Florida 2-40 Health Insurance Exam (2026/2027) |
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• owners rights -✓✓if an individual health insurance policy provides a
death benefit, the policyowner will be able to designate a beneficiary
and, unless the beneficiary designation is irrevocable, to change the
beneficiary. the power to change the beneficiary is provided in the
change of beneficiary provision. the policyowner also has the right to
make any other change without the consent of the beneficiaries.
• dependent children benefits -✓✓the group coverage may be
extended to cover the insureds dependents. eligible dependents
include the insureds children, spouse, dependent parents, and anyone
else upon which dependency can be proven.
every policy providing coverage for a dependent child until a specified
age will not terminate that coverage if the child is dependent upon the
insured and is incapable of self support because of physical or mental
handicaps. proof of the dependency is required within 31 days of the
child attaining the maximum age. upon request, proof of dependency is
required annually after a 2 year period following attainment of
maximum age
• modes of premium payment -✓✓higher frequency of payments =
higher premium payments
, • nonduplication and coordination of benefits -✓✓the purpose of the
coordination of benefits (COB) provision, found only in group health
plans, is to avoid duplication of benefit payments and overinsurance
when an individual is covered under multiple group health insurance
plans. the provision limits the total amount of claims paid from all
insurers covering the patient to no more than the total allowable
medical expenses
• primary plan -✓✓the plan that is responsible for providing the full
benefit amounts as it specifies.
• secondary or excess plan -✓✓once the primary plan has paid its full
promised benefit, the insured submits the claim to the secondary
provider for any additional benefits payable (including deductibles and
coinsurance). in no case will the total amount the insured receives
exceed the costs incurred or the total maximum benefits available
under all plans.
• loss -✓✓amount covered by primary plan = amount covered by
secondary plan
• occupational coverage -✓✓provides benefits for illness, injury or
disability resulting from accidents that occur on or off the job
• nonoccupational coverage -✓✓only covers claims that result from
accidents or sickness occurring off the job
Newest Real Exam Questions | 100% Correct
Answers | Study Pack | A+ Verified
• owners rights -✓✓if an individual health insurance policy provides a
death benefit, the policyowner will be able to designate a beneficiary
and, unless the beneficiary designation is irrevocable, to change the
beneficiary. the power to change the beneficiary is provided in the
change of beneficiary provision. the policyowner also has the right to
make any other change without the consent of the beneficiaries.
• dependent children benefits -✓✓the group coverage may be
extended to cover the insureds dependents. eligible dependents
include the insureds children, spouse, dependent parents, and anyone
else upon which dependency can be proven.
every policy providing coverage for a dependent child until a specified
age will not terminate that coverage if the child is dependent upon the
insured and is incapable of self support because of physical or mental
handicaps. proof of the dependency is required within 31 days of the
child attaining the maximum age. upon request, proof of dependency is
required annually after a 2 year period following attainment of
maximum age
• modes of premium payment -✓✓higher frequency of payments =
higher premium payments
, • nonduplication and coordination of benefits -✓✓the purpose of the
coordination of benefits (COB) provision, found only in group health
plans, is to avoid duplication of benefit payments and overinsurance
when an individual is covered under multiple group health insurance
plans. the provision limits the total amount of claims paid from all
insurers covering the patient to no more than the total allowable
medical expenses
• primary plan -✓✓the plan that is responsible for providing the full
benefit amounts as it specifies.
• secondary or excess plan -✓✓once the primary plan has paid its full
promised benefit, the insured submits the claim to the secondary
provider for any additional benefits payable (including deductibles and
coinsurance). in no case will the total amount the insured receives
exceed the costs incurred or the total maximum benefits available
under all plans.
• loss -✓✓amount covered by primary plan = amount covered by
secondary plan
• occupational coverage -✓✓provides benefits for illness, injury or
disability resulting from accidents that occur on or off the job
• nonoccupational coverage -✓✓only covers claims that result from
accidents or sickness occurring off the job
