EXAMFX LIFE AND HEALTH QUESTIONS
AND ANSWERS
Subrogationg-gan--
thegtransfergofganginsured'sgrightgtogseekgdamagesgfromgagnegligentgpartygtogtheginsurergi
sgfoundgingwhichgofgthegfollowinggclauses?
controlghealthginsurancegclaimsgexpensesg-gan--
thegpurposegofgmanagedgcareghealthginsurancegisgto
theginsurancegthroughghisgcompanygisgprimaryg-gan--
agmangworksgforgcompanygAgandghisgwifegworksgforgcompanygB.gThegspousesgaregcovere
dgbyghealthgplansgthroughgtheirgrespectivegcompaniesgthatgalsogcovergthegothergspouse.gI
fgtheghusbandgfilesgagclaim
agpermanentgresidentglawfullygpresentgingthegU.S.g-gan--
whichgofgthegfollowinggindividualsgwillgbegeligiblegforgcoveragegongthegHealthgInsurancegM
arketplace?
presentgearningsgandgearningsgpriorgtogdisabilityg-gan--
whichgofgthegfollowinggaregthegmaingfactorsgtakengintogaccountgwhengcalculatinggresidualg
disabilitygbenefits
100%g-gan--
Sgisgagsolegbusinessgproprietorgwhogownsgagmedicalgexpensegplan.gwhatgpercentagegofgt
hegcostgofgthegplangmayghegdeduct?
pregnancygwillgbegcoveredgimmidiatelyg-gan--
AgwomangobtainsghealthgcoveragegthroughgthegMarketplacegongOctoberg1.gTwogweeksgla
tergshegfindsgoutgthatgshegisg3gmonthsgpregnant.gWhichgofgthegfollowinggisgtruegaboutgcov
eragegforgpregnancy?
Paymentgisglimitedgtogagcertaingperiodgofgtimeg-gan--
whichgofgthegfollowinggappliesgtogpartialgdisabilitygbenefits
whengthegexpensesgexceedgagcertaingpercentagegofgtheginsured'sgadjustedggrossgincome
g-gan--
whengmayganginsuredgdeductgunreimbursedgmedicalgexpensesgpaidgundergaglonggtermgc
aregpolicy
, occupationalg-gan--
anginsuredghasghealthginsurancegthatgcoversgthemgatgworkgandgatghome.gthisgpolicyghasg
writtengongwhatgbasis?
Work-relatedgdisabilityg-gan--
workersgcompensationginsurancegcoversgagworker'sgmedicalgexpensesgresultinggfromgwo
rkgrelatedgsicknessgorginjuriesgandgcoversglossgofgincomegfrom
thisgisgagformgofginsurancegthatgcoversgpartgtimegworkersg-gan--
WhichgofgthegfollowinggisgNOTgtruegregardinggpartialgdisability?
10%g-gan--
individualsgwhogitemizegdeductionsgcangclaimgdeductionsgforgmedicalgexpensesgnotgcove
redgbyghealthginsurancegthatgexceedgwhatgpercentgofgtheirgadjustedggrossgincome?
thegpolicyownerghasgthegrightgtogchangegbeneficiariesginganygcaseg-gan--
whichgofgthegfollowinggstatementsgregardinggthegChangegofgbeneficiariesgprovisiongisgfals
e?
Nogtaxg-gan--ingangindividualglong-
termgcareginsurancegplan,gtheginsuredgisgablegtogdeductgthegpremiumsgfromgtaxes.gWhatgi
ncomegtaxationgwillgbegimposedgongthegbenefitsgreceived?
Employeegbenefitsgaregtaxgdeductiblegthegyeargingwhichgtheygweregreceivedg-gan--
Concerningggroupgmedicalgandgdentalginsurance,gwhichgofgthegfollowinggstatementsgingIN
CORRECT?
100%g-gan--
forggroupgmedicalgandgdentalgexpenseginsurance,gwhatgpercentagegofgpremiumgpaidgbygt
hegemployergisgdeductiblegasgagbusinessgexpense?
premiumsgaregnotgtaxgdeductible,gandgbenefitsgaregnotgtaxableg-gan--
whichgofgthegfollowinggdescribesgtaxationgofgindividualgdisabilitygincomeginsurancegpremiu
msgandgbenefits?
premiumsgaregtaxgdeductiblegandgbenefitsgaregnotgtaxedg-gan--
whichgofgthegfollowinggisgcorrectgregardinggthegtaxationgofggroupgmedicalgexpensegpremiu
msgandgbenefits?
$5,000g-gan--
anginsuredghasgagprimaryggroupghealthgplangandgangexcessgplan,geachgcoveringglossesgu
pgtog$10,000.gTheginsuredgsufferedgaglossgofg$15,000.gDisregardingganygcopaymentsgorgd
eductibles,ghowgmuchgwillgthegexcessgplangpay?
