Kentucky Health Insurance Exam | Study Questions and Verified Answers| 100 % Correct| Grade A (New 2024/ 2025 Update)

Kentucky Health Insurance Exam | Study Questions and Verified A nswers | 100 % Correct| Grade A ( New Upda te) QUESTION Individuals who itemize deductions can claim deductions for medical expenses not covered by health insurance that exceed what percent of their adjusted gross income? A. 5% B. 7% C. 10% D. 15% Answer: C. 10% QUESTION What is another name for an Administrative Services only arrangement? A. Self funding B. Third party administrator C. A modified fully insured plan D. Modified endowment contract Answer: B. Third party administrator QUESTION Social Security Supplement SIS or Social Security riders would provide for the payment of income benefit in each of the situations except A. If the insured has been denied coverage under social security B. When the amount payable under social security is m ore than the amount payable under the rider. C. When used to replace or supplement benefits payable under other social insurance programs D. When the insured is eligible for Social Security benefits but before the benefits begin Answer: B. When the amount payable under social security is more than the amount payable under the rider. QUESTION The provision in a health insurance policy that ensures that the insurer cannot refer to any document that is not contained in the contract is the... A. Entire contract clause. B. Time limit on certain defenses clause. C. Incontestability clause D. Legal a ction Answer: A. Entire contract clause QUESTION Which clause states that a representation may NOT be contested after a two -year period? A. Free look. B. Noto contendere C. Grace period D. Incontestability Answer: D. Incontestability QUESTION The total of all assessments upon a member insurer for each account cannot legally exceed what percent of the insurer's premium received in this state during the calendar year preceding the assessment? A. 2% B. 12% C. 5% D. 20% Answer: A. 2% QUESTION If all required conditions are met and the insured does not have Medicare hospital coverage. Medicare Part B will cover how many home health days? A. 20 per year B. 30 per year C. 50 per year D. Unlimited Answer: D. unlimited QUESTION The benefits received by the business in a disability buy sell policy are...A. partially taxable B. fully taxable C. income tax free d. tax deductible Answer: C. income tax free QUESTION In reference to the standard Medicare supplement benefits plans what does the term standard mean? A. coverage options and conditions comply but will carry from provider to provider. B. All plans must include basic benefits a -n. C. coverage options are deve loped for average individuals. D. All providers will have the same coverage options and conditions for each plan Answer: D. All providers will have the same coverage options and conditions for each plan. QUESTION The full premium was submitted with the application for life insurance, and the policy was issued two weeks later as requested. When does the policy coverage become effective? A. as of the first of the month after the policy issue. B. As of the policy issu e date C. as of the application date D. As of the policy delivery date Answer: C. as of the application date QUESTION Under what type of group health plan does the insurer issue the plan on one year renewable term basis and the premium for each year only pays for that year's coverage? A. Annual fully insured B. convention fully insured C. modified fully insured. D. premiu m daily arrangement Answer: B. conventional fully insured. QUESTION An insured is involved in an accident that renders him permanently deaf, although he does not sustain any other major injuries. The insured is still able to perform his current job. To what extend will he receive presumptive disability benefits? A. No bene fits B. Full benefits C. Partial benefits D. full benefits for 2 years. Answer: B. full benefits QUESTION Under a disability income policies benefits are usually limited to approximately ......of the total weekly benefit for time lost to minor surgery, consultations, etc. A. 10% B. 15% C. 20% D. 25% Answer: A. 10% QUESTION All of the following are considered to be basic benefits of an HMO plan, Except A. preventive services B. Out of area service C. Diagnostic laboratory Services D. Prescription drugs. Answer: D. prescription drugs QUESTION How soon following the occurrence of a covered loss must an insured submit written proof of such loss to the insurance company? A. As soon as possible B. within 20 days c. within 60 days d. within 90 days or as soon as reasonable possible but not to exceed 1 year Answer: D. within 90 days or as soon as reasonably possible but not to exceed 1 year. QUESTION The Federal Fair credit reporting act a. regulated telemarketing. b. prevents money laundering c. regulates consumer reports d. protects customer privacy