NUR 202 ExamFX Pennsylvania life and health ExamFX simulated Exam Questions and Answers.

NUR 202 ExamFX Pennsylvania life and health ExamFX simulated Exam Questions and Answers. 1. An employee becomes insured under a PPO plan provided by his employer. If the insured decides to go to a physician who is not a PPO provider, which of the following will happen? ANS: The PPO will pay reduced benefits 2. Insurers may change which of the following on a guaranteed renewable health insurance policy? ANS: Rates by class 3. If a business wants to buy a disability income policy on a key employee, which of the following is considered the applicant? ANS: The employer 4. When must an insurance company present an outline of coverage to an applicant for a Medicare Supplement Policy? ANS: At the time of application 5. According to the PPACA metal levels classification, if a health plan is expected to cover 90% of the cost for an average population, and the participants would cover the remaining 10% what type of plan is that? ANS: Platinum 6. A producer licensed in Pennsylvania must notify the Insurance Department of any change in address in his or her residence or business address within how many days? ANS: 30 7. Which of the following is true regarding Medicare Supplement Policies? ANS: They must be guaranteed renewable 8. When the policy premium wasn't submitted with the application, what should the agent obtain from the insured upon policy delivery ANS: A statement of good health NUR 202 ExamFX Pennsylvania life and health ExamFX simulated Exam Questions and Answers. 9. The act of voluntarily giving up insurance by the insured is called ANS: Cancellation 10. What type of benefit helps to pay for accidental injuries that are not severe enough to qualify as disabilities? ANS: Medical Reimbursement Benefit 11. Which renewal option does NOT guarantee renewal and allows the insurance company to refuse renewal of a policy of any premium due date ANS: Optionally renewable 12. In comparison to a policy that uses the accidental means definition, a policy that uses the accidental bodily injury definition would provide a coverage that is?ANS: Broader in general 13. Once it has been reasonably proven that a person unknowingly violated the insurance code regarding unfair methods of competition, the department may impose a civil penalty of?ANS: $1000 for each violation 14. Which renewability provision are you most likely to see on a travel accident policy ANS: Period of time 15. Which of the following conditions would a disability income policy most likely NOT require in order to qualify for benefits? ANS: A specified income status prior to disability 16. When an individual purchases insurance, what risk management technique is he or she practicing? ANS: Transfer 17. An insured does not have to pay coinsurance or deductibles on a full-series mouth x-ray but does have to pay a deductible to get his cavities filled. Which dental plan does he have? ANS: Nonscheduled 18. In which of the following situations is it legal to limit coverage based on marital status? ANS: It is never legal to limit coverage based on marital status .