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Exam (elaborations)

TN HEALTH AND LIFE INSURANCE EXAM 2024 WITH 100% CORRECT ANSWERS

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TN HEALTH AND LIFE INSURANCE EXAM 2024 WITH 100% CORRECT ANSWERS Which of the following reimburses its insureds for covered medical expenses? - health maintenance organizations - preferred provider organizations - commercial insurers - service providers - correct answer COMMERCIAL INSURERS - Commercial insurance companies function on the reimbursement approach. Policyowners obtain medical treatment from whatever source they feel is most appropriate and submit their charges to their insurer for reimbursement A business entity can be defined as a(n) - agency that must only operate outside of TN - agency that must only operate inside of TN - association or a limited liability company - business that requires approval by the Attorney General to transact business - correct answer ASSOCIATION OR A LIMITED LIABILITY COMPANY - The definition of a business entity includes an association or limited liability company Which of the following health insurance policy provisions specifies the health care services a policy will provide? - insuring clause - usual, customary, and reasonable clause - consideration clause - benefit clause

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