2-40 Health and Accident Insurance State Exam Prep 2026/2027 A+ Grade
Comprehensive Practice Questions and Answers
Multiple Employer Welfare Arrangement (MEWA) provides what type of benefits? - (answer)Insurance
XYZ Company pays the entire premium for its group health plan. The MINIMUM percentage of eligible
employees that must be covered is - (answer)100%
In Major Medical Expense policies, what is the intent of Stop Loss provision? - (answer)Limits an
insured's out-of-pocket medical expenses
Q is hospitalized for 3 days and receives a bill for $10,100. Q has a Major Medical policy with a $100
deductible and 80/20 coinsurance. How much will Q be responsible for paying on this claim? -
(answer)$2,100
Omitting information that affects the issuance or the rate of an insurance contract is called -
(answer)concealment
Florida requires that coverage for newborns begins "from the moment of birth" and continues for -
(answer)18 months
In order to establish a Health Reimbursement Arrangement (HRA), it MUST - (answer)be established by
the employer
Which provision allows a portion of any used medical benefits to be restored following a particular
amount of benefits has been used, or after the policy has been in effect for a particular period of time? -
(answer)Restoration of used benefit
Disability policies do NOT normally pay for disabilities arising from which of the following? - (answer)War
According to Florida law, when must an agent deliver the Outline of Coverage to a Medicare Supplement
applicant? - (answer)At the time of application
, 2-40 Health and Accident Insurance State Exam Prep 2026/2027 A+ Grade
Comprehensive Practice Questions and Answers
An agent selling Medicare Supplement policies must provide every applicant with a(n) -
(answer)Suitability form
One definition of replacement is "the act of replacing an existing insurance policy with another".
Replacement is - (answer)closely regulated and requires full disclosure
Who makes the legally enforceable promises in a unilateral insurance policy? - (answer)insurance
company
Which of the following acts is an agent NOT authorized to do on behalf of an insurer? -
(answer)Authorize claim payments
Which of the following BEST describes a Hospital Indemnity policy? - (answer)Coverage that pays a
stated amount PER DAY of a covered hospitalization
What is required in the Florida Employee Health Care Access Act? - (answer)Small group benefit plan are
to be issued on a "guarantee-issue" basis
The waiting period for a pre-existing condition under a Medicare Supplement policy may NOT go beyond
- (answer)6 months
J purchased a Disability Income Policy that ONLY J can terminate and on which the rates will never
increase above those illustrated in the policy. Which of the following types of policies did J purchase? -
(answer)Noncancelable
What is the elimination period of an individual disability policy? - (answer)Time period a disabled person
must wait before benefits are paid
Comprehensive Practice Questions and Answers
Multiple Employer Welfare Arrangement (MEWA) provides what type of benefits? - (answer)Insurance
XYZ Company pays the entire premium for its group health plan. The MINIMUM percentage of eligible
employees that must be covered is - (answer)100%
In Major Medical Expense policies, what is the intent of Stop Loss provision? - (answer)Limits an
insured's out-of-pocket medical expenses
Q is hospitalized for 3 days and receives a bill for $10,100. Q has a Major Medical policy with a $100
deductible and 80/20 coinsurance. How much will Q be responsible for paying on this claim? -
(answer)$2,100
Omitting information that affects the issuance or the rate of an insurance contract is called -
(answer)concealment
Florida requires that coverage for newborns begins "from the moment of birth" and continues for -
(answer)18 months
In order to establish a Health Reimbursement Arrangement (HRA), it MUST - (answer)be established by
the employer
Which provision allows a portion of any used medical benefits to be restored following a particular
amount of benefits has been used, or after the policy has been in effect for a particular period of time? -
(answer)Restoration of used benefit
Disability policies do NOT normally pay for disabilities arising from which of the following? - (answer)War
According to Florida law, when must an agent deliver the Outline of Coverage to a Medicare Supplement
applicant? - (answer)At the time of application
, 2-40 Health and Accident Insurance State Exam Prep 2026/2027 A+ Grade
Comprehensive Practice Questions and Answers
An agent selling Medicare Supplement policies must provide every applicant with a(n) -
(answer)Suitability form
One definition of replacement is "the act of replacing an existing insurance policy with another".
Replacement is - (answer)closely regulated and requires full disclosure
Who makes the legally enforceable promises in a unilateral insurance policy? - (answer)insurance
company
Which of the following acts is an agent NOT authorized to do on behalf of an insurer? -
(answer)Authorize claim payments
Which of the following BEST describes a Hospital Indemnity policy? - (answer)Coverage that pays a
stated amount PER DAY of a covered hospitalization
What is required in the Florida Employee Health Care Access Act? - (answer)Small group benefit plan are
to be issued on a "guarantee-issue" basis
The waiting period for a pre-existing condition under a Medicare Supplement policy may NOT go beyond
- (answer)6 months
J purchased a Disability Income Policy that ONLY J can terminate and on which the rates will never
increase above those illustrated in the policy. Which of the following types of policies did J purchase? -
(answer)Noncancelable
What is the elimination period of an individual disability policy? - (answer)Time period a disabled person
must wait before benefits are paid
