GA Health Insurance Exam Questions With Correct Answers!!

Under which of the following circumstances will the benefits under COBRA continuation coverage end? - Answer-all group health plans are terminated by the employer Dental care coverage is designated to cover the costs of all the following EXCEPT: - Answer-loss of income Which type of policy would pay an employee's salary if the employer was injured in a bicycle accident and out of work for six weeks? - Answer-Business Overhead Expense P and Q are married and have three children. P is the primary beneficiary on Q's Accidental Death and Dismemberment (AD&D) policy and Q's sister R is the contingent beneficiary. P, Q, and R are involved in a car accident and Q and R are killed instantly. The Accidental Death benefits will be paid to: - Answer-P only Common exclusions to continuation of group coverage include: - Answer-Dental Care, Other Prescription Drugs G is an accountant who has ten employees and is concerned about how the business would survive financially if G became disabled. The type of policy which BEST addresses this concern is: - AnswerBusiness Overhead Expense The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers (and their families) whose employment has been terminated the right to: - Answer-continue group health benefits The Coordination of Benefits provision: - Answer-prevents an insured covered by two health plans from making a profit on a covered loss K has an Accidental Death and Dismemberment (AD&D) insurance policy where her husband is beneficiary and her daughter is contingent beneficiary. Under the Common Disaster clause, if K and her husband are both killed in an automobile accident, where would the death proceeds be directed? - Answer-daughter Accidental Death coverage is provided to commercial airline passengers in which of the following types of policies? - Answer-Blanket Accident policyA policy owner would like to change the beneficiary on an Accidental Death and Dismemberment (AD&D) insurance policy and make the change permanent. Which type of designation would fulfill this need? - Answer-Irrevocable Which of the following medical expenses does Cancer insurance NOT cover? - Answer-arthritis Which of the following is the reimbursement of benefits for the treatment of a beneficiary's injuries cause by a third party? - Answer-subrogation An insured covered by Accidental Death and Dismemberment (AD&D) insurance has just died. What will happen if the primary beneficiary had already died before the insured and contingent beneficiary? - Answer-proceeds will go to the contingent beneficiary Which of the following statements BEST describes how a policy that uses the "accidental bodily injury" definition of an accidental differs from one that uses the "accidental means" definition? - Answer-less restrictive The percentage of an individual's Primary Insurance Amount (PIA) determines the benefits paid in which of the following programs? - Answer-Social Security Disability Income Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured? - Answer-PPO Which of the following statements is true about most Blue Cross/Blue Shield organizers? - Answerthey are nonprofit organizers Which of the following types of organizations are prepaid group health plans, where members pay in advance for the services of participating physician and hospitals that have agreements? - AnswerHMO Which of the following does Social Security NOT provide benefits for? - Answer-Dismemberment Which type of provider is known for stressing preventative medical care? - Answer-HMOWhich of the following BEST describes how a Preferred Provider Organization (PPO) is less restrictive than a Health Maintenance Organization (HMO)? - Answer-more physician to choose from Which of the following reimburses its insureds for covered medical expenses? - Answer-Commercial Insurers J is a subscriber to a plan which contracts with doctors and hospitals to provide medical benefits at a preset price. What type of plan does J belong to? - Answer-HMO Medicaid was designed to assist individuals who are: - Answer-below a specific income limit N has a Major Medical policy that only pays a portion of N's medical expenses. N is responsible for paying the remaining balance. This provision is known as: - Answer-Coinsurance