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HEALTH INSURANCE FLORIDA 2-40 PRACTICE
EXAM QUESTIONS 2 2026| CERTIFIED EXAM
WITH ANSWERS AND RATIONALES
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care- correct-answer -Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to reimburse a
business for overhead expenses in the event a business owner becomes disabled.
Expenses such as rent, utilities, telephone, equipment, employees' salaries, etc.)
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Once the insured has paid a specified amount of his expenses, under the stop-loss
feature of a health insurance policy, how much will the company then pay?
-75%
-20%
-80%
-100%- correct-answer -100%
How will the "miscellaneous expenses" benefit be expressed in a basic health
insurance policy?
-Reasonable, usual and customary rates
-Multiple of daily room and board rate
-Approved charge per day rate
-Percentage of daily room and board rate- correct-answer -Multiple of daily room
and board rate
Roberta has a basic hospital expense policy with a $10,000 limit for benefits,
coordinated with a major medical policy with a $500 corridor deductible and
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80/20 coinsurance provision. If she incurs a loss of $20,000, how much will the
insurer pay?
-$17,600
-$18,000
-$11,900
-$2,400- correct-answer -$17,600 (Explanation:
Total expenses are $20,000. Basic medical will pay the first $10,000 which leaves
$10,000 remaining. Roberta will pay the first $500 of this $10,000 with $9,500
remaining. Company will now pay 80% of $9,500 or $7,600. Total company pays
will be $10,000 from the basic medical plus $7,600 from the major medical =
$17,600)
Which of the following statements is TRUE about basic hospital, medical and
surgical expense policies?
-The benefits provided are usually equal to the actual expenses incurred
-They contain high deductibles
-They usually have a stated limit for specific expenses
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-Benefits are provided for loss of income- correct-answer -They usually have a
stated limit for specific expenses
Which of the following types of insurance policies combines several types of
benefits and provides more coverage than any of the others?
-Hospital expense
-Comprehensive major medical
-Hospital indemnity
-Surgical expense- correct-answer -Comprehensive major medical (Explanation:
Comprehensive major medical plans cover virtually all medical expenses in a
single policy. Such as hospital, physician and surgeon, nursing care, drugs, physical
therapy, x-rays, medical supplies, etc.)
Wanda has a Major Medical policy with a flat deductible of $250, coinsurance of
80%/20% and a stop-loss of $5,000. She has a covered claim for $5,500. What will
Wanda pay?
-$1,100
HEALTH INSURANCE FLORIDA 2-40 PRACTICE
EXAM QUESTIONS 2 2026| CERTIFIED EXAM
WITH ANSWERS AND RATIONALES
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care- correct-answer -Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to reimburse a
business for overhead expenses in the event a business owner becomes disabled.
Expenses such as rent, utilities, telephone, equipment, employees' salaries, etc.)
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Once the insured has paid a specified amount of his expenses, under the stop-loss
feature of a health insurance policy, how much will the company then pay?
-75%
-20%
-80%
-100%- correct-answer -100%
How will the "miscellaneous expenses" benefit be expressed in a basic health
insurance policy?
-Reasonable, usual and customary rates
-Multiple of daily room and board rate
-Approved charge per day rate
-Percentage of daily room and board rate- correct-answer -Multiple of daily room
and board rate
Roberta has a basic hospital expense policy with a $10,000 limit for benefits,
coordinated with a major medical policy with a $500 corridor deductible and
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80/20 coinsurance provision. If she incurs a loss of $20,000, how much will the
insurer pay?
-$17,600
-$18,000
-$11,900
-$2,400- correct-answer -$17,600 (Explanation:
Total expenses are $20,000. Basic medical will pay the first $10,000 which leaves
$10,000 remaining. Roberta will pay the first $500 of this $10,000 with $9,500
remaining. Company will now pay 80% of $9,500 or $7,600. Total company pays
will be $10,000 from the basic medical plus $7,600 from the major medical =
$17,600)
Which of the following statements is TRUE about basic hospital, medical and
surgical expense policies?
-The benefits provided are usually equal to the actual expenses incurred
-They contain high deductibles
-They usually have a stated limit for specific expenses
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-Benefits are provided for loss of income- correct-answer -They usually have a
stated limit for specific expenses
Which of the following types of insurance policies combines several types of
benefits and provides more coverage than any of the others?
-Hospital expense
-Comprehensive major medical
-Hospital indemnity
-Surgical expense- correct-answer -Comprehensive major medical (Explanation:
Comprehensive major medical plans cover virtually all medical expenses in a
single policy. Such as hospital, physician and surgeon, nursing care, drugs, physical
therapy, x-rays, medical supplies, etc.)
Wanda has a Major Medical policy with a flat deductible of $250, coinsurance of
80%/20% and a stop-loss of $5,000. She has a covered claim for $5,500. What will
Wanda pay?
-$1,100
