Pearson Vue National Health Insurance
Practice Test/ Quizzes & Correct Ans.
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
A. Uniform Provisions Law
B. Freedom of Information Act
C. Medical Information Bureau Disclosure Act
D. Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) - Answer: d
Under a Guaranteed Renewable Accident & Health policy, an insurer retains the right to:
A. increase the premium rate for one insured without increasing the rate for others in the
same class
A. increase the premium rate for one insured without increasing the rate for others in the same
class
B. increase the premium rate for an entire class of insureds
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,C. increase the benefits for an individual insured
D. decrease benefits for one insured without decreasing benefits for others in the same class -
Answer: d
Under a Guaranteed Renewable Accident & Health policy, an insurer retains the right to:
A.increase the premium rate for one insured without increasing the rate for others in the same
class
A. increase the premium rate for one insured without increasing the rate for others in the same
class
B. increase the premium rate for an entire class of insureds
C. increase the benefits for an individual insured
D. decrease benefits for one insured without decreasing benefits for others in the same class -
Answer: b
An individual who has had a heart murmur since birth is likely to be issued an individual
disability policy that includes:
A. Guaranteed Insurability rider
B. an Exclusionary/ Impairment rider
C. Waiver of Premium rider
D. Double Indemnity rider - Answer: b
Which of the following statements is CORRECT about coinsurance?
A.It applies to deductibles as well as to claim payments.
A. It applies to deductibles as well as to claim payments.
B.It helps control overutilization of benefits.
C. It is effective for the first claim payment and waived for future claims.
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, D. Insurance companies may adjust the coinsurance ratio after issuing a policy. - Answer: b
The insurance policy clause that identifies the contracting parties and defines the scope and
limits of coverage is called the:
A. Insuring clause
B. Benefit clause
C. Consideration clause
D. Renewal clause - Answer: a
In an Accidental Death and Dismemberment (AD&D) policy, the term "capital sum" refers to:
A.the benefit paid for death caused by a dread disease
A. the benefit paid for death caused by a dread disease
B. the monthly disability income paid if an insured loses a limb or the sight in one or both eyes
C. a lump sum payment made when disease causes the amputation of an arm or a leg
D. a lump sum payment made for an accidental dismemberment - Answer: d
A group long-term disability plan is integrated with Social Security when which of the following
statements is CORRECT?
A. Social Security and group benefits pay a combined maximum limit.
B. Full group benefits are paid in addition to Social Security benefits.
C. Full Social Security benefits are paid after group benefits are exhausted.
D. Half of the allowable Social Security benefits are paid after group benefits are exhausted. -
Answer: a
Medicare Part A covers which of the following expenses?
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Practice Test/ Quizzes & Correct Ans.
Which of the following laws requires an insurer to notify an applicant in writing that an
investigative consumer report may be made on the applicant?
A. Uniform Provisions Law
B. Freedom of Information Act
C. Medical Information Bureau Disclosure Act
D. Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) - Answer: d
Under a Guaranteed Renewable Accident & Health policy, an insurer retains the right to:
A. increase the premium rate for one insured without increasing the rate for others in the
same class
A. increase the premium rate for one insured without increasing the rate for others in the same
class
B. increase the premium rate for an entire class of insureds
Page 1 of 20
,C. increase the benefits for an individual insured
D. decrease benefits for one insured without decreasing benefits for others in the same class -
Answer: d
Under a Guaranteed Renewable Accident & Health policy, an insurer retains the right to:
A.increase the premium rate for one insured without increasing the rate for others in the same
class
A. increase the premium rate for one insured without increasing the rate for others in the same
class
B. increase the premium rate for an entire class of insureds
C. increase the benefits for an individual insured
D. decrease benefits for one insured without decreasing benefits for others in the same class -
Answer: b
An individual who has had a heart murmur since birth is likely to be issued an individual
disability policy that includes:
A. Guaranteed Insurability rider
B. an Exclusionary/ Impairment rider
C. Waiver of Premium rider
D. Double Indemnity rider - Answer: b
Which of the following statements is CORRECT about coinsurance?
A.It applies to deductibles as well as to claim payments.
A. It applies to deductibles as well as to claim payments.
B.It helps control overutilization of benefits.
C. It is effective for the first claim payment and waived for future claims.
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, D. Insurance companies may adjust the coinsurance ratio after issuing a policy. - Answer: b
The insurance policy clause that identifies the contracting parties and defines the scope and
limits of coverage is called the:
A. Insuring clause
B. Benefit clause
C. Consideration clause
D. Renewal clause - Answer: a
In an Accidental Death and Dismemberment (AD&D) policy, the term "capital sum" refers to:
A.the benefit paid for death caused by a dread disease
A. the benefit paid for death caused by a dread disease
B. the monthly disability income paid if an insured loses a limb or the sight in one or both eyes
C. a lump sum payment made when disease causes the amputation of an arm or a leg
D. a lump sum payment made for an accidental dismemberment - Answer: d
A group long-term disability plan is integrated with Social Security when which of the following
statements is CORRECT?
A. Social Security and group benefits pay a combined maximum limit.
B. Full group benefits are paid in addition to Social Security benefits.
C. Full Social Security benefits are paid after group benefits are exhausted.
D. Half of the allowable Social Security benefits are paid after group benefits are exhausted. -
Answer: a
Medicare Part A covers which of the following expenses?
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