ACCIDENT AND HEALTH INSURANCE EXAM QUESTIONS TESTBANK COMPLETE UPDATED QUESTIONS AND CORRECT ANSWERS 100% PASS GUARANTEED

H has suffered a covered disability away from her job and will shortly begin collecting benefits. The insurer sends a letter to H stating that she will not receive any benefit amounts greater than her income. This clause is knownas: A: Over-insurance clause B: free look C: relation of earning to insurance D: relation of economic value - -C: relation of earning to insurance -The insured should be aware of the issue date upon delivery a policy andthe date should be listed on: A: the policy summary B: the first page of the contractC: the delivery receipt D: upon conditional receipt - -B: the first page of the contract -The policy has all of the following rights EXCEPT: A: Right to solely renew a guaranteed renewable policy.B: Right to terminate a policy C: Unilateral right to renew an Optionally renewable policy D: Right to assign a contract - -C: Unilateral right to renew an Optionally renewable policy -The part of a contract that specifies which expenses may or may not becovered is known as the: A: Exclusion B: Eligible Expense provision C: Insuring Agreement D: Consideration Clause - -B: Eligible Expense provision -Which of the following is considered to be a mandatory provision in a health policy? A: Time Limit on Certain DefensesB: Change of Occupation C: Illegal Occupation D: Intoxicant/Narcotic Usage - -A: Time Limit on Certain Defenses -Which of the following may be considered an eligible expense found in ahealth policy? A: Cosmetic Surgery B: Premium payment C: cold cream D: Bus fare to receive treatment for a covered loss - -D: Bus fare to receive treatment for a covered loss -K has a policy that covers doctors visits but limits the number of visits per calendar year and pays a limited indemnification limit per visit. K has: A: Basic Medical Expense B: Physician Nonsurgical CoverageC: Basic Surgical Policy D: Basic Hospital Coverage - -B: Physician Nonsurgical Coverage -All of the following are CORRECT about Medicare EXCEPT: A: An insured who is age 30 but collecting Social Security disability for thelast two years is eligible for Medicare. B: An insured who is age 60 and is at the end stage of renal failure is eligiblefor Medicare. C: An insured who turns age 65 and is still employed is eligible for Medicare.D: An insured who has Medicare Part A is eligible to enroll for Medigap policies within six months of enrolling in Part A. - -D: An insured who has Medicare Part A is eligible to enroll for Medigap policies within six months of enrolling in Part A. -Under the Claim Forms provision in an Accident and Health policy, aninsurance company must supply an insured with claim forms within a MAXIMUM of how many days after receiving notice of the loss? A: 10 B: 15 C: 20 D: 30 - -B: 15 -The purpose of the Fair Credit Reporting Act is to: A: protect the consumer from having an adverse action against them basedof obsolete credit information B: to ensure that credit information used in underwriting is accurate andupdated C: make sure that any financial institution handles an individual's credit in a correct, proper manner D: All of the Above - -D: All of the Above -Most Accident and Health policies require that claims must be paid upon written proof of loss. A: 30 days B: Immediately C: 60 days D: 90 days - -B: Immediately -A LTC policy that will only pay for ADL given occasionally by a licensed professional is: A: Skilled Care B: Intermediate Care C: Custodial Care D: None of the Above - -C: Custodial Care -Which of the following policy provisions are optional in a individual health policy? A: Entire Contract B: Change of Occupation C: Entire Contract D: Reinstatement - -B: Change of Occupation -Which of the following elements is part of the entire contract clause? A: The exchange of value between the parties B: The agreement between the policyholder and insurer C: The amount of time the insured has to send a policy back for a full refundD: None of the Above - -D: None of the Above -All of the following are true regarding Social Security disability EXCEPT:A: A insured must wait 5 months before collecting benefits B: To qualify an insured must be unable to do any job in the Americaneconomy C: To qualify an insured must be disabled for a year or longer or die within atwo year period. D: The insured must have a certain amount of Social Security credits basedoff age. - -C: To qualify an insured must be disabled for a year or longer or die within a two year period. -Health Care FSA contributions are limited to per year. A: $5,000 B: $3,000 C: $2,700 D: $3,250 - -C: $2,700 -A noncancelable policy means the company A: may not raise the premium or terminate the policy except for nonpaymentof premium B: may not cancel before the insured reaches age 50 C: may pay limited benefits and cannot cancel all benefits D: can only terminate coverage if the insured switches occupations - -A: maynot raise the premium or terminate the policy except for nonpayment of premium