NC MEDICARE FINAL PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ A group health plan that offers dependent coverage must continue
such coverage for an employee's adult child until the child turns *26
years old*, whether or not the child is married. Answer: Under the
Patient Protection and Affordable Care Act (PPACA), until what age are
dependent children eligible to be covered under their parent's group
medical insurance policy?
◉ provide financial protection against the expenses of medical care
Answer: What is the basic purpose of health insurance?
◉ If Bob had submitted a premium with his application, the producer
would be required to give him either a binding or a conditional receipt. A
binding or conditional receipt is not required when an application is
submitted without a premium payment. Answer: Bob applied for a health
insurance policy but did not submit the premium with his application. If
the insurer issues the policy as applied for, the producer must then take
all of the following actions, EXCEPT:
◉ disability insurance Answer: Which type of health insurance benefit is
paid weekly or monthly due to injury or sickness and is based on the
insured's wages?
,◉ accidental death and dismemberment insurance Answer: Which of the
following types of health insurance pays a lump-sum benefit if the
insured suffers the loss of an arm or leg in an accident?
◉ disability income policies Answer: Which of the following types of
health insurance provides income when the insured cannot work because
of a disability?
◉ subrogation Answer: Becky was injured in an auto accident. Her
insurance company covered her claims and then tried to recover its
payments from the other driver's insurance company. Her insurer's right
to do this known as:
◉ The goal of the PPACA is to ensure that all Americans are covered
under a medical insurance plan, and to enforce that goal, a penalty is
assessed to most individuals who do not comply with the coverage
requirement. The penalty for adults is higher than it is for children under
age 18. Answer: With respect to penalties and fines for noncompliance
with the coverage requirements of the Patient Protection and Affordable
Care Act, all of the following statements are correct EXCEPT:
◉ Commercial insurers write traditional indemnity plans that reimburse
the insured for the cost of health care received, while *managed care
plans* offer health care through a network of health care providers and
medical facilities. Answer: Which of the following types of medical
, expense insurers generally requires or encourages insureds to use a
network of health care providers for their medical care?
◉ A conditional receipt gives the applicant coverage from the date of the
medical exam (if required) or the signed application; whichever is later.
*If the applicant turns out to be uninsurable, the insurer is not liable for
claims during the underwriting period. It returns the premium to the
applicant.* Answer: After Sandra submitted the initial premium with her
application for an individual health insurance policy, the producer gave
her a conditional receipt. The next week, Sandra suffered a serious
injury in a car accident. If Sandra was found to be uninsurable as of the
date of application, what is the insurer's responsibility?
◉ viatical settlement Answer: Which is not a type of health insurance?
◉ limited benefits policies Answer: Which of the following types of
health insurance covers specific conditions or provides benefits for
specific health services?
◉ The applicant has made an offer to the insurer. Answer: If an applicant
for health insurance includes the first premium with the application ,
which of the following statements is correct?
◉ Unlike the risk of death, a person may face health risks many times
during his or her life. *Only health insurance protects against risks a
person may face many times during his or her life.* Answer: Which of
WITH ANSWERS GRADED A+
◉ A group health plan that offers dependent coverage must continue
such coverage for an employee's adult child until the child turns *26
years old*, whether or not the child is married. Answer: Under the
Patient Protection and Affordable Care Act (PPACA), until what age are
dependent children eligible to be covered under their parent's group
medical insurance policy?
◉ provide financial protection against the expenses of medical care
Answer: What is the basic purpose of health insurance?
◉ If Bob had submitted a premium with his application, the producer
would be required to give him either a binding or a conditional receipt. A
binding or conditional receipt is not required when an application is
submitted without a premium payment. Answer: Bob applied for a health
insurance policy but did not submit the premium with his application. If
the insurer issues the policy as applied for, the producer must then take
all of the following actions, EXCEPT:
◉ disability insurance Answer: Which type of health insurance benefit is
paid weekly or monthly due to injury or sickness and is based on the
insured's wages?
,◉ accidental death and dismemberment insurance Answer: Which of the
following types of health insurance pays a lump-sum benefit if the
insured suffers the loss of an arm or leg in an accident?
◉ disability income policies Answer: Which of the following types of
health insurance provides income when the insured cannot work because
of a disability?
◉ subrogation Answer: Becky was injured in an auto accident. Her
insurance company covered her claims and then tried to recover its
payments from the other driver's insurance company. Her insurer's right
to do this known as:
◉ The goal of the PPACA is to ensure that all Americans are covered
under a medical insurance plan, and to enforce that goal, a penalty is
assessed to most individuals who do not comply with the coverage
requirement. The penalty for adults is higher than it is for children under
age 18. Answer: With respect to penalties and fines for noncompliance
with the coverage requirements of the Patient Protection and Affordable
Care Act, all of the following statements are correct EXCEPT:
◉ Commercial insurers write traditional indemnity plans that reimburse
the insured for the cost of health care received, while *managed care
plans* offer health care through a network of health care providers and
medical facilities. Answer: Which of the following types of medical
, expense insurers generally requires or encourages insureds to use a
network of health care providers for their medical care?
◉ A conditional receipt gives the applicant coverage from the date of the
medical exam (if required) or the signed application; whichever is later.
*If the applicant turns out to be uninsurable, the insurer is not liable for
claims during the underwriting period. It returns the premium to the
applicant.* Answer: After Sandra submitted the initial premium with her
application for an individual health insurance policy, the producer gave
her a conditional receipt. The next week, Sandra suffered a serious
injury in a car accident. If Sandra was found to be uninsurable as of the
date of application, what is the insurer's responsibility?
◉ viatical settlement Answer: Which is not a type of health insurance?
◉ limited benefits policies Answer: Which of the following types of
health insurance covers specific conditions or provides benefits for
specific health services?
◉ The applicant has made an offer to the insurer. Answer: If an applicant
for health insurance includes the first premium with the application ,
which of the following statements is correct?
◉ Unlike the risk of death, a person may face health risks many times
during his or her life. *Only health insurance protects against risks a
person may face many times during his or her life.* Answer: Which of
