X EL FINAL EXAM omprehensive of life and health
C c
insuran e 2026 EXAM NEWEST VERSION 2026/2027
c
Study Guide 243 Questions and Verified Answers |
100% orre t.C c
Typi ally, Long-Term Disability benefits are
c
oordinated with whi h benefit plan? . - orre t
c c c c
answer -->>So ial Se urity c c
The fo us of major medi al insuran e is providing
c c c
overage for . - orre t answer -->>medi al and
c c c c
hospitalization expenses
An insured under a Major Medi al expense plan c
with a zero dedu tible and 80/20 oinsuran e
c c c
provision files a $1,000 laim. How mu h of this laimc c c
is the insured responsible for? . - orre t answer c c
-->>$200
,be ause this poli y has a zero dedu tible, the
c c c
insures is only responsible for the 20% oinsuran e on c c
this laim, or $200c
An insured has a stop-loss limit of $5,000 and an
80/20 oinsuran e. The insured in urs $25,000 of
c c c
overed losses. How mu h will the insured pay? . -
c c
orre t answer -->>$5,000
c c
Whi h type of plan would be the most appropriate
c
for an individual on Medi are and on erned that c c c
Medi are will NOT pay for harges ex eeding the
c c c
approved amount? . - orre t answer -- c c
>>Medi are supplement Plan F c
When an a group health poli y renewal be denied
c c
a ording to the Health Insuran e Portability and
cc c
A ountability A t (HIPAA)? . - orre t answer
cc c c c
,-->>when ontribution or parti ipation rules have
c c
been violated
What does the word "level: in Level Term des ribe? c
. - orre t answer -->>the fa e amount
c c c
A non- ontributory health insuran e plan helps the
c c
insurer avoid . - orre t answer -->>adverse
c c
sele tion
c
be ause all eligible employees are usually overed,
c c
non- ontributory plans are desirable from an
c
underwriting standpoint be ause adverse sele tion
c c
is minimized.
To qualify for a resident produ er li ense in the
c c
state of Mi higan, an individual . - orre t
c c c
answer -->>must omplete the required pre-
c
, li ensing edu ation within 12 months of li ense
c c c
appli ation c
Under an expense-in urred individual health poli y,
c c
what is the MAXIMUM length of time after issuan e c
of the poli y that an insurer an ex lude overage for a
c c c c
pre-existing ondition? . - orre t answer
c c c
-->>12 months
pre-existing onditions may be ex luded for a
c c
maximum of 12 months from the date of
enrollment.
An insured has a health plan that pays established
amounts in a ordan e with a list of injuries, surgi al
cc c c
pro edures, or other losses. This list is alled a . -
c c
orre t answer -->>benefit s hedule
c c c
C c
insuran e 2026 EXAM NEWEST VERSION 2026/2027
c
Study Guide 243 Questions and Verified Answers |
100% orre t.C c
Typi ally, Long-Term Disability benefits are
c
oordinated with whi h benefit plan? . - orre t
c c c c
answer -->>So ial Se urity c c
The fo us of major medi al insuran e is providing
c c c
overage for . - orre t answer -->>medi al and
c c c c
hospitalization expenses
An insured under a Major Medi al expense plan c
with a zero dedu tible and 80/20 oinsuran e
c c c
provision files a $1,000 laim. How mu h of this laimc c c
is the insured responsible for? . - orre t answer c c
-->>$200
,be ause this poli y has a zero dedu tible, the
c c c
insures is only responsible for the 20% oinsuran e on c c
this laim, or $200c
An insured has a stop-loss limit of $5,000 and an
80/20 oinsuran e. The insured in urs $25,000 of
c c c
overed losses. How mu h will the insured pay? . -
c c
orre t answer -->>$5,000
c c
Whi h type of plan would be the most appropriate
c
for an individual on Medi are and on erned that c c c
Medi are will NOT pay for harges ex eeding the
c c c
approved amount? . - orre t answer -- c c
>>Medi are supplement Plan F c
When an a group health poli y renewal be denied
c c
a ording to the Health Insuran e Portability and
cc c
A ountability A t (HIPAA)? . - orre t answer
cc c c c
,-->>when ontribution or parti ipation rules have
c c
been violated
What does the word "level: in Level Term des ribe? c
. - orre t answer -->>the fa e amount
c c c
A non- ontributory health insuran e plan helps the
c c
insurer avoid . - orre t answer -->>adverse
c c
sele tion
c
be ause all eligible employees are usually overed,
c c
non- ontributory plans are desirable from an
c
underwriting standpoint be ause adverse sele tion
c c
is minimized.
To qualify for a resident produ er li ense in the
c c
state of Mi higan, an individual . - orre t
c c c
answer -->>must omplete the required pre-
c
, li ensing edu ation within 12 months of li ense
c c c
appli ation c
Under an expense-in urred individual health poli y,
c c
what is the MAXIMUM length of time after issuan e c
of the poli y that an insurer an ex lude overage for a
c c c c
pre-existing ondition? . - orre t answer
c c c
-->>12 months
pre-existing onditions may be ex luded for a
c c
maximum of 12 months from the date of
enrollment.
An insured has a health plan that pays established
amounts in a ordan e with a list of injuries, surgi al
cc c c
pro edures, or other losses. This list is alled a . -
c c
orre t answer -->>benefit s hedule
c c c
