1 for specific request mail
Louisiana life, health, accident or sickness
insurance section 10 Questions | Accurate & Verified
Answers to Pass Actual Exam 3
defined benefit plan
Ans: the employer specifies amount of benefits promised to the
employee
defined contribution plan
Ans: focuses on contributions rather than on the benefits they will pay
Assignment Expert
out
tax deductible
Guru01 - Stuvia
Ans: a qualified expense that may reduce the amount of income subject
to taxation
Attained Age
2026
Ans: the insured's age at the time the policy is issued or renewed
©
Benefit Period
Ans: a period of time during which benefits are paid under the policy
cost sharing
Ans: sharing of expenses between the insured and the insurance
company through deductibles, copays and coinsurance
Enrollee
Ans: a person enrolled in a health insurance plan, an insured (doesn't
include dependents of the insured)
HMO
Ans: Health maintenance organization. A prepaid health insurance plan
in which patients receive health care from designated providers
, 2 for specific request mail
nonforfeiture benefits
Ans: a cash or insurance benefit received by a policyholder who no
longer wishes to make payments after making premium payments for at
least the minimum period
Medicare
Ans: federal government plan for paying certain hospital and medical
expenses for persons who qualify
available to anyone regardless of age
Assignment Expert
Part A: (Hospital Insurance)
Ans: financed through a portion of the payroll tax (FICA)
Guru01 - Stuvia
*impatient hospital care
*skilled nursing facility care
2026
*home health care
©
*hospice care
Part B: (medical insurance)
Ans: is financed from monthly premiums paid by insureds and from the
general revenues of the federal government
*doctor services
*outpatient hospital services
*home health visits
*other medical and health services
, 3 for specific request mail
Part C: (medicare advantage)
Ans: allows people to receive all of their health care services through
available provider organizations
Part D: (prescription Drugs)
Ans: for prescription drug coverage
Deductible
Ans: The portion of the loss that is to be paid by the insured before any
claim benefits may be paid by the insurer.
Assignment Expert
Medicaid
Ans: a. medical benefits program jointly administrated by the individual
Guru01 - Stuvia
states and the federal government
long-term care insurance
Ans: provide coverage for at least 12 months in a setting other than an
2026
acute care unit of a hospital
advertising
©
Ans: the insurance company must retain all advertisements for at least 3
years from the date that the advertisement was first used
skilled care
Ans: daily nursing and rehabilitative care provided by medical personnel
home health care
Ans: provided by RN, licensed practical nurses, or hospice
respite care
Ans: relief for a caregiver
, 4 for specific request mail
authorized insurer
Ans: insurer who has received a Certificate of Authority from the
department of insurance to transact insurance in this state
commissioner
Ans: head of the state department of insurance
Reciprocity
Ans: mutual exchange of rights and privileges
producers
Assignment Expert
Ans: individuals or business entities. that are licensed to sell, solicit, or
negotiate. insurance
Guru01 - Stuvia
the renewal window begins _____ days before expiration
Ans: 90
2026
every licensee must notify the commissioner of any changes to the
licensee's residential, mailing, business, or email address within
Ans: 30 days
©
if an insurer terminates a producers appointment, the commissioner
must be notified within _____ days after the effective date of the
termination
Ans: 30
life insurance policy illustration must include the following information
Ans: - name and business address of the insurer and the producer
- name, age, and sex of. the proposed insured
- underwriting or rating classification upon which the illustration is
based
Louisiana life, health, accident or sickness
insurance section 10 Questions | Accurate & Verified
Answers to Pass Actual Exam 3
defined benefit plan
Ans: the employer specifies amount of benefits promised to the
employee
defined contribution plan
Ans: focuses on contributions rather than on the benefits they will pay
Assignment Expert
out
tax deductible
Guru01 - Stuvia
Ans: a qualified expense that may reduce the amount of income subject
to taxation
Attained Age
2026
Ans: the insured's age at the time the policy is issued or renewed
©
Benefit Period
Ans: a period of time during which benefits are paid under the policy
cost sharing
Ans: sharing of expenses between the insured and the insurance
company through deductibles, copays and coinsurance
Enrollee
Ans: a person enrolled in a health insurance plan, an insured (doesn't
include dependents of the insured)
HMO
Ans: Health maintenance organization. A prepaid health insurance plan
in which patients receive health care from designated providers
, 2 for specific request mail
nonforfeiture benefits
Ans: a cash or insurance benefit received by a policyholder who no
longer wishes to make payments after making premium payments for at
least the minimum period
Medicare
Ans: federal government plan for paying certain hospital and medical
expenses for persons who qualify
available to anyone regardless of age
Assignment Expert
Part A: (Hospital Insurance)
Ans: financed through a portion of the payroll tax (FICA)
Guru01 - Stuvia
*impatient hospital care
*skilled nursing facility care
2026
*home health care
©
*hospice care
Part B: (medical insurance)
Ans: is financed from monthly premiums paid by insureds and from the
general revenues of the federal government
*doctor services
*outpatient hospital services
*home health visits
*other medical and health services
, 3 for specific request mail
Part C: (medicare advantage)
Ans: allows people to receive all of their health care services through
available provider organizations
Part D: (prescription Drugs)
Ans: for prescription drug coverage
Deductible
Ans: The portion of the loss that is to be paid by the insured before any
claim benefits may be paid by the insurer.
Assignment Expert
Medicaid
Ans: a. medical benefits program jointly administrated by the individual
Guru01 - Stuvia
states and the federal government
long-term care insurance
Ans: provide coverage for at least 12 months in a setting other than an
2026
acute care unit of a hospital
advertising
©
Ans: the insurance company must retain all advertisements for at least 3
years from the date that the advertisement was first used
skilled care
Ans: daily nursing and rehabilitative care provided by medical personnel
home health care
Ans: provided by RN, licensed practical nurses, or hospice
respite care
Ans: relief for a caregiver
, 4 for specific request mail
authorized insurer
Ans: insurer who has received a Certificate of Authority from the
department of insurance to transact insurance in this state
commissioner
Ans: head of the state department of insurance
Reciprocity
Ans: mutual exchange of rights and privileges
producers
Assignment Expert
Ans: individuals or business entities. that are licensed to sell, solicit, or
negotiate. insurance
Guru01 - Stuvia
the renewal window begins _____ days before expiration
Ans: 90
2026
every licensee must notify the commissioner of any changes to the
licensee's residential, mailing, business, or email address within
Ans: 30 days
©
if an insurer terminates a producers appointment, the commissioner
must be notified within _____ days after the effective date of the
termination
Ans: 30
life insurance policy illustration must include the following information
Ans: - name and business address of the insurer and the producer
- name, age, and sex of. the proposed insured
- underwriting or rating classification upon which the illustration is
based
