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Terms in this set (243)
Typically, Long-Term Disability Social Security
benefits are coordinated with which
benefit plan?
The focus of major medical medical and hospitalization expenses
insurance is providing coverage for
An insured under a Major Medical $200
expense plan with a zero
deductible and 80/20 coinsurance because this policy has a zero deductible, the
provision files a $1,000 claim. How insures is only responsible for the 20%
much of this claim is the insured coinsurance on this claim, or $200
responsible for?
,An insured has a stop-loss limit of $5,000
$5,000 and an 80/20 coinsurance.
The insured incurs $25,000 of
covered losses. How much will the
insured pay?
Which type of plan would be the Medicare supplement Plan F
most appropriate for an individual
on Medicare and concerned that
Medicare will NOT pay for charges
exceeding the approved amount?
When can a group health policy when contribution or participation rules have
renewal be denied according to the been violated
Health Insurance Portability and
Accountability Act (HIPAA)?
What does the word "level: in Level the face amount
Term describe?
A non-contributory health adverse selection
insurance plan helps the insurer
avoid because all eligible employees are usually
covered, non-contributory plans are desirable
from an underwriting standpoint because
adverse selection is minimized.
To qualify for a resident producer must complete the required pre-licensing
license in the state of Michigan, an education within 12 months of license application
individual
Under an expense-incurred 12 months
individual health policy, what is the
MAXIMUM length of time after pre-existing conditions may be excluded for a
issuance of the policy that an maximum of 12 months from the date of
insurer can exclude coverage for a enrollment.
pre-existing condition?
, An insured has a health plan that benefit schedule
pays established amounts in
accordance with a list of injuries, benefits schedule set predetermined limits or
surgical procedures, or other maximums on how much money and insured can
losses. This list is called a be reimbursed for a covered loss.
Who is the individual paid on a fee- Provider
for-service basis?
Which of the following is NOT an Giving the insured an article of merchandise
illegal inducement? printed with the producer's name costing $5
$5 or less of tokens or merchandise to applicants
is allowed.
Making a statement that is false or defamation
maliciously critical of the financial
condition of an insurer is known as
Which of the following is NOT a change of occupation
required provision in an accident
and health insurance policy? the change of occupation provision is considered
an OPTIONAL provision
Which of these statements about Funded by federal, sate, and local taxes
Medicaid is CORRECT?
Medicaid is funded by federal, state, and local
taxes but is administered by each state.
Questions with 100% Correct Answers Complete
| Updated Verified by Experts
Save
Terms in this set (243)
Typically, Long-Term Disability Social Security
benefits are coordinated with which
benefit plan?
The focus of major medical medical and hospitalization expenses
insurance is providing coverage for
An insured under a Major Medical $200
expense plan with a zero
deductible and 80/20 coinsurance because this policy has a zero deductible, the
provision files a $1,000 claim. How insures is only responsible for the 20%
much of this claim is the insured coinsurance on this claim, or $200
responsible for?
,An insured has a stop-loss limit of $5,000
$5,000 and an 80/20 coinsurance.
The insured incurs $25,000 of
covered losses. How much will the
insured pay?
Which type of plan would be the Medicare supplement Plan F
most appropriate for an individual
on Medicare and concerned that
Medicare will NOT pay for charges
exceeding the approved amount?
When can a group health policy when contribution or participation rules have
renewal be denied according to the been violated
Health Insurance Portability and
Accountability Act (HIPAA)?
What does the word "level: in Level the face amount
Term describe?
A non-contributory health adverse selection
insurance plan helps the insurer
avoid because all eligible employees are usually
covered, non-contributory plans are desirable
from an underwriting standpoint because
adverse selection is minimized.
To qualify for a resident producer must complete the required pre-licensing
license in the state of Michigan, an education within 12 months of license application
individual
Under an expense-incurred 12 months
individual health policy, what is the
MAXIMUM length of time after pre-existing conditions may be excluded for a
issuance of the policy that an maximum of 12 months from the date of
insurer can exclude coverage for a enrollment.
pre-existing condition?
, An insured has a health plan that benefit schedule
pays established amounts in
accordance with a list of injuries, benefits schedule set predetermined limits or
surgical procedures, or other maximums on how much money and insured can
losses. This list is called a be reimbursed for a covered loss.
Who is the individual paid on a fee- Provider
for-service basis?
Which of the following is NOT an Giving the insured an article of merchandise
illegal inducement? printed with the producer's name costing $5
$5 or less of tokens or merchandise to applicants
is allowed.
Making a statement that is false or defamation
maliciously critical of the financial
condition of an insurer is known as
Which of the following is NOT a change of occupation
required provision in an accident
and health insurance policy? the change of occupation provision is considered
an OPTIONAL provision
Which of these statements about Funded by federal, sate, and local taxes
Medicaid is CORRECT?
Medicaid is funded by federal, state, and local
taxes but is administered by each state.