AND ANSWERS
Subrogationg-gan--
thegtransfergofganginsured'sgrightgtogseekgdamagesgfromgagnegligentgpartygtogtheginsurergi
sgfoundgingwhichgofgthegfollowinggclauses?
controlghealthginsurancegclaimsgexpensesg-gan--
thegpurposegofgmanagedgcareghealthginsurancegisgto
theginsurancegthroughghisgcompanygisgprimaryg-gan--
agmangworksgforgcompanygAgandghisgwifegworksgforgcompanygB.gThegspousesgaregcovere
dgbyghealthgplansgthroughgtheirgrespectivegcompaniesgthatgalsogcovergthegothergspouse.gI
fgtheghusbandgfilesgagclaim
agpermanentgresidentglawfullygpresentgingthegU.S.g-gan--
whichgofgthegfollowinggindividualsgwillgbegeligiblegforgcoveragegongthegHealthgInsurancegM
arketplace?
presentgearningsgandgearningsgpriorgtogdisabilityg-gan--
whichgofgthegfollowinggaregthegmaingfactorsgtakengintogaccountgwhengcalculatinggresidualg
disabilitygbenefits
100%g-gan--
Sgisgagsolegbusinessgproprietorgwhogownsgagmedicalgexpensegplan.gwhatgpercentagegofgt
hegcostgofgthegplangmayghegdeduct?
pregnancygwillgbegcoveredgimmidiatelyg-gan--
AgwomangobtainsghealthgcoveragegthroughgthegMarketplacegongOctoberg1.gTwogweeksgla
tergshegfindsgoutgthatgshegisg3gmonthsgpregnant.gWhichgofgthegfollowinggisgtruegaboutgcov
eragegforgpregnancy?
Paymentgisglimitedgtogagcertaingperiodgofgtimeg-gan--
whichgofgthegfollowinggappliesgtogpartialgdisabilitygbenefits
whengthegexpensesgexceedgagcertaingpercentagegofgtheginsured'sgadjustedggrossgincome
g-gan--
whengmayganginsuredgdeductgunreimbursedgmedicalgexpensesgpaidgundergaglonggtermgc
aregpolicy
, occupationalg-gan--
anginsuredghasghealthginsurancegthatgcoversgthemgatgworkgandgatghome.gthisgpolicyghasg
writtengongwhatgbasis?
Work-relatedgdisabilityg-gan--
workersgcompensationginsurancegcoversgagworker'sgmedicalgexpensesgresultinggfromgwo
rkgrelatedgsicknessgorginjuriesgandgcoversglossgofgincomegfrom
thisgisgagformgofginsurancegthatgcoversgpartgtimegworkersg-gan--
WhichgofgthegfollowinggisgNOTgtruegregardinggpartialgdisability?
10%g-gan--
individualsgwhogitemizegdeductionsgcangclaimgdeductionsgforgmedicalgexpensesgnotgcove
redgbyghealthginsurancegthatgexceedgwhatgpercentgofgtheirgadjustedggrossgincome?
thegpolicyownerghasgthegrightgtogchangegbeneficiariesginganygcaseg-gan--
whichgofgthegfollowinggstatementsgregardinggthegChangegofgbeneficiariesgprovisiongisgfals
e?
Nogtaxg-gan--ingangindividualglong-
termgcareginsurancegplan,gtheginsuredgisgablegtogdeductgthegpremiumsgfromgtaxes.gWhatgi
ncomegtaxationgwillgbegimposedgongthegbenefitsgreceived?
Employeegbenefitsgaregtaxgdeductiblegthegyeargingwhichgtheygweregreceivedg-gan--
Concerningggroupgmedicalgandgdentalginsurance,gwhichgofgthegfollowinggstatementsgingIN
CORRECT?
100%g-gan--
forggroupgmedicalgandgdentalgexpenseginsurance,gwhatgpercentagegofgpremiumgpaidgbygt
hegemployergisgdeductiblegasgagbusinessgexpense?
premiumsgaregnotgtaxgdeductible,gandgbenefitsgaregnotgtaxableg-gan--
whichgofgthegfollowinggdescribesgtaxationgofgindividualgdisabilitygincomeginsurancegpremiu
msgandgbenefits?
premiumsgaregtaxgdeductiblegandgbenefitsgaregnotgtaxedg-gan--
whichgofgthegfollowinggisgcorrectgregardinggthegtaxationgofggroupgmedicalgexpensegpremiu
msgandgbenefits?
$5,000g-gan--
anginsuredghasgagprimaryggroupghealthgplangandgangexcessgplan,geachgcoveringglossesgu
pgtog$10,000.gTheginsuredgsufferedgaglossgofg$15,000.gDisregardingganygcopaymentsgorgd
eductibles,ghowgmuchgwillgthegexcessgplangpay?
