Florida 2-40 Health License Exam Questions
with Certified Solutions
primary plan - Answer: the plan that is responsible for providing the full benefit
amounts as it specifies.
secondary or excess plan - Answer: once the primary plan has paid its full
promised benefit, the insured submits the claim to the secondary provider for any
additional benefits payable (including deductibles and coinsurance). in no case will
the total amount the insured receives exceed the costs incurred or the total
maximum benefits available under all plans.
loss - Answer: amount covered by primary plan = amount covered by secondary
plan
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, occupational coverage - Answer: provides benefits for illness, injury or disability
resulting from accidents that occur on or off the job
nonoccupational coverage - Answer: only covers claims that result from accidents
or sickness occurring off the job
personally owned health insurance - Answer: premium payments on personally
owned disability income policies are non-deductible by the individual. however,
disability income benefits are received income tax free by the individual.
in either medical expense insurance policies or long-term care insurance policies,
premiums paid by the individual policyholder are deductible as a medical expense
to the extent that when added to all other unreimbursed medical expenses, the
total exceeds 7.5% of the taxpayers adjusted gross income. however, there is a
limit on the amount of premium that can be deducted depending on the age of
the insured (taxpayer) at the end of the year. the IRS sets annual limits for that
amount, and any premium above these limits will not be considered a medical
expense, and therefore, cannot be tax deductible. the provision only applies if the
insured itemizes these deductions on his/her tax return
owners’ rights - Answer: if an individual health insurance policy provides a death
benefit, the policyowner will be able to designate a beneficiary and, unless the
beneficiary designation is irrevocable, to change the beneficiary. the power to
change the beneficiary is provided in the change of beneficiary provision. the
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with Certified Solutions
primary plan - Answer: the plan that is responsible for providing the full benefit
amounts as it specifies.
secondary or excess plan - Answer: once the primary plan has paid its full
promised benefit, the insured submits the claim to the secondary provider for any
additional benefits payable (including deductibles and coinsurance). in no case will
the total amount the insured receives exceed the costs incurred or the total
maximum benefits available under all plans.
loss - Answer: amount covered by primary plan = amount covered by secondary
plan
Page 1 of 8
, occupational coverage - Answer: provides benefits for illness, injury or disability
resulting from accidents that occur on or off the job
nonoccupational coverage - Answer: only covers claims that result from accidents
or sickness occurring off the job
personally owned health insurance - Answer: premium payments on personally
owned disability income policies are non-deductible by the individual. however,
disability income benefits are received income tax free by the individual.
in either medical expense insurance policies or long-term care insurance policies,
premiums paid by the individual policyholder are deductible as a medical expense
to the extent that when added to all other unreimbursed medical expenses, the
total exceeds 7.5% of the taxpayers adjusted gross income. however, there is a
limit on the amount of premium that can be deducted depending on the age of
the insured (taxpayer) at the end of the year. the IRS sets annual limits for that
amount, and any premium above these limits will not be considered a medical
expense, and therefore, cannot be tax deductible. the provision only applies if the
insured itemizes these deductions on his/her tax return
owners’ rights - Answer: if an individual health insurance policy provides a death
benefit, the policyowner will be able to designate a beneficiary and, unless the
beneficiary designation is irrevocable, to change the beneficiary. the power to
change the beneficiary is provided in the change of beneficiary provision. the
Page 2 of 8
