. 7 days
b. 15 days
c. 45 days
d. 60 days
B. 15 days after receiving notice of a claim.
What defines proper business practices expected of agents?
a. The Florida Insurance Responsibility Entity (FIRE)
b. The Florida Insurance Code
c. The Florida Business Practices Act
d. The Florida Code of Ethics
D. The Florida Code of Ethics
Sue's hospital bill is $4,500. Her major medical policy has a $500 deductible
and then it pays 80% of the remaining bill. The policy also has a maximum
out-of-pocket of $2,000. How much of the total bill will the insurance company
pay?
a. $3,200
b. $3,600
,c. $3,800
d. $4,000
A. $3,200
SHE PAYS $500 THEN DO 4,000 X .80 TO GET 3,200
What is the purpose of the Florida Life and Health Guaranty Association?
a. To protect policy holders and insureds from illegal or unethical insurers
b. To protect insurers from various market conditions
c. To protect insurers from fraudulent claims
d. To protect policy holders and insureds from insurers who cannot fulfill
their financial obligations
D. To protect policy holders and insureds from insurers who cannot fulfill their
financial obligations.
The Florida Life and Health Guaranty Association (FLAHIGA) is a non-profit
association created by state law to act as a safety net for policyholders in the event
an insurance company becomes insolvent or is ordered to be liquidated by a court.
It provides limited protection to ensure that covered claims and policy benefits
continue to be paid, up to certain limits provided by law, thereby preventing
significant financial loss for consumers.
HSAs are frequently used with:
a. PPOs
b. HDHPs
c. HMOs
d. POSs
B. HDHPs
Health Savings Accounts (HSAs) can only be established and contributed to if you
are enrolled in a qualifying high-deductible health plan (HDHP) and have no other
disqualifying health coverage. The primary purpose of the HSA is to help
, individuals covered by HDHPs manage the higher out-of-pocket costs associated
with these plans (such as the higher deductible) using tax-advantaged fund
Florida's Long-term Care Partnership Program is a partnership between
Medicaid and:
a. Medicare
b. The state of Florida
c. Private long-term care insurers
d. Public long-term care insurers
C. Private long-term care insurers
designed to encourage people to buy private insurance by offering dollar-for-dollar
asset protection if they later need Medicaid, allowing them to keep more assets
while qualifying for aid.
What must an insurer have to be an authorized insurer?
a. At least two licensed agents
b. A certificate of authority
c. A "brick and mortar" office
d. A sponsoring company for which they are allowed to sell
B. A certificate of authority
What are nonprofit entities that provide life insurance as a benefit for their
members and beneficiaries?
a. Exclusive organizations
b. Fraternal organizations
c. Mutual insurers
d. Domestic insurers
B. Fraternal organizations
also known as fraternal benefit societies or fraternal insurers, are a specific type of
nonprofit entity that operates for the sole benefit of its members and their
beneficiaries. They are unique in that members typically share a common bond
2026/2027 ACTUAL EXAM –VERIFIED
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | FLORIDA HEALTH INSURANCE
AGENT LICENSE
The insurer has a maximum of how many days after receiving notice of a
claim to provide claims forms?
a. 7 days
b. 15 days
c. 45 days
d. 60 days
B. 15 days after receiving notice of a claim.
What defines proper business practices expected of agents?
a. The Florida Insurance Responsibility Entity (FIRE)
b. The Florida Insurance Code
c. The Florida Business Practices Act
d. The Florida Code of Ethics
D. The Florida Code of Ethics
Sue's hospital bill is $4,500. Her major medical policy has a $500 deductible
and then it pays 80% of the remaining bill. The policy also has a maximum
out-of-pocket of $2,000. How much of the total bill will the insurance company
pay?
a. $3,200
b. $3,600
,c. $3,800
d. $4,000
A. $3,200
SHE PAYS $500 THEN DO 4,000 X .80 TO GET 3,200
What is the purpose of the Florida Life and Health Guaranty Association?
a. To protect policy holders and insureds from illegal or unethical insurers
b. To protect insurers from various market conditions
c. To protect insurers from fraudulent claims
d. To protect policy holders and insureds from insurers who cannot fulfill
their financial obligations
D. To protect policy holders and insureds from insurers who cannot fulfill their
financial obligations.
The Florida Life and Health Guaranty Association (FLAHIGA) is a non-profit
association created by state law to act as a safety net for policyholders in the event
an insurance company becomes insolvent or is ordered to be liquidated by a court.
It provides limited protection to ensure that covered claims and policy benefits
continue to be paid, up to certain limits provided by law, thereby preventing
significant financial loss for consumers.
HSAs are frequently used with:
a. PPOs
b. HDHPs
c. HMOs
d. POSs
B. HDHPs
Health Savings Accounts (HSAs) can only be established and contributed to if you
are enrolled in a qualifying high-deductible health plan (HDHP) and have no other
disqualifying health coverage. The primary purpose of the HSA is to help
, individuals covered by HDHPs manage the higher out-of-pocket costs associated
with these plans (such as the higher deductible) using tax-advantaged fund
Florida's Long-term Care Partnership Program is a partnership between
Medicaid and:
a. Medicare
b. The state of Florida
c. Private long-term care insurers
d. Public long-term care insurers
C. Private long-term care insurers
designed to encourage people to buy private insurance by offering dollar-for-dollar
asset protection if they later need Medicaid, allowing them to keep more assets
while qualifying for aid.
What must an insurer have to be an authorized insurer?
a. At least two licensed agents
b. A certificate of authority
c. A "brick and mortar" office
d. A sponsoring company for which they are allowed to sell
B. A certificate of authority
What are nonprofit entities that provide life insurance as a benefit for their
members and beneficiaries?
a. Exclusive organizations
b. Fraternal organizations
c. Mutual insurers
d. Domestic insurers
B. Fraternal organizations
also known as fraternal benefit societies or fraternal insurers, are a specific type of
nonprofit entity that operates for the sole benefit of its members and their
beneficiaries. They are unique in that members typically share a common bond
